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2.
Invest. educ. enferm ; 37(1): [E08], Febrero 2019.
Article in English | LILACS (Americas), COLNAL | ID: biblio-987121

ABSTRACT

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.


Subject(s)
Humans , Personnel, Hospital , Accidents, Traffic , Ambulances , Qualitative Research , Emergency Service, Hospital , Patient Handoff , Health Resources
3.
Physis (Rio J.) ; 29(2): e290204, 2019.
Article in Portuguese | LILACS (Americas) | ID: biblio-1040759

ABSTRACT

Resumo As unidades de saúde contam com o trabalho de diferentes profissionais. Dentre estes estão os vigilantes patrimoniais, por vezes não considerados tradicionalmente como integrantes de equipes de saúde. É esperado que garantam a segurança física das pessoas e do patrimônio, mas em unidades de saúde o segurança atua em várias atividades. Em algumas instituições são responsáveis pela triagem informal para atendimento de emergência, pelo transporte de enfermos, recepção e orientação de pacientes. No cotidiano de unidades de saúde, regras são burladas para lidar com os desafios de cada contexto. As instituições de saúde tornam-se palco de tensões, com disputas de duas lógicas: a universal e a da relacionalidade. As discrepâncias entre as regras e o trabalho de vigilante patrimonial, entre a norma e o "jeitinho", apontam um movimento amplo da sociedade brasileira entre o formal e o informal, o universal e o relacional, o indivíduo e a pessoa. Neste artigo abordamos o trabalho realizado por vigilantes patrimoniais em unidades de saúde, com base em pesquisa qualitativa e em entrevistas com 11 vigilantes. A análise revelou contraste entre o trabalho normativo - baseado na legislação - e o que ultrapassa as regras.


Abstract Health institutions have workers of various areas. Among these professionals are the ones involved in property security, not traditionally considered part of the health team. It is expected that these professionals ensure institutional patrimony and people's integrity, but in health institutions guards' work includes a wide range of tasks, such as identifying people in need for urgent care, helping to transport sick people or providing information about clinic and doctor's offices. Eventually rules are broken by health and security professionals to cope with challenges of any given context. Two different logics are then in disputation in these institutions: the logic of the universal law and the logic of the relations. The differences between the legislation and the patrimonial guards' work, between the rules and the "jeitinho" (Brazilian way of doing things), points out the movement of the society, oscillating between formal and informal, universal and relational, individual and person. This presentation addresses the guards' work on health institutions, based on qualitative research, with interviews with 11 patrimonial guards. Data analysis showed difference between the normative work - based on the legislation - and the work that surpasses the rules.


Subject(s)
Humans , Personnel, Hospital , Primary Health Care , Safety , Work , Health Centers
4.
Rev. gaúch. enferm ; 40(spe): e20180308, 2019. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-1004100

ABSTRACT

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.


Subject(s)
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
5.
Rev. gaúch. enferm ; 40(spe): e20180337, 2019.
Article in Portuguese | LILACS (Americas) | ID: biblio-1004108

ABSTRACT

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.


Subject(s)
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
6.
Rev. gaúch. enferm ; 40(spe): e20180317, 2019. tab, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-1004116

ABSTRACT

Resumo OBJETIVO Analisar as notificações de incidentes relacionados à segurança do paciente. MÉTODOS Estudo transversal com abordagem quantitativa, baseado nos dados do Gerenciamento de Risco de um complexo hospitalar, localizado no noroeste paulista, de agosto/2015 a julho/2016. RESULTADOS Foram analisadas 4.691 notificações. O enfermeiro foi a categoria profissional que mais notificou (71%), seguido do médico (8%). O período mais frequente em que ocorreram as notificações foi o diurno. Houve diferença significativa da proporção de notificações entre os dias da semana. As notificações foram classificadas por motivo, com destaque para os medicamentos (17%), seguido de lesões de pele (15%) e flebite (14%). A maior frequência de notificações ocorreu nas unidades de Internação. Quanto à gravidade 344 eventos ocasionaram dano ao paciente, sendo a maioria de intensidade leve (65%). CONCLUSÃO As notificações espontâneas são uma importante fonte de informações e evidenciam a magnitude do problema relacionado aos incidentes em saúde.


Resumen OBJETIVO Analizar las notificaciones de incidentes relacionados con la seguridad del paciente. MÉTODOS Estudio transversal con abordaje cuantitativo, basado en los datos del Gestión de Riesgos de un complejo hospitalario, ubicado em el noroeste paulista, de agosto de 2015 a julio de 2016. RESULTADOS Se analizaron 4.691 notificaciones. El enfermero fue la categoría profesional que más notificó (71%), seguido del médico (8%). El período más frecuente en que ocurrieron las notificaciones fue el diurno. Hubo una diferencia significativa de la proporción de notificaciones entre los días de la semana. Las notificaciones se clasificaron por motivo, con destaque para los medicamentos (17%), seguido de lesiones de piel (15%), flebitis (14%). La mayor frecuencia de notificaciones ocurrió en las unidades de Internación. En cuanto a la gravedad 344 eventos ocasionaron daño al paciente, siendo la mayoría de intensidad leve (65%). CONCLUSIÓN Las notificaciones espontáneas son una importante fuente de información, y evidencia la magnitud del problema relacionado con los incidentes en salud.


Abstract OBJECTIVE Analyze incident notifications related to the patient's safety. METHOD Cross-sectional study with quantitative approach, based on data from the risk Management of a hospital complex, located in northwest São Paulo, from August 2015 to July 2016. RESULTS 4,691 notifications were analyzed. Nurses were the professionals who notified the most (71%), followed by physicians (8%). The most frequent period in which the notifications occurred was the daytime. There was significant difference in the proportion of notifications between the days of the week. The notifications were classified by reason and the most prevalent were those related to medication (17%), followed by skin lesions (15%), and phlebitis (14%). The highest frequency of notifications occurred in the hospitalization units. In relation to severity, 344 events caused damage to the patient, most of which were of mild intensity (65%). CONCLUSION Spontaneous notifications are an important source of information, and highlight the magnitude of the problem related to health incidents.


Subject(s)
Humans , Medication Errors , Personnel, Hospital/statistics & numerical data , Phlebitis/epidemiology , Risk Management/methods , Risk Management/organization & administration , Risk Management/statistics & numerical data , Skin Diseases/epidemiology , Time Factors , Accidental Falls/statistics & numerical data , Brazil , Cross-Sectional Studies , Retrospective Studies , Quality Improvement , Hospital Units , Medication Errors/statistics & numerical data
7.
Arch. med ; 18(1): 97-104, 20 jun. 2018.
Article in Spanish | LILACS (Americas) | ID: biblio-963626

ABSTRACT

Objetivo: revisar los niveles del síndrome de burnout en parte del personal asistencialde una clínica oncológica. Materiales y métodos: la investigación fue de tipo descriptiva, la muestra estuvo compuesta por un total de 19 personas, de las cuales 7 son hombres (36.8%) y 12 personas fueron mujeres (63.2%), todos tienen un cargo dentro de la clínica oncológica, se aplicó el M.B.I. y una ficha de caracterización. Resultados: las subescalas del MBI no indican que existe burnout, ya que la mayoría de las personas han puntuando nivel bajo en las escalas de agotamiento emocional y despersonalización, no así para el de realización personal que puntuó alto. Hay un (69%) de personas que no presentan ninguno de los síntomas, en cambio hay un (31,6%) de personas que si manifiestan o puntúan alto o intermedio en algunas de las subescalas agotamiento emocional o despersonalización o baja en realización personal. Conclusiones: no existe evidencia de que las personas que hacen parte del personal asistencial de una clínica oncológica tengan el síndrome de burnout, tampoco hay diferencias significativas entre los grupos asistenciales..(AU)


Objective: to review levels of burnout syndrome in part of the nursing staff of an oncology clinic. Materials and methods: the research was descriptive, the sample was composed of 19 people, seven were men (36.8%) and twelve were women (63.2%), all have a position within the Oncology clinic, It was applied an MBI and a fact sheet of characterization. Results: the subscales of the MBI does not indicate that there is burnout, since most of the people have scoring low on the scales of emotional exhaustion and depersonalization, not for the personal fulfilment that scored high. It shows that (69%) of people do not have any of the symptoms; instead, (31.6%) of people manifested the condition or scored high or intermediate in some of the subscales of emotional exhaustion and depersonalization or low personal fulfilment. Conclusions: there is no evidence that people who are part of the nursing staff of the Oncology clinic have burnout syndrome, nor there are significant differences between the health care groups..(AU)


Subject(s)
Personnel, Hospital
8.
Article in English | WPRIM (Western Pacific) | ID: wprim-716092

ABSTRACT

BACKGROUND AND PURPOSE: The presence of dysphagia and aspiration in stroke patients is associated with increased mortality and morbidity. Early recognition and management of these two conditions via reliable, minimally invasive bedside procedures before complications arise remains challenging in everyday clinical practice. This study reviews the available bedside screening tools for detecting swallowing status and aspiration risk in acute stroke by qualitatively observing reference population study design, clinical flexibility, reliability and applicability to acute-care settings. METHODS: The primary search was conducted using the PubMed, Embase, and Cochrane Library databases. The search was limited to papers on humans written in English and published from 1991 to 2016. Eligibility criteria included the consecutive enrollment of acute-stroke inpatients and the development of a protocol for screening aspiration risk during oral feeding in this population. RESULTS: Of the 652 sources identified, 75 articles were reviewed in full however, only 12 fulfilled the selection criteria. Notable deficiencies in most of the bedside screening protocols included poor methodological designs and inadequate predictive values for aspiration risk which render clinicians to be more conservative in making dietary recommendations. CONCLUSIONS: The literature is dense with screening methods for assessing the presence of dysphagia but with low predictive value for aspiration risk after acute stroke. A standard, practical, and cost-effective screening tool that can be applied at the bedside and interpreted by a wide range of hospital personnel remains to be developed. This need is highlighted in settings where neither trained personnel in evaluating dysphagia nor clinical instrumentation procedures are available.


Subject(s)
Deglutition Disorders , Deglutition , Humans , Inpatients , Mass Screening , Mortality , Patient Selection , Personnel, Hospital , Pliability , Stroke
9.
Cad. Saúde Pública (Online) ; 34(11): e00189217, 2018. tab
Article in Spanish | LILACS (Americas) | ID: biblio-974586

ABSTRACT

Resumen: Nuestro objetivo fue evaluar la relación entre los riesgos psicosociales y el burnout en un hospital español de media-larga estancia. Se realizó un estudio transversal en 2017, aplicando la versión española del MBI-HSS y el cuestionario F-Psico 3.1 del Instituto Nacional de Seguridad e Higiene en el Trabajo. Variables predictoras: características sociodemográficas, moduladoras y factores de riesgo psicosocial. Variables resultado: prevalencia de burnout y afectación de sus subescalas. La asociación entre variables se cuantificó con odds ratio. El cansancio emocional se asoció positivamente a los riesgos psicosociales vinculados a carga de trabajo, demandas psicológicas, participación/supervisión, desempeño de rol, relaciones/apoyo social y al consumo de ansiolíticos; fueron factores protectores los hijos, sentirse valorado por pacientes y compañeros, satisfacción laboral, optimismo y apoyo social. Las asociaciones halladas para la despersonalización fueron similares, pero más débiles. La baja realización personal se asoció positivamente a los riesgos psicosociales vinculados al tiempo trabajado, autonomía, variedad/contenido del trabajo, desempeño de rol y apoyo social; fue la subescala que mostró mayor número de variables sociodemográficas/moduladoras protectoras: estado civil, tener hijos, trabajar de noche, sentirse valorado por pacientes y familiares, ilusión por el trabajo, apoyo social, autoeficacia y optimismo. Según nuestros resultados, existe asociación entre los riesgos psicosociales y el burnout. Los individuos con mayor satisfacción laboral, autoeficacia y optimismo, afrontan mejor el estrés y son menos vulnerables a los riesgos psicosociales y al burnout


Abstract: The aim of this study was to assess the relationship between psychosocial risks and burnout syndrome in a long-stay hospital in Spain. A cross-sectional study was conducted in 2017, applying the Spanish version of the MBI-HSS and the F-Psico 3.1 questionnaire of Spain's National Institute of Work Safety and Health. The predictive variables were sociodemographic characteristics, modulators, and psychosocial risk factors. The outcome variables were prevalence of burnout and the effects on his subscales. Associations between variables were measured by odds ratio. Burnout was directly associated with psychosocial risks related to workload, psychological demands, participation/supervision, role performance and social support, and consumption of anxiolytics. Meanwhile, protective factors were having children, feeling valued by patients and coworkers, satisfaction at work, optimism, and social support. The associations found on depersonalization were similar but weaker. Low personal fulfillment was directly associated with the psychosocial risks related to length of workweek, limited autonomy and variety/content of work, and role performance and social support. Low personal fulfillment was the subscale with the most modulating and protective sociodemographic variables included marital status, children, night shift, feeling valued by patients and family members, social support, self-efficacy, and optimism. According to our results, there is an association between psychosocial risks and burnout syndrome. Individuals with greater work satisfaction, self-efficacy, and optimism cope better with stress and are less vulnerable to psychosocial risks and burnout.


Resumo: Nosso objetivo foi avaliar a relação entre os riscos psicossociais e a síndrome de burnout em um hospital espanhol de meia-longa permanência. Foi realizado um estudo transversal em 2017, aplicando a versão espanhola do MBI-HSS e o questionário F-Psico 3.1 do Instituto Nacional de Segurança e Higiene no Trabalho. Variáveis preditoras: características sociodemográficas, moduladoras e fatores de risco psicossocial. Variáveis de resultado: prevalência de burnout e afetação das subfaixas. A associação entre variáveis foi quantificada com odds ratio. A fatiga emocional foi associada positivamente aos riscos psicossociais vinculados a uma carga de trabalho, demandas psicológicas, participação/supervisão, desempenho de funções, relações/apoio social e consumo de ansiolíticos; por outro lado, foram fatores protetores: os filhos, se sentir valorados por pacientes e companheiros de trabalho, satisfação laboral, otimismo e apoio social. As associações encontradas para a despersonalização foram similares, entretanto mais débeis. A baixa realização pessoal foi associada positivamente aos riscos psicossociais vinculados ao tempo trabalhado, autonomia, variedade/conteúdo do trabalho, desempenho de funções e apoio social; foi a subfaixa que mostrou maior número de variáveis sociodemográficas/moduladoras protetoras: estado civil, ter filhos, trabalhar de noite, sentir-se valorizado por pacientes e membros da família, ilusão pelo trabalho, apoio social, auto-eficácia e otimismo. Segundo nossos resultados, existe uma associação entre os riscos psicossociais e a síndrome de burnout. Os indivíduos com maior satisfação laboral, auto-eficácia e otimismo afrontam melhor o stress e são menos vulneráveis aos riscos psicossociais e ao burnout.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Personnel, Hospital/psychology , Personnel, Hospital/statistics & numerical data , Burnout, Professional/epidemiology , Spain/epidemiology , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Analysis of Variance , Workload/psychology , Statistics, Nonparametric , Risk Assessment , Job Satisfaction
10.
Rev. gaúch. enferm ; 39: e65127, 2018. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-960794

ABSTRACT

Resumo OBJETIVO Avaliar o estresse ocupacional entre trabalhadores de saúde de um hospital universitário. MÉTODOS Estudo transversal com trabalhadores de saúde de enfermagem e medicina de um hospital universitário da Região Sul do Brasil. Os dados foram coletados entre agosto de 2011 e agosto de 2012 por um questionário para caracterização e a Job Stress Scale. Realizou-se análise descritiva e univariada (Kruskal-Wallis). RESULTADOS Os participantes apresentaram alta demanda e alto controle do trabalho e baixo apoio social, indicando um trabalho ativo. Os enfermeiros tiveram menor controle sobre o trabalho (p<0,001) e os médicos receberam maior apoio social (p=0,006). Apoio social reduzido esteve relacionado à maior exposição ao estresse entre os auxiliares e técnicos de enfermagem (p=0,012). CONCLUSÃO Os trabalhadores que perceberam o apoio social reduzido apresentaram maior exposição ao estresse. Torna-se necessário implementar estratégias de prevenção ao estresse entre os trabalhadores de saúde, como o fortalecimento do apoio social no trabalho.


Resumen OBJETIVO Evaluar el estrés ocupacional entre los trabajadores de la salud en un hospital universitario. MÉTODOS Estudio transversal con trabajadores de salud de enfermería y medicina de un hospital universitario del sur de Brasil. Los datos fueron recogidos entre agosto de 2011 y agosto de 2012 por un cuestionario para la caracterización y la Job Stress Scale. Se realizaron análisis descriptiva y univariada (Kruskal-Wallis). RESULTADOS Los participantes mostraron una alta demanda y alto control del trabajo, y bajo apoyo social, indicando un trabajo activo. Las enfermeras tenían un menor control sobre el trabajo (p<0,001) y los médicos recibieron más apoyo social (p=0,006). Reducción de apoyo social se relaciona con una mayor exposición al estrés entre los auxiliares de enfermería y técnicos (p=0,012). CONCLUSIÓN Los trabajadores que sentían el bajo apoyo social tenían una mayor exposición al estrés. Necesario implementar estrategias de prevención del estrés entre los trabajadores de la salud, como el fortalecimiento del apoyo social en el trabajo.


Abstract OBJECTIVE To evaluate the occupational stress among health workers in a university hospital. METHODS Cross-sectional study conducted with health workers in the areas of nursing and medicine at a university hospital in southern Brazil. The data were collected between August of 2011 and August of 2012 by a questionnaire of characterization and Job Stress Scale. A descriptive and univariate analysis was performed (Kruskal-Wallis). RESULTS The participants presented high demand and high control of the work and low social support, indicating an active work. Nurses had less control over work (p<0.001) and physicians received more social support (p=0.006). Reduced social support was related to greater exposure to stress among nursing assistants and technicians (p=0.012). CONCLUSION Workers who felt the low social support had higher exposure to stress. It is necessary to implement stress prevention strategies among health workers, such as the strengthening of social support at work.


Subject(s)
Humans , Male , Female , Adult , Aged , Young Adult , Personnel, Hospital/psychology , Hospitals, University , Social Support , Socioeconomic Factors , Severity of Illness Index , Brazil , Cross-Sectional Studies , Surveys and Questionnaires , Occupational Exposure , Occupational Stress/psychology , Occupational Stress/epidemiology , Habits , Medical Staff, Hospital/psychology , Middle Aged , Nursing Assistants/psychology , Nursing Staff, Hospital/psychology
11.
Article in English | WPRIM (Western Pacific) | ID: wprim-777661

ABSTRACT

BACKGROUND@#Needlestick and sharps injuries (NSIs) are critical occupational risk among health care workers (HCWs), which is extremely worrying due to the potential risk of transmitting bloodborn pathogens (BBPs). This study was carried out to evaluate the prevalence of NSIs among Iranian HCWs.@*METHODS@#In this systematic review and meta-analysis, the key terms percu* injur*, needle* stick injur*, needlestick* injur*, or sharp* injur* were searched in the Scientific Information Database (SID), MagIran, IranMedex, Google Scholar, Science Direct, PubMed, and Scopus. A prefabricated checklist, including variables: first author, publication year, study population, sample size, gender, total prevalence of needlestick in each gender, type of questionnaire, region, and type of hospitals, was used to extract data from the selected articles included which were published between 2003 and 2016.@*RESULTS@#The analysis showed that the prevalence of NSIs in the Iranian HCWs was 42.5% (95% CI 37-48). Moreover, the prevalence of NSIs was more in women (47%; 95% CI 36-58) compared to men (42%; 95% CI 26-58).@*CONCLUSION@#Given the high prevalence of NSIs, it is necessary to supply safe needles and instruments, hold training programs focused on new methods of using sharp objects safely, observe safety principles and standards, reinforce the practical skills of personnel, and pay more attention to reporting and improving occupational behaviors like avoiding needle recapping in order to reduce the prevalence of NSIs and consequently reduce potential risk of transmission of BBPs.


Subject(s)
Humans , Iran , Epidemiology , Needlestick Injuries , Epidemiology , Personnel, Hospital , Prevalence , Risk Factors , Sex Factors
12.
Clinics ; 72(5): 305-309, May 2017. tab
Article in English | LILACS (Americas) | ID: biblio-840081

ABSTRACT

OBJECTIVE: To evaluate professional achievement and factors associated with occupational burnout among health professionals. METHODS: An institution-based cross-sectional study was conducted on 436 healthcare providers, consisting of 101 nurses, 81 doctors and 254 nursing technicians, all meeting pre-established inclusion criteria. Occupational burnout was detected using the Maslach occupational burnout inventory tool. Data were collected by self-administered questionnaires comprising questions concerning socio-demographics, education and training, and the Maslach occupational burnout inventory was used to identify levels of emotional exhaustion, depersonalization and professional achievement. RESULTS: Emotional exhaustion was associated with education level and work place for nursing technicians. Depersonalization was associated with gender in nursing technicians. For nurses, depersonalization showed a significant association with education level, whereas this factor was associated with number of jobs for doctors. Lower levels of professional achievement were observed for unspecialized doctors compared to those with further training. Higher levels of professional achievement were associated with professionals with postgraduate training compared to those without. CONCLUSIONS: High levels of emotional exhaustion were found in professionals from the maternity unit as well as in professionals with lower educational levels. Depersonalization was higher in physicians with several jobs and in female nurses. Low professional achievement was found in unspecialized doctors, while high professional achievement was associated with postgraduate training.


Subject(s)
Humans , Male , Female , Middle Aged , Burnout, Professional/epidemiology , Burnout, Professional/etiology , Occupational Diseases/epidemiology , Occupational Diseases/etiology , Personnel, Hospital/psychology , Brazil/epidemiology , Cross-Sectional Studies , Depersonalization , Hospitals, University/statistics & numerical data , Mental Fatigue/epidemiology , Mental Fatigue/etiology , Prospective Studies , Risk Factors , Self Report , Socioeconomic Factors , Workload/psychology , Workplace/psychology
13.
Ciênc. saúde coletiva ; 22(1): 311-320, jan. 2017. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-839898

ABSTRACT

Resumo Para verificar a associação entre capacitação em aleitamento materno e conhecimentos, habilidades e práticas profissionais, foi conduzido estudo transversal nos 15 hospitais com mais de 1000 partos/ano do município do Rio de Janeiro. Foram entrevistados 215 profissionais, sendo 48,4% em Hospitais Amigos da Criança, por adaptação de questionário de reavaliação desta iniciativa. Os três desfechos, dicotomizados, foram utilizados em análises bivariadas e multivariadas, sendo obtidas razões de prevalência ajustadas por modelo de regressão de Poisson. Dos profissionais, 48,1% tinham conhecimentos; 58,9% habilidades e 74,9% práticas adequadas. A capacitação teórico-prática ≥ 18 horas, considerada adequada, presente em 65,6% dos profissionais, mostrou associação significativa com conhecimentos (RPa = 1,575), habilidades (RPa = 1,530) e práticas (RPa = 1,312). Profissionais com menor tempo de trabalho apresentaram menos conhecimentos (RPa = 0,723), mas relataram melhores práticas (RPa = 1,183). A enfermagem relatou melhores práticas em relação aos médicos (RPa = 0,808) e a outras categorias (RPa = 0,658). Conclui-se que a capacitação contribui para o aprimoramento de conhecimentos, habilidades e práticas em aleitamento materno, fundamentais à assistência materno-infantil.


Abstract A cross-sectional study was conducted in the 15 hospitals with over 1000 deliveries/year in Rio de Janeiro, Brazil, to verify the association between training of health professionals in breastfeeding and professional knowledge, skills and practices. Interviews were staged with 215 health professionals, 48.4% working in Baby-Friendly Hospitals, by means of a questionnaire adapted from the revalidation instrument of the initiative. The three dichotomized outcomes were subjected to bivariate and multivariate analysis. Adjusted prevalence ratios were obtained by the Poisson regression model: 48.1% of the professionals had adequate knowledge, 58.9% adequate skills and 74.9% reported adequate practice. Theoretical and practical training ≥ 18 hours considered adequate (by 65.6% of the professionals) showed a significant association with professional knowledge (aPR = 1.575), skills (aPR = 1.530) and practices (aPR = 1.312). Less working experience was associated with less knowledge (aPR = 0.723), but with better practices (aPR = 1.183). Nursing staff reported better practices than physicians (aPR = 0.808) and other categories (aPR = 0.658). The study concludes that training contributes to improved breastfeeding knowledge, skills and practices that are essential for maternal and child care.


Subject(s)
Humans , Male , Female , Breast Feeding , Clinical Competence , Cross-Sectional Studies , Personnel, Hospital/education , Brazil , Health Knowledge, Attitudes, Practice , Interviews as Topic , Multivariate Analysis , Surveys and Questionnaires
14.
Article in English | WPRIM (Western Pacific) | ID: wprim-633093

ABSTRACT

BACKGROUND: Tuberculosis is an occupational hazard among healthcare workers due to nosocomial exposure. In the Philippines where shortage in health workforce is common, occurrence of tuberculosis can adversely affect the healthcare delivery and patient care. The risk of developing Pulmonary Tuberculosis (PTB) among employees is important information for stakeholders to develop and implement hospital work policies.OBJECTIVE: To determine the probability of developing PTB among PGH employees assigned in areas with high and low patient load and the risk factors that increase the chance of having the disease.METHODS: This was a retrospective cohort study using chart review of employees who consulted due to cough from 2009-2011 and followed up from the year of consult to December 2015. Medical records were retrieved from the University of the Philippines-Health Services, Philippine General Hospital. Data analysis was done using Stata version 14. Logistic regression analysis was done to estimate risk ratios (RR) and 95% confidence intervalsRESULTS: A total of six hundred thirty six (N=636) employees with cough were included in the study (57%, high patient load area and 43%, low patient load area). Forty PGH employees (6%) were diagnosed with PTB during the study period. The overall incidence was 5.3% with a higher rate reported for employees assigned in high patient load areas (7.3%) compared to low patient load areas (3.8%). Logistic regression analysis showed that male sex (RR: 2.68, 95% Cl: 1.19-6.01) and smoking habit (RR: 2.37, 95% Cl: 1.07-5.28) were associated with increased risk of developing PTB among PGH employees.CONCLUSION: The probability of developing PTB is similar for hospital employees assigned to both high and low patient load areas. The factors associated with an increased risk of PTB among PGH employees include male sex,smoking habit, and the presence of pre-existing comorbid diseases such as hypertension.


Subject(s)
Humans , Male , Female , Cough , Cross Infection , Habits , Hospitals, General , Hypertension , Patient Care , Personnel, Hospital , Risk Factors , Smoking , Tuberculosis , Tuberculosis, Pulmonary
16.
Clin. biomed. res ; 37(4): 281-287, 2017. tab
Article in English | LILACS (Americas) | ID: biblio-876616

ABSTRACT

Introduction: Tuberculosis (TB) is an ancient contagious disease, and continues to be the leading cause of morbidity and mortality among infectious contagious diseases. It can be considered an occupational infectious disease when it happens in health professionals. These professionals are directly exposed to TB and are considered to be a high risk population for latent tuberculosis infection (LTBI) and active TB. The primary aim of this study was to estimate the prevalence of LTBI among the clinical and administrative staff of an oncology referral hospital in Rio Grande do Sul. The secondary aim of this study was evaluate tuberculin skin test (TST) conversion rate and the risk factors for TST positivity in this population. Methods: A cross-sectional study was carried out in a retrospective cohort with data collected in March 2013 and March 2014. Data of professionals from different hospital units were included. Those with induration ≥ 10 mm were considered as reactors, and conversion rate was assessed by an increase ≥ 10 mm in induration in the second TST compared with the first one. Results: Among the 225 professionals evaluated in 2013, 135 (60%) were reactors and 90 (40%) were non-reactors. The mean age was 32.9 (± 9.55), 176 (78.22%) were female, and most of the reactors worked in the hospital for 4 years or less. Non-reactors in 2013 were recommended to repeat the test in 2014, and the conversion rate was 9.37%. There was no significant difference in prevalence among the different professional categories, and the assessed risk factors were not associated with ILTB. Conclusions: The prevalence of LTBI in the study population was high, reinforcing the need to implement effective control measures to prevent LTBI in the hospital where the study was conducted (AU)


Subject(s)
Humans , Male , Female , Adult , Cancer Care Facilities/statistics & numerical data , Latent Tuberculosis/epidemiology , Personnel, Hospital/statistics & numerical data , Brazil/epidemiology , Cross-Sectional Studies , Latent Tuberculosis/diagnosis , Latent Tuberculosis/prevention & control , Occupational Health/statistics & numerical data , Prevalence , Retrospective Studies , Risk Assessment , Risk Factors , Tuberculin Test
17.
Rev. latinoam. enferm. (Online) ; 25: e2956, 2017. tab, graf
Article in English | LILACS (Americas) | ID: biblio-961092

ABSTRACT

ABSTRACT Objective: to determine the perception of verbal abuse and mobbing and the associated factors of paramedic technicians (nursing assistants) and professionals (nurses, midwives, kinesiologists) in the pre-hospital care areas of three regions in the south of Chile. Methods: descriptive and correlational study was performed within the professional community and a two-stage sample of the paramedic technician population in three regions. The questionnaire "workplace violence in the health sector" (spanish version) was applied after signing the informed consent. Results: 51.4% of professionals and 46.6% of paramedic technicians consider they have been verbally abused during last year. 17.6% of paramedic technicians and 13.5% of professionals perceived mobbing. A low percentage of these events are reported. In only one case of mobbing, the aggressor was legally penalized. No significant differences were found between the job categories and the studied regions. Conclusions: A high percentage of participants in each group perceived verbal abuse and non-minor percentage perceived mobbing, but most of these events are not reported.


RESUMO Objetivo: determinar a percepção de abuso verbal, assédio moral e fatores associados por técnicos paramédicos (auxiliares de enfermagem) e profissionais (enfermeiros, parteiras, cinesiologistas) das áreas de atendimento pré-hospitalar de três regiões no sul do Chile. Métodos: estudo descritivo e correlacional foi realizado com a comunidade profissional, em dois estágios, com a população de paramédicos de três regiões. O questionário "Violência no Ambiente de Trabalho no Setor de Saúde" (Workplace Violence in the Health Sector) foi aplicado após a assinatura de um termo de consentimento informado. Resultados: 51,4% dos profissionais e 46,6% dos técnicos paramédicos consideram que sofreram abuso verbal no último ano. Um total de 17,6% dos técnicos paramédicos e 13,5% dos profissionais perceberam assédio moral. Uma baixa porcentagem desses eventos é reportada. Somente em um caso de assédio moral, o agressor foi penalizado legalmente. Não foram encontradas diferenças significativas entre as categorias de trabalho e as regiões estudadas. Conclusões: Uma alta porcentagem de participantes em cada grupo percebeu abuso verbal e uma porcentagem não menor percebeu assédio moral, mas a maioria desses eventos não são reportados.


RESUMEN Objetivo: determinar la percepción del abuso verbal y el acoso laboral y los factores asociados de los técnicos paramédicos (auxiliares de enfermería) y profesionales (enfermeras, parteras, kinesiólogos) en las áreas de atención prehospitalaria de tres regiones del sur de Chile. Métodos: estudio descriptivo y correlacional dentro de la comunidad profesional en dos etapas con la población de paramédicos de tres regiones. El cuestionario "workplace violence in the health sector" (version español) se aplicó después de firmar el consentimiento informado. Resultados: El 51,4% de los profesionales y el 46,6% de los técnicos paramédicos consideran haber sido abusados verbalmente durante el año pasado. El 17,6% de los técnicos paramédicos y el 13,5% de los profesionales percibieron el acoso laboral. Un bajo porcentaje de estos eventos son reportados. En solo un caso de acoso laboral, el agresor fue penalizado legalmente. No se encontraron diferencias significativas entre las categorías de empleo y las regiones estudiadas. Conclusiones: Un alto porcentaje de participantes en cada grupo percibió abuso verbal y un porcentaje no menor percibió el acoso laboral, pero la mayoría de estos eventos no se reportan.


Subject(s)
Humans , Male , Female , Adult , Personnel, Hospital , Emergency Medical Services , Workplace Violence/statistics & numerical data , Harassment, Non-Sexual/statistics & numerical data , Verbal Behavior , Chile , Surveys and Questionnaires
18.
Rev. gaúch. enferm ; 38(1): e59033, 2017. tab
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-845215

ABSTRACT

RESUMO Objetivo Analisar as representações sociais da autonomia profissional do enfermeiro e da enfermagem para profissionais de saúde não enfermeiros. Métodos Estudo qualitativo delineado pela abordagem estrutural das representações sociais. Participaram 53 profissionais de saúde não enfermeiros de um hospital municipal. A coleta de dados foi realizada de março a abril de 2015 e se deu através de evocações livres hierarquizadas, utilizando os termos indutores “autonomia profissional do enfermeiro” e, em seguida, “enfermagem”. A análise de dados foi realizada pelo software EVOC 2003. Resultados Figuraram como provável núcleo central da representação social da autonomia profissional os termos cuidado, equipe e responsabilidade. Por seu turno, o provável núcleo central da representação da enfermagem é composto pelos elementos cuidado, equipe, responsabilidade e trabalho. Conclusões A autonomia profissional do enfermeiro e a enfermagem consistem em objetos de representação bastante próximos entre si para o grupo investigado, e, por isso, trata-se de representações não autônomas, ainda sensíveis à incorporação de novos elementos.


RESUMEN Objetivo Analizar las representaciones de la autonomía profesional de las enfermeras y de enfermería para profesionales de la salud no-enfermeros. Métodos estudio cualitativo descrito por el enfoque estructural de la Representación Social. Participaron 53 profesionales de salud no-enfermeros, de un hospital municipal. La recolección de datos se llevó a cabo a través de evocaciones libres con los términos inductores “autonomía profesional del enfermero” y “enfermería”, entre marzo y abril de 2015. El análisis de datos fue realizado por el software EVOC 2003. Resultados Calculada la base probable de la representación de la autonomía profesional en términos, cuidado de equipo y responsabilidad. Por su parte, el núcleo probable de enfermería se compone de los elementos, cuidado del equipo, responsabilidad y trabajo. Conclusiones Autonomía profesional de los enfermeros y enfermería consisten en objetos de representación muy cercanos el uno del otro, no son representaciones autónomas, sin embargo son sensibles a la incorporación de nuevos elementos.


ABSTRACT Objective To analyse the social representations of the professional autonomy of nurses and nursing for non-nursing health professionals. Methods This is a qualitative study based on the theory of social representations. Fifty-three non-nursing professionals of a municipal hospital participated in this study. Data were collected between March and April 2015, from hierarchical free evocations using the inductor terms, “professional autonomy of nurses” and “nursing”. The data were analysed using EVOC 2003. Results The most likely core of the social representation of professional autonomy were the terms care, team, and responsibility. Moreover, the likely core of nursing comprises the elements care, team, responsibility, and work. Conclusions The professional autonomy of nurses and nursing consists of fairly close objects of representation in the studied group, which makes them non-autonomous representations that are still sensitive to the incorporation of new elements.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Personnel, Hospital/psychology , Attitude of Health Personnel , Professional Autonomy , Nurses , Patient Care Team , Social Responsibility , Social Values , Socioeconomic Factors , Symbolism , Culture , Qualitative Research , Free Association , Interprofessional Relations , Models, Theoretical
19.
Hig. aliment ; 30(262/263): 21-25, 30/12/2016.
Article in Portuguese | LILACS (Americas) | ID: biblio-827448

ABSTRACT

A composição adequada de cardápios é essencial para contribuir com a promoção da alimentação saudável na empresa (pública ou privada). O objetivo deste trabalho foi avaliar os cardápios de almoço produzidos por uma Unidade de Alimentação e Nutrição hospitalar servidos aos trabalhadores, considerando-se os aspectos dietéticos de sua composição, bem como os parâmetros nutricionais para a alimentação do trabalhador estabelecidos pelo PAT. Foram analisados sete cardápios oferecidos no almoço, pois eram executados de modo cíclico, com repetição semanal e planejamento anual. Os resultados mostraram ausência de sobremesa e pouca variedade de alimentos, aspectos que influenciam negativamente nas qualidades sensoriais das preparações. A comparação entre as médias dos valores de energia e nutrientes com os parâmetros do PAT evidenciou diferenças significativas, excetuando- se os valores calóricos com acréscimos (1.200 Kcal) e percentuais da proteína líquida. As inadequações dietéticas e discordâncias com o PAT, verificadas na refeição principal ofertada por essa unidade de alimentação e nutrição, sugere que os cardápios devam ser reformulados nos aspectos dietéticos e nutricionais, visando à promoção de saúde e práticas alimentares saudáveis, trazendo benefícios aos funcionários.


Subject(s)
Humans , Food Services/organization & administration , Menu Planning/standards , Occupational Health , Personnel, Hospital , Health Promotion , Lunch , Nutritive Value , Table of Food Composition
20.
J. pediatr. (Rio J.) ; 92(5): 436-450, Sept.-Oct. 2016. tab, graf
Article in English | LILACS (Americas) | ID: lil-796109

ABSTRACT

Abstract Objective To identify the impact of training in breastfeeding on knowledge, skills, and professional and hospital practices. Data source The systematic review search was carried out through the MEDLINE, Scopus, and LILACS databases. Reviews, studies with qualitative methodology, those without control group, those conducted in primary care, with specific populations, studies that had a belief and/or professional attitude as outcome, or those with focus on the post-discharge period were excluded. There was no limitation of period or language. The quality of the studies was assessed by the adapted criteria of Downs and Black. Summary of data The literature search identified 276 articles, of which 37 were selected for reading, 26 were excluded, and six were included through reference search. In total, 17 intervention articles were included, three of them with good internal validity. The studies were performed between 1992 and 2010 in countries from five continents; four of them were conducted in Brazil. The training target populations were nursing practitioners, doctors, midwives, and home visitors. Many kinds of training courses were applied. Five interventions employed the theoretical and practical training of the Baby-Friendly Hospital Initiative. All kinds of training courses showed at least one positive result on knowledge, skills, and/or professional/hospital practices, most of them with statistical significance. Conclusions Training of hospital health professionals has been effective in improving knowledge, skills, and practices.


Resumo Objetivo Identificar a repercussão da capacitação em aleitamento materno sobre conhecimentos, habilidades e práticas profissionais e hospitalares. Fontes dos dados A busca da revisão sistemática foi efetuada nas bases MedLine, Scopus e Lilacs. Foram excluídos artigos de revisão, de metodologia qualitativa, estudos sem grupo controle, conduzidos na atenção primária, com clientelas específicas, cujos desfechos eram crença e/ou atitude profissional e trabalhos com foco no período pós-alta hospitalar. Não houve limitação quanto ao ano ou idioma, foi feita avaliação da qualidade dos artigos por critério adaptado de Downs & Black. Síntese dos dados Na busca de literatura foram encontrados 276 artigos e selecionados 37 para leitura integral. Foram excluídos 26 artigos e incluídos seis mediante busca das referências. Foram incluídos 17 artigos de intervenção e três apresentaram boa validade interna. Os estudos foram conduzidos entre 1992 e 2010, quatro no Brasil, em países de cinco continentes. O principal público-alvo das capacitações foram profissionais de enfermagem, médicos, parteiras e visitadores domiciliares. Os cursos de capacitação foram diversos, cinco intervenções empregaram o treinamento teórico-prático da Iniciativa Hospital Amigo da Criança. Todas as formas de capacitação apresentaram algum resultado positivo sobre os conhecimentos, as habilidades e/ou práticas profissionais e hospitalares, a maioria com significância estatística. Conclusões As capacitações de profissionais de saúde que atuam em hospitais têm sido efetivas em aprimorar conhecimentos, habilidades e práticas.


Subject(s)
Humans , Breast Feeding , Health Knowledge, Attitudes, Practice , Outcome Assessment, Health Care , Health Personnel/education , Personnel, Hospital/education , Workforce , Health Promotion
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