Factores determinantes del éxito en la carrera de enfermeras actuantes en tecnología de reproducción asistida / Factors that affect career success of nurses who practice in assisted reproductive technology / Fatores que afetam o sucesso profissional de enfermeiros que atuam na área de tecnologia de reprodução assistida

Objetivo: examinar la relación entre éxito en la carrera y ambiente de trabajo con enfermeras actuantes en tecnología de reproducción asistida (TRA), e identificar factores que afectan su éxito en la carrera. Método: estudio transversal realizado en 53 centros de fertilidad de 26 provincias en la China Continental. Datos recolectados utilizando cuestionario de datos demográficos, un Cuestionario de Competencias de TRA para Enfermeras Especializadas, la Career-Success Scale (Escala de éxito profesional) y la Nursing Work Environment Scale (Escala del entorno de trabajo de enfermería). Se aplicó estadística inferencial y descriptiva. Resultados: 597 enfermeras actuantes en TRA participaron en nuestra encuesta, entregando 555 cuestionarios válidos. Los puntajes generales promedio de éxito en la carrera y ambiente de trabajo fueron 3,75 (desviación estándar, [DE]=1,01) y 3,42 (DE=0,77) respectivamente. Se observó fuerte correlación positiva entre éxito en la carrera y ambiente de trabajo (r=0,742; p<0,01). La regresión múltiple mostró que la concurrencia a conferencias académicas, atención psicológica, desarrollo profesional, apoyo y cuidado, salario y bienestar constituyeron factores significantes con influencia en el éxito en la carrera. Conclusión: la concurrencia a conferencias académicas, atención psicológica y ambiente de trabajo guardan relación positiva con el éxito en la carrera. Los gestores deberían considerar formas de abordar tales factores.

Objective: to examine the relationship between career success and work environment of nurses who practice in assisted reproductive technology and to identify factors that affect career success. Method: a cross-sectional study conducted in 53 fertility centres in 26 provinces in mainland China. Data were collected using a demographic data questionnaire, a specialised nursing competence questionnaire, the Career-Success Scale, and the Nursing Work Environment Scale. Descriptive and inferential statistics were applied. Results: 597 assisted reproductive technology nurses participated in our survey, and 555 valid questionnaires were collected. Theoverall mean scores for career success and work environment were 3.75 [standard deviation (SD) = 1.01] and 3.42 (SD = 0.77) respectively. There was a strong positive correlation between career success and work environment (r = 0.742, p < 0.01). Multiple regression showed that attending academic conferences, psychological care, professional development, support and care, salary, and welfare were significant factors that influence career success. Conclusion: attending academic conferences, psychological care, and work environment are positively related to career success. Administrators should consider ways to address these factors.

Objetivo: examinar a relação entre o sucesso profissional e o ambiente de trabalho de enfermeiros da área de tecnologia de reprodução assistida e identificar os fatores que afetaram tal sucesso. Método: estudo transversal conduzido em 53 centros de fertilidade em 26 províncias da China Continental. Os dados foram coletados por meio de um questionário demográfico, um questionário sobre competências de enfermagem especializada em tecnologias de reprodução assistida, da Career-Success Scale (Escala de Sucesso Profissional) e da Nursing Work Environment Scale (Escala do Ambiente de Trabalho na Enfermagem). Aplicaram-se análises de estatística descritiva e inferencial. Resultados: participaram do estudo 597 enfermeiros da área de tecnologia de reprodução assistida, e 555 questionários válidos foram coletados. As pontuações globais médias para o sucesso profissional e o ambiente de trabalho foram 3,75 [desvio padrão (DP) = 1,01] e 3,42 (DP = 0,77), respectivamente. Verificou-se forte correlação positiva entre o sucesso profissional e o ambiente de trabalho (r = 0,742; p < 0,01). A análise de regressão múltipla mostrou que a participação em eventos acadêmicos, a assistência psicológica, o desenvolvimento profissional, o apoio e os cuidados, e o salário e o bem-estar foram fatores que influenciaram significativamente o sucesso profissional. Conclusão: a participação em eventos acadêmicos, a assistência psicológica e o ambiente de trabalho mostraram correlação positiva com o sucesso profissional. Os gestores deveriam considerar formas de abordar esses fatores.

Clima laboral: percepción del personal de Enfermería y las oportunidades de mejora / Work environment: perception of nursing staffand opportunities for improvement

La presente investigación pretende analizar la percepción del personal de enfermería sobre el clima laboral que vivencia; se identificarán las oportunidades de mejoras por medio de su autogestión de capacidades y se pondrán en práctica las acciones que serán evaluadas para determinar el impacto que produjeron. Material y método: se llevó a cabo un estudio aplicando el modelo de investigación acción participativa con el personal de enfermería del internado general del Sanatorio Allende en el año 2022; para la recolección inicial de datos se suministró una encuesta digital que valoraba la opinión personal sobre el clima laboral que percibe. Se realizó con el equipo completo de enfermeras del internado general del turno de la mañana el cual esta compuesto por 15 enfermeras; debido al número de integrantes no se realizará una muestra, sino que todas estarán contempladas. El proceso constó de cinco etapas: acercamiento y sensibilización, inducción, interacción, implementación, y sistematización. Resultados: se presenta una síntesis de los resultados más destacados en cada etapa: el origen de la situación planteada, revisión de la bibliografía, las acciones para lograr el acercamiento, los argumentos usados en la sensibilización, las herramientas para la inducción, el logro de la interacción y como se aplicaron las oportunidades de mejoras por medio de una sistematización. Conclusiones: la investigación acción participativa permitió a los profesionales determinar cual es su percepción actual de su ambiente laboral, individualmente construyeron probables soluciones a obstáculos en el trabajo en equipo que se podrán poner en práctica colectivamente y de este modo poder reevaluar en el futuro si es necesario conservar o modificar acciones ya que son autoras y partícipes de las acciones de mejora[AU]

This research aims to analyze the perception of nursing staff about the work environment they experience, opportunities for improvement will be identified through self-management of capacities and actions will be put into practice that will be evaluated to determine the impact they produced. Material and method: a study was carried out applying the participatory action research model with the nursing staff of the general boarding school of Sanatorio Allende in the year 2022. For the initial data collection, a digital survey was provided that assessed the personal opinion on the perceived work environment. It is carried out with the complete team of nurses from the general internship, which is made up of 15 nurses. Due to the number of members, a sample will not be made, but all will be contemplated. The process consisted of five stages: approach and awareness, induction, interaction, implementation, and systematization. Results: a synthesis of the most outstanding results in each stage is presented: the origin of the situation raised, review of the biblio-graphy, the actions to achieve rapprochement, the arguments used in raising awareness, the tools for induction, the achievement of the interaction and how the improvement opportunities were applied through a systematization. Conclusions: participatory action research allowed professionals to determine what their current perception of their work environment is, individually they built possible solutions to obstacles in teamwork that could be put into practice collectively and thus be able to reassess in the future if it is It is necessary to pre-serve or modify actions since they are authors and participate in the improvement actions.Palabra chave: ambiente de trabalho, enfermagem, percepção, pesqui-sa-ação participativa, pesquisa participativa baseada na comunidade[AU]

A presente pesquisa tem como objetivos analisar a percepção dos trabalhadores de enfermagem sobre o ambiente de trabalho que vivenciam. Serão identificadas oportunidades de melhorias através da autogestão de capacidades e serão colocadas em prática ações que serão avaliadas para determinar o impacto que produziram. Material e método: foi realizado um estudo aplicando o mode-lo de pesquisa-ação participativa com a equipe de enfermagem do internato geral do Sanatório Allende em 2022. Para a coleta ini-cial de dados, foi disponibilizada uma pesquisa digital que avaliou a opinião pessoal sobre o ambiente de trabalho que percebem. Foi realizado com toda a equipe de enfermeiros do internato geral do turno matutino, que é composta por 15 enfermeiros. Devido ao número de associados, não será realizada amostra, mas todas serão incluídas. O processo consistiu em cinco etapas: abordagem e sensibilização, indução, interação, implementação e sistemati-zação. Resultados: é apresentada uma síntese dos resultados mais notáveis em cada etapa: a origem da situação levantada, revisão da literatura, ações para alcançar a reaproximação, argumentos utili-zados na sensibilização, ferramentas para indução, concretização da interação e como as oportunidades para melhorias foram apli-cadas por meio de sistematização. Conclusões: a pesquisa-ação participativa permitiu aos profissionais determinar sua percepção atual sobre seu ambiente de trabalho, individualmente construí-ram prováveis soluções para os obstáculos no trabalho em equipe que poderiam ser colocadas em prática coletivamente e assim po-der reavaliar no futuro se é necessário preservar ou modificar ações já que são autores e participantes das ações de melhoria.is presented: the origin of the situation raised, review of the biblio-graphy, the actions to achieve rapprochement, the arguments used in raising awareness, the tools for induction, the achievement of the interaction and how the improvement opportunities were applied through a systematization. Conclusions: participatory action research allowed professionals to determine what their current perception of their work environment is, individually they built possible solutions to obstacles in teamwork that could be put into practice collectively and thus be able to reassess in the future if it is It is necessary to pre-serve or modify actions since they are authors and participate in the improvement actions[AU]

A STUDY OF WORK ENVIRONMENT ON BURNOUT AMONG NURSES FROM HOSPITALS OF RAJASTHAN

The current study examines the effect of the work environment on burnout, and the effects of the work environment and burnout on patients' satisfaction with their nursing care. Study conducted cross-sectional checks of nursers (N = 400) and cases (N = 300) from 60 units in 27 civic hospitals across the Rajasthan. Nursing Work Index (NWI- R) and Maslach Burnout Inventory (MBI) were used to collect the data. Cases had been canvassed about their satisfaction with nursing watch the use of the La Monica-Oberst Case Satisfaction Scale (LOPSS). Cases watched for on units that nursers characterised as having acceptable staff, good executive aid for nursing care, and good relations among medical croakers and nursers had been lesser than two times presumably as different victims to file high satisfaction with their care, and their nursers stated drastically drop collapse. The general degree of nurse burnout on health center units also affected patient satisfaction. Advancements in nursers' work surroundings in hospitals have the capability to coincidently lessen nursers' inordinate categories of job collapse and peril of development and increase cases' satisfaction with their care.

Adaptación transcultural de instrumentos para el estudio de acoso psicológico y factores relacionados en enfermeras/os

Objetivo: Presentar el proceso de adaptación transcultural de instrumentos utilizados para determinar la relación entre acoso psicológico en el trabajo, ambiente laboral y calidad de vida profesional en la intención de renuncia de profesionales de enfermería en dos países de Sudamérica: Chile y Perú. Material y Método: Estudio de corte transversal, metodológico realizado en los años 2022 y 2023. Para la validez de contenido se consideraron dos etapas: 1) revisión crítica de los instrumentos por parte del equipo investigador; 2) revisión del contenido a través del trabajo con expertas/os con la aplicación del método Delphi en conjunto con el cálculo de índices de validez de contenido. Para la consistencia interna los instrumentos fueron piloteados utilizando la plataforma QuestionPro® aplicando un muestreo por conveniencia a través de un llamado abierto en redes sociales (Facebook®, Twitter®y Linkedin®) a profesionales de enfermería que cumplieran con los criterios de inclusión y exclusión. La fase de pilotaje fue en una muestra de 30 profesionales por país. Como medida de consistencia interna se calculó un Alfa de Cronbach. Resultados: En la validación de contenido participaron entre siete y nueve expertas en las áreas de interés para el problema de investigación. La primera ronda de la técnica Delphi tuvo buenos índices de validez de contenido por ítem y promedio, el índice de contenido universal indicó la necesidad de realizar ajustes lingüísticos. Todos los instrumentos presentaron niveles aceptables de consistencia interna. Conclusiones: Se cuenta con instrumentos adaptados para el análisis del fenómeno en estudio para cada país.

Objective: To present the process of cross-cultural adaptation of instruments used to determine the relationship between psychological harassment at work, work environment and professional quality of life, in relation to the intention to leave the job, of nursing professionals in two South American countries: Chile and Peru. Material and Method: Cross-sectional, methodological study carried out in the years 2022 and 2023. Two stages were considered for content validity: 1) critical review of the instruments by the research team, 2) review of the content by working with experts using the Delphi method, along with the calculation of content validity indices. To ensure internal consistency, the instruments were piloted using the QuestionPro® platform by applying convenience sampling through an open call on social networks (Facebook®, Twitter® and Linkedin®) to nurses who met the inclusion and exclusion criteria. The pilot phase was conducted with a sample of 30 professionals per country. Cronbach's alpha was calculated as a measure of internal consistency. Results: Between seven and nine experts in the areas of interest of the research problem participated in the content validity process. The first round of the Delphi technique showed good content validity indices per item and average, the universal content index indicated the need for linguistic adjustments. All instruments showed acceptable levels of internal consistency. Conclusions: For each country there are instruments adapted to the analysis of the phenomenon under study.

Objetivo: Apresentar o processo de adaptação transcultural de instrumentos utilizados para determinar a relação entre assédio moral no trabalho, ambiente de trabalho e qualidade de vida profissional na intenção de deixar o emprego de profissionais de enfermagem em dois países da América do Sul: Chile e Peru. Material e Método: Estudo transversal e metodológico realizado nos anos 2022 e 2023. Duas etapas foram consideradas para a validade de conteúdo: 1) revisão crítica dos instrumentos pela equipe de pesquisa; 2) revisão do conteúdo por meio do trabalho com especialistas usando o método Delphi, juntamente com o cálculo dos índices de validade de conteúdo. Para garantir a consistência interna, os instrumentos foram testados usando a plataforma QuestionPro®, aplicando amostragem por conveniência por meio de uma chamada aberta nas redes sociais (Facebook®, Twitter® e Linkedin®) para enfermeiros que atendiam aos critérios de inclusão e exclusão. A fase piloto foi realizada com uma amostra de 30 profissionais por país. O alfa de Cronbach foi determinado como uma medida de consistência interna. Resultados: Entre sete e nove especialistas nas áreas de interesse do problema de pesquisa participaram da validação do conteúdo. A primeira rodada da técnica Delphi apresentou bons índices de validade de conteúdo por item e média; o índice de conteúdo universal indicou a necessidade de ajustes linguísticos. Todos os instrumentos apresentaram níveis aceitáveis de consistência interna. Conclusões: Para cada país existem instrumentos adaptados para a análise do fenómeno em estudo.

Entorno laboral de enfermería en un hospital de Bogotá, 2022 / Nursing Work Environment at a Hospitalb in Bogota, 2022 / Ambiente de trabalho da enfermagem em um hospital de Bogotá, 2022

Introducción: La preocupación por el entorno laboral en enfermería se ha hecho aun mayor desde la pandemia Covid-19, que afectó la cantidad y calidad del personal de enfermería alrededor del mundo. Objetivo. Describir el entorno laboral de los enfermeros que desempeñan funciones asistenciales en un hospital de Bogotá, Colombia. Método: Estudio descriptivo exploratorio, con un componente correlacional. Se remitió el cuestionario ENLASA a todos los enfermeros asistenciales del hospital objeto de estudio a través de RedCapÒ. Resultados. El cuestionario completo fue respondido por el 50% de los enfermeros asistenciales (49 enfermeros) de la institución e invitados a participar en el estudio. El 57,1% de los respondientes consideró el entorno laboral no saludable. La dimensión de elementos estructurales se consideró no saludable (64,49/100), y la de procesos organizacionales como saludable (71,18/100). Las subdimensiones no saludables fueron, en estructura, la planeación del recurso de enfermería, (54,66/100) y políticas de recursos humanos (58,91/100) y en procesos, la interacción enfermero-organización (63,10/100) y autonomía (66,07/100). No se encontró asociación entre las variables sociodemográficas y el entorno laboral de enfermería. La única asociación estadísticamente significativa entre entorno laboral y resultados fue la relativa a la motivación para trabajar. (Phi 0,362, p=0,040). Conclusiones. Se sugiere intervenir las dimensiones y subdimensiones identificadas como no saludables, y continuar monitoreando este fenómeno.

Introduction: concern for the work environment in nursing has become even greater since the COVID-19 pandemic, which affected the quantity and quality of nursing personnel around the world. Objective: to describe the work environment of nurses performing care functions in a hospital in Bogota, Colombia. Method: exploratory descriptive study. The Enlasa -Nursing Questionnaire was sent to all the nurses in the hospital under study through RedCap. Results: 50% of the nurses (49 nurses) of the institution invited to participate in the study answered the complete questionnaire. The work environment was considered unhealthy by 57.1% of the respondents. The dimension of structural elements was seen as unhealthy (64.49/100), and that of organizational processes as healthy (71.18/100). The sub-dimensions considered unhealthy in structure were nursing resource planning (54.66/100) and human resources policies (58.91/100). With respect to processes were nurse-organization interaction (63.10/100) and autonomy (66.07/100). No association was found between sociodemographic variables and nursing work environment. The only statistically significant association between work environment and results was the one related to motivation to work (Phi 0.362, p=0.040). Conclusions: it is suggested to intervene in the dimensions and subdimensions identified as unhealthy and to continue monitoring this phenomenon.

Introdução: a preocupação pelo ambiente de trabalho dos enfermeiros tornou-se ainda maior desde a pandemia de COVID-19, que afetou a quantidade e qualidade do pessoal de enfermagem em todo o mundo. Objetivo: descrever o ambiente de trabalho dos enfermeiros que desenvolvem funções assistenciais em um hospital de Bogotá, Colômbia. Método: estudo descritivo exploratório. O questionário Enlasa-Enfermagem foi enviado a todos os enfermeiros assistenciais do hospital objeto de estudo através de RedCap®. Resultados: 50% dos enfermeiros assistenciais (49 enfermeiros) da instituição convidados a participar do estudo respondeu ao questionário completo. 57,1% dos entrevistados considerou o ambiente laboral não saudável. A dimensão de elementos estruturais foi vista como não saudável (64,49/100), e a de processos organizacionais como saudável (71,18/100). As subdimensões consideradas não saludáveis em estrutura foram planejamento do recurso de enfermagem (54,66/100) e políticas de recurso humano (58,91/100). Quanto aos processos, foram interação enfermeiro-organização (63,10/100) e autonomia (66,07/100). Não foi encontrada associação entre as variáveis sociodemográficas e o ambiente laboral de enfermagem. A única associação estatisticamente significativa entre ambiente de trabalho e resultados foi relacionada à motivação para trabalhar. (Phi 0,362, p=0,040). Conclusões: sugere-se intervir nas dimensões e subdimensões identificadas como não saudáveis e continuar monitorando esse fenômeno.

Concepções e contribuições de trabalhadores de saúde sobre ambiente de trabalho saudável / Concepciones y contribuciones de trabajadores de la salud sobre ambientes de trabajo saludables / Health workers' conceptions and contributions regarding healthy work environments

Objetivo: discutir concepções e contribuições de trabalhadores de uma instituição hospitalar, acerca de ambientes de trabalho saudáveis. Método: estudo exploratório descritivo, de abordagem qualitativa, que entrevistou 21 trabalhadores do Serviço de Saúde Ocupacional e Segurança do Trabalho e da Comissão Interna de Prevenção de Acidentes de um hospital público de grande porte da região Norte do país. Os dados foram analisados pela Análise de Conteúdo Focal apoiada por recursos do software ATLAS.ti, 9.0. Resultados: quatro categorias foram geradas: condições necessárias: materiais e pessoal; desafios a superar: gestão, reconhecimento, desgaste e acolhimento; sugestões e ferramentas; concepções para um ambiente de trabalho saudável. As contribuições apreendidas na análise indicam componentes que se referem ao bem-estar ao trabalhar, efetiva proteção e controle de riscos, e relações interpessoais positivas. Considerações finais: os trabalhadores de saúde expressam fragilidades e necessidades que podem contribuir para a compreensão, intervenções e melhorias dos ambientes do trabalho.

Objetivo: debatir concepciones y contribuciones de trabajadores de una institución hospitalaria sobre ambientes de trabajo saludables. Método: estudio cualitativo en el que se entrevistó a 21 trabajadores del Servicio de Seguridad y Salud en el Trabajo y de la Comisión Interna de Prevención de Accidentes de un hospital público de gran porte de la región norte del país. Los datos se analizaron mediante análisis de contenido focal compatible con características del software ATLAS.ti, 9.0. Resultados: se generaron cuatro categorías: Condiciones necesarias: materiales y personal; Retos a superar: gestión, reconocimiento, desgaste y aceptación; Sugerencias y herramientas; y (Concepciones) para ambientes de trabajo saludables. Los aportes derivados del análisis señalan componentes que se refieren al bienestar en el trabajo, protección y control de riesgos efectivos, y relaciones interpersonales positivas. Consideraciones finales: los trabajadores de la salud expresan debilidades y necesidades que pueden contribuir a la comprensión, intervenciones y mejoras en los ambientes de trabajo.

Objective to discuss conceptions and contributions of hospital workers about healthy work environments. Method: a qualitative study that interviewed 21 workers from the Occupational Health and Safety Service and the Internal Accident Prevention Commission from a large-sized public hospital in the northern region of the country. The data were analyzed by means of Focal Content Analysis supported by ATLAS.ti, 9.0 software features. Results: four categories were generated: Necessary conditions: materials and personnel; Challenges to overcome: management, recognition, attrition and acceptance; Suggestions and tools; and (Conceptions) for healthy working environments. The contributions seized in the analysis indicate components that refer to well-being at work, effective protection and risk control, and positive interpersonal relationships. Final considerations: health workers express weaknesses and needs that can contribute to understanding, interventions and improvements in work environments.

Case-control study on fragility fractures in coal miners: A comparison between surface and underground workers / 环境与职业医学

Background The prevalence of osteoporosis and osteopenia is higher among underground coal miners than surface workers. The special underground work environment and unhealthy habits such as smoking, drinking, and a high-salt diet may lead to changes in bone metabolism, increasing the risk of fragility fractures and placing a heavy economic burden on individuals and society. Objective To identify potential factors influencing fragility fractures among coal miners in different working environments and to provide a basis for targeted preventive measures to reduce the occurrence of fragility fractures. Methods Male participants who attended at least one of the physical examinations in Kailuan Group between June 2006 and December 2020 were included in the study. The participants were divided into two groups based on their working environment: surface or underground. A case-control study was conducted, where patients with new fragility fractures served as the case group and participants without fragility fractures served as the control group. The two groups were matched with a case:control ratio of 1:4 by age (±1 year) and the same year of physical examination. The matching process was repeated twice, once for the surface working population and once for the underground working population. The analysis of risk factors was conducted using conditional logistic regression models. Results Among a total of 113138 employees in Kailuan Group, 82631 surface workers and 30507 underground workers were included, respectively. The number of individuals who suffered fragility fractures was 1375, accounting for 1.22% of the total population. The incidence of fragility fractures in underground workers was significantly higher than that in surface workers (1.63%>1.07%, P<0.001). The results of conditional logistic regression model showed that current smoking (OR=1.26, 95%CI: 1.05, 1.51), manual labor (OR=1.37, 95%CI: 1.06, 1.78), diabetes (OR=1.26, 95%CI: 1.04, 1.54), sinus tachycardia (OR=1.81, 95%CI: 1.23, 2.66), history of stroke (OR=1.51, 95%CI: 1.09, 2.09), education at college and above (OR=0.65, 95%CI: 0.45, 0.95), high income level (OR=0.69, 95%CI: 0.54, 0.90), elevated hemoglobin (OR=0.91, 95%CI: 0.85, 0.98), and elevated total cholesterol (OR=0.90, 95%CI: 0.82, 0.99) were associated with fragility fractures in the surface working population of coal mines; current smoking (OR=1.48, 95%CI: 1.17, 1.87), current drinking (OR=1.26, 95%CI: 1.01, 1.56), manual labor (OR=2.64, 95%CI: 1.41, 4.94), history of dust exposure (OR=1.28, 95%CI: 1.03, 1.58), and obesity (OR=0.72, 95%CI: 0.52, 0.96) were associated with fragility fractures in the underground working population of coal mines. Conclusion In preventing fragility fractures, special attention should be paid to the bone health of underground workers engaged in manual labor or having a history of dust exposure. It is important to correct their unhealthy behaviors in a timely manner, such as smoking and drinking, and to appropriately increase body weight to prevent fragility fractures. For surface workers, particular attention should be given to the high-risk group for fragility fractures, such as low family income per capita, manual labor, and having a history of stroke or diabetes; in addition, close monitoring of their resting heart rate, hemoglobin levels, and total cholesterol levels may help prevent fragility fractures.

Study on the influencing factors of emergency care nurses′ perceived self-competence in palliative care based on dominance analysis / 中国实用护理杂志

Objective:To explore the relative importance of palliative care knowledge, attitude towards palliative care and healthy work environment of emergency care nurses in predicting perceived self-competence in palliative care based on dominance analysis, and to provide empirical evidence for formulating the optimal training course to improve perceived self-competence in palliative care.Methods:Totally 415 emergency care nurses from 22 tertiary hospitals in Hubei province were conducted a cross-sectional survey to complete the general information questionnaire, the Palliative Care Nursing Self-Competence Scale, the Hospice Knowledge Quiz for Nurses, the Frommelt Attitudes Toward Care of the Dying Scale Form B, and the American Association of Critical Care Nurses Healthy Work Environment Assessment Tool from January to March 2021 using convenient sampling method. Dominance analysis was used for statistical analysis.Results:The total score of perceived self-competence in palliative care of 415 emergency care nurses was (225.48 ± 60.61) points, the total score of palliative care knowledge was (12.44 ± 3.83) points, the total score of palliative care attitude was (97.35 ± 9.07) points and the total score of healthy work environment was (72.00 ± 11.99) points. Perceived self-competence in palliative care was positively associated with palliative care knowledge ( r=0.181, P < 0.01), attitude towards palliative care ( r=0.232, P<0.01) and healthy work environment ( r=0.393, P<0.01). Dominance analysis revealed that the healthy work environment, palliative care attitude and palliative care knowledge accounted for 74.15%, 14.97% and 10.88% of the variance of perceived self-competence in palliative care, respectively. Conclusions:The largest degree of prediction for emergency care nurses′ perceived self-competence in palliative care is healthy work environment, attitude next and the third is knowledge. It suggests that promoting a healthy work environment is an important way to improve nurses′ perceived self-competence in palliative care, and improving knowledge level and cultivating positive attitudes also will be better.

Occupational stress and work engagement among primary healthcare physicians: a cross-sectional study

Abstract BACKGROUND: Brazil's Family Health Strategy is based on a primary healthcare model, which is considered to have case resolution capacity, with physicians at its center. OBJECTIVES: To evaluate the levels of occupational stress and work engagement among primary healthcare physicians. DESIGN AND SETTING: Cross-sectional study conducted in 2017, in São José do Rio Preto, São Paulo, Brazil. METHODS: A non-probability sample including 32 physicians from family health teams was used. Three self-applied instruments were used: a scale developed by the researchers seeking sociodemographic and professional variables, the Work Stress Scale and the Utrecht Work Engagement Scale. RESULTS: Female professionals (59.4%), permanent employees (56.3%), workload of 40 hours per week (59.4%) and 3-10 years of acting in primary care (68.8%) were more prevalent. Six professionals (19.4%) exhibited significant stress (score ≥ 2.5). The main stressors were lack of prospects for career growth (2.9 ± 1.3), form of task distribution (2.7 ± 1.0), poor training (2.7 ± 1.2) and insufficient time to perform the job (2.6 ± 1.2). Levels of work engagement ranged from 4.3 to 4.6 and were rated as high in all dimensions. Physicians with occupational stress had average levels of work engagement, whereas those without occupational stress had high levels of work commitment. CONCLUSIONS: A notable percentage of the physicians were experiencing occupational stress. The physicians had high levels of work engagement. Occupational stress was negatively correlated with work engagement, and it significantly compromised physicians' levels of work engagement and interfered with their positive relationship with the work environment.

Best practice recommendations for healthy work environments for nurses: An integrative literature review

Healthy work environments that maximise the health and well-being of nurses are essential in achieving good patient and societal outcomes, as well as optimal organisational performance. While studies have been conducted on healthy work environments, there is no available evidence that an integrative literature review summarising best-practice recommendations related to healthy work environments has been conducted before. This review aimed to summarise existing best-practice recommendations related to a healthy work environment for nurses. An integrative literature review following the approach adapted from Whittemore and Knafl was used. Existing guidelines related to healthy work environments for nurses were searched. EBSCOhost (CINAHL, Medline), Biomed Central, Science Direct, PubMed and Google Scholar and organisational websites via Google were searched, followed by a citation search. Twelve guidelines were identified for data extraction and synthesis, and themes were subsequently formulated. Four themes emerged from the integrative literature review regarding a healthy work environment for nurses: (1) the need for effective nursing leadership, (2) effective communication as central to enhancement of a healthy environment, (3) effective teamwork as an integral part of a healthy work environment and (4) the need for professional autonomy. In summary, a healthy work environment for nurses requires leadership, effective communication, teamwork and professional autonomy.

Ambiente de trabalho saudável na perspectiva da equipe de enfermagem no cenário hospitalar: o contexto da pandemia da COVID-19 / Healthy work environment from the perspective of the nursing team in the hospital setting: the context of the COVID-19 pandemic

Este estudo objetivou compreender a configuração do ambiente de trabalho dos profissionais da enfermagem no cenário hospitalar, considerando o contexto de pandemia da COVID-19. Trata-se de um estudo de caso único com abordagem qualitativa realizado em um hospital público de grande porte em Belo Horizonte/Minas Gerais. Compuseram a amostra deste estudo enfermeiros e técnicos de enfermagem que atuam na instituição, das áreas assistencial e administrativa, com tempo de admissão superior há dois anos, totalizando 32 profissionais. Os dados foram coletados entre dezembro de 2021 e março de 2022. Após tratamento e análise, emergiram três categorias: Ambiente de Trabalho Saudável: concepção dos trabalhadores; Trilhando caminhos para o alcance de um ambiente de trabalho mais saudável: potencialidades e desafios; A pandemia: impactos na vida e no ambiente de trabalho dos profissionais da enfermagem. Evidenciou-se a necessidade de investimentos na promoção do ambiente de trabalho saudável nas dimensões física, psicossocial e recursos para a saúde pessoal, sendo preciso que esses valores sejam mais bem incorporados à cultura da instituição. Identificaram-se nas falas dos trabalhadores os sentimentos de acolhimento e satisfação com o local de trabalho, além de fatores e práticas organizacionais que contribuem para um ambiente de trabalho mais saudável, como aproximação da instituição com a comunidade, bom relacionamento interpessoal entre os trabalhadores e benefícios oferecidos pela instituição. Entretanto, os achados deste estudo apontam a necessidade de atenção a alguns fatores, como estrutura física, comunicação institucional, alta demanda de trabalho e desequilíbrio entre o volume de atividades e a capacidade de resposta dos profissionais. Identifica-se ainda a necessidade investimentos na valorização profissional, incentivo ao aperfeiçoamento e inserção dos trabalhadores de enfermagem nas instâncias decisórias. Ao avaliar as mudanças causadas pela pandemia no ambiente de trabalho e práticas profissionais, evidenciaram-se desafios, como alterações na estrutura física, mudanças constantes na rotina, aumento considerável da alta demanda de trabalho, medo da contaminação, absenteísmo devido à contaminação por COVID-19, além da dificuldade de lidar com a instabilidade e o óbito de usuários. Essas questões diminuíram a qualidade do ambiente de trabalho e trouxeram impactos físicos e emocionais, como insegurança, estresse e ansiedade. Nesse período, a instituição adotou medidas para assegurar a proteção de trabalhadores e usuários e tentar minimizar os efeitos da pandemia, como treinamentos, aumento de quadro de pessoal, reforço às práticas de segurança do trabalhador, mudanças de fluxos institucionais e investimentos na promoção do bem-estar. Conclui-se que a instituição tem estratégias e atividades que se relacionam à temática deste estudo, sendo essas adotadas antes do período pandêmico, mas também durante. Todavia, por vezes essas medidas se perdem por serem pouco articuladas e possuírem caráter temporário. Assim, para que estas sejam efetivas, sustentáveis e tenham maior alcance, é preciso um olhar ampliado para as necessidades apresentadas pelos trabalhadores, estímulo à escuta qualificada, maior inserção dos profissionais nas instâncias decisórias e planejamento robusto que sustente as ações implementadas a longo prazo, trazendo impactos positivos.

This study aimed to understand the configuration of the work environment of nursing professionals in the hospital scenario, considering the context of the COVID-19 pandemic. This is a single case study with a qualitative approach carried out in a large public hospital in Belo Horizonte/Minas Gerais. The sample of this study was composed of nurses and nursing technicians who work in the institution, from the care and administrative areas, with more than two years of admission, totaling 32 professionals. The data were collected between December 2021 and March 2022. After treatment and analysis, three categories emerged: Healthy Work Environment: conception of workers; Pathways for the achievement of a healthier work environment: potentialities and challenges; The pandemic: impacts on the life and work environment of nursing professionals. The need for investments in the promotion of a healthy work environment in the physical, psychosocial and personal health dimensions was evident, and it is necessary that these values be better incorporated into the institution's culture. We identified in the statements of the workers the feeling of welcome and satisfaction with the workplace, as well as organizational factors and practices that contribute to a healthier work environment, such as the institution's closeness to the community, good interpersonal relationships among workers, and benefits offered by the institution. However, the findings of this study point to the need for attention to some factors such as the physical structure, institutional communication, high demand for work, and an imbalance between the volume of activities and the response capacity of the professionals. We also identify the need for investments in professional valuation, incentives for improvement and the insertion of nursing workers in decision-making bodies. When evaluating the changes caused by the pandemic in the work environment and professional practices, it was evidenced challenges such as changes in the physical structure, constant changes in routine, considerable increase in the high demand of work, fear of ontamination, absenteeism due to contamination by COVID-19, besides the difficulty in dealing with the instability and death of users. These issues decreased the quality of the work environment and brought physical and emotional impacts such as insecurity, stress, and anxiety. In this period, the institution adopted measures to ensure the protection of workers and users and to try to minimize the effects of the pandemic, such as training, increased staff, reinforcement of worker safety practices, changes in institutional flows, and investments in the promotion of well-being. We conclude that the institution has strategies and activities related to the theme of this study, which were adopted before the pandemic period, but also during it. However, sometimes these measures are lost because they are not well articulated and have a temporary character. Thus, for them to be effective, sustainable and have a greater reach, it is necessary to have a broader look at the needs presented by workers, stimulate qualified listening, greater insertion of professionals in decision-making bodies and robust planning that supports the actions implemented in the long term, bringing positive impacts.

Produção científica brasileira sobre pessoas com deficiência visual em contextos de trabalho1 / Brazilian scientific production on people with visual disability in work contexts

RESUMO: Estudos têm sido desenvolvidos em contextos de trabalho, os quais enfatizam a importância de privilegiar a diversidade e desenvolver práticas de inclusão, com vistas à igualdade de direitos e ao acolhimento de múltiplas etnias, gêneros e pessoas com deficiências. Nesse sentido, o presente estudo teve como objetivo analisar a produção científica brasileira acerca da diversidade e da inclusão de pessoas com deficiência visual em contextos de trabalho. Ele consiste em uma revisão sistemática de artigos científicos, publicados até o ano de 2020, em duas bases eletrônicas de dados. Após busca sistemática, três artigos foram identificados, descritos e analisados por meio das categorias "potencialidades" e "dificuldades do processo de inclusão". A produção científica identificada, talvez por estar em seu estágio inicial, reafirma a importância da educação, das políticas públicas, das legislações e da inserção ou reintegração em ambientes de trabalho, que podem ser consideradas etapas, ainda que fundamentais, anteriores ao processo de inclusão. Ademais, são enfatizadas as dificuldades enfrentadas pelas pessoas com deficiência visual no trabalho, não dedicando maior atenção às potencialidades desse processo de inserção para as pessoas, assim como para as organizações e a sociedade. Destaca-se a importância de propostas educacionais voltadas à promoção da inclusão, que envolvam, para além dos espaços formalmente reconhecidos como educacionais, os contextos de trabalho. Assim sendo, entende-se que estudos como este podem fomentar a ampliação da produção de conhecimento, bem como as discussões para a criação de políticas e de práticas de inclusão culturalmente sensíveis às pessoas com deficiência visual no mundo do trabalho.

ABSTRACT: Studies have been developed in work contexts, which emphasize the importance of privileging diversity and developing practices of inclusion, with a view to equal rights and the welcoming of multiple ethnicities, genders and people with disabilities. In this sense, this study aimed to analyze the Brazilian scientific production about diversity and inclusion of people with visual impairment in work contexts. It consists of a systematic review of scientific articles, published until 2020, in two electronic databases. After a systematic search, three articles were identified, described and analyzed using the categories "potentialities" and "difficulties of the inclusion process". Te identified scientific production, perhaps because it is in its initial stage, reaffirms the importance of education, public policies, legislation and insertion or reintegration into work environments, which can be considered stages, albeit fundamental, prior to the inclusion process. In addition, the difficulties faced by people with visual impairments at work are emphasized, not paying more attention to the potentialities of this insertion process for people, as well as for organizations and society. Te importance of educational proposals aimed at promoting inclusion is highlighted, which involve, in addition to spaces formally recognized as educational, the work contexts. Terefore, it is understood that studies as this one can foster the expansion of knowledge production, as well as discussions to create culturally sensitive inclusion policies and practices for people with visual impairments in the world of work.

Riesgos laborales de tipo psicosocial y desgaste psíquico en trabajadores de una administración pública mexicana / Occupational Risks of the Psychosocial Type and Psychic Attrition in Mexican Public Administration Workers

RESUMEN Objetivo: Identificar la relación de los riesgos laborales de tipo psicosocial y el desgaste psíquico con respuestas de estrés en 985 trabajadores de una administración pública mexicana. Materiales y métodos: El diseño del estudio es no experimental, transversal y cuantitativo. Se aplicó la batería para el estudio de las condiciones de trabajo de carácter psicosocial CTCPSMAC, validada para población iberoamericana, con Alpha de Crombach 0.927 y población mexicana 0,931. Se realizó el análisis de datos a través del programa IBM SPSS Statistics 21 mediante un análisis bivariado y regresión logística binaria. Resultados: Características personales, relaciones interpersonales en el trabajo y carga y ritmo de trabajo están asociados a respuestas cognitivo-emocional, conductual y fisiológica. Ambientes laborales y amortiguadores del riesgo psíquico están asociados a las respuestas conductual y isiológica. Concepción de las tareas del puesto de trabajo está asociada a las respuestas cognitivo-emocional y fisiológicas. La exposición a una mala interrelación trabajo con problemas familiares o sociales y características de la empresa, está asociada a respuesta conductual. Conclusiones: La investigación mostró que en la organización pública objeto de estudio existe una relación signiicativa entre los factores de riesgo psicosocial del entorno laboral y las respuestas de estrés por parte de los trabajadores que integran la misma, poniendo en riesgo la salud de estos, por lo que es importante considerar el cumplimiento de la Norma Oficial Mexicana NOM-035-STPS-2018, que recién entró en vigencia.

ABSTRACT Objective: The purpose of the present study is to identify the relationship of occupational risks of psychosocial type and psychic attrition with stress responses in 985 Mexican public administration workers. Materials and methods: The study design is non-experimental, cross-sectional, and quantitative. The CTCPSMAC questionnaire, used to study the work conditions of a psychosocial nature, was applied, validated for an Ibero-American population, with a 0.927 Crombach's Alpha; and a 0.931 value for a Mexican population. Data analysis was performed through the IBM SPSS Statistics 21 program, using a bivariate analysis and binary logistic regression. Results: Personal characteristics, interpersonal relationships at work, and work load and rhythm are associated with cognitive-emotional, behavioral, and physiological responses. Work environments and psychic risk buffers are associated with behavioral and physiological responses. Conception of job duties is associated with cognitive-emotional and physiological responses. Exposure to a bad work interrelation with family or social problems, and company characteristics is associated with behavioral response. Conclusions: The research showed that, in the public organization under study, there is a significant relationship between the psychosocial risk factors of the work environment and the stress responses by the workers who integrate it, putting their health at risk,thus, it is important to consider compliance with the Official Mexican Standard NOM-035-STPS-2018, which has just been enacted.

Síndrome de desgaste profesional en médicos residentes de cuatro hospitales pediátricos de La Habana / Professional burnout syndrome in resident doctors from four pediatric hospitals in Havana

Introducción: La residencia médica constituye una etapa de formación que genera gran estrés, dicha situación puede coadyuvar a la génesis del síndrome de burnout, sin embargo, a pesar de su importancia, ha sido poco investigado en los educandos aspirante a la especialidad de Pediatría. Objetivo: Describir la frecuencia y características del síndrome de desgaste profesional entre residentes de cuatro hospitales pediátricos. Métodos: Estudio descriptivo y transversal realizado en cuatro hospitales pediátricos de la ciudad de La Habana en diciembre del año 2019. Se aplicó el cuestionario validado de Maslach Bournout Inventory. Para el análisis estadístico se definió la presencia del síndrome en tres dimensiones, si el puntaje correspondiente era alto; en situación de presentar en alguna dimensión moderado o bajo fue clasificado como propenso. Los datos cuantitativos de las variables se examinaron a través de medidas de tendencia central y variabilidad. Resultados: La caracterización de la muestra arrojó que el sexo femenino se observó en 91,0 por ciento con edad 33,4 por ciento menor de 30 años y el 66,6 por ciento eran solteros; 36,3 por ciento en los residentes eran del primer y segundo año y 35,5 por ciento de tercero. El síndrome se observó en 6 por ciento de los encuestados y clasificaron como propensos el 84,4 por ciento de la población. Conclusiones: El síndrome de desgaste profesional se observó con poca frecuencia, pero con una gran tendencia a presentarse como propenso entre los residentes de pediatría(AU)

Introduction: Medical residency is a stress-generating training stage. This situation can contribute to the genesis of burnout syndrome; however, despite its importance it has been poorly researched in the students aiming to be Pediatrics specialists. Objective: Describe the frequency and characteristics of professional burnout syndrome among residents of four pediatric hospitals. Methods: Descriptive and cross-sectional study carried out in four pediatric hospitals in Havana city in December, 2019. The validated Maslach Bournout Inventory questionnaire was applied. For statistical analysis, the presence of the syndrome was defined in three dimensions, if the corresponding score was high; or if presenting some moderate or low dimension, it was classified as prone. Quantitative data on variables were examined through central trend measures and variability. Results: The sample characterization showed that the female sex was observed in 91.0 percent with ages 33.4 percent under the age of 30 and 66.6 percent were single; 36.3 percent of the residents were in the first and second year and 35.5 percent in the third year. The syndrome was observed in 6 percent of respondents and 84.4 percent of the population was classified as prone. Conclusions: Professional burnout was observed infrequently, but with a strong tendency to present as prone among pediatric residents(AU)

Psychiatric symptoms, burnout and associated factors in psychiatry residents

Abstract Introduction Mental health in training physicians is a growing issue. The aim of this study was to investigate emotional distress in psychiatry residents. Method This web-based survey evaluated 115 (62%) psychiatry residents in training in the Brazilian State of Rio Grande do Sul. The DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure-Adult, the Patient Health Questionnaire-2, the Alcohol Use Disorders Identification Test-concise, and the Maslach Burnout Inventory were all administered. Linear regression models were estimated with burnout dimensions as dependent variables. Result Positive screening rates were 53% for anxiety, 35.7% for somatization, 16.5% for depression, and 7% for suicidal ideation. Half of the male residents were at risk of alcohol abuse and dependence. Regarding burnout, 60% met criteria for emotional exhaustion, 54.8% for depersonalization, and 33% for low personal accomplishment. The most consistent risk factors were the nature of the relationships with preceptors, relations to the institutions themselves, age, and the quality of relationships with family. Conclusion Besides disconcerting rates of psychiatric symptoms, the study revealed that characteristics of the workplace (i.e., the nature of relationships with preceptors and relations to the institution) can be regarded as potential targets for development of interventions aimed at improving mental health during training periods.

El Entorno laboral y la nutrición del personal de enfermería en áreas hospitalarias

Resumen El presente estudio analiza los factores que constituyen el ambiente laboral hospitalario en relación con las dificultades en la nutrición del personal de enfermería. Objetivo. Analizar los aportes de investigaciones en el entorno laboral y sus repercusiones en el estado de salud nutricional del personal de enfermería en las áreas hospitalarias. Metodología. Metaanálisis a través de la aplicación de la declaración PRISMA (Preferred Reporting Items for Sistematycal Reviews and Meta-Analyses) para una revisión sistemática e integradora de las investigaciones seleccionadas. Se realizó una búsqueda en las principales bases de datos de Medicina y Ciencias de la Salud como: PubMed, Medline, SCOPUS, Wed of Science (Wos), Cinahl y Cochrane, con la cual se identificaron los artículos con pertinencia al ambiente laboral hospitalario, calidad nutricional, personal de enfermería. Se fundamentó la búsqueda con las preguntas Pico: ¿Cuál es la relación entre un entorno laboral y la nutrición del personal de enfermería del área hospitalaria? Cómo afecta el estrés y la fatiga laboral a la nutrición del personal de enfermería que se desempeña en el área hospitalaria P: Personal de enfermería del área hospitalaria; I: Entorno laboral; C: Estado nutricional. Se incluyeron en esta revisión 17 artículos. Se identificaron siete temas: sobrepeso y obesidad, actividad física, horarios de trabajo por turnos rotativos y nocturnos, hábitos y estilos de vida, conductas alimentarias, angustia mental y estrés laboral. Conclusión. Los factores negativos del ambiente laboral afectan la nutrición y conlleva al deterioro de la salud del personal de enfermería que trabaja en el área hospitalaria.

Abstract This study analyses the factors that constitute the hospital work environment in relation to difficulties in nutrition among nursing staff. Objective. To analyse the contributions of research on the work environment and its repercussions on the nutritional health status of nursing staff in hospital areas. Methodology. Meta-analysis through the application of the PRISMA statement (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) for a systematic and integrative review of the selected research. A search was carried out in the main databases of Medicine and Health Sciences such as: PubMed, Medline, SCOPUS, Wed of Science (Wos), Cinahl and Cochrane, with which articles with relevance to the hospital work environment, nutritional quality and nursing staff were identified. The search was based on the following questions: What is the relationship between the work environment and the nutrition of hospital nurses? How does work stress and fatigue affect the nutrition of hospital nurses P: Hospital nurses; I: Work environment; C: Nutritional status. Seventeen articles were included in this review. Seven themes were identified: overweight and obesity, physical activity, rotating and night shift work schedules, habits and lifestyles, eating behaviours, mental distress and work stress. Conclusion. The negative factors of the work environment affect nutrition and lead to the deterioration of the health of nurses working in the hospital area.

Resumo O presente estudo analisa os fatores que constituem o ambiente de trabalho hospitalar em relação às dificuldades na nutrição do pessoal de enfermagem. Objetivo. Analisar as contribuições da investigação no ambiente de trabalho e as suas repercussões no estado de saúde nutricional do pessoal de enfermagem nas áreas hospitalares. Metodologia. Meta-análise através da aplicação da declaração PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) para uma revisão sistemática e integradora da investigação selecionada. Foi efetuada uma pesquisa nas principais bases de dados de Medicina e Ciências da Saúde tais como: PubMed, Medline, SCOPUS, Wed of Science (Wos), Cinahl e Cochrane, com a qual foram identificados os artigos com relevância para o ambiente de trabalho hospitalar, qualidade nutricional, pessoal de enfermagem. A pesquisa foi baseada nas seguintes questões: Qual é a relação entre um ambiente de trabalho e a nutrição dos enfermeiros hospitalares? Como é que o stress e a fadiga no trabalho afetam a nutrição dos enfermeiros hospitalares P: Enfermeiros hospitalares; I: Ambiente de trabalho; C: Estado nutricional. Dezessete artigos foram incluídos nesta revisão. Foram identificados sete temas: excesso de peso e obesidade, atividade física, horários de trabalho rotativos e noturnos, hábitos e estilos de vida, comportamentos alimentares, angústia mental e stress laboral. Conclusão. Os fatores negativos do ambiente de trabalho afetam a nutrição e conduzem à deterioração da saúde dos enfermeiros que trabalham na área hospitalar.

Técnica estadística multivariada para validar instrumento de evaluación del clima organizacional en empresas ganaderas de leche / Multivariate statistical technique to validate an instrument for evaluating the organizational climate in dairy farming companies

RESUMEN Uno de los temas que poco se ha profundizado es la evaluación del clima organizacional en empresas del sector agropecuario bajo análisis de estadísticas multivariadas, es así que el propósito del presente estudio es construir y validar un instrumento para medir el clima organizacional de las empresas tecnificadas de ganadería de leche, bajo un enfoque mixto, con un alcance exploratorio de tipo tecnológico psicométrico, desarrollando un análisis de variables categóricas. La muestra de estudio fueron 45 fincas, las cuales, se analizaron bajo 9 dimensiones, soportadas en 97 ítems, bajo la escala Likert, donde el alfa de Cronbach obtenido fue de 0.9044395, lo que evidencia que los datos son confiables y que existe consistencia interna entre las preguntas del cuestionario. El análisis de resultados, se hizo mediante técnicas multivariadas de correspondencia simple para cada una de las dimensiones establecidas, permitiendo analizar la problemática desde un enfoque psicosocial. La dimensión de mayor preocupación fue la de Contexto social, que evidenció problemas relacionados con la escasa oportunidad de interacción social, pocos espacios de recreación y esparcimiento familiar; la dimensión mejor evaluada fue la de liderazgo y participación, demostrando una muy buena relación con el jefe. En general, se pude decir que el mayor porcentaje de agrupamiento de las respuestas está alrededor de la opción siempre, correspondiente a la calificación ideal para cada ítem, representado en el 57,32%, lo que indica un comportamiento cercano a lo óptimo, en determinadas variables analizadas.

ABSTRACT One of the topics that have not been studied in depth is the evaluation of the organizational climate in companies of the agricultural sector under multivariate statistical analysis. Thus, the purpose of this study is to construct and validate an instrument to measure the organizational climate of technified dairy cattle raising companies, under a mixed approach, with an exploratory scope of psychometric technological type, developing an analysis of categorical variables. The study sample consisted of 45 farms, which were analyzed under 9 dimensions supported by 97 items under the Likert scale, where the Cronbach's alpha obtained was 0.9044395, which shows that the data are reliable and that there is internal consistency among the questions of the questionnaire. The analysis of the results was carried out using multivariate techniques of simple correspondence for each of the established dimensions, allowing the analysis of the problem from a psychosocial approach. The dimension of greatest concern was the social context. This showed problems related to the scarce opportunity for social interaction, few spaces for recreation, and family recreation; the best-evaluated dimension was that of Leadership and participation, showing a very good relationship with the boss. In general, it can be said that the highest percentage of the grouping of responses is around option always, that correspond to the ideal qualification for each item, represented in 57.32%, which indicates a behavior close to the ideal in certain variables analyzed.

Percepções de trabalhadores readaptados sobre o contexto de trabalho e riscos psicossociais organizacionais / Perceptions of readapted workers about work environment and organizational psychosocial risks / Percepciones de trabajadores readaptados sobre el contexto de trabajo y riesgos psicosociales organizacionales

Introdução: Os fatores psicossociais têm sido descritos como importantes agentes relacionados com o retorno ao trabalho, podendo ser facilitadores ou barreiras neste processo. Objetivo: Apreender as representações que trabalhadores readaptados têm das condições, organização e relações socioprofissionais do contexto de trabalho, onde foram alocados após readaptação, a fim de identificar possíveis fatores psicossociais organizacionais favoráveis ou desfavoráveis para eficácia deste processo Método: Trata-se de uma pesquisa de abordagem quantitativa, com natureza descritiva, segundo o tipo de pesquisa de levantamento. Para a coleta de dados, foi utilizada a Escala de Avaliação do Contexto de Trabalho (EACT) que possibilita a análise de três dimensões: Organização, Condições e Relações Socioprofissionais do Trabalho. Participaram deste estudo 23 trabalhadores, sendo 16 técnicos e 7 auxiliares de enfermagem atuantes em diferentes lotações de um hospital de ensino público. Resultados: Os dados da média bruta das três dimensões ficaram entre 2,3 e 3,69, o que indica um contexto crítico, considerado situação-limite. O contexto de trabalho apresenta aspectos que potencializam o mal-estar, colocando os trabalhadores em risco de adoecimento. Conclusão: Mediante a identificação dos elementos estressores, vê-se a necessidade de produzir ações no sentido de modificar aspectos do contexto de trabalho de modo a eliminar situações estressoras.

Introduction: Psychosocial factors, being facilitators or barriers, have been described as important agents related to return-to-work process. Goals: To understand the representations of the condition, organization and socio-professional relations in the work environment that readapted workers have after being re-allocated. In order to identify possible favorable or unfavorable organizational psychosocial factors for the effectiveness of this process. Method: A quantitative research, with descriptive nature, according to the type of survey. For data collection: We used the Work Environment Impact Scale (WEIS), which allows the analysis of three dimensions: Organization, Condition and Socio-professional labor relations. A total of 23 workers took part in this study, 16 technicians and 7 nursing assistants working in different parts of a public teaching hospital. Results: Data from the gross average of the three dimensions were between 2.3 and 3.69, which indicates a critical context, a limit situation.The work environment presents aspects that enhance malaise, creating a risk of illness for the workers. Conclusion: By identifying the stressful elements, it is possible to modify aspects of the work environment in order to eliminate stressful situations.

Introducción: Los factores psicosociales se han descrito como importantes agentes relacionados con el retorno al trabajo, pudiendo ser facilitadores o barreras en este proceso. Objetivo: Apreciar las representaciones que los trabajadores readaptados tienen de las condiciones, organización y relaciones socio profesionales del contexto de trabajo donde fueron asignados después de la readaptación a fin de identificar posibles factores psicosociales organizacionales favorables o desfavorables para la eficacia de este proceso Método: Se trata de una investigación de abordaje cuantitativa, con naturaleza descriptiva, según el tipo de investigación de estudio de caso. Para la recolección de datos se utilizó la Escala de Avaliação do Contexto de Trabalho (Evaluación de Contexto de Trabajo) que posibilita el análisis de tres dimensiones: Organización, Condiciones y Relaciones Socioprofesionales del Trabajo. Participaron de este estudio 23 trabajadores, siendo 16 técnicos y 7 auxiliares de enfermería actuantes en diferentes locales de un hospital de enseñanza pública. Resultados: Los datos del promedio bruto de las tres dimensiones se situaron entre 2,3 y 3,69; estos indicadores revelan un contexto clasificado como crítico, considerado situación límite. El contexto de trabajo posee aspectos que potencian el malestar, colocando a los trabajadores en riesgo de enfermedad. Conclusión: Mediante la identificación de los elementos estresores, se ve la necesidad de producir acciones en el sentido de modificar aspectos del contexto de trabajo para eliminar situaciones estresantes.

Predictors associated with the mental health of Japanese male registered nurses: focusing on environments with many female registered nurses and female patients’ refusal to accept nursing services from male registered nurses / Journal of Rural Medicine

Objective: To study the improvement of the mental health of Japanese male registered nurses, we investigated the predictors associated with the Japanese version of the 12-item General Health Questionnaire (GHQ-12). For those predictors, we focused on environments with many female registered nurses and female patients’ refusal to accept nursing services from male registered nurses.Materials and Methods: This study was conducted in 93 hospitals in the Aichi, Gifu, and Mie prefectures of Japan. The analyzed subjects were 1,216 full-time male registered nurses. The average age (standard deviation) was 34.5 (9.2) years. Multiple logistic regression analysis was conducted. A GHQ-12 score of ≤3 indicated good mental health, and a score of ≥4 indicated poor mental health. “Mental health” was a dependent variable. The independent variables were: “Age”, “Male registered nurses as important partners on the job”, “Female registered nurses’ good manners toward male registered nurses”, “Fairness regarding male registered nurses’ promotions”, and “Female patients’ refusal to accept nursing services from male registered nurses”.Results: There were 728 (59.9%) full-time male registered nurses with good mental health and 488 (40.1%) with poor mental health. The mental health of the male registered nurses who had negative feelings regarding, “Male registered nurses as important partners on the job” was significantly worse, and that of those who had negative feelings regarding, “Female registered nurses’ good manners toward male registered nurses” was also significantly worse.Conclusion: Female registered nurses must recognize that their attitudes toward male registered nurses influence the mental health of male registered nurses. Hospital managers should provide male registered nurses who cannot establish appropriate relations with female registered nurses with consultation opportunities. Such organizational action by managers is necessary.

Work Environment and Workload of Staff Nurses in Level 2 Hospitals at Cavite, Philippines

@#One of the greatest healthcare challenges for today's generation is the improvement of the nursing work environment. Despite the challenges brought by the unhealthy working environment and high workload demand, Filipino nurses stood up high in maintaining professionalism towards their work. The goal of this study is to determine the relationship between the work environment and the workload of staff nurses in level 2 hospitals in Cavite, Philippines. Quantitative non-experimental descriptive correlational design was used, and the standardized questionnaires namely: Practice Environment Scale of the Nursing Work Index (PES-NWI) and NASA Task Load Index (NASA-TLX) were used to gather data from 70 respondents. Results showed that majority were female, belonging to Millennial age (23-38 years old), had baccalaureate degree in Nursing, with a gross monthly salary of Php 15,000.00- 19,999.00, being in the institution for more than 6 months to 5 years, and have an average nurse to patient ratio of 11.30. Their level of work environment was favorable in all subscales with a composite score of 3.13 (SD= 0.570). Their perceived workload was high, with a mean score of 71.24 (SD= 12.78). Likewise, nurse to patient ratio had a significant relationship with nurse manager ability, leadership, and support of nurses (X2= 94.26, p= <.001) and staffing and resource adequacy (X2= 75.06, p= 0.002). Moreover, significant relationships among the variables of age and physical demand (p= .004), length of institutional experience and physical demand (p <0.001), educational attainment and performance (p= .018), educational attainment and effort (p= .005), and length of institutional experience and effort (p= .001). Last, there is no statistically significant correlation between the overall work environment and the overall workload of nurses (r= -.084, p= .491). These findings underscore the importance of measures aimed at enhancing the work environment and workload of staff nurses to prevent further challenges among them.