ABSTRACT
OBJETIVO: compreender o quotidiano do enfermeiro na Atenção Primária à Saúde (APS) e suas vivências como ser, no fazer, aprender e conviver. MÉTODO: estudo de casos múltiplos holístico-qualitativo, fundamentado na Sociologia Compreensiva do Quotidiano, com 54 enfermeiros. RESULTADOS: o ser enfermeiro na APS vivencia o protagonismo, a autonomia, a aplicabilidade de conhecimentos e as habilidades profissionais, ao desempenhar o fazer com humanização, empatia, responsabilidade e ética. Os enfermeiros vivem, aprendem e convivem com os desafios quotidianos, como o elevado número de pessoas cadastradas, a falta de recursos humanos, a elevada demanda espontânea e reprimida, a atenção centrada no adoecimento e a necessidade de Educação Permanente. CONSIDERAÇÕES FINAIS: o ser, fazer, aprender e conviver dos enfermeiros é pautado por grandes responsabilidades e cobranças em torno do que é ideal e o que é real no quotidiano da APS. A infraestrutura e a funcionalidade das unidades de APS encontram-se longínquas da realidade idealizada e desejada.
OBJETIVO: comprender la cotidianeidad del enfermero en la Atención Primaria de la Salud (APS) y las experiencias que lo llevan a ser, hacer y convivir. MÉTODO: estudio de casos múltiples holístico cualitativo, basado en la Sociología Comprensiva de lo Cotidiano, con 54 enfermeros. RESULTADOS: el ser enfermero en la APS implica experimentar el protagonismo, la autonomía, la aplicación de conocimientos y habilidades profesionales, al desempeñar el hacer con carácter humanitario, empatía, responsabilidad y ética. Los enfermeros viven, aprenden y conviven con desafíos cotidianos a saber: elevado número de personas registradas, falta de recursos humanos, elevada demanda espontánea y reprimida, atención enfocada en la enfermedad y necesidad de Educación Permanente. CONSIDERACIONES FINALES: a los enfermeros se les impone ser, hacer, aprender y convivir en función de las grandes responsabilidades y exigencias en torno de lo ideal y lo real en la cotidianeidad de la APS. La infraestructura y la funcionalidad de las unidades de la APS se hallan muy lejos de la realidad idealizada y deseada.
OBJECTIVE: understand the daily life of the Primary Health Care (PHC) nurse and their experiences as being it, doing it, and learning to live together. METHOD: a holistic-qualitative multiple case study, based on Comprehensive Sociology of Daily Life, with 54 nurses. RESULTS: The being a nurse in PHC experiences protagonism, autonomy, the applicability of knowledge and professional skills by performing the doing with humanization, empathy, responsibility, and ethics. The nurses live, learn and live with daily challenges, such as a high number of registered people, lack of human resources, high spontaneous and repressed demand, attention focused on illness and the need for continuing education. FINAL CONSIDERATIONS: the being, doing, learning, and living with of the nurses is guided by great responsibilities and charges around what is ideal and what is real in the daily life of the PHC. The infrastructure and functionality of PHC units are far from the idealized and desired reality.
Subject(s)
Humans , Male , Female , Primary Health Care , Professional Competence , Professional Practice , Nurse's Role , Primary Care Nursing , Nurses , Unified Health System , Qualitative Research , Humanization of AssistanceABSTRACT
BACKGROUND@#Like most women, female nurses in the workforce experience life events such as marriage, childbirth, and child-rearing, and carry out numerous personal roles. This may result in an increase in various demands for nurses, and coping with these roles may promote work engagement. However, few studies have focused on work engagement or spillover effects, including those in the family domain, in female nurses with multiple roles. In the present study, we aimed to examine work engagement in female nurses and investigate its relationship with factors such as the presence or absence of multiple personal roles.@*METHODS@#The subjects of this study were 1225 female nurses working at three general hospitals, each with at least 200 hospital beds in Fukuoka Prefecture, Japan. The cross-sectional design of the study used anonymous self-administered questionnaires. Responses were received from 650 nurses (response rate 53.1%), of which 612 were valid (valid response rate 50.0%). Multiple regression analysis was performed on the 612 responses regarding associations between work engagement and the presence or absence of multiple roles (role as a wife or mother), spillover effects, coping characteristics, job demands, and job resources.@*RESULTS@#In general, the work engagement of female nurses was low, as is the case with other female workers in Japan, but work engagement was higher among female nurses with multiple roles than among those without. The regression analysis showed that factors associated with better work engagement in female nurses were family-to-work positive spillover, job resources, coping strategies including "changing a point of view," "active solution for problems," "avoidance and suppression," and the presence of multiple roles.@*CONCLUSIONS@#The results indicate that in addition to resources in the work domain, a family-to-work positive spillover effect, which is a variable in the non-work domain, may also promote energetic work among female nurses. Therefore, it is necessary for nurses to receive support at work and use effective coping strategies.
ABSTRACT
BACKGROUND: This study aimed to investigate the effects of shift work on abdominal obesity among young and middle-aged female nurses during a 5-year retrospective study. METHODS: This retrospective study included female nurses (20–39 years old) who worked at a university hospital in Korea and had available health screening results from 2010–2015. Among 2,611 employees, 934 healthy 20–39-year-old female nurses were identified, and data regarding their demographic information (age and date of employment), waist circumferences (WC), and lifestyle factors (alcohol and exercise) were obtained. Abdominal obesity was defined as a WC of ≥80 cm, based on the World Health Organization’s Asia-West Pacific standard in 2000. The mean WC change from baseline was analyzed using the paired t test, and the association between shift work and abdominal obesity was analyzed using the generalized estimating equation. RESULTS: Compared to all day workers (both age groups), the 20–29-year-old nurses did not exhibit significant changes in WC at each follow-up. However, among the 30–39-year-old nurses, shift workers exhibited a significant change in WC (vs. baseline) during years 4 and 5, compared to day workers. After adjusting for effective confounders and stratifying the participants according to age, the 20–29-year-old nurses exhibited an odds ratio of 3.21 (95 % confidence interval: 1.29–7.98) for shift work-associated obesity, although the odds ratio for the 30–39-year-old nurses was not statistically significant. CONCLUSION: In the study population, shift work was associated with a significant change in mean WC among 30–39-year-old nurses, and the shift work-associated risk of abdominal obesity was significant among 20–29-year-old nurses. These results indicate that shift work may influence abdominal obesity differently in 20–29-year-old and 30–39-year-old female nurses.