ABSTRACT
Abstract Background: Shift work is a very common characteristic in healthcare and has been associated with work-related stress. Objective: This study aimed to research about the relationship between current shift work and work-related stress symptoms presented in healthcare workers in a clinical setting in Medellin, Colombia. Methods: A cross-sectional study was conducted from January to July in 2014. A total of 50.5 % of participants performed their work activities in rotating shifts and 49.5% worked only during the day. Most of the professionals who participated in the survey were nurses and administrative staff. Participants completed demographic, occupational and lifestyle questionnaire, and a self-reported work-related stress symptoms instrument. Results: The study sample consisted of 160 (80%) females and 40 (20%) males. The average age was 35.1 ± 9.1. Generally, no significant differences were found in relation to psychological and emotional symptoms of social, intellectual and occupational behavior in shift workers compared to daytime workers. In a stratified analysis, among the nurses and nursing assistants group, those engaging in shift work reported significantly lower/fewer physiological symptoms and higher/more intense psycho emotional symptoms than the daytime workers (p=0.030 and p=0.047 respectively). Conclusions: In the stratified analysis, this cross-sectional study found a difference in work-related stress between daytime workers and shift workers in regards to nurses and nursing assistants. It was noticed that nurses and nursing assistants engaging in shift work reported higher psycho emotional and lower physiological stress symptoms compared to their daytime working counterparts. Probably, this corresponds to the numerous job demands during shift working or the different coping mechanisms.
Resumen Antecedentes: El trabajo por turnos es una característica muy común en la asistencia sanitaria y se ha asociado con el estrés relacionado con el trabajo. Objetivo: En este estudio, se investigó la relación entre el trabajo por turnos actual y los síntomas de estrés relacionados con el trabajo entre los trabajadores de la salud de un entorno clínico en Medellín, Colombia. Métodos: Se llevó a cabo un estudio transversal entre enero y julio de 2014. Un total de 50,5% de los participantes llevaban a cabo sus actividades de trabajo en turnos rotativos y 49,5% trabajaban sólo durante el día. La mayoría de los profesionales que completaron la encuesta eran enfermeras y personal administrativo. Los participantes completaron información demográfica ocupacional y acerca de su estilo de vida, y un instrumento de auto-reporte sobre síntomas de estrés relacionado con el trabajo. Resultados: La muestra del estudio consistió de 160 (80%) mujeres y 40 (20%) hombres. La edad media era de 35,1 ± 9,1. En general, no se observaron diferencias significativas en los síntomas emocionales, fisiológicos, de comportamiento social, intelectual y ocupacionales en los trabajadores por turnos en comparación con los trabajadores diurnos. En un análisis estratificado, en el grupo de enfermeras y auxiliares de enfermería, quienes realizaban trabajo por turnos se observaron significativamente menores síntomas fisiológicos y emocionales y mayores síntomas psicoemocionales que los trabajadores de día (p = 0,030 y p = 0,047, respectivamente). Conclusiones: Este estudio transversal encontró una diferencia en el estrés relacionado con el trabajo entre los trabajadores por turnos y los trabajadores diurnos en el análisis estratificado y sólo para enfermeras y auxiliares de enfermería. Se observó que las enfermeras y auxiliares de enfermería que participan en el trabajo por turnos informaron de síntomas de estrés psicoemocionales más elevados mientras que los síntomas fisiológicos fueron más bajos en comparación con sus homólogos que laboraban durante el día. Esto podría ser debido a las diferentes demandas del trabajo entre los turnos o los diferentes mecanismos de afrontamiento.
ABSTRACT
Mudanças decorrentes de processos de reorganização nos locais de trabalho têm sido associadas a aumento de estresse entre trabalhadores. O objetivo do estudo foi investigar a percepção do trabalhador portuário acerca da presença de estresse no trabalho no Porto de Santos, São Paulo. Trata-se de um estudo de natureza qualitativa, cujos dados foram colhidos por meio de entrevistas semiestruturadas e do Inventário de Sintomas de Estresse para Adultos de Lipp. Foram entrevistados 17 trabalhadores portuários avulsos, dos quais 10 apresentaram estresse. Na percepção dos participantes, a atual organização do trabalho parece promover situações aversivas que favorecem o aparecimento e manutenção do estresse. Parece haver relação entre estresse e presença constante de sobrecarga física, exposição a ambientes hostis, má relação com o empregador, falta de equidade na distribuição do trabalho, e diminuição da remuneração, do número de trabalhadores por terno, da autonomia no trabalho, e da possibilidade de convívio familiar e lazer...
Changes arising from the reorganization of workplaces have been associated with increased stress among workers. The aim of this study was to investigate the perceptions of port workers about the presence of stress due to the process of modernization in the port of Santos . The study had a qualitative design and the data was collected by means of semi-structured interviews and Lipp's Inventory of Stress Symptoms. Seventeen temporary port workers were interviewed, 10 of whom had stress. In the perception of the worker, the current work organization seems to promote adverse situations that favor the occurrence and maintenance of stress. There seems to be a relationship between stress and the constant presence of physical overload, exposure to hostile environments, poor relationships with employers, a lack of equitable distribution of work, and reductions in the number of workers, salaries, autonomy at work, and the possibility of family life and leisure time...