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Gac. méd. Méx ; 157(3): 327-331, may.-jun. 2021. tab
Article in Spanish | LILACS | ID: biblio-1346115


Resumen Introducción: Ante la pandemia de COVID-19, el apego a las medidas de higiene es un objetivo para disminuir la morbimortalidad. Objetivo: Evaluar el apego a la higiene de manos y medidas de protección durante la pandemia de COVID-19 en un hospital de tercer nivel. Métodos: Estudio transversal acerca del lavado de manos del personal de salud en los cinco tiempos recomendados por la Organización Mundial de la Salud, así como sobre el uso del equipo de protección personal específico. Resultados: Fueron observadas 117 oportunidades de higiene de manos en personal de salud: 40 (34 %) respecto al lavado de manos y 76 (65 %) respecto a su omisión; sobre el apego al uso de careta en cinco (4 %) y sobre la falta de apego en 112 (96 %). Se identificó apego al uso de mascarilla en 65 profesionales de enfermería (87 %), uso adecuado de mascarilla en 56 de ellos (60 %) y uso de careta en uno (1 %.) Conclusión: El personal mostró baja proporción de apego a la higiene de manos y al uso de equipo para la protección específica durante la pandemia de COVID-19.

Abstract Introduction: During the COVID-19 pandemic, adherence to hygiene measures is an objective aimed at reducing morbidity and mortality. Objective: To evaluate adherence to hand hygiene and protection measures during the COVID-19 pandemic in a tertiary care hospital. Methods: Cross-sectional study on health personnel handwashing at the five moments recommended by the World Health Organization, as well as on the use of specific personal protective equipment. Results: One hundred and seventeen hand hygiene opportunities were observed in health personnel. Hand washing was observed in 40 (34 %) and omission in 76 (65 %). Adherence to the use of face shield was observed in five (4 %), and lack of adherence in 112 (96%). Adherence to the use of face mask was observed in 65 nursing professionals (87 %), with appropriate use of the mask in 56 of them (60 %) and use of face shield in one (1 %). Conclusion: Health personnel showed low proportions of adherence to hand hygiene and use of equipment for specific protection during the COVID-19 pandemic.

Humans , Male , Female , Personnel, Hospital/statistics & numerical data , Guideline Adherence/statistics & numerical data , Hand Hygiene/statistics & numerical data , Personal Protective Equipment/statistics & numerical data , COVID-19/prevention & control , Personnel, Hospital/standards , Time Factors , Cross-Sectional Studies , Prospective Studies , Tertiary Care Centers , Hand Hygiene/standards
Ciênc. Saúde Colet ; 26(4): 1467-1476, abr. 2021. tab, graf
Article in English, Portuguese | LILACS | ID: biblio-1285932


Resumo A relação do homem com o trabalho pode impactar diretamente em sua qualidade de vida e condição de saúde. O objetivo deste artigo é comparar as condições de Qualidade de Vida no Trabalho (QVT) de três diferentes áreas de atuação profissional. Estudo transversal com amostra aleatória de 172 trabalhadores de um hospital (37,9±10,3 anos; 73,8% mulheres). Os participantes responderam ao inventário de avaliação de qualidade de vida no trabalho (IA_QVT). A Anova e o teste de Tukey foram utilizados para análise dos dados. 36,4% dos itens que avaliaram condições de trabalho e 35,7% dos itens sobre reconhecimento e crescimento profissional apresentaram diferenças entre os grupos (p<0,05). Nos âmbitos de relações socioprofissionais, organização do trabalho e elo trabalho-vida social, os índices foram de 12,5%, 11,1% e 10,0%, respectivamente. No geral, 21,7% dos itens pesquisados apresentaram diferenças significativas entre os grupos. Foram encontradas diferenças importantes na percepção de QVT entre áreas distintas, sugerindo que um planejamento eficiente pode resultar em promoção da saúde caso atenda demandas setorizadas.

Abstract The relationship between people and work has a direct impact on quality of life and health. The objective of this article is to compare perceived levels of Quality of Working Life (QWL) across three different groups of professionals. Cross-sectional study with a random sample of 172 hospital workers (37.9±10.3 years; 73.8% women). Participants filled out the Quality of Working Life Assessment Inventory (QWL-AI). The data was analyzed using Anova and Tukey's test. Statistically significant differences were found between the groups in 36.4% of the items assessing work conditions, 35.7% of the items assessing professional growth and recognition (p<0.05), 12.5% of the items assessing socioprofessional workplace relationships, 11.1% of the items assessing work organization, and 10% of the items assessing link between work and social life. Overall, 21.7% of the items showed significant differences between groups. We found significant differences in perceived QWL between the different groups, suggesting that QWL interventions should be tailored to the address the specific needs and demands of different sectors and departments to be effective.

Humans , Male , Female , Pregnancy , Quality of Life , Hospitals, Maternity , Personnel, Hospital , Cross-Sectional Studies , Workplace
Article in English | WPRIM | ID: wpr-877761


INTRODUCTION@#Frontline healthcare workers (HCWs) exposed to coronavirus disease 2019 (COVID-19) are at risk of psychological distress. This study evaluates the psychological impact of COVID-19 pandemic on HCWs in a national paediatric referral centre.@*METHODS@#This was a survey-based study that collected demographic, work environment and mental health data from paediatric HCWs in the emergency, intensive care and infectious disease units. Psychological impact was measured using the Depression, Anxiety, Stress Scale-21. Multivariate regression analysis was performed to identify risk factors associated with psychological distress.@*RESULTS@#The survey achieved a response rate of 93.9% (430 of 458). Of the 430 respondents, symptoms of depression, anxiety and stress were reported in 168 (39.1%), 205 (47.7%) and 106 (24.7%), respectively. Depression was reported in the mild (47, 10.9%), moderate (76, 17.7%), severe (23, 5.3%) and extremely severe (22, 5.1%) categories. Anxiety (205, 47.7%) and stress (106, 24.7%) were reported in the mild category only. Collectively, regression analysis identified female sex, a perceived lack of choice in work scope/environment, lack of protection from COVID-19, lack of access to physical activities and rest, the need to perform additional tasks, and the experience of stigma from the community as risk factors for poor psychological outcome.@*CONCLUSION@#A high prevalence of depression, anxiety and stress was reported among frontline paediatric HCWs during the COVID-19 pandemic. Personal psychoneuroimmunity and organisational prevention measures can be implemented to lessen psychiatric symptoms. At the national level, involving mental health professionals to plan and coordinate psychological intervention for the country should be considered.

Adult , Anxiety/etiology , COVID-19/psychology , Depression/etiology , Female , Health Surveys , Hospitals, Pediatric , Humans , Logistic Models , Male , Middle Aged , Multivariate Analysis , Occupational Diseases/etiology , Pandemics , Personnel, Hospital/psychology , Prevalence , Risk Factors , Self Report , Severity of Illness Index , Singapore/epidemiology , Stress, Psychological/etiology
Säo Paulo med. j ; 138(5): 433-440, Sept.-Oct. 2020. tab
Article in English | SES-SP, LILACS, SES-SP | ID: biblio-1139716


ABSTRACT BACKGROUND: The rapid spread of the COVID-19 epidemic has led to extraordinary measures taken worldwide, and has led to serious psychological disorders. Healthcare professionals face greater severity of stress burden, due both to their direct contact with patients with the virus and to the isolation dimension of this outbreak. OBJECTIVE: To examine psychiatric disorders such as anxiety, depression and sleep disorders among healthcare professionals working in an emergency department and a COVID-19 clinic. DESIGN AND SETTING: Cross-sectional study including healthcare professionals in the emergency department and other units serving patients with COVID-19, of a training and research hospital in Turkey. METHODS: 210 volunteers, including 105 healthcare professionals in the emergency department and 105 healthcare professionals working in other departments rendering services for COVID-19 patients, were included in this study. A sociodemographic data form and the Hospital Anxiety Depression Scale (HAD), Pittsburg Sleep Quality Index (PSQI), World Health Organization Quality of Life scale (WHOQOL-BREF-TR) and Religious Orientation Scale were applied to the volunteers. RESULTS: The perceived stress levels and PSQI subscores were found to be significantly higher among the volunteers working in the emergency department than among those in other departments. The risk of development of anxiety among women was 16.6 times higher than among men. CONCLUSIONS: Healthcare professionals on the frontline need systematic regular psychosocial support mechanisms. Anxiety due to fear of infecting family members can be prevented through precautions such as isolation. However, it should be remembered that loneliness and feelings of missing family members consequent to isolation may increase the risk of depression.

Humans , Male , Female , Personnel, Hospital/psychology , Pneumonia, Viral , Mental Health , Coronavirus Infections , Pandemics , Occupational Stress/epidemiology , Quality of Life , Turkey/epidemiology , Volunteers/psychology , Cross-Sectional Studies , Betacoronavirus , SARS-CoV-2 , COVID-19
Rev. chil. pediatr ; 91(4): 536-544, ago. 2020. tab
Article in Spanish | LILACS | ID: biblio-1138668


INTRODUCCIÓN: La incidencia de enterocolitis necrotizante (ECN), en Chile es de 0,3 a 2,4 por mil recién nacidos vi vos, siendo principalmente afectados los neonatos prematuros, y de 8 a 12 por ciento en prematuros menores a 1.500 gramos. OBJETIVO: Describir la percepción de profesionales de salud sobre el uso de calostro en recién nacidos prematuros, como factor protector de enterocolitis necrotizante. SUJETOS Y MÉTODO: Estudio cualitativo, mediante entrevista semiestructurada a 18 profesionales de la salud en tres hospitales públicos de la región de Valparaíso. La pauta de entrevista incluyó 3 temas: Conocimientos, percepción del suministro temprano de calostro y opinión acerca de la extensión de la medida, y 6 subtemas, 2 para cada tema respectivamente: Autopercepción del nivel de conocimiento y fuentes de información; Experiencia: aspectos positivos/eventos adversos y opinión del calostro como factor protector de enterocolitis; aspectos facilitadores u obstaculizadores y opinión acerca de la medida como política nacional. Procesamiento de datos mediante análisis de contenido cualitativo, temático. RESULTADOS: El uso de calostro en prematuros se da de modo protocolizado en dos de las tres unidades de alta complejidad neonatal de la región de Valparaíso. Los participantes opinan positivamente acerca de los resultados preventivos de esta medida. Aun cuando en un tercer estable cimiento no se aplique, hay una percepción favorable acerca de su potencial beneficio y su bajo costo de implementación. Se señala, no obstante, que ésta requiere de mayor evidencia y de un protocolo de aplicación. Otras limitantes serían la insuficiente dotación y formación del personal, y la necesidad de adquirir equipamiento e insumos. CONCLUSIONES: Profesionales que han aplicado un protocolo de administración de calostro en neonatos prematuros en la Región de Valparaíso, reportan buenos resultados de salud, y promueven la motivación del equipo hacia esta praxis. Sin embargo, se considera relevante la difusión y discusión de protocolos nacionales e internacionales, así como el desarrollo de investigación local. Dadas las experiencias en curso en Chile, y el debate internacional, se considera oportuno que el tema sea abordado y discutido en la comunidad sanitaria nacional.

INTRODUCTION: In Chile, necrotizing enterocolitis (NEC) mainly affects preterm infants, with an incidence of 0.3 to 2.4 per 1,000 live births, and 8 to 12% in preterm infants weighing less than 1,500 grams. OBJECTIVE: To describe health professionals perceptions on the use of human colostrum as a preventive measu re against necrotizing enterocolitis in preterm newborns. SUBJECTS AND METHOD: Qualitative study, using 18 semi-structured individual interviews of health professionals in three public hospitals of the Valparaíso Region. The interview included 3 topics: Knowledge, Perception of early colostrum supply and Opinion about the extent of the measure, and 6 subtopics, 2 for each topic respectively: Self-perception of knowledge level and Sources of information; Experience: positive aspects/adverse events and Opinion of colostrum as a protective factor for enterocolitis; Facilitating or hindering aspects and Opinion about the measure as national policy. Data were processed through qualitative content analysis. RESULTS: Two of the three high-complexity neonatal units of the Valparaíso Re gion have a protocol for administrating colostrum in premature infants. Participants have a positive opinion about the preventive results of this measure. Even in the third hospital where there is no protocol, they have a favorable perception of its potential benefit and its low cost of implementa tion. However, we observed that this procedure requires more evidence and an application protocol. Other limitations would be the lack of staffing and training and the need for equipment and supplies. CONCLUSIONS: Professionals who have applied a colostrum administration protocol in preterm infants in the Valparaíso Region report good health outcomes and promote team motivation towards this practice. However, it is relevant to the dissemination and discussion of national and international protocols, as well as the development of local research. Given the ongoing experiences in Chile and the international debate, we considered appropriate to address and discuss the topic within the na tional health community.

Humans , Infant, Newborn , Patient Care Team , Personnel, Hospital , Attitude of Health Personnel , Colostrum , Enterocolitis, Necrotizing/prevention & control , Infant, Premature, Diseases/prevention & control , Infant, Premature , Chile , Clinical Protocols , Interviews as Topic , Treatment Outcome , Clinical Competence , Qualitative Research , Health Policy , Hospitals, Public
Rev. chil. cardiol ; 39(1): 8-15, abr. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1115444


ANTECEDENTES: Un número creciente de artículos está llamando la atención en forma consistente sobre la eventual asociación que existe entre los denominados trabajadores ocupacionalmente expuestos a bajos niveles de radiación ionizante (POEs) y una mayor frecuencia de aberraciones cromosómicas, a nivel Sudamericano estos estudios son escasos. OBJETIVO: Evaluar la frecuencia de aberraciones cromosómicas en linfocitos de sangre periférica de POEs de un hospital y de sujetos sanos. Adicionalmente, se realizó una revisión exhaustiva de los artículos que a la fecha abordaron este tema. MATERIAL Y MÉTODO: Se condujo un análisis citogenético destinado a cuantificar las aberraciones cromosómicas en sangre periférica de linfocitos de 6 POEs de la unidad de Cardiología Intervencional y, como controles, 6 muestras de sujetos de la población general fueron analizadas. RESULTADOS: Se observó un importante contraste en el número de aberraciones cromosómicas presentadas en los POEs versus la población general no expuesta a radiaciones ionizantes, siendo esta de una relación de 6:1, respectivamente. CONCLUSIÓN: Los resultados preliminares indican una mayor frecuencia de aberraciones cromosómicas en los POEs versus la población general, sin embargo, se deberá esperar los resultados de la segunda fase de investigación, donde al ampliar la muestra en análisis se podrán obtener conclusiones estadísticamente significativas.

BACKGROUND: There is growing evidence of an increased number of chromosomes aberrations in subjects exposed to low levels of ionizing radiation (POEs). There are few studies on this subject in Latin America AIM: To evaluate the frequency of chromosome aberrations in lymphocytes obtained from peripheral blood in subjects working in laboratories where low levels of ionizing radiation are present and to compare these findings to those of unexposed subjects. METHODS: A cytogenic analysis to quantify chromosome aberrations was performed in 6 POs subjects from a cardiology invasive laboratory and 6 controls from a general unexposed population. RESULTS: Compared to controls, an approximately 6-fold increase in the number of chromosome aberrations was subjects exposed to ionizing radiation CONCLUSION: These preliminary results indicate that there is an increased number of chromosome aberrations in subjects exposed to low levels of ionizing radiation, as occurs in people working in a cardiology interventional laboratory. Studies in large numbers of subjects and preferably followed prospectively are needed to evaluate more precisely this effect.

Humans , Male , Female , Personnel, Hospital , Radiation, Ionizing , Chromosome Aberrations/radiation effects , Cardiology Service, Hospital , Radiation Dosage , Lymphocytes/radiation effects , Chile , Pilot Projects , Occupational Exposure , Chromosome Aberrations/statistics & numerical data , Chromosomes, Human/radiation effects , Cytogenetic Analysis
Ciênc. Saúde Colet ; 25(1): 199-209, jan. 2020. tab
Article in Portuguese | LILACS | ID: biblio-1055775


Resumo Objetivou-se identificar os fatores associados à personalidade hardiness em profissionais de saúde atuantes em serviços hospitalares que atendem a pacientes críticos. Estudo epidemiológico, transversal e analítico, realizado com 469 profissionais de saúde. Como instrumento, utilizou-se a Escala Hardiness (EH) associada a um questionário para investigar as condições sociodemográficas, ocupacionais e de saúde. Foi realizada a análise descritiva e bivariada por meio do teste qui-quadrado e modelo múltiplo através de regressão logística múltipla, utilizando o teste Hosmer Lemeshow e PseudoR2, estimando razão das chances (odds ratio). A classificação dos escores totais na EH evidenciou preponderância de moderado hardiness (48,4%). A chance de alto hardiness entre profissionais com estilo de vida fantástico regular ou ruim reduziu em 74% quando comparado aos considerados muito bons e excelentes. Também esteve aumentada entre os profissionais que não tiveram licença/afastamento, que apresentavam alta satisfação por compaixão no trabalho, baixo estresse e baixo burnout. A personalidade hardiness influência direta e indiretamente a saúde e o bem-estar do profissional de saúde atuante em serviços hospitalares que atendem a pacientes críticos.

Abstract This study aimed to identify factors associated with the hardy personality in health professionals working in hospital services that treat critically ill patients. This is an epidemiological, cross-sectional, and analytical study conducted with 469 health professionals. We used the Hardiness Scale (HS), coupled with a questionnaire to investigate sociodemographic, occupational, and health conditions. A descriptive and bivariate analysis was performed using the chi-square test and the multiple model through multiple logistic regression, using the Hosmer-Lemeshow and PseudoR2 tests, estimating odds ratios. The classification of total scores in HS showed prevailing moderate hardiness (48.4%). Professionals with a fair or poor fantastic lifestyle (FL) were 74% less likely to show high hardiness than those with very good and excellent FL. Also, professionals who were not on leave, who had high satisfaction with compassion at work, low stress, and low burnout were more likely to show high hardiness. The hardy personality, directly and indirectly, influences the health and well-being of health professionals working in hospital services that treat critically ill patients.

Humans , Male , Female , Adult , Young Adult , Personality , Personnel, Hospital/psychology , Adaptation, Psychological , Critical Care , Resilience, Psychological , Occupational Stress/psychology , Epidemiologic Studies , Cross-Sectional Studies , Middle Aged
Medwave ; 20(4): e7900, 2020.
Article in English, Spanish | LILACS | ID: biblio-1103971


El principal activo de las organizaciones está constituido por sus trabajadores, por lo cual se debe prestar una especial atención a su motivación y satisfacción, y también a la relación con el desempeño. La satisfacción laboral de los profesionales del sistema de salud se relaciona directamente con la calidad de servicio ofrecido, de ahí la importancia de su medición. La insatisfacción puede repercutir negativamente en la calidad de atención. La presente investigación tiene por objetivo determinar el nivel de satisfacción y motivación laboral de los y las profesionales matronas del Hospital de Puerto Montt-Chile, para lo cual se realizó un estudio de carácter cuantitativo, descriptivo y transversal. Para medir la motivación se empleó el Job Diagnostic Survey y para la satisfacción se utilizó la escala de satisfacción laboral SL-SPC. Se logró determinar que los profesionales poseen niveles de motivación media-alta en todas las dimensiones estudiadas. Respecto a los factores de satisfacción, el estudio arrojó un nivel medio-bajo, en la mayoría de los factores medidos.

The main asset of an organization is its workers. Special attention must be paid to their motivation and satisfaction and also to how they relate to performance. Job satisfaction of health care professionals is directly related to the quality of care provided, hence the importance of its measurement. Dissatisfaction can negatively impact the quality of care. The purpose of this study is to determine the level of satisfaction and work motivation of the midwifery professionals of the Hospital of Puerto Montt (Chile). We used a quantitative, descriptive, and cross-sectional study. To measure motivation, we used the Job Diagnostic Survey, and to measure satisfaction, we used the SL-SPC scale. It was possible to determine that the professionals have medium-high levels of motivation in all the dimensions studied. Regarding satisfaction factors, the study showed a medium-low level, in most of the factors measured.

Humans , Male , Female , Adult , Middle Aged , Personnel, Hospital/statistics & numerical data , Job Satisfaction , Midwifery/statistics & numerical data , Personnel, Hospital/psychology , Chile , Cross-Sectional Studies , Surveys and Questionnaires , Hospitals , Motivation
Article in English | WPRIM | ID: wpr-827373


OBJECTIVES@#To understand the psychological status of the staff in a general hospital during the coronavirus disease 2019 and its influential factors, and to provide references for the mental health services to hospital staff.@*METHODS@#Using star platform of questionnaire, the staff in the general hospital were investigated via Depression, Anxiety, Stress Scale (DASS-21), Social Support Rating Scale (SSRS) and Simplified Coping Style Questionnaire (SCSQ). The influential factors were discussed by descriptive analysis, rank sum test, single factor analysis, correlation analysis and multiple factors binary logistic regression analysis.@*RESULTS@#A total of 2 060 valid questionnaires were collected. The negative emotions of nurses and cleaners were the most obvious. The depression scores, anxiety scores and stress scores for nurses and cleaners were 5.06±7.47, 6.36±7.84, 9.75±8.65, and 6.72±8.84, 4.51±6.56, 9.69±9.56, respectively. Multivariate binary logistic regression analysis showed that staff types, education levels, job status, economic situation and concerns on the supplies of protective goods were the main influential factors for depression; staff types, contacting status with infected patients, economic situation, concerns on the supplies of protective goods, history of disease were the main influential factors for anxiety; contacting status with infected patients, economic situation, concerns on the supplies of protective goods were the main influential factors for stress.@*CONCLUSIONS@#There are differences in psychological characteristics among different groups of staff in the general hospital under the outbreak. Thus psychological protection and intervention measures should be formulated according to different groups and work status.

Adaptation, Psychological , Anxiety , Diagnosis , Betacoronavirus , China , Coronavirus Infections , Psychology , Cross-Sectional Studies , Depression , Diagnosis , Disease Outbreaks , Hospitals, General , Humans , Pandemics , Personnel, Hospital , Psychology , Pneumonia, Viral , Psychology , Stress, Psychological , Surveys and Questionnaires
Rev Assoc Med Bras (1992) ; 66(7): 992-997, 2020. tab, graf
Article in English | SES-SP, LILACS, SES-SP | ID: biblio-1136298


SUMMARY OBJECTIVE Our aim is to determine whether radiation affects the endothelial function of hospital staff working in the radiation unit for diagnostic and therapeutic purposes. We have evaluated endothelial function with vascular imaging parameters such as flow-mediated dilatation (FMD) and aortic stiffness index (ASI). METHODS A total of 75 employees, 35 of whom are exposed to radiation due to their profession and 40 as the control group, were included in our single-centered study. Demographic data, FMD, aortic stiffness, and echocardiographic findings of the two groups were compared. RESULTS There were no significant differences in demographic data. Median FMD values tended to be lower in the radiation exposure group [7.89 (2.17-21.88) vs. 11.69 (5.13-27.27) p=0.09]. The FMD value was significantly lower in the catheter laboratory group than in the radiation-exposed (p=0.034) and control (p=0.012) groups. However, there was no statistically significant difference between the non-catheter lab radiation exposed group and the control group (p=0.804). In addition, there was no statistically significant difference in the ASI value between the groups (p=0.201). CONCLUSION We have found that FMD is decreased among hospital staff working in radiation-associated areas. This may be an early marker for radiation-induced endothelial dysfunction.

RESUMO OBJETIVO O nosso objetivo é determinar se a radiação afeta a função endotelial de funcionários do hospital que trabalham em unidades com exposição à radiação para fins diagnósticos e terapêuticos. Avaliamos a função endotelial com parâmetros de imagens vasculares, tais como dilatação fluxo-mediada (FMD) e o índice de rigidez aórtica (ASI). METODOLOGIA Um total de 75 funcionários, 35 expostos à radiação devido à sua ocupação e 40 como grupo de controle, foram incluídos em nosso estudo monocêntrico. Os dados demográficos, de FMD, rigidez aórtica e ecocardiográficos dos dois grupos foram comparados. RESULTADOS Não houve diferenças significativas nos dados demográficos. Os valores médios de FMD, em geral, foram mais baixos no grupo de exposição à radiação [7,89 (2,17-21,88) e 11,69 (5,13-27,27) p=0,09]. O valor de FMD foi significativamente menor no grupo laboratorial com cateter do que no exposto à radiação (p=0,034) e no de controle (p=0,012). No entanto, não houve diferença estatisticamente significativa entre o grupo laboratorial sem cateter e exposto à radiação e o grupo de controle (p=0,804). Além disso, não houve diferença estatisticamente significativa quanto ao valor de ASI entre os grupos (p=0,201). CONCLUSÃO Observamos que a FMD é menor entre funcionários que trabalham em setores hospitalares associados à radiação. Isso pode ser um marcador inicial de disfunção endotelial induzida por radiação.

Humans , Radiation Injuries , Brachial Artery , Vascular Stiffness , Personnel, Hospital , Endothelium, Vascular , Echocardiography , Tomography, X-Ray Computed
Ciênc. Saúde Colet ; 24(11): 4123-4132, nov. 2019. tab, graf
Article in Portuguese | LILACS | ID: biblio-1039523


Resumo O objetivo deste estudo foi investigar a prevalência e os fatores associados aos acidentes de trabalho entre profissionais da limpeza hospitalar. Foram entrevistados 199 trabalhadores da limpeza de seis hospitais em São Luís, Maranhão, Brasil. Primeiramente, realizou-se análise univariada e, posteriormente, utilizaram-se as análises de regressão de Poisson com variância robusta, com modelagem hierarquizada dos dados a fim de estimar razões de prevalências (RP) entre as variáveis independentes e o desfecho (acidentes de trabalho). Houve prevalência de 13,57% de acidentes de trabalho, destes, 81,48% ocorridos com materiais perfurocortantes. Ao final da análise multivariada, identificaram-se fatores associados á ocorrência de acidentes de trabalho: idade de 18 a 30 anos, ter ensino médio incompleto, tempo de serviço de 2 a 5 anos, segregação inadequada dos resíduos de serviços de saúde (RSS), ter capacitação somente na admissão, não considerar os riscos dos resíduos à saúde e o não uso de equipamento de proteção individual (EPI). Os fatores avaliados apresentaram-se associados significativamente aos acidentes de trabalho e ressaltam a importância da educação permanente em saúde, com ênfase em capacitações periódicas e uso de EPI.

Abstract The goal of this study was to investigate the prevalence and factors associated with workplace accidents among hospital cleaning professionals. This is a cross-sectional, analytical study of a sample of 199 cleaning workers at six hospitals in São Luís, Maranhão, Brazil. We first ran a univariate analysis, and later the Poisson regression analyzes with robust variance were used, with hierarchized modeling of the data in order to estimate the prevalence ratios (PR) between the independent variables and the outcome (workplace accidents). The prevalence of workplace accidents is 13.57%, 81.48% of them with sharps. At the end of the multivariate analysis the following were found to be associated with workplace accidents: age between 18 and 30, not having a high-school degree, on the job for 2 to 5 years, inadequate segregation of health service waste (HSW), training only on admission, failure to consider the health hazards of hospital waste and failure to use personal protective equipment (PPE). Our findings reinforce the importance of continued health education, stressing periodic training and the use of PPE.

Humans , Male , Female , Adolescent , Adult , Young Adult , Personnel, Hospital/statistics & numerical data , Accidents, Occupational/statistics & numerical data , Personal Protective Equipment/statistics & numerical data , Housekeeping, Hospital/statistics & numerical data , Time Factors , Brazil , Prevalence , Cross-Sectional Studies , Occupational Health , Educational Status , Employment/statistics & numerical data
Ciênc. Saúde Colet ; 24(10): 3847-3856, Oct. 2019. tab, graf
Article in Portuguese | LILACS | ID: biblio-1039489


Resumo O ganho de peso na vida adulta pode ser responsável por doenças crônicas, e seu acompanhamento pode ser um subsídio para evitar esses agravos. O objetivo foi analisar o ganho de peso e fatores associados em trabalhadores de um hospital privado no município do Rio de Janeiro. Trata-se de uma coorte retrospectiva com 686 trabalhadores, que realizaram ao menos dois exames de saúde ocupacionais (admissional e periódico) entre os anos de 2010 e 2015. O método de Kaplan-Meier e o modelo de regressão semiparamétrico de riscos proporcionais de Cox foram utilizados. A incidência de ganho de peso dos trabalhadores do hospital foi de 22 casos/100 pessoas-ano. O ganho de peso nos trabalhadores com mais de 30 anos foi 35% menor (p < 0,001), quando comparado ao ganho de peso naqueles de até 30 anos. Em relação à escolaridade, as taxas de incidência de ganho de peso nos trabalhadores de níveis fundamental e médio se apresentaram maiores, com magnitude de até 61%, comparadas aos de nível superior completo (p < 0,001); e no setor de trabalho considerado fechado foi 63% maior quando comparada ao setor aberto (p < 0,001). Ganho de peso é um fenômeno multifacetado e complexo, podendo os setores de trabalho de uma unidade hospitalar contribuir fortemente para a ocorrência do mesmo.

Abstract Weight gain in adult life may be responsible for chronic diseases, and follow-up of this may be a subsidy to avoid these diseases. The objective was to analyze the weight gain and associated factors in workers of a private hospital in the city of Rio de Janeiro. This is a retrospective cohort of 686 workers, who performed at least two occupational health exams (admission and periodic) between 2010 and 2015. The Kaplan-Meier method and the Cox proportional hazards regression model were used. The incidence of weight gain of hospital workers was 22 cases / 100 person-years. The weight gain in workers over 30 years old was 35% lower (p < 0.001) when compared to weight gain in those up to 30 years of age. Regarding schooling, the incidence rates of weight gain among workers at primary and secondary levels were higher, with a magnitude of up to 61%, compared to those at a higher level (p < 0.001); And in the closed sector it was 63% higher when compared to the open sector (p < 0.001). Weight gain is a multifaceted and complex phenomenon, being the work sectors of a hospital unit a strong causer of occurrences of the event.

Humans , Male , Female , Adult , Personnel, Hospital/statistics & numerical data , Weight Gain , Occupational Health , Survival Analysis , Incidence , Retrospective Studies , Risk Factors , Cohort Studies , Hospitals, Private , Age Factors , Educational Status
Rev. chil. pediatr ; 90(4): 429-436, ago. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1020651


INTRODUCCIÓN: La muerte en la infancia es una realidad a la que se ven enfrentados los profesionales de salud, especialmente en unidades de alta complejidad como son los cuidados intensivos. Esto genera en los profesionales impotencia y frustración, comprometiendo su salud física, emocional y mental, agravada por la sensación de bajo soporte social y deficiente preparación para el afrontamiento de la muerte y el apoyo a los familiares de sus pacientes. OBJETIVO: Develar la percepción de apoyo en duelo de profesionales y técnicos en unidades de cuidado intensivo pediátrico de hospitales públicos, tras la muerte de los pacientes. SUJETOS Y MÉTODO: Estudio cualitativo con enfoque fenomenológico. Se realizaron 16 entrevistas en profundidad a profesionales y técnicos de cuidados intensivos pediátricos de cinco hospitales públicos de Santiago. Como criterios de inclusión se consideraron el trabajar por más de un año en la unidad, haber vivenciado la muerte de pacientes, y reconocer que ha cursado un duelo profesional. La entrevista fue guiada por la siguiente pregunta: ¿Cómo ha vivenciado usted el apoyo en duelo recibido, tras la muerte de pacientes en su unidad? Una vez trascritas las narrativas se realizó el análisis fenomenológico y posterior triangulación de los datos, logrando la saturación. RESULTADOS: Se develó que los participantes se sienten poco apoyados en sus duelos tras la muerte de los pacientes, existiendo obstáculos para su afrontamiento. Aunque enfrentar la muerte es algo complejo para ellos, reconocen que son capaces de generar estrategias de protección y además se sienten apoyados por personas de su entorno. A pesar de lo complejo de esta experiencia, ellos consideran que existen aprendizajes al enfrentar la muerte que los lleva a dar sentido a su labor profesional. CONCLUSIÓN: Los profesionales requieren que las pérdidas en el ámbito laboral sean reconocidas, y por ello, contar con un apoyo formal y continuo de su equipo de trabajo e institución.

INTRODUCTION: Death in childhood is a reality faced by health professionals, especially in highly com plex units such as intensive care ones. This leads to feelings of helplessness and frustration in health professionals, compromising their physical, emotional, and mental health, which is worsened by the feeling of low social support and poor preparation for coping with death and support for the patient's family. OBJECTIVE: To expose the perception of sorrow support of professionals and techni cians in pediatric intensive care units of public hospitals, after the death of the patients. SUBJECTS AND METHOD: Qualitative study with a phenomenological approach. 16 in-depth interviews were conducted with pediatric intensive care professionals and technicians from five public hospitals in Santiago, Chile. Inclusion criteria considered working for more than a year in the Unit, having experienced the death of patients, and recognizing that they have gone through a professional sorrow. The in terview focused on the following question: How have you experienced the sorrow support received after the death of patients in your unit? Once the narratives were transcribed, the phenomenological analysis and subsequent data triangulation were carried out, achieving saturation. RESULTS: It was observed that the participants feel little supported in their sorrows after the death of the patients, where there are obstacles to face the situation. Although facing death is something complex for the participants, they recognize that they can generate protection strategies and also feel supported by the people around them. Despite the complexity of this experience, the participants consider that there are lessons learned in facing death which leads them to give meaning to their professional work. CONCLUSION: Professionals need the recognition of deaths in the workplace and, therefore, formal and continuous support from their work team and institution.

Humans , Male , Female , Child , Adult , Middle Aged , Personnel, Hospital/psychology , Grief , Intensive Care Units, Pediatric , Attitude to Death , Social Support , Adaptation, Psychological , Attitude of Health Personnel , Chile , Interviews as Topic , Hospitals, Public
Ciênc. Saúde Colet ; 24(7): 2453-2460, jul. 2019. tab
Article in Portuguese | LILACS | ID: biblio-1011850


Resumo O objetivo do estudo foi avaliar as modificações no perfil nutricional dos trabalhadores de um hospital público por três décadas e sua associação com fatores ocupacionais. Estudo de coorte histórica com trabalhadores ativos em 2013 admitidos em três períodos. Foram coletados dados sociodemográficos, de peso e de estatura, e calculado o índice de massa corporal (IMC) do exame admissional e de dois exames periódicos/década. Avaliados 386 trabalhadores (76,4% mulheres, 88,1% de cor de pele branca e 29,3±7,3 anos). A média do peso corporal e do IMC da admissão foram maiores naqueles admitidos em 2000 (P = 66,3 ± 12,5 kg; IMC = 21,3 ± 2,5 kg/m2), em comparação àqueles admitidos em 1980 (P = 56,7 ± 10,2 kg; IMC=21,3 ± 2,5 kg/m2) e 1990 (P = 62,2 ± 11,5 kg; IMC = 22,9 ± 3,3 kg/m2). A variação do peso e do IMC/década foi maior nos trabalhadores admitidos em 2000, em comparação com aqueles admitidos em 1990 e 1980. Quando essa comparação foi estratificada por sexo, a diferença na variação do peso e do IMC/década foi observada apenas nos homens. Turno de trabalho e categoria profissional não foram associados com a variação do peso corporal e IMC. O aumento ponderal e do IMC refletem a transição nutricional observada no País, o que reforça a necessidade de vigilância nutricional e educação continuada desses trabalhadores.

Abstract This study assessed changes in the nutrition profile of public hospital workers over a period of three decades and the association between nutritional status and occupational factors. A retrospective cohort study was conducted with staff taken on in 1980, 1990, and 2000 still working in the hospital in 2013. The following data was obtained from staff records: sociodemographic characteristics; and body weight and height, recorded during pre-employment and periodic medical examinations. The latter was used to calculate body mass index (BMI).The final sample consisted of 386 workers (76.4% women and 88.1% white) with a mean age of 29.3 ± 7.3 years. Mean body weight and BMI at admission were highest in the 2000 cohort (W = 66.3 ± 12.5kg; BMI = 21.3 ± 2.5 kg/m2), compared to 1980 (W = 56.7 ± 10.2 kg; BMI = 21.3 ± 2.5 kg/m2)and 1990 (W = 62.2 ± 11.5 kg; BMI = 22.9 ± 3.3 kg/m2) cohorts. Variation in weight and BMI between the pre-employment examination and final periodic examination was highest in the 2000 cohort. When stratified by sex, this difference in variation was observed only in men. No association was found between variation in body weight and BMI and work shift and occupation. The increase in weight and BMI reflects the nutritional transition in Brazil, underscoring the need for nutritional surveillance and the implementation of health education programs directed at staff.

Humans , Male , Female , Adult , Young Adult , Personnel, Hospital/statistics & numerical data , Weight Gain , Nutritional Status , Occupational Health , Personnel Staffing and Scheduling/statistics & numerical data , Body Weight , Body Mass Index , Retrospective Studies , Cohort Studies , Hospitals, Public
Ciênc. Saúde Colet ; 24(6): 2147-2154, jun. 2019. tab
Article in Portuguese | LILACS | ID: biblio-1011817


Resumo A saúde pública em Brasília sofreu diversas melhorias desde sua implementação devido à mudança do perfil econômico, social e de escolaridade da população. Foi realizada uma reforma na Atenção Hospitalar por gestão baseada em evidências, através de um conjunto normativo que estabeleceu o ordenamento dos Serviços Hospitalares de Emergência, Atenção Ambulatorial Secundária, Regulação de Serviços de Saúde e modelagem organizacional da Secretária de Saúde do Distrito Federal. Tais mudanças permitiram que os profissionais nos seus diferentes níveis de atenção estejam interligados. Ou seja, os profissionais passam a prestar um serviço de saúde de forma contínua para a população, proporcionando um cuidado de saúde integral ao paciente. Essa abordagem garante ganho de eficiência no tratamento do paciente, pois os profissionais multifocais e focais trabalham de maneira integrada. Com a implementação da gestão da organização por processos de trabalho e o planejamento adequado, foi possível redesenhar o modelo assistencial utilizado nos dias atuais, permitindo através da gestão do conhecimento a ampliação do acesso e da interatividade, proporcionado ao cidadão através do modelo de gestão em saúde que agregue valor.

Abstract Since its creation in 1988, major changes have been made to Brazil's public health system in response to the epidemiological transition and the country's changing economic context and demographics. This article describes the recent healthcare reform implemented in the federal district's public hospital system. Guided by evidence-based management and a series of regulatory instruments, the reform organized hospital emergency services and secondary outpatient care, regulated health services, and remodeled the organizational structure of the Department of Health. These changes were aimed at promoting integration between health professionals across different levels of care and ensuring the provision of continuing comprehensive care. This approach guarantees efficiency gains in patient treatment, since multifocal and focal professionals work in an integrated manner. By reorganizing work processes and ensuring adequate planning, it was possible to redesign the care model to promote knowledge management and improve access to information and interactivity, thus helping to ensure the provision of quality, value-added care.

Humans , Public Health , Health Care Reform , Delivery of Health Care/organization & administration , Hospitals, Public/organization & administration , Personnel, Hospital/standards , Brazil , Models, Organizational , Evidence-Based Medicine , Emergency Service, Hospital/organization & administration , National Health Programs/organization & administration
Invest. educ. enferm ; 37(1): [E08], Febrero 2019.
Article in English | LILACS, BDENF, COLNAL | ID: biblio-987121


Objective. To take a deep look at the challenges of cooperation between the pre-hospital and in-hospital emergency services in the handover of victims of road traffic accidents. Methods. This is a qualitative study and the method used is of content analysis type. Semistructured interviews were used to collect the data. Through purposive sampling, fifteen employees from ambulance personnel and hospital emergency staff were selected and interviewed. They expressed their experiences of cooperation between these two teams in the handover of traffic accident casualties. The interviews were transcribed verbatim and content analysis method was used to explain and interpret the content of the interviews. Results. Three major categories were derived from the analysis of interviews: Shortage of infrastructureresources (Shortage of equipment, Shortage of physical space, and Shortage of manpower); Inefficient and unscientific management (Shaky accountability, Out-ofdate information based activities, Poor motivation, and Manpower low productivity); and Non-common language (Difference in understanding and empathy, and Difference in training and experience). Conclusion. The obtained results of this study suggest that the careful planning of resources, the promotion of managerial practices as well as empowerment program of the staff, healthcare managers and policymakers can take a pace forward in order to enter into a hearty coordination between these two services for the attention of victims of road traffic accidents.

Objetivo. Examinar los desafíos para la cooperación entre los servicios de emergencias prehospitalarias y hospitalarias en la entrega de víctimas de accidentes de tránsito. Métodos. Estudio cualitativo con análisis de contenido. Se utilizaron entrevistas semiestructuradas para la recopilación de los datos. Se seleccionaron y entrevistaron quince personas de los equipos de atención prehospitalaria y del servicio de emergencias de un hospital a partir del muestreo intencional. Los participantes expresaron sus experiencias de cooperación entre estos dos grupos en la entrega de víctimas de accidentes de tráfico. Las entrevistas se transcribieron textualmente y se utilizó el análisis de contenido para explicar e interpretar el contenido de las entrevistas. Resultados. Emergieron tres categorías principales: Escasez de recursos de infraestructura (equipos, espacio físico y de personal); Gestión ineficiente y no científica (responsabilidad inestable, actividades basadas en información desactualizada, motivación deficiente, y baja productividad de personal); y Lenguaje no común (diferencia en comprensión y empatía, y diferencia en capacitación y experiencia). Conclusión. Los resultados obtenidos en este estudio muestran dificultades con la planificación de los recursos y la promoción de las prácticas de gestión, así como la necesidad de un programa de empoderamiento del personal. Se deben formular políticas para poder avanzar en el mejoramiento de la coordinación de los servicios en la atención a víctimas de accidentes de tráfico.

Objetivo. Examinar os desafios para a cooperação entre os serviços de emergências pré-hospitalar e hospitalar na entrega de vítimas de acidentes de trânsito. Métodos. Estudo qualitativo com análise de conteúdo. Se utilizaram entrevistas semiestruturadas para a recopilação dos dados. Através da amostra intencional se selecionaram e entrevistaram quinze pessoas das equipes de atenção pré-hospitalar e do serviço de emergências de um hospital. Os participantes expressaram suas experiências de cooperação entre estes dois grupos na entrega de vítimas de acidentes de trânsito. As entrevistas se transcreveram textualmente e se utilizou a análise de conteúdo para explicar e interpretar o conteúdo das entrevistas. Resultados. Emergiram três categorias principais: Escassez de recursos de infraestrutura (equipamentos, espaço físico e de pessoal); Gestão ineficiente e não científica (responsabilidade instável, atividades baseadas em informação desatualizada, motivação deficiente, e baixa produtividade de pessoal); e Linguagem não comum (diferença em compreensão e empatia, e diferença em capacitação e experiência). Conclusão. Os resultados obtidos neste estudo mostram dificuldades com a planificação dos recursos e a promoção das práticas de gestão, assim como a necessidade de um programa de empoderamento do pessoal. Se devem formular políticas para poder avançar no melhoramento da coordenação dos serviços na atenção as vítimas de acidentes de trânsito.

Humans , Personnel, Hospital , Accidents, Traffic , Ambulances , Qualitative Research , Emergency Service, Hospital , Patient Handoff , Health Resources
Rev. gaúch. enferm ; 40(spe): e20180308, 2019. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1004100


Resumo OBJETIVO Descrever e analisar estratégias de comunicação interprofissional efetiva no gerenciamento de comportamentos destrutivos no trabalho hospitalar e promoção da segurança do paciente. MÉTODOS Estudo descritivo e qualitativo, desenvolvido com 29 profissionais de saúde de hospital público no Ceará, Brasil. Os dados foram coletados em 2014, mediante entrevista em profundidade, analisados pela técnica de análise de conteúdo, com o software MAXQDA®, e discutidos segundo referenciais da segurança do paciente. RESULTADOS Emergiram 27 unidades de contexto da análise do conteúdo abordando estratégias de comunicação efetiva para gerenciamento de comportamentos destrutivos, destacando-se: reuniões em equipe com diálogo aberto, avaliação de desempenho e feedback; e exercício da liderança com ênfase no suporte individual, treinamentos, reconhecimento e respeito mútuos. CONCLUSÕES Estratégias individuais e grupais focalizadas em habilidades de comunicação e estabelecimento de respeito mútuo no trabalho atuam como barreiras a comportamentos destrutivos e, se adequadamente instituídas, têm impacto positivo na segurança do paciente.

Resumen OBJETIVO Describir y analizar estrategias de comunicación interprofesional efectiva en la gestión de comportamientos destructivos en el trabajo hospitalario y promoción de la seguridad del paciente. MÉTODOS Estudio descriptivo y cualitativo, desarrollado con 29 profesionales de salud de hospital público en Ceará, Brasil. Los datos fueron recolectados en 2014, mediante entrevista en profundidad, analizados por la técnica de análisis de contenido, con el software MAXQDA®, y discutidos según referenciales de la seguridad del paciente. RESULTADOS Emergieron 27 unidades de contexto del análisis del contenido abordando estrategias de comunicación efectiva para gestión de comportamientos destructivos, destacándose: reuniones en equipo con diálogo abierto, evaluación de desempeño y feedback; y ejercicio del liderazgo con énfasis en el soporte individual, entrenamientos, reconocimiento y respeto mutuos. CONCLUSIONES Estrategias individuales y grupales enfocadas en habilidades de comunicación y establecimiento de respeto mutuo en el trabajo actúan como barreras a comportamientos destructivos y, si adecuadamente instituidas, tienen impacto positivo en la seguridad del paciente.

Abstract OBJECTIVE To describe and analyze strategies for professionals to communicate effectively when managing disruptive behaviors at the hospital and to promote patient safety. METHODS This is a descriptive and qualitative study conducted with 29 health professionals at a public hospital in Ceará, Brazil. Data were collected in 2014 by means of an in-depth interview, analyzed using the content analysis technique with MAXQDA® software, and discussed according to patient safety references. RESULTS The interview transcripts resulted in 27 contextual units of analysis that address effective communication strategies for managing disruptive behaviors, such as team meetings with open dialogue; performance evaluation and feedback; and exercising leadership with emphasis on individual support, training, recognition, and mutual respect. CONCLUSIONS Individual and group strategies that focus on communication skills and establishing mutual respect at work act as barriers for disruptive behavior and, if properly adopted, have a positive impact on patient safety.

Humans , Attitude of Health Personnel , Professional Misconduct , Patient Safety , Interprofessional Relations , Personnel, Hospital/psychology , Brazil , Organizational Culture , Interviews as Topic , Negotiating , Interdisciplinary Communication , Qualitative Research , Bullying , Hospitals, Public , Leadership
Rev. gaúch. enferm ; 40(spe): e20180337, 2019.
Article in Portuguese | LILACS, BDENF | ID: biblio-1004108


Resumo OBJETIVO Analisar a percepção de profissionais de saúde e acompanhantes/familiares quanto ao desenvolvimento da comunicação para a segurança do paciente em internações pediátricas. MÉTODO estudo exploratório-descritivo, qualitativo, realizado em unidades de internação clínico-cirúrgicas pediátricas de três hospitais de Porto Alegre, RS, Brasil. Participaram do estudo 44 profissionais de saúde e 94 acompanhantes de crianças hospitalizadas, totalizando 138 participantes. A coleta ocorreu no período de 2016 a 2017, por meio de entrevistas semiestruturadas. Realizou-se análise de conteúdo do tipo temática. RESULTADOS Emergiram duas categorias: "Barreiras para a Comunicação Efetiva" que abordou as falhas e dificuldades no processo de comunicação e "Ferramentas para Qualificar a Comunicação" que apresenta recomendações para as melhorias, em especial, instrumentalização do acompanhante/familiar. CONCLUSÕES As barreiras para a comunicação efetiva envolvem múltiplos fatores e as estratégias de comunicação efetiva podem auxiliar no desenvolvimento de melhorias para a segurança do paciente pediátrico.

Resumen OBJETIVO Analizar la percepción de profesionales de salud y acompañantes/familiares con respecto al desarrollo de la comunicación para la seguridad del paciente en internaciones pediátricas. MÉTODO Estudio exploratorio-descriptivo, cualitativo, realizado en unidades de internación clínico-quirúrgicas pediátricas de tres hospitales de Porto Alegre, RS, Brasil. Participaron del estudio 44 profesionales de salud y 94 acompañantes de niños hospitalizados, totalizando 138 participantes. La recolección ocurrió en el período de 2016 a 2017, por medio de entrevistas semiestructuradas. Se realizó un análisis de contenido del tipo temático. RESULTADOS Surgieron dos categorías: "Barreras para la comunicación efectiva" que abordo las fallas y dificultades en el proceso de comunicación y "Herramientas para calificar la comunicación" que presenta recomendaciones para mejorías, em particular, instrumentalización del acompañante/familiar. CONCLUSIONES Las barreras para la comunicación efectiva envuelven diversos factores y las estrategias de comunicación efectiva pueden ayudar en el desarrollo de mejorías para la seguridad del paciente pediátrico.

Abstract OBJECTIVE To analyze the perception of health professionals and companions/family about the development of communication for patient safety in pediatric hospitalizations. METHOD It is an exploratory-descriptive study with a qualitative approach, performed in pediatric clinical-surgical hospitalization units of three hospitals in Porto Alegre, RS, Brazil. 44 health professionals and 94 companions of hospitalized children participated in the study, to a total of 138 participants. Data collection took place between 2016 and 2017, through semi-structured interviews. A thematic content analysis was used. RESULTS Two categories emerged: "Barriers to an effective communication", addressing the failures and difficulties in the communication process and "Tools to improve communication", that present recommendations for improvements, especially instrumentalization of the companion/family member. CONCLUSIONS The barriers to an effective communication involve several factors, and effective communication strategies can assist in the development of improvements for pediatric patient safety.

Humans , Infant , Child, Preschool , Child , Adolescent , Child, Hospitalized , Communication Barriers , Patient Safety , Hospital Communication Systems/organization & administration , Patient Care Team , Personnel, Hospital/psychology , Professional-Family Relations , Professional-Patient Relations , Attitude of Health Personnel , Family/psychology , Interviews as Topic , Qualitative Research , Friends/psychology , Health Communication , Interprofessional Relations