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1.
Psicol. reflex. crit ; 32: 18, 2019. tab
Article in English | LILACS (Americas), INDEXPSI | ID: biblio-1040870

ABSTRACT

Abstract Objective: The purpose of this study is to evaluate the association between psychosocial aspects at work and dissatisfaction among health workers in five cities in Bahia, Brazil. Methods: The evaluation was based on different models proposed to measuring occupational stress and possible combinations between them: demand-control model (DCM) and effort-reward imbalance (ERI). We conducted a cross-sectional epidemiological study including 3084 health workers. The analysis considered the association between partial/full/partial (combined) occupational stress models (the variable "exposure") and job dissatisfaction (the variable "outcome"). Results: Dissatisfaction rate was 26%. Full DCM and ERI models were better than partial ones to investigate job dissatisfaction. After adjustments, the combined models presented more robust measures of prevalence ratio than models evaluated separately (PR 2.93; CI 2.26-3.80). Conclusions: The combination of models has shown greater capacity to identify situations of job dissatisfaction and provided more potential information to support actions for workers' health. (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Work/psychology , Health Personnel/psychology , Occupational Stress/psychology , Job Satisfaction , Cross-Sectional Studies
2.
Trab. educ. saúde ; 16(3): 1301-1319, Sept.-Dec. 2018. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-963020

ABSTRACT

Resumo O objetivo deste estudo é avaliar os fatores associados à autoavaliação negativa da saúde entre trabalhadoras de enfermagem. Realizou-se estudo transversal exploratório, com amostra probabilística de 451 trabalhadoras de enfermagem da Atenção Básica à Saúde. Foi aplicado questionário com informações sociodemográficas, de hábitos de vida, ocupacionais, aspectos psicossociais e satisfação no trabalho e morbidade das trabalhadoras. A autoavaliação da saúde foi aferida por meio da questão "De modo geral, em comparação às pessoas da sua idade, como você considera o seu próprio estado de saúde?". Os dados foram analisados por meio do modelo de regressão logística em blocos. Identificou-se prevalência de 15,8% de autoavaliação negativa da saúde. Os fatores associados foram: incompatibilidade das atividades desenvolvidas com o cargo, média e alta sobrecarga doméstica, situação de trabalho ativo (alto controle, alta demanda), avaliação ruim da qualidade de vida e transtornos mentais comuns. Os achados corroboram a relação entre processo saúde-doença e condições de vida e trabalho e indicam a necessidade de políticas públicas de prevenção e promoção da saúde das trabalhadoras de enfermagem. Essas politicas, ao constituir situações favoráveis de trabalho, podem ser muito relevantes para a qualidade da assistência prestada aos usuários do Sistema Único de Saúde.


Abstract The goal of this study is to assess the elements associated with the negative self-assessment of health among nursing workers. We performed a cross-sectional exploratory study, with a probability sample composed of 451 Primary Health Care nursing workers. We applied a questionnaire with sociodemographic data, as well as data on life habits, occupations, psychosocial aspects and satisfaction at work and morbidity of the workers. The self-assessment of health was measured through the question "Overall, in comparison with other people your age, how would you consider your own health status?" The data was analyzed using the model of logistic regression in blocks. We identified a prevalence of 15.8% of negative health self-assessments. The factors associated to it were: incompatibility of the activities developed with the position, medium and high housework overload, active work situation (high control, high demand), poor assessment of the quality of life, and common mental disorders. The findings confirm the relationship between the health-disease process and the life and working conditions, and point to a need for public policies of prevention and promotion of the health of nursing workers. By constituting favorable work situations, these policies may be highly relevant for the quality of the care provided to the users of the Brazilian Unified Health System (Sistema Único de Saúde, SUS, in the Portuguese acronym).


Resumen El objetivo de este estudio es evaluar los factores asociados a la autoevaluación negativa de la salud entre trabajadoras de enfermería. Se realizó un estudio transversal exploratorio, a partir de una muestra probabilística de 451 trabajadoras de enfermería de la Atención Básica de la Salud. Se aplicó un cuestionario con información sociodemográfica, de hábitos de vida, laborales, aspectos psicosociales y satisfacción en el trabajo, y morbilidad de las trabajadoras. La autoevaluación de la salud fue realizada a través de la pregunta "¿De manera general, en comparación a las personas de su edad, cómo considera usted su propio estado de salud?". Los datos se analizaron por medio del modelo de regresión logística en bloques. Se identificó que la autoevaluación negativa de la salud prevalece con un 15,8%. Los factores asociados fueron: incompatibilidad de las actividades desarrolladas en relación al cargo, media y alta sobrecarga doméstica, situación de trabajo activo (alto control, alta demanda), mala evaluación de la calidad de vida y trastornos mentales comunes. Los resultados corroboran la relación entre el proceso salud-enfermedad y las condiciones de vida y trabajo, e indican la necesidad de políticas públicas de prevención y promoción de la salud de las trabajadoras de enfermería. Estas políticas, al constituir situaciones favorables de trabajo, pueden ser muy importantes para la calidad de la asistencia brindada a los usuarios del Sistema Único de Salud.


Subject(s)
Humans , Primary Health Care , Self-Assessment , Women, Working , Occupational Health , Nursing
3.
Psicol. reflex. crit ; 31: 20, 2018. tab
Article in English | LILACS (Americas), INDEXPSI | ID: biblio-955763

ABSTRACT

Objective: To analyze the factors associated with common mental disorders (CMD) in primary care female nursing professionals. Methods: We performed exploratory cross-sectional study, using a structured questionnaire, applied to 451 primary care female nursing professionals from five municipalities of Bahia, Brazil, in a randomly selected sample. The outcome variable (CMD) was evaluated by SRQ-20. To analyze the factors associated with the prevalence of CMD, logistic regression analysis was used in blocks. Results: The prevalence of CMD was 16.2% and the exposure factors were professional category (PR 0.56, CI 0.34­0.90, p = .01), having a workload of more than 60 h per week (PR 2.53, CI 1.55­4.11, p < .01), personal insecurity at work (PR 1. 92, CI 1.28­2.88, p = .00), high domestic overload (PR 1.94, CI 1.25­2.98, p < .01), effort-reward imbalance at work (PR 1. 78, CI 0.98­3.23, p = .05), dissatisfaction with oneself (PR 2.30, CI 1.52­3.46, p <.01), poor quality of life (PR 1. 69, CI 1.07­2.65, p = .02), and negative health status self-assessment (PR 1.77, CI 1.12­2.77, p = .01). Conclusions: The results reinforce the evidences of the relation between the health-disease process and work, be it professional or domestic. They also highlight the importance of changes in the organization of the nursing activities in the context of primary care, aiming to minimize stress and occupational dissatisfaction and promote the health of this category. It is noteworthy that domestic work should be considered and incorporated into investigations regarding the mental health of female population.


Subject(s)
Humans , Female , Adult , Nursing , Mental Disorders/epidemiology , Primary Health Care , Cross-Sectional Studies , Occupational Health
4.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 9(1): 208-214, jan.-mar. 2017. tab
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-836328

ABSTRACT

Objective: to estimate the prevalence of Burnout Syndrome among the Primary Health Care nurses in a city of Bahia Southwest. Methods: Cross-sectional study, conducted with 60 nursing professionals of primary care. We used a sociodemographic and occupational questionnaire, and the Maslach Burnout Inventory. Data were tabulated using SPSS, version 22.0, and analyzed using descriptive statistics. Results: The prevalence of burnout syndrome was 58.3% according to the criteria of Grunfeld et al, and 16.7% according to Ramirez et al., they have found high levels in the dimension depersonalization (48.3%) and low job satisfaction (56.6%). The prevalence of burnout syndrome in the study population was high, as was the high rate predisposition to develop this syndrome. Conclusions: The study pointed out the need to implement preventive and interventional measures to ensure a beneficial and promising health work environment.


Objetivo: estimar a prevalência da Síndrome de Burnout entre profissionais de enfermagem da Atenção Básica à Saúde de um município do sudoeste baiano. Método: Estudo de corte transversal, realizado com 60 profissionais de enfermagem da Atenção Básica. Utilizou-se um questionário sociodemográfico e laboral, e o Maslach Burnout Inventory. Os dados foram tabulados no SPSS versão 22.0 e analisados segundo estatística descritiva. Resultados: A prevalência de Síndrome de Burnout foi de 58,3%, de acordo os critérios de Grunfeld et al., e de 16,7% segundo Ramirez et al. Encontraram-se altos níveis na dimensão despersonalização (48,3%) e baixa realização profissional (56,6%). A prevalência da Síndrome de Burnout na população estudada foi alta, assim como foi alto o índice de predisposição para desenvolver esta síndrome. Conclusões: O estudo apontou a necessidade de implementação de medidas preventivas e interventivas para garantir um ambiente de trabalho benéfico e promissor de saúde.


Objetivo: estimar la prevalencia del Síndrome de Burnout entre las enfermeras de Atención Primaria de la Salud en la ciudad de Bahía Suroeste. Métodos: Estudio transversal, realizado con 60 profesionales de atención primaria. Se utilizó un cuestionario sociodemográfico ocupacional y el Maslach Burnout Inventory. Los datos fueron tabulados mediante el programa SPSS, versión 22.0, y analizados mediante estadística descriptiva. Resultados: La prevalencia del Síndrome de Burnout fue del 58,3%, según los criterios de Grunfeld et al., y el 16,7%, de acuerdo a los altos niveles de Ramírez et al. Ellos han encontrado en la despersonalización dimensión (48,3%) y la satisfacción laboral bajo (56,6%). La prevalencia del síndrome en la población de estudio fue alta, al igual que la predisposición tasa alta de desarrollar este síndrome. Conclusiones: El estudio señala la necesidad de implementar medidas de prevención y de intervención para garantizar un ambiente de trabajo de salud beneficioso prometedor.


Subject(s)
Humans , Primary Health Care , Nursing, Team/statistics & numerical data , Burnout, Professional , Brazil
5.
Psicol. reflex. crit ; 29: 44, 2016. tab, ilus
Article in English | LILACS (Americas), INDEXPSI | ID: biblio-910185

ABSTRACT

Background: Accumulation of abdominal adiposity (AA) constitutes a risk factor for heart and coronary diseases and for metabolic complications. Research suggests that stress is related to adipogenesis. The burnout syndrome (BS) is linked to stress due to the chronicity of work stress. The objective of this study is to estimate the association between BS and AA in Primary Health Care (PHC) nursing practitioners. Methods: This is confirmatory cross-sectional study with 189 workers from nine municipalities in Bahia, Brazil. The dependent variable was AA, measured by waist circumference. The independent variable was the BS, diagnosed by the Maslach Burnout Inventory (MBI). Sociodemographic and job characteristics, lifestyle, and human biology were taken as covariates and were evaluated as modifiers or confounders by the homogeneity tests and by comparison with the adjusted Mantel-Haenszel test, respectively. Logistic regression was employed to evaluate the association between BS and AA, adjusted for covariates. The adequacy of the final regression model was evaluated by the model's goodness of fit test and the area under the ROC curve. Results: BS prevalence was 10.6% and AA 54%. The variables age, education, hypertension, diabetes, working time, and high emotional exhaustion were associated with AA. An association was found between BS and AA (1.63 adjusted prevalence ratios; 95% CI, 1.29 to 2.06) even after age and working time adjustment. Conclusion: The results suggest an association between BS and AA in the analyzed professionals. A significant prevalence of burnout and AA is highlighted. (AU)


Subject(s)
Humans , Male , Female , Adult , Nurses, Male/psychology , Obesity, Abdominal/psychology , Occupational Stress , Cross-Sectional Studies , Primary Health Care
6.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1029958

ABSTRACT

Objetivo: estimar a prevalência da Síndrome de Burnout entre trabalhadores de enfermagem da Atenção Básicaà Saúde do município de Pojuca, Bahia, Brasil. Método: estudo transversal, descritivo, vinculado a um projetomulticêntrico, conduzido nas 12 Unidades de Saúde da Família, com 11 (39,3%) enfermeiros e 17 (60,7%) técnicos eauxiliares de enfermagem. Utilizou-se o Maslach Burnout Inventory. Resultados: apresentaram alto nível de ExaustãoEmocional 28,6% dos participantes; alto nível de Despersonalização foi apresentado por 21,5%; 46,4% expressaramalto nível de Reduzida Realização Profissional. A prevalência da síndrome apresentou um percentual relevante(7,1%), ao considerar que este diagnóstico pode ser prevenido. Conclusões: a prevalência de percentual relevanteda Síndrome de Burnout entre trabalhadores de enfermagem no município estudado exige a implementação demedidas para a prevenção no ambiente laboral, com um programa de saúde ocupacional que favoreça a promoçãoe o acompanhamento da situação de saúde desses profissionais.


Objective: to estimate the prevalence of Burnout Syndrome among the nursing workers of the primary health care inthe municipality of Pojuca, Bahia, Brazil. Method: cross-sectional descriptive study, linked to a multicenter projectconducted in 12 Family Health Units, with 11 (39.3%) nurses and 17 (60.7%) technicians and nursing assistants.We used the Maslach Burnout Inventory. Results: 28.6% of participants had high levels of emotional exhaustion;high level of depersonalization was presented by 21.5%; 46.4% expressed a high level of Reduced ProfessionalAccomplishment. The prevalence of the syndrome showed a significant percentage (7.1%), considering that thisdiagnosis can be prevented. Conclusions: the prevalence of relevant percentage of the Burnout Syndrome among nursing workers in the city studied requires the implementation of measures for prevention in the workplace, with anoccupational health program to encourage the promotion and monitoring of the health status of these professionals.


Objetivo: estimar la prevalencia del Síndrome de Burnout entre trabajadores de enfermería de la Atención Básica ala Salud del municipio de Pojuca, Bahia, Brasil. Método: estudio transversal, descriptivo, vinculado a un proyectomulticéntrico, conducido en las 12 Unidades de Salud de la Familia, con 11 (39,3%) enfermeros y 17 (60,7%)de técnicos y auxiliares de enfermería. Se utilizó el Maslach Burnout Inventory. Resultados: presentaron altonivel de Cansancio Emocional 28,6% de los participantes; alto nivel de Despersonalización fue presentado por21,5%; 46,4% expresaron alto nivel de Reducida Realización Profesional. La prevalencia del síndrome presentó unporcentual relevante (7,1%), al considerar que este diagnóstico puede ser prevenido. Conclusiones: la prevalencia deporcentual relevante del Síndrome de Burnout entre trabajadores de enfermería en el municipio estudiado exige laimplementación de medidas para la prevención en el ambiente laboral, con un programa de salud ocupacional quefavorezca la promoción y el acompañamiento de la situación de salud de esos profesionales.


Subject(s)
Male , Humans , Primary Health Care , Nursing , Nursing, Team , Burnout, Professional
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