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1.
Environmental Health and Preventive Medicine ; : 3-3, 2024.
Article in English | WPRIM | ID: wpr-1010115

ABSTRACT

BACKGROUND@#Although social interaction and social support during the "new normal" due to coronavirus disease 2019 (COVID-19) may be related to presenteeism, the effect between these factors has not been clear for Japanese workers. The aim of this study was to describe the presenteeism of Japanese workers with reference to social interaction and social support following the lifestyle changes due to COVID-19 and to assess whether social interaction and social support affected their presenteeism.@*METHODS@#The data were obtained from internet panel surveys from October 2020. Descriptive statistics were calculated, and multiple linear regression was conducted using the data from the first, fourth and fifth surveys, which were conducted during October to November 2020, July to August 2021, and September to October 2021, respectively. To measure presenteeism, questions from "absenteeism and presenteeism questions of the World Health Organization's Heath and Work Performance Questionnaire", short version in Japanese was utilized. Multiple linear regressions were conducted to investigate the effects of social interaction and social support-related factors on presenteeism.@*RESULTS@#A total of 3,407 participants were included in the analysis. The mean score of absolute presenteeism from the fifth survey was 58.07 (SD = 19.71). More time spent talking with family, a larger number of social supporters and a higher satisfaction level for social support were associated with a higher absolute presenteeism score.@*CONCLUSIONS@#Our results suggested that social support reduced the presenteeism of the Japanese workers during the "new normal" due to the COVID-19 pandemic. Social interaction with family also relieved presenteeism.


Subject(s)
Humans , Japan/epidemiology , Social Interaction , Pandemics , Presenteeism , COVID-19/epidemiology
2.
Rev. latinoam. enferm. (Online) ; 31: e4052, Jan.-Dec. 2023. graf
Article in Spanish | LILACS, BDENF | ID: biblio-1522047

ABSTRACT

Objetivo: comprender las experiencias de presentismo vividas por profesionales de enfermería en los servicios hospitalarios durante la pandemia de COVID-19. Método: estudio cualitativo, anclado en el materialismo histórico-dialéctico. Participaron de la investigación treinta trabajadores de enfermería, divididos en seis grupos focales en línea, analizados con base en la Hermenéutica-Dialéctica. Resultados: emergieron tres categorías de análisis: "Agravamiento del presentismo en el contexto de pandemia"; "¿Por qué fui a trabajar enfermo: decisión del trabajador o trabajo precario?"; "Viejos problemas, lucha permanente". A pesar del padecimiento de los profesionales por la COVID-19, el presentismo en la pandemia estuvo marcado por la presión institucional para regresar al trabajo, el sufrimiento mental y la falta de reconocimiento y humanización. Entre los factores que propiciaron el presentismo destacaron la falta de pruebas de COVID-19, la preocupación por los pacientes, compañeros de trabajo y gestores, así como el miedo a perder su empleo y/o beneficios económicos. Ante este escenario, los trabajadores reclamaron una nueva realidad en la que derechos como salarios dignos y condiciones laborales seguras estén garantizados. Conclusión: el contexto de pandemia reveló un agravamiento del presentismo entre los profesionales de enfermería. Los resultados apuntaron la importancia de valorar concretamente la enfermería en términos legales y más allá de los honores.


Objective: to understand the experiences of presenteeism in nursing professionals from hospital services during the COVID-19 pandemic. Method: qualitative study, anchored in historicaldialectical materialism. Thirty nursing workers participated in the research, divided into six online focus groups, analyzed based on Hermeneutics-Dialectics. Results: three categories of analysis emerged: "Worsening presenteeism in the pandemic context"; "Why did I go to work sick: the worker's decision or precarious work?"; "Old problems, permanent struggle". Despite the illness of professionals by COVID-19, presenteeism in the pandemic was marked by institutional pressure to return to work, mental suffering and lack of recognition and humanization. Among the factors that led to presenteeism, the lack of testing for COVID-19, concern for patients, co-workers and managers, as well as fear of losing their job and/or financial benefits, stood out. Faced with this scenario, workers called for a new reality in which rights such as decent wages and safe working conditions are guaranteed. Conclusion: the pandemic context revealed a worsening of presenteeism among nursing professionals. The results pointed to the importance of concretely valuing nursing in legal terms and beyond honors.


Objetivo: compreender as experiências de presenteísmo vivenciadas por profissionais de enfermagem de serviços hospitalares durante a pandemia da COVID-19. Método: estudo qualitativo, ancorado no materialismo histórico-dialético. Participaram da pesquisa 30 trabalhadores da enfermagem, distribuídos em seis grupos focais online, analisados a partir da Hermenêutica-Dialética. Resultados: emergiram três categorias de análise: "Agravamento do presenteísmo no contexto pandêmico"; "Por que fui trabalhar doente: decisão do trabalhador ou precarização laboral?"; "Velhos problemas, luta permanente". Apesar do adoecimento de profissionais pela COVID-19, o presenteísmo na pandemia foi marcado pela pressão institucional para retorno ao trabalho, sofrimento mental e falta de reconhecimento e humanização. Dentre os fatores que levaram ao presenteísmo, destacaram-se a falta de testagem para a COVID-19, a preocupação com pacientes, colegas de trabalho e gestores, bem como o medo de perder o emprego e/ou benefícios financeiros. Diante desse cenário, os trabalhadores clamaram por uma nova realidade na qual direitos como salários dignos e condições seguras de trabalho sejam garantidos. Conclusão: o contexto pandêmico revelou um agravamento do presenteísmo entre os profissionais de enfermagem. Os resultados apontaram para a importância da valorização concreta da enfermagem em termos legais e para além das homenagens.


Subject(s)
Humans , Occupational Health , Presenteeism , COVID-19 , Working Conditions , Nursing, Team
3.
Chinese Journal of Industrial Hygiene and Occupational Diseases ; (12): 286-293, 2023.
Article in Chinese | WPRIM | ID: wpr-986029

ABSTRACT

Objective: To systematically review the status and factors influencing presenteeism among clinical nurses. Methods: In December 2021, CNKI, CBM, Wanfang, VIP, Web of Science, PubMed, Embase, The Cochrane Library, CINAHL, PsyclNFO and other databases were electronically searched to cross sectional studies on the current situation and factors influencing the occurrence of presenteeism among clinical nurses. The search terms mainly included presenteeism, sick at work, Stanford Presenteeism Scale, nurse, level, risk factor, influence, et al. And the search time was from the establishment of the database to November 30, 2021. Literature screening, data extraction and evaluation of the risk of bias in the included literature were done independently by two researchers, and meta-analysis was performed using Stata 15.1 software. Results: A total of 29 studies involving 13 535 clinical nurses were included.The results of the meta-analysis showed that the score of presenteeism was 17.99 [95% CI (17.02-18.95), P =0.000]. Subgroup analysis showed that presenteeism scores were higher in articles published before 2020 (ES=19.28, 95%CI: 18.41-20.15, P=0.000) and in the group of nurses aged 36 to 40 years (ES=19.27, 95%CI: 17.35~21.19, P=0.000), female (ES= 17.04, 95%CI: 14.70-19.39, P=0.000), secondary school education (ES=21.01, 95%CI: 17.76-24.26, P= 0.007), married (ES=17.49, 95%CI: 15.13-19.85, P=0.000), working for 5 to 10 years (ES=17.78, 95%CI: 16.54-19.02, P=0.000), contract (ES=17.05, 95%CI: 15.23-18.87, P=0.000), working in pediatrics (ES= 16.65, 95% CI: 15.31-17.99, P=0.000) and European region (ES =21.21, 95% CI: 20.50-21.93, P=0.000) . Conclusion: Current evidence suggests that clinical nurses are at high risk of presenteeism, which is affected by variety of factors. The managers should pay attention to the physical and mental health of nurses, identify high-risk factors as early as possible and take measures to reduce the occurrence of presenteeism and improve the quality of nursing.


Subject(s)
Humans , Female , Child , Presenteeism , Cross-Sectional Studies , Mental Health , PubMed , Nurses
4.
Environmental Health and Preventive Medicine ; : 13-13, 2023.
Article in English | WPRIM | ID: wpr-971203

ABSTRACT

BACKGROUND@#The coronavirus disease 2019 (COVID-19) pandemic may have increased the rate of presenteeism among front-line physicians. Presenteeism is the term used to describe attendance at work despite ill health that would normally prompt rest or absence from work. This study aimed to examine the associations between COVID-19 clinical practice and presenteeism among physicians.@*METHODS@#A cross-sectional study was conducted from December 2021 to January 2022. The questionnaires were distributed to 21,737 employed physicians who were members of the Japan Medical Association. Presenteeism was measured by the Work Functioning Impairment Scale. Multiple logistic regression analysis was used to evaluate the association between COVID-19 clinical practice and presenteeism.@*RESULTS@#Overall, 3,968 participants were included in the analysis, and presenteeism was observed in 13.9% of them. The rate of presenteeism significantly increased with both the number of COVID-19 patients treated and the percentage of work time spent treating these patients (both P values for trend < 0.001). In comparison to those not currently engaged in the treatment of COVID-19 patients, presenteeism was significantly higher among front-line (adjusted odds ratio [aOR] = 1.71, 95% confidence interval [CI]: 1.16-2.53) and second-line physicians supporting those in the front-line (aOR = 1.45, 95% CI: 1.17-1.78). There was no association between involvement in COVID-19 vaccination services and presenteeism.@*CONCLUSIONS@#The burden on front-line and second-line physicians in COVID-19 clinical practice must be minimized. Employed physicians also need to recognize the importance of communicating with their workplaces about presenteeism.


Subject(s)
Humans , COVID-19/epidemiology , Presenteeism , Japan/epidemiology , Cross-Sectional Studies , COVID-19 Vaccines , Physicians , Surveys and Questionnaires
5.
Rev. Esc. Enferm. USP ; 57: e20220296, 2023. tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1431328

ABSTRACT

ABSTRACT Objective: To investigate the association between the occurrence of common mental disorders with loss of productivity and presenteeism in nursing workers at a public health service. Method: This is a cross-sectional study, with 291 workers from Midwestern Brazil. Data collection carried out from October 2019 to January 2020, with instruments for sociodemographic characterization, labor and health conditions: Self Reporting Questionnaire-20, Standford Presenteeism Scale and Work Limitations Questionnaire. Data were analyzed using descriptive and inferential statistics, with Mann-Whitney tests and logistic regression, respecting a significance level of 5%. Results: The occurrence of common mental disorders was 4.27 times more likely to experience presenteeism, 10.17% of compromised overall productivity, and impairment of mental/interpersonal and production demands. Conclusion: The occurrence of common mental disorders was associated with presenteeism, with repercussions in loss of productivity of nursing workers.


RESUMEN Objetivo: Investigar la asociación entre la ocurrencia de trastornos mentales comunes con pérdida de productividad y presentismo en trabajadores de enfermería de un servicio público de salud. Método: Estudio transversal, con 291 trabajadores de la región Centro-Oeste de Brasil. Recolección de datos realizada de octubre de 2019 a enero de 2020, con instrumentos de caracterización sociodemográfica, condiciones laborales y de salud: Self Reporting Questionnaire-20, Standford Presenteeism Scale y Work Limitations Questionnaire. Los datos fueron analizados mediante estadística descriptiva e inferencial, con pruebas de Mann-Whitney y regresión logística, respetando un nivel de significación del 5%. Resultados: La ocurrencia de trastornos mentales comunes fue 4,27 veces más probable de experimentar presentismo, con 10,17% de la productividad general comprometida y daños en las demandas mentales/interpersonales y de producción. Conclusión: La ocurrencia de trastornos mentales comunes se asoció al presentismo, con repercusiones en la pérdida de productividad de los trabajadores de enfermería.


RESUMO Objetivo: Investigar a associação entre a ocorrência de transtornos mentais comuns com a perda de produtividade e o presenteísmo em trabalhadores de enfermagem de um serviço de saúde público. Método: Estudo transversal, com 291 trabalhadores da região Centro-oeste do Brasil. Coleta de dados realizada de outubro de 2019 a janeiro de 2020, com instrumentos para caracterização sociodemográfica, condições laborais e de saúde: Self Reporting Questionnaire-20, Standford Presenteeism Scale e Work Limitations Questionnaire. Os dados foram analisados por estatística descritiva e inferencial, com Testes de Mann-Whitney e regressão logística, respeitando o nível de significância de 5%. Resultados: A ocorrência de transtornos mentais comuns apresentou chances 4,27 maiores para vivenciar o presenteísmo, com 10,17% da produtividade geral comprometida e prejuízos para as demandas mental/interpessoal e de produção. Conclusão: A ocorrência de transtornos mentais comuns esteve associada ao presenteísmo, com repercussões em perda de produtividade dos trabalhadores de enfermagem.


Subject(s)
Occupational Health , Nursing , Mental Disorders , Efficiency, Organizational , Presenteeism
6.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1414215

ABSTRACT

Objetivo: analisar as evidências científicas sobre presenteísmo em profissionais da saúde publicadas entre 2008 e 2018. Métodos: revisão integrativa, utilizando os seguintes descritores controlados: presenteísmo, pessoal de saúde e saúde do trabalhador, nos idiomas português e inglês, nas bases de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde, US National Library of Medicine National Institutes of Health e Cumulative Index to Nursing and Allied Health Literature. Resultados: os artigos selecionados foram publicados nos últimos 4 anos da pesquisa e todos apresentaram abordagem quantitativa. Os achados foram: três diferentes conceitos de presenteísmo; diferentes períodos recordatórios; cinco instrumentos de mensuração e fatores que influenciam no presenteísmo. Conclusão: estudos que investigam o presenteísmo em profissionais de saúde ainda são escassos, e a falta de padronização de instrumentos e períodos recordatórios ocasionam vieses nos resultados encontrados na literatura e prejudicam a investigação e aplicação da temática


Objective: analysis as scientific evidence on presenteeism in health professionals published between 2008 and 2018. Methods:integrative review, using the following controlled descriptors: presenteeism, health personnel and worker's health, in Portuguese and English, in the Latin American and Caribbean Literature in Health Sciences databases, US National Library of Medicine National Institutes of Health and Cumulative Index to Nursing and Allied Health Literature. Results: selected articles were published in the last 4 years of the research and all presented a quantitative approach. The findings were: three different concepts of presenteeism; different recall periods; five measuring instruments and factors that influence presenteeism. Conclusion: studies investigating presenteeism in health professionals are still scarce, and the lack of standardization of instruments and recall periods cause biases in the results found in the literature and hinder the investigation and application of the theme


Objetivo: analizar la evidencia científica sobre presentismo en profesionales de la salud publicada entre 2008 y 2018. Métodos:revisión integradora, utilizando los siguientes descriptores controlados: presentismo, personal de salud y salud del trabajador, en portugués e inglés, en las bases de datos de Literatura Latinoamericana y del Caribe en Ciencias de la Salud, US National Library of Medicine National Institutes of Health e Cumulative Index to Nursing and Allied Health Literature. Resultados: los artículos seleccionados fueron publicados en los últimos 4 años de la investigación y todos presentaron un enfoque cuantitativo. Los hallazgos fueron: tres conceptos diferentes de presentismo; diferentes períodos de recuperación; cinco instrumentos de medida y factores que influyen en el presentismo. Conclusión: los estudios que investigan el presentismo en los profesionales de la salud aún son escasos, y la falta de estandarización de instrumentos y periodos de recordación provocan sesgos en los resultados encontrados en la literatura y dificultan la investigación y aplicación del tema


Subject(s)
Humans , Male , Female , Stress, Psychological , Occupational Health , Presenteeism , Health Personnel
7.
Rev. cuba. reumatol ; 24(4)dic. 2022.
Article in Spanish | LILACS, CUMED | ID: biblio-1530166

ABSTRACT

Introducción: La artritis reumatoide tiene un importante impacto sobre la función física y la productividad laboral. Objetivo: Determinar la productividad laboral de los pacientes con artritis reumatoide temprana identificando su relación con variables sociodemográficas y clínicas. Método: Se realizó un estudio observacional descriptivo de corte transversal en 53 pacientes atendidos en el Centro de Referencia de Enfermedades Reumáticas entre enero a diciembre de 2019. Para evaluar la productividad laboral se utilizó el cuestionario WPAI-AR. Resultados: Predominaron los pacientes entre los 35-55 años de edad (60,4 por ciento), el sexo femenino (60,4 por ciento). La productividad laboral medida a través de WPAI-AR reportó durante los últimos 7 días una media de 4,64 horas laborales perdidas, secundaria a la artritis reumatoide, con un porciento de pérdida por ausentismo del 16,5 por ciento y presentismo del 59,6 por ciento. Conclusiones: El mayor porciento de afectación de la productividad laboral le correspondió al presentismo. Se encontró asociación entre la pérdida de productividad laboral y la actividad clínica, la discapacidad funcional y la calidad de vida relacionada con la salud(AU)


Introduction: rheumatoid arthritis has been reported to have a significant impact on physical function and work productivity. Objectives: To determine the labor productivity of patient's diagnosis with early rheumatoid arthritis and to identify its possible relationship with sociodemographic and clinical variables. Methods: A cross-sectional descriptive observational study was carried out in 53 patients treated at the Reference Center for Rheumatic Diseases between January to December 2019. To evaluate labor productivity, the WPAIR AR questionnaire was used. Results: patients between 35-55 years of age predominated 60.4 percent, the female sex 60.4 percent. Labor productivity measured by WPAI AR reported during the last 7 days an average of 4.64 working hours lost, secondary to early rheumatoid arthritis, with a percentage of loss due to absenteeism of 16.5 percent and presenteeism of 59.6 percent. Conclusion: Conclusion: the highest percentage of affectation of labor productivity corresponded to labor presenteeism. Loss of work productivity was significantly associated with clinical activity, functional capacity, and health-related quality of lifepor ciento(AU)


Subject(s)
Humans , Arthritis, Rheumatoid/complications , Occupational Health/education , Presenteeism/methods , Physical Fitness/physiology , Epidemiology, Descriptive , Cross-Sectional Studies
8.
Journal of the Philippine Dermatological Society ; : 26-32, 2022.
Article in English | WPRIM | ID: wpr-960017

ABSTRACT

@#<p style="text-align: justify;"><strong>INTRODUCTION:</strong> Costs associated with chronic psoriasis impart a significant economic burden.</p><p style="text-align: justify;"><strong>OBJECTIVES:</strong> This study aims to determine the direct and indirect cost of psoriasis patients in a tertiary government hospital in Davao City.</p><p style="text-align: justify;"><strong>METHODS:</strong> Plaque-type psoriasis patients who were actively seeking care at the Southern Philippines Medical Center Department of Dermatology for at least 6 months prior to the study period were included. The participants reported on socioeconomic status, productivity loss and monetary funding through questionnaires. Work impairment was evaluated using the Work Productivity and Activity Impairment questionnaire and was used to compute the indirect cost. A 6-month retrospective review of the health information system and medical charts generated the healthcare resource utilization data as well as the medical data used to compute the direct cost.</p><p style="text-align: justify;"><strong>RESULTS:</strong> Among the 43 participants enrolled, 53% had a monthly household income of less than PHP8,000 (USD157) and 27% were unemployed. There was an overall work impairment of 65.4%, and 55% had experienced a change in employment status due to psoriasis. The mean 6-month direct cost of psoriasis was PHP22,672.28 ($445). The mean 6-month indirect cost was PHP 26,071.20 ($511) for employment status change and PHP 75,804.30 ($1,486) for work impairment. Government agencies provided financial aid for treatment but majority of the costs came from the participants' own pockets.</p><p style="text-align: justify;"><strong>CONCLUSION:</strong> The economic burden of psoriasis increased substantially due to the indirect cost, which in turn increased remarkably due to work impairment and employment status change.</p>


Subject(s)
Financial Stress , Psoriasis , Absenteeism , Presenteeism
9.
Rev. argent. reumatolg. (En línea) ; 32(4): 12-20, dic. 2021. tab
Article in Spanish | LILACS, BINACIS | ID: biblio-1376439

ABSTRACT

Introducción: las limitaciones laborales son un punto importante a considerar en el tratamiento de la espondiloartritis axial (EspAax) dado que esta enfermedad afecta a las personas en la etapa más productiva de la vida. Objetivos: describir la situación laboral en pacientes con EspAax de Argentina, incluyendo la espondilitis anquilosante (EA) y la espondiloartritis axial no radiográfica (EspAax-nr), y evaluar los factores asociados a la pérdida de productividad laboral (PPL) en esta cohorte nacional y los factores asociados a estar empleado. Materiales y métodos: en este estudio transversal y multicéntrico se incluyeron pacientes con diagnóstico de EA y EspAax-nr según los criterios de clasificación de la Assessment of SpondyloArthritis international Society (ASAS 2009) y en edad laboral (≤65 años). Los objetivos principales fueron evaluar la situación laboral, el ausentismo y el presentismo, valorados por el cuestionario Work Productivity and Activity Impairment Spondyloarthritis (WPAI-SpA). Se utilizó el coeficiente de Spearman para evaluar la correlación entre las medidas de la enfermedad y la PPL. Se realizó un análisis bivariado y multivariado para evaluar los factores asociados a estar empleado. Resultados: se incluyeron 129 pacientes con EspAax, 95 (73,6 %) con EA y 34 (26,4%) con EspAax-nr. La mediana (p25-75) de edad fue de 45 (35-55) años. La duración mediana de la enfermedad fue de 62 (24-123) meses y el retraso en el diagnóstico fue de 24 (6-72) meses. Sesenta (46,5%) pacientes estaban empleados. La mediana (p25-75) de presentismo de los pacientes con EA fue del 29,6% (0-57) y del 30% (20-40) para los pacientes con EspAax-nr (p=0,02). Asimismo, la mediana (p25-75) de PPL fue del 30% en ambos grupos de pacientes. Se encontró una correlación positiva entre la PPL y las siguientes variables: ASDAS (Rho:0.60), BASDAI (Rho:0.50), BASFI (Rho:0.60), ASQoL (Rho:0.60) y ASAS health index (Rho:0.54). En el análisis bivariado, los factores asociados al desempleo fueron el diagnóstico de EA, la edad avanzada, la mayor duración de la enfermedad, las comorbilidades (hipertensión y diabetes), el menor número de años de educación, la peor calidad de vida y la menor capacidad funcional. En el análisis multivariado, una mejor función física (evaluada por BASFI) se asoció de forma independiente a estar empleado. Conclusiones: este estudio demostró que la PPL en esta cohorte nacional fue del 30% en la EspAax. Se asoció con la actividad de la enfermedad, el estado de salud, la calidad de vida y la capacidad funcional. Una mejor función física se relacionó en forma independiente con una mayor probabilidad de mantener a los pacientes con EspAax empleados.


Introduction: work disability is an important outcome in the treatment of spondyloarthritis (SpA) since this disease affects people in the most productive stage of life. Objectives: to investigate working status in patients with axial spondyloarthritis (axSpA) from Argentina, including ankylosing spondylitis (AS) and nonradiographic axial SpA (nr-axSpA), and to evaluate factors associated with work productivity loss (WPL) in this national cohort and factors associated with being employed. Materials and methods: patients with a diagnosis of AS and nr-axSpA according to Assessment of SpondyloArthritis international Society (ASAS 2009) classification criteria and in working age (≤65 years) were included in this multicentric cross-sectional study. Outcomes of interest were employment status, absenteeism and presenteeism, assessed by the Work Productivity and Activity Impairment Spondyloarthritis (WPAI-SpA) questionnaire. Spearman's coefficient was used to assess the correlation between disease measures and WPL. Bivariate and multivariate analysis were performed in order to evaluate factors associated with being employed. Results: 129 patients with axSpA were included, 95 (73.6%) with AS and 34 (26.4%) with nr-axSpA. Median (p25-75) age of 45 (35-55) years. Median (p25-75) disease duration was 62 (24-123) months and diagnosis delay was 24 (6-72) months. 60 (46.5%) of the patients were employed. Median (p25-75) presenteeism of AS patients was 29.6% (0-57) and 30% (20-40) for patients with EspAax-nr (p=0.02). Median (p25-75) WPL was 30% in both groups of patients. A positive correlation was found between WPL and the following variables: ASDAS (Rho:0.60), BASDAI (Rho:0.50), BASFI (Rho:0.60), ASQoL (Rho:0.60) and ASAS health index (Rho:0.54). In the bivariate analysis, the factors associated with unemployment were AS diagnosis, older age, longer disease duration, comorbidities (hypertension and diabetes), fewer years of education, worse quality of life and lower functional capacity. In the multivariate analysis, better physical function (assessed by BASFI) was independently associated with being employed. Conclusions: this study showed that WPL in this national cohort was 30% in axSpA. It was associated with disease activity, health status, quality of life and functional capacity. Better physical function was independently associated with a higher likelihood of keeping patients with axSpA employed.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Axial Spondyloarthritis/epidemiology , Occupational Diseases/epidemiology , Quality of Life , Socioeconomic Factors , Logistic Models , Health Status , Cross-Sectional Studies , Cohort Studies , Absenteeism , Efficiency , Presenteeism , Axial Spondyloarthritis/etiology , Non-Radiographic Axial Spondyloarthritis/etiology , Non-Radiographic Axial Spondyloarthritis/epidemiology
10.
ABCS health sci ; 46: e021210, 09 fev. 2021. tab
Article in English | LILACS | ID: biblio-1281228

ABSTRACT

INTRODUCTION: Work-related musculoskeletal disorders affect the performance of workers and can increase presenteeism, a condition in which the employee comes to the workplace but does not produce satisfactory results because he is ill. OBJETIVOS: To identify the prevalence of musculoskeletal symptoms and its association with presenteeism among public health management professionals of Belem-PA, Brazil. METHODS: Cross-sectional study carried out with 88 professionals from the Municipal Health Department of Belem. A sociodemographic questionnaire was used to characterize the sample; the Nordic Musculoskeletal Questionnaire to identify the prevalence of pain, numbness, and tingling symptoms in the body; and the Stanford Presenteeism Scale to characterize presenteeism. Associations between variables were analyzed using a 5% significance level. RESULTS: Musculoskeletal symptoms in the upper and lower back were the most prevalent. Presenteeism was significantly associated with daily workload, physical activity, and the presence of diagnosed musculoskeletal diseases or injuries. In the past 12 months, musculoskeletal symptoms in the neck, upper and lower back, wrists/hands, and hips/thighs have been associated with presenteeism. In the past 7 days, presenteeism has been associated with symptoms in the upper back and lower back. CONCLUSION: The most prevalent musculoskeletal disorders in health management professionals are associated with presenteeism.


INTRODUÇÃO: Os distúrbios osteomusculares relacionados ao trabalho afetam o desempenho de trabalhadores e podem elevar o presenteísmo, condição em que o empregado comparece ao local de trabalho, mas não produz satisfatoriamente por estar doente. OBJETIVO: Identificar a prevalência de sintomas osteomusculares e sua associação com o presenteísmo entre profissionais da gestão de saúde pública do município de Belém-PA, Brasil. MÉTODOS: Estudo transversal, desenvolvido com 88 profissionais da Secretaria Municipal de Saúde de Belém. Utilizou-se questionário sociodemográfico para caracterizar a amostra, o Questionário Nórdico de sintomas osteomusculares para identificar a prevalência de sintomas de dor, dormência e formigamento no corpo, e o Stanford Presenteeism Scale para caracterizar o presenteísmo. As associações entre as variáveis foram realizadas utilizando um nível de significância de 5%. RESULTADOS: Os sintomas osteomusculares nas partes superior e inferior das costas foram os mais prevalentes. O presenteísmo teve associação significante com carga-horária diária, prática de atividade física e presença doenças ou lesões osteomusculares diagnosticadas. Nos últimos 12 meses, os sintomas osteomusculares em pescoço, parte superior e inferior das costas, punhos/mãos e quadril/coxas foram associados com o presenteísmo. Nos últimos 7 dias, o presenteísmo foi associado aos sintomas em parte superior das costas e parte inferior das costas. CONCLUSÃO: Os distúrbios osteomusculares mais prevalentes em profissionais da gestão de saúde estão associados ao presenteísmo.


Subject(s)
Humans , Male , Female , Brazil , Cumulative Trauma Disorders/epidemiology , Occupational Health , Presenteeism , Government Employees
11.
Rev. habanera cienc. méd ; 20(1): e3027, ene.-feb. 2021. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1156695

ABSTRACT

Introducción: Durante los últimos sesenta años se ha construido evidencia sobre los efectos adversos relacionados con el consumo crónico de cannabis. Los problemas de memoria y concentración, el riesgo de esquizofrenia en sujetos predispuestos y el síndrome amotivacional han sido referenciados. Con los primeros al parecer no hay muchas dudas, pero en relación con el último, existe controversia. Objetivo: revisar la evidencia científica existente sobre el síndrome amotivacional. Material y Métodos: La revisión se realizó mediante una búsqueda en bases de datos académicas, se tomaron en cuenta las publicaciones que estuvieran relacionadas con trastornos mentales relacionados con el consumo crónico de marihuana en los que se hacía referencia al síndrome amotivacional que cumplieran con criterios de calidad de los artículos apegados a estándares internacionales. Desarrollo: Se incluyó un total de 31 artículos, de los cuales 16 incluían la definición de síndrome amotivacional. Una vez integradas todas las fuentes, se determinó organizar la evidencia encontrada en 15 factores: apatía; desinterés; pasividad; indiferencia; demora en la realización de tareas; pereza; presentismo; desgano para actividades prolongadas que requieran atención o tenacidad; abandono del cuidado personal; desinterés sexual; disminución de los reflejos; autoeficacia disminuida; deterioro de las habilidades comunicativas; retraimiento social y afecto no alterado. Conclusiones: A partir de los hallazgos, se sugiere que el síndrome amotivacional es una constelación de síntomas y/o signos relacionados, lo que podría constituir una morbilidad propia del consumo crónico de cannabis, se espera que en el futuro se desarrollen investigaciones que prueben o rechacen su existencia(AU)


Introduction: Over the past sixty years, evidence for the adverse effects of chronic cannabis use has been demonstrated. Memory and concentration problems, the risk of schizophrenia in predisposed subjects, and amotivational syndrome have been referenced. There is not much doubt in relation to the first effect mentioned, but there is controversy around the last. Objective: To review the existing scientific evidence for the amotivational syndrome. Material and Methods: The review was conducted through academic database searching. The publications related to mental disorders associated with the chronic marijuana use, which referred to amotivational syndrome that fulfilled the criteria for articles attached to international standards, were taken into account. Results: A total of 31 articles were included. Of them, 16 presented the definition of amotivational syndrome. Once all the sources were integrated, the evidence found in 15 factors was organized. These factors included: apathy; disinterest; passivity; indifference; delay to perform tasks; sloth; presentism; reluctance to do prolonged activities that require attention or tenacity; abandonment of personal care; sexual disinterest; decreased reflexes; decreased self-efficacy; impairment in communication skills; social withdrawal, and unaltered affection. Conclusions: Based on these findings, we suggest that the amotivational syndrome is a constellation of symptoms and / or related signs which could constitute a typical morbidity caused by chronic cannabis use, so we expect that future research will be developed to demonstrate or discard their existence(AU)


Subject(s)
Humans , Research , Apathy/drug effects , Presenteeism/methods , Marijuana Use/adverse effects , Procrastination/drug effects , Mental Disorders , Marijuana Abuse/complications
12.
Rev. latinoam. enferm. (Online) ; 29: e3466, 2021. tab, graf
Article in English | LILACS, BDENF | ID: biblio-1289757

ABSTRACT

Objective: to evaluate the psychometric properties of the Work Limitations Questionnaire and to measure presenteeism in a sample of nursing workers. Method: a cross-sectional study, with non-probabilistic sampling. Data was collected between July 2018 and February 2019 in two high-complexity hospitals, and the sample was composed of 304 participants. The validity analysis of the Work Limitations Questionnaire was performed by means of Confirmatory Factor Analysis. Results: most of the participants were women (88.5%), with a mean age of 40.9 years old. The validities of the factorial, convergent and discriminant construct and the reliability of the complete version and of the 16-item version of the instrument were adequate after adjusting the models to the sample. A statistically significant and negative correlation (p<0.001) was verified between the workload, working time and the Time Management and Physical Demands dimensions; as well as a statistically significant (p<0.001) correlation between working time and the Mental-Interpersonal Demands and Production Demands dimensions. Gender and professional category did not influence presenteeism. The rate of loss of productivity at work was 19.51%. Conclusion: the Work Limitations Questionnaire showed adequate validity and reliability and can be considered a valid and reliable instrument for assessing presenteeism in the nursing team.


Objetivo: avaliar as propriedades psicométricas do Work Limitations Questionnaire e mensurar o presenteísmo em uma amostra de trabalhadores de enfermagem. Método: estudo transversal, com amostragem não probabilística. Os dados foram coletados entre julho de 2018 e fevereiro de 2019 em dois hospitais de alta complexidade e a amostra foi composta por 304 participantes. A análise da validade do Work Limitations Questionnaire foi realizada por meio da Análise Fatorial Confirmatória. Resultados: a maioria dos participantes eram mulheres (88,5%), com média de idade de 40,9 anos. As validades de construto fatorial, convergente e discriminante e a confiabilidade da versão completa e da versão de 16 itens do instrumento foram adequadas após ajustamento dos modelos. Verificou-se correlação estatisticamente significativa e negativa (p<0,001) entre carga horária, tempo de trabalho e as dimensões Gerência de Tempo e Demandas Físicas; correlação estatisticamente significativa (p<0,001) entre tempo de trabalho e as dimensões Demandas Mentais-Interpessoais e Demandas de Produção. Sexo e categoria profissional não influenciaram o presenteísmo. O índice de perda de produtividade no trabalho foi de 19,51%. Conclusão: o Work Limitations Questionnaire apresentou adequada validade e confiabilidade e pode ser considerado um instrumento válido e confiável para avaliação do presenteísmo na equipe de enfermagem.


Objetivo: evaluar las propiedades psicométricas del Work Limitations Questionnaire y medir el presentismo en una muestra de trabajadores de enfermería. Método: se trata de un estudio transversal, con muestreo no probabilístico. Los datos se recolectaron entre julio de 2018 y febrero de 2019 en dos hospitales de alta complejidad y la muestra estuvo compuesta por 304 participantes. El análisis de validez del Work Limitations Questionnaire se realizó mediante Análisis Factorial Confirmatorio. Resultados: la mayoría de los participantes era mujer (88,5%), con una edad media de 40,9 años. La validez del constructo factorial, convergente y discriminante, y la confiabilidad de la versión completa y de la versión de 16 ítems del instrumento fueron adecuadas luego de ajustar los modelos. Hubo una correlación estadísticamente significativa y negativa (p <0,001) entre carga horaria de trabajo, tiempo de trabajo y las dimensiones Gestión del Tiempo y Demandas Físicas; correlación estadísticamente significativa (p <0,001) entre el tiempo de trabajo y las dimensiones Demandas Mentales Interpersonales y Demandas de Producción. El sexo y la categoría profesional no influyeron en el presentismo. La tasa de pérdida de productividad en el trabajo fue del 19,51%. Conclusión: el Work Limitations Questionnaire presentó adecuada validez y confiabilidad y puede ser considerado un instrumento válido y confiable para evaluar el presentismo en el equipo de enfermería.


Subject(s)
Humans , Female , Adult , Psychometrics , Cross-Sectional Studies , Surveys and Questionnaires , Reproducibility of Results , Occupational Health , Nursing , Presenteeism
13.
Rev. bras. enferm ; 74(1): e20190463, 2021. tab
Article in English | LILACS, BDENF | ID: biblio-1149717

ABSTRACT

ABSTRACT Objectives: to verify associations between presenteeism and safety culture among health workers. Methods: a descriptive, cross-sectional study with health workers from a teaching hospital in Rio Grande do Sul. Data collection took place through instruments of sample characterization, the Brazilian version of the Stanford Presenteeism Scale and the Safety Attitudes Questionnaire were analyzed using descriptive statistics and chi-square tests. Results: a total of 758 (48%) professionals participated; 330 (43.5%) presenteeism were identified, who evaluated the safety culture more negatively compared to non- presenteeism. The safety culture had a mean less than 75; associations between presenteeism and general safety culture were observed, and with the domains of teamwork climate, safety climate, stress recognition and working conditions. Conclusions: presenteeism was associated with a safety culture, which requires investment by hospital management, with consideration to the health of workers.


RESUMEN Objetivos: verificar asociaciones entre el presentismo y la cultura de seguridad entre trabajadores de la salud. Métodos: estudio descriptivo, transversal con trabajadores de la salud de un hospital universitario de Rio Grande do Sul. Se analizaron los datos recolectados mediante instrumentos para la caracterización de la muestra, la versión brasileña de la Escala de Presentismo Stanford-6 y el Cuestionario de Actitudes de Seguridad, mediante la estadística descriptiva y la prueba de chi-cuadrado. Resultados: participaron 758 (48%) profesionales; se identificó el presentismo en 330 (43,5%), quienes evaluaron la cultura de seguridad de manera más negativa en comparación con los no presentistas. La cultura de seguridad promedió menos de 75 y hubo asociaciones entre el presentismo y la cultura de seguridad general, y con los dominios de trabajo en equipo, el clima de seguridad, percepción del estrés y las condiciones de trabajo. Conclusiones: el presentismo se asoció a la cultura de seguridad, que requiere inversión por parte de la dirección hospitalaria, con atención a la salud de los trabajadores.


RESUMO Objetivos: verificar associações entre presenteísmo e cultura de segurança entre trabalhadores de saúde. Métodos: estudo descritivo, transversal, com trabalhadores de saúde de um hospital universitário do Rio Grande do Sul. Os dados coletados por meio de instrumentos de caracterização da amostra, a versão brasileira da Stanford Presenteeism Scale e o Questionário de Atitudes de Segurança, foram analisados por estatística descritiva e teste do qui-quadrado. Resultados: participaram 758 (48%) profissionais; identificaram-se 330 (43,5%) presenteístas, os quais avaliaram a cultura de segurança mais negativamente comparados aos não presenteístas. A cultura de segurança obteve média inferior a 75; observaram-se associações entre presenteísmo e cultura de segurança geral, e com os domínios clima de trabalho em equipe, clima de segurança, reconhecimento do estresse e condições de trabalho. Conclusões: o presenteísmo esteve associado à cultura de segurança, a qual necessita de investimento por parte da gerência hospitalar, com atenção à saúde dos trabalhadores.


Subject(s)
Humans , Safety Management , Presenteeism , Brazil , Organizational Culture , Cross-Sectional Studies , Surveys and Questionnaires , Hospitals, Teaching
14.
Distúrb. comun ; 32(3): 414-424, set. 2020. tab, ilus
Article in Portuguese | LILACS | ID: biblio-1397732

ABSTRACT

O ruído ocupacional representa um risco à saúde dos trabalhadores, como perda auditiva e zumbido, ainda muito predominante em diversos ambientes e processos. O presenteísmo é definido como um fenômeno em que o trabalhador se encontra fisicamente no trabalho, mas por diversos fatores tem sua concentração e dedicação prejudicadas na realização da atividade. Este estudo tem como objetivo identificar que fatores estão associados, incluindo aqueles relacionados à exposição ao ruído, à ocorrência de presenteísmo. O estudo se caracteriza como exploratório, com abordagem quantitativa. No delineamento foi realizado um estudo de caso em uma empresa localizada no Vale do Paraíba, com uma amostra de 23 trabalhadores da indústria da mineração. Os dados foram obtidos por meio da aplicação do protocolo Work Limitations Questionnaire de presenteísmo e de questionário de dados sociodemográficos. A análise de associação dos desfechos foi realizada por meio de regressão logística múltipla. Foi possível verificar que, a demanda física foi a que teve maior escore, bem como o fator zumbido pode ser considerado como variável que influencia o presenteísmo.


Occupational noise represents a risk to workers' health, such as hearing loss and tinnitus, still very prevalent in various environments and processes. Presenteeism is defined as a phenomenon in which the worker is physically at work, but due to various factors, his concentration and dedication are impaired in performing the activity. This study aims to identify which factors are associated, including those related to noise exposure, to the occurrence of presenteeism. The study is characterized as exploratory, with quantitative approach. In the design a case study was carried out in a company located in the Vale do Paraíba, with a sample of 23 workers from the mining industry. Data were obtained by applying the Work Limitations Questionnaire presenteeism protocol and the sociodemographic data questionnaire. The outcome association analysis was performed by multiple logistic regression. It was possible to verify that the physical demand was the one with the highest score, and the tinnitus factor can be considered as a variable that influences the presenteeism.


El ruido laboral representa un riesgo para la salud de los trabajadores, como la pérdida de audición y el tinnitus, que sigue siendo muy frecuente en diversos entornos y procesos. El presentismo se define como un fenómeno en el que el trabajador está físicamente en el trabajo, pero debido a varios factores, su concentración y dedicación se ven perjudicados para realizar la actividad. Este estudio tiene como objetivo identificar qué factores están asociados, incluidos los relacionados con la exposición al ruido, a la ocurrencia de presentismo. El estudio se caracteriza por ser exploratorio, con enfoque cuantitativo. En el diseño se realizó un estudio de caso en una empresa ubicada en Vale de Paraíba, con una muestra de 23 trabajadores de la industria minera. Los datos se obtuvieron aplicando el protocolo de presentismo WLQ y el cuestionario de datos sociodemográficos. El análisis de asociación de resultados se realizó mediante regresión logística múltiple. Fue posible verificar que la demanda física fue la que obtuvo la puntuación más alta, y el factor tinnitus puede considerarse como una variable que influye en el presentismo.


Subject(s)
Humans , Male , Female , Occupational Health , Presenteeism , Noise, Occupational , Tinnitus/etiology , Surveys and Questionnaires , Hearing Loss, Noise-Induced/etiology , Mining
15.
Rev. Hosp. Ital. B. Aires (2004) ; 40(2): 76-78, jun. 2020.
Article in Spanish | LILACS | ID: biblio-1102743

ABSTRACT

Se refiere aquí una experiencia vivida en la convalecencia de una enfermedad por un cirujano cardíaco en un hospital con clientela cerrada, en una época en que no existían otros servicios en la ciudad y habiendo sido él mismo el "fundador" del Servicio, debiendo practicar cirugía de revascularización coronaria. La enfermedad, definitivamente, constituye una nueva dimensión de la sensibilidad, a veces carente de razonamiento según Broeckman, o al decir de Lolas Strepke "falla la teorización del rol de estar enfermo", y eso es lo que introduce a los médicos en el laberinto. Nos preguntamos finalmente: ¿Quién se ocupa del "cuidado del médico", o sea, del "cuidado del cuidador"? Se concluye que, por lo general, el médico, estando enfermo, no tiene imagen real de su propia enfermedad. Falta analizar los aspectos narcisistas psicológicos de los cirujanos. (AU)


What is reported here is an experience lived in the convalescence of a disease by a cardiac surgeon within a hospital of closed clientele, at a time when there were no other services in the city and having been himself the "founder" of that same service, having to practice coronary revascularization. Illness definitely constitutes a new dimension of sensitivity, sometimes lacking in reasoning according to Broeckman, or as Lolas Strepke says "the theorization on the role of being sick fails", and that is what makes physicians end up in a labyrinth. So finally, we ask ourselves, who deals with the "care of the doctor" or the "care of the caregiver"? It is concluded that generally the doctor, being sick, has no realistic image of his own illness. We lack an analysis of the psychological narcissistic aspects of surgeons. (AU)


Subject(s)
Humans , Male , Female , Bioethical Issues , Surgeons/psychology , Disease/psychology , Caregivers/psychology , Medical Errors/ethics , Surgeons/ethics , Presenteeism/ethics , Narcissism
16.
Rev. bras. med. trab ; 18(1): 97-102, jan-mar.2020.
Article in Portuguese | LILACS | ID: biblio-1116153

ABSTRACT

O presenteísmo é um fenômeno ocupacional e psicossocial que afeta o ambiente de trabalho, acarretando perdas na produtividade e implicações na condição de saúde dos trabalhadores, com potencial para tornar-se um grave problema de saúde pública. O objetivo deste trabalho foi discorrer sobre implicações, formas de avaliação e repercussões na saúde e na prestação de serviços entre os trabalhadores da saúde. O presente estudo foi realizado mediante busca de artigos do PubMed utilizando palavras-chave como: presenteeism, absenteeism, nurse presenteeism, physician presenteeism, sickness presenteeism, physician health organization e working sick. Concluiu-se que avaliar corretamente o presenteísmo por meio de conscientizar gestores de saúde sobre os riscos e malefícios desse fenômeno e propor ferramentas para manejar essa condição contribuirão para reduzir o s


Presenteeism is an occupational and psychosocial phenomenon with negative impact on the work environment. In addition to causing losses in productivity losses, it also has implications for the state of health of workers. Therefore, presenteeism is likely to become a serious public health problem. The aim of the present study was to discuss the implications, means for evaluation and impact of presenteeism on the health and work of health care workers. We performed a literature search in database PubMed using keywords presenteeism, absenteeism, nurse presenteeism, physician presenteeism, sickness presenteeism, physician health organization, and working sick. We conclude that adequate assessment, raising the health managers' awareness about the risks and harms associated with this phenomenon, and developing management tools will contribute to reduce the impact of presenteeism. This seems to be the proper path to make this problem more visible and hinder its growth.


Subject(s)
Humans , Health Personnel , Absenteeism , Presenteeism , Burnout, Professional , Occupational Health
17.
Rio de Janeiro; s.n; 2020. 158 p. ilus, tab, graf.
Thesis in Portuguese | LILACS, BDENF | ID: biblio-1426053

ABSTRACT

A pesquisa apresentou como objeto o presenteísmo na equipe de enfermagem ambulatorial de universidades públicas do município do Rio de Janeiro. Teve como objetivos: analisar a ocorrência de presenteísmo na equipe de enfermagem ambulatorial de Hospitais Universitários do município do Rio de Janeiro e sua relação com a organização prescrita do trabalho e com os danos relacionados ao trabalho; analisar o presenteísmo na enfermagem ambulatorial de Hospitais Universitários do município do Rio de Janeiro; identificar a percepção profissional quanto a organização do trabalho e a sua relação com o presenteísmo na equipe de enfermagem ambulatorial de Hospitais Universitários do município do Rio de Janeiro; levantar e mensurar os danos físicos, psicológicos e sociais da equipe de enfermagem ambulatorial de Hospitais Universitários e sua relação com o presenteísmo; e avaliar a associação da organização do trabalho e danos relacionados ao trabalho na equipe de enfermagem ambulatorial de Hospitais Universitários. Trata-se de um estudo transversal, descritivo, de abordagem quantitativa sobre a ocorrência do presenteísmo na equipe de enfermagem ambulatorial universitária. O estudo foi realizado nas unidades de média e alta complexidade ambulatoriais das universidades públicas no município do Rio de Janeiro. O critério de inclusão ficou definido como todos os profissionais de enfermagem que trabalhavam em unidades ambulatoriais de média e alta complexidade universitária e os critérios de exclusão foram profissionais que atuavam na área administrativa e/ou não prestavam assistência direta ao cliente, além dos profissionais que estavam em licença prolongada (gestação, especial, para capacitação e/ou qualificação) ou não foram abordados. Criou-se um instrumento para coleta dos dados sociodemográficos, laborais e de saúde dos profissionais, a fim de caracterizá-los enquanto população-alvo. Além disso, foram utilizadas a EOT e a EDT do PROART para avaliar a exposição e a SPS-6 para avaliação do presenteísmo. Os resultados desta pesquisa constataram a ocorrência de presenteísmo entre os profissionais de enfermagem dos ambulatórios universitários. Dentre os 388 participantes, 51,0% (n=198) foram considerados presenteístas, porém com níveis de dificuldade de realização das atividades variados. Conclui-se que o presenteísmo tem relação com a organização do trabalho e com os danos relacionados ao trabalho, o que confirma a hipótese. Porém, ele é observado em intensidades diferentes, com grande necessidade de intervenções que possam contribuir de forma significativa no controle do problema, trazendo benefícios às instituições de saúde e principalmente à saúde do trabalhador.


The study presented as object the presenteeism in the outpatient nursing team of public universities in the city of Rio de Janeiro. The objectives were: to analyze the occurrence of presenteeism in the outpatient nursing team of University Hospitals in the city of Rio de Janeiro and its relation with the prescribed organization of work and with the damage related to work; to analyze the presenteeism in the outpatient nursing team in the University Hospitals in the city of Rio de Janeiro; to identify the professional perception of the work organization and its relation with presenteeism in the outpatient nursing team of University Hospitals in the city of Rio de Janeiro; to collect and measure the physical, psychological and social damages in the outpatient nursing team of University Hospitals and its relation with presenteeism; and to evaluate the association between the work organization and the damage related to work in the outpatient nursing team of University Hospitals. It was a transversal and descriptive study, with a quantitative approach about the occurrence of presenteeism in the university outpatient nursing team. The study was carried out in the medium and high complexity outpatient units in the public universities in the city of Rio de Janeiro. The criteria for inclusion in this study was defined as all nursing professionals that worked at medium and high complexity outpatient units and the criteria for exclusion were nursing professionals that worked at the administrative area and/or did not assist the client directly, in addition to those that were in extended leave (maternity, special, training and/or qualification) or were not approached. An instrument for the professionals' sociodemographic, work and health data collection were created, with the aim of characterize them as the target population. In addition, the Work Organization Scale (EOT) and the Damage at Work Scale (EDT) from PROART were used to evaluate the exposition to presenteeism and the SPS-6 were used to evaluate the presenteeism itself. The results of this study found the occurrence of presenteeism among the nursing professionals of the university outpatient units. Among the 388 participants, 51,0% (n=198) were considered presentists, but with different levels of difficulties to accomplish varied activities. It was concluded that the presenteeism is related to the organization of work and with the damages related with work, which confirms the original hypothesis. Nevertheless, it is found in different intensities, with high necessity of interventions that can contribute significantly to the problem control, allowing improvements in the health institutions and, most importantly, in the worker's health.


La investigación tuvo como objeto el presentismo en el equipo de enfermería en ambulatorio de universidades públicas de la ciudad de Rio de Janeiro. Los objetivos fueron: analizar la ocurrencia de presentismo en el equipo de enfermería ambulatoria de Hospitales Universitarios de la ciudad de Rio de Janeiro y su relación con la organización prescrita del trabajo y con los daños relacionados al trabajo; analizar el presentismo en la enfermería ambulatoria de Hospitales Universitarios de la ciudad de Rio de Janeiro; identificar la percepción profesional frente la organización del trabajo y su relación con el presentismo en el equipo de enfermería ambulatoria de Hospitales Universitarios de la ciudad de Rio de Janeiro; identificar y mensurar los daños físicos, psicológicos y sociales del equipo de enfermería ambulatoria de Hospitales Universitarios y su relación con el presentismo; y evaluar la asociación de la organización del trabajo y daños relacionados al trabajo en el equipo de enfermería ambulatoria de Hospitales Universitarios. Se trata de un estudio transversal, descriptivo, de enfoque cuantitativo sobre la ocurrencia del presentismo en el equipo de enfermería ambulatoria universitaria. Se realizó el estudio en las unidades de media y alta complejidad ambulatorias de las universidades públicas en la ciudad de Rio de Janeiro. Se estableció como el criterio de inclusión todos los profesionales de enfermería que trabajaban en unidades ambulatorias de media y alta complejidad universitaria y como criterio de exclusión, profesionales que actuaban en el área administrativa y/o no asistían directamente al cliente, además de los profesionales que tenían permiso prolongado (embarazo, especial, para capacitación y/o especialización) o no fueron abordados. Se creó un instrumento para recolectar datos sociodemográficos, laborales y de salud de los profesionales, a fin de caracterizarlos conforme población objetivo. Además, se utilizaron la EOT y la EDT del Protocolo de Evaluación de Riesgos Psicosociales de Trabajo (PROART) para evaluar la exposición y la SPS-6 para la evaluación del presentismo. Los resultados obtenidos de esta investigación constataron la ocurrencia del presentismo entre los profesionales de enfermería de los ambulatorios universitarios. Sobre 388 participantes, se consideró el 51,0% (n=198) como presentistas, pero con niveles de dificultad de ejecución de las actividades variados. Se concluyó que el presentismo tiene relación con la organización del trabajo y con los daños relacionados al trabajo, lo que comprueba la hipótesis. Sin embargo, se lo observa en intensidades diferentes, con gran necesidad de intervenciones que puedan contribuir de manera significativa en el control del problema, trayendo beneficios a las instituciones de salud y, principalmente, a la salud del trabajador.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Workplace/psychology , Presenteeism/statistics & numerical data , Nurse Practitioners/psychology , Nursing, Team , Occupational Risks , Burnout, Professional , Cross-Sectional Studies , Occupational Health , Absenteeism , Health Policy , Hospitals, University
18.
Rio de Janeiro; s.n; 2020. 143 p. ilus, tab, graf.
Thesis in Portuguese | LILACS, BDENF | ID: biblio-1411434

ABSTRACT

Objeto de estudo: A dupla jornada de trabalho dos trabalhadores de enfermagem Objetivos: Identificar os motivos que impulsionam os trabalhadores de enfermagem a adotar uma dupla jornada de trabalho; Analisar a dinâmica de trabalho dos trabalhadores de enfermagem com dupla jornada de trabalho à luz da psicodinâmica do trabalho; Discutir as repercussões da dupla jornada de trabalho para a saúde dos trabalhadores de enfermagem. Metodologia: Estudo exploratório-descritivo com abordagem qualitativa, realizado com 30 trabalhadores de enfermagem captados pela técnica snowball, na cidade de Eunápolis, Bahia, Brasil. A coleta de dados ocorreu entre os meses de janeiro e março de 2019, utilizou-se de formulário para identificação do perfil dos participantes e uma entrevista semiestruturada. As entrevistas foram gravadas em áudio, transcritas e analisadas com auxílio do software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. Resultados: A análise dos depoimentos resultou em cinco classes de análise: A precarização do trabalho de enfermagem; Aspirações e necessidades dos trabalhadores de enfermagem; O cotidiano dos trabalhadores de enfermagem com dupla jornada de trabalho; As relações de trabalho e as estratégias defensivas e As repercussões da dupla jornada de trabalho para a saúde dos trabalhadores de enfermagem. Os resultados mostraram que, a dupla jornada de trabalho na enfermagem retrata uma forte influência do modelo neoliberal sobre o processo de trabalho da enfermagem aliado a um processo implícito de auto-aceleração demandado pelo capitalismo e mascarado por uma questão cultural relacionada à facilidade de conciliar múltiplos empregos. Os resultados revelaram ainda que a dinâmica de trabalho dos trabalhadores de enfermagem com dupla jornada de trabalho é marcada por negociações com gestores, coordenadores e colegas e, quanto mais rígida a organização de trabalho, menor a identificação do trabalhador com a instituição de trabalho, passando, este trabalhador, a se vincular mais fortemente a outra organização, por encontrar neste local a liberdade e flexibilidade que precisa para conseguir conciliar seus múltiplos vínculos. Os resultados também evidenciaram o comprometimento da saúde física, mental e social dos trabalhadores de enfermagem em decorrência da dupla jornada de trabalho. Conclusão: A dupla jornada de trabalho na enfermagem tem sido uma alternativa encontrada pelos trabalhadores da categoria diante da precarização do trabalho que assola o processo de trabalho da enfermagem. Além disso, esta prática, tornou-se uma cultura, mas que precisa ser repensada tendo em vista o seu potencial de causar adoecimento físico, mental e social aos trabalhadores de enfermagem.


Study object: The double working day of nursing workers. Objectives: Identify the reasons that drive nursing workers to adopt a double working day; Analyze the work dynamics of nursing workers with double working hours in the light of work psychodynamics; Discuss the repercussions of the double working day for the health of nursing workers. Methodology: Exploratory-descriptive study with qualitative approach, conducted with 30 nursing workers captured by the snowball technique, in the city of Eunápolis, Bahia, Brazil. Data collection occurred between January and March 2019, a form was used to identify the participants' profile and a semi-structured interview. The interviews were recorded in audio, transcribed and analyzed with the help of the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. Results: The analysis of the statements resulted in five classes of analysis: The precariousness of nursing work; Aspirations and needs of nursing workers; The daily life of nursing workers with double working hours; Labor relations and defensive strategies and the repercussions of the double working day for the health of nursing workers. The results showed that the double working day in nursing portrays a strong influence of the neoliberal model on the nursing work process combined with an implicit process of self-acceleration demanded by capitalism and masked by a cultural issue related to the ease of reconciling multiple jobs. They also revealed that the working dynamics of nursing workers with double working hours is marked by negotiations with managers, coordinators and colleagues and the stricter the work organization, the less the identification of the worker with the organization, which begins to bind more strongly to the other organization, by finding there the freedom and flexibility it needs to be able to reconcile its multiple bonds. The results also showed the impairment of the physical, mental and social health of nursing workers as a result of the double working hours. Conclusion: The double working day in nursing has been an alternative found by the category workers in view of the precariousness of the work that plagues the nursing work process. In addition, this practice has become a culture, but it needs to be rethought in view of its potential to cause physical, mental and social illness to nursing workers.


Objeto de estudio: El doble día de trabajo de los trabajadores de enfermería. Objetivos: Identificar las razones que impulsan a los trabajadores de enfermería a adoptar un doble día de trabajo; Analizar la dinámica laboral de los trabajadores de enfermería con doble jornada laboral a la luz de la psicodinámica laboral; Discutir las repercusiones de la doble jornada laboral para la salud de los trabajadores de enfermería. Metodología: Estudio exploratorio- descriptivo con enfoque cualitativo, realizado con 30 trabajadores de enfermería capturados por la técnica de la bola de nieve, en la ciudad de Eunápolis, Bahía, Brasil. La recopilación de datos se produjo entre enero y marzo de 2019, se utilizó un formulario para identificar el perfil de los participantes y una entrevista semiestructurada. Las entrevistas fueron grabadas en audio, transcritas y analizadas con la ayuda de la Interfaz de R para R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. Resultados: El análisis de las declaraciones dio lugar a cinco clases de análisis: La precesión del trabajo de enfermería; Aspiraciones y necesidades de los trabajadores de enfermería; La vida diaria de los trabajadores de enfermería con doble jornada laboral; Relacciones laborales y estrategias defensivas y las repercusiones de la doble jornada laboral para la salud de los trabajadores de enfermería. Los resultados mostraron que el doble día de trabajo en enfermería retrata una fuerte influencia del modelo neoliberal en el proceso de trabajo de enfermería combinado con un proceso implícito de autoaceleración exigido por el capitalismo y enmascarado por un tema cultural relacionado con la facilidad de conciliar múltiples puestos de trabajo. También revelaron que la dinámica de trabajo de los trabajadores de enfermería con doble jornada está marcada por negociaciones con gerentes, coordinadores y colegas y cuanto más estricta es la organización de trabajo, menor será la identificación del trabajador con el organización, que comienza a vincularse más fuertemente a la otra organización, al encontrar allí la libertad y flexibilidad que necesita para poder conciliar sus múltiples lazos. Los resultados también mostraron el deterioro de la salud física, mental y social de los trabajadores de enfermería como resultado de la doble jornada laboral. Conclusión: El doble día de trabajo en enfermería ha sido una alternativa encontrada por la categoría de trabajadores en vista de la precaria del trabajo que azota el proceso de trabajo de enfermería. Además, esta práctica se ha convertido en una cultura, pero hay que repensarla en vista de su potencial para causar enfermedades físicas, mentales y sociales a los trabajadores de enfermeira.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Work Hours , Occupational Health , Nurse Practitioners , Workplace , Qualitative Research , Employment/economics , Employment/legislation & jurisprudence , Presenteeism , Job Satisfaction , Occupational Medicine/history
19.
Rev. bras. enferm ; 72(supl.1): 96-104, Jan.-Feb. 2019. tab
Article in English | LILACS, BDENF | ID: biblio-990702

ABSTRACT

ABSTRACT Objective: To analyze the occurrence of presenteeism in multiprofessional team workers of an Adult Intensive Care Unit, relating it to sociodemographic and labor characteristics. Method: It is an analytical cross-sectional qualitative study, which used a questionnaire for sociodemographic data collection, and Stanford Presenteeism Scale(SPS-6) to assess presenteeism. Results: There was predominance of women (75.9%), nursing workers (66.7%), mean age of 39.81 years, and 6 to 10 years (31.6%) of experience in the labor market. Regarding presenteeism, 48.7% presented work impairment and 31.8% presentedperformance and completion of tasks altered by this phenomenon. Conclusion: Expressive numbers of general presenteeism were identified, with results indicating impairment in completing work. When connecting presenteeism to sociodemographic and labor characteristics, the variables sex, dependent children and absence from work presented values with statistical significance among the studied workers.


RESUMEN Objetivo: Analizar la ocurrencia del presentismo en trabajadores del equipo multiprofesional de una Unidad de Terapia Intensiva Adulta y relacionar con las características sociodemográficas y laborales. Método: Estudio analítico, transversal y cuantitativo, que utilizó para la recolección de datos un cuestionario para la obtención de los datos sociodemográficos y la Stanford Presenteeism Scale SPS-6 para evaluar el presentismo. Resultados: La mayoría fue de mujeres (75,9%), trabajadoras de enfermería (66,7%), con una media de edad de 39,81 años y con 6 a 10 años (31,6%) de trabajo. Acerca del presentismo, el 48,7% presentó compromiso en el trabajo, y el 31,8% tuvo la realización y finalización de las tareas alteradas por este fenómeno. Conclusión: Se identificaron números expresivos de presentismo general, con resultados que indican compromiso en la finalización del trabajo. Al relacionar el presentismo con las características sociodemográficas y laborales, las variables género, tener hijos dependientes y haber se alejado del trabajo presentar on valores consignificación estadística entre los trabajadores estudiados.


RESUMO Objetivo: Analisar a ocorrência do presenteísmo em trabalhadores da equipe multiprofissional de uma Unidade de Terapia Intensiva Adulta e relacionar com as características sociodemográficas e laborais. Método: Estudo analítico, transversal e quantitativo, que utilizou para a coleta de dados um questionário para a obtenção dos dados sociodemográficos e a Stanford Presenteeism Scale SPS-6 para avaliar o presenteísmo. Resultados: Predominaram mulheres (75,9%), trabalhadoras de enfermagem (66,7%), com média de idade de 39,81 anos e com 6 a 10 anos (31,6%) de trabalho. Quanto ao presenteísmo, 48,7% apresentaram comprometimento no trabalho e 31,8% tiveram a realização e finalização das tarefas alteradas por este fenômeno. Conclusão: Foram identificados números expressivos de presenteísmo geral, com resultados que indicam comprometimento na finalização do trabalho. Relacionando o presenteísmo com as características sociodemográficas e laborais, as variáveis sexo, ter filhos dependentes e ter-se afastado do trabalho apresentaram valores com significância estatística entre os trabalhadores estudados.


Subject(s)
Humans , Male , Female , Adult , Health Personnel/psychology , Interdisciplinary Communication , Presenteeism/methods , Patient Care Team/statistics & numerical data , Psychometrics/instrumentation , Psychometrics/methods , Brazil , Cross-Sectional Studies , Surveys and Questionnaires , Health Personnel/statistics & numerical data , Presenteeism/standards , Presenteeism/statistics & numerical data , Intensive Care Units/organization & administration , Middle Aged
20.
Annals of Occupational and Environmental Medicine ; : e26-2019.
Article in English | WPRIM | ID: wpr-762552

ABSTRACT

BACKGROUND: Presenteeism refers to the phenomenon of working while sick. Its development can be attributed to not only somatic symptoms but also underlying social agreements and workplace atmosphere. In this study, we analyzed presenteeism among workers from various industries, focusing on job-related stress with stratification on the presence of depression. METHODS: We conducted the study with data from questionnaires filled in by different enterprises enrolled in the Federation of Korean Trade Unions. Workers' depressive symptoms were investigated using the Patient Health Questionnaire-2, while questions on job-related stress and presenteeism were derived from the short form of the Korean Occupational Stress Scale and the official Korean version of the Work-Productivity and Activity Impairment Questionnaire-General Health, respectively. Multilevel logistic analysis was conducted to determine the statistical differences derived from the differences between companies. RESULTS: In total, 930 participants (753 men and 177 women) from 59 enterprises participated in the research. We conducted multilevel logistic regression to determine the association between the variables and presenteeism, with stratification by the presence of depression. Higher job demands and higher interpersonal conflict showed significantly elevated odds ratios (ORs) in univariate models and in the multivariate multilevel model. In the final model of total population, fully adjusted by general and work-related characteristics, higher job demands (OR: 3.29, 95% confidence interval [CI]: 2.08–5.21) and interpersonal conflict (OR: 1.87, 95% CI: 1.29–2.71) had significantly higher ORs—a tendency that remained in participants without depression. CONCLUSIONS: This study reflected the factors associated with presenteeism among workers from various enterprises. The findings revealed that job-related stress was closely related to presenteeism in both the total population and in the population without depression. Thus, it emphasized interventions for managing job stress among workers to reduce presenteeism in general workers' population.


Subject(s)
Humans , Male , Atmosphere , Depression , Labor Unions , Logistic Models , Odds Ratio , Presenteeism
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