Percepções de enfermeiros da atenção primária sobre valorização no trabalho: o clamor de uma categoria / Perceptions of primary care nurses on value at work: the clamor of a category / Percepciones de las enfermeras de atención primaria sobre el valor en el trabajo: el clamor de una categoría

Objetivo: Conhecer as percepções de enfermeiros da Atenção Primária à Saúde sobre a valorização no trabalho. Métodos: Estudo qualitativo, descritivo e exploratório, realizado com 132 enfermeiros que atuavam na atenção primária à saúde, em 23 municípios do estado de Minas Gerais. Os dados foram coletados por meio de formulário on-line, analisados conforme pressupostos da análise de conteúdo, com amparo do software Iramuteq. Resultados: A maioria dos participantes eram do sexo feminino (114 - 86,37%), com idade entre 22 e 60 anos, com carga horária de trabalho semanal de 40 horas e recebiam entre 2- 4 salários mínimos. A partir das análises, os dados foram organizados em três categorias temáticas ­ Valorização: reconhecimento do trabalho do enfermeiro; Valorização: satisfação com o salário e Valorização: interdependência com as condições de trabalho. Conclusão: Os enfermeiros percebem que a valorização está atrelada ao reconhecimento profissional, à satisfação com o salário e às condições adequadas de trabalho, tais como: carga horária menor e recursos materiais. Consideraram que o reconhecimento externado por outros atores envolvidos na relação de cuidado, como gestores, usuários e profissionais de saúde, é essencial para a valorização do trabalho. (AU)

Objective: To understand the perceptions of Primary Health Care nurses regarding job appreciation. Methods: A qualitative, descriptive, and exploratory study conducted with 132 nurses working in primary health care across 23 municipalities in the state of Minas Gerais. Data were collected through an online form and analyzed using content analysis assumptions, supported by the Iramuteq software. Results: The majority of participants were female (114 - 86.37%), aged between 22 and 60, with a weekly working hours of 40, and earning between 2-4 minimum wages. Through analysis, data were organized into three thematic categories ­ Appreciation: recognition of the nurse's work; Appreciation: satisfaction with the salary, and Appreciation: interdependence with working conditions. Conclusion: Nurses perceive that appreciation is linked to professional recognition, satisfaction with salary, and appropriate working conditions such as reduced working hours and material resources. They considered external recognition from other stakeholders in the care relationship, such as managers, users, and healthcare professionals, as essential for job appreciation. (AU)

Objetivo: Conocer las percepciones de los enfermeros de la Atención Primaria a la Salud sobre la valorización en el trabajo. Métodos: Estudio cualitativo, descriptivo y exploratorio realizado con 132 enfermeros que trabajaban en la atención primaria a la salud, en 23 municipios del estado de Minas Gerais. Los datos se recopilaron a través de un formulario en línea y se analizaron según los supuestos del análisis de contenido, con el apoyo del software Iramuteq. Resultados: La mayoría de los participantes eran mujeres (114 - 86,37%), con edades entre 22 y 60 años, con una carga horaria de trabajo semanal de 40 horas y recibían entre 2-4 salarios mínimos. A través de análisis, los datos se organizaron en tres categorías temáticas: Valorización: reconocimiento del trabajo del enfermero; Valorización: satisfacción con el salario y Valorización: interdependencia con las condiciones de trabajo. Conclusión: Los enfermeros perciben que la valorización está vinculada al reconocimiento profesional, la satisfacción con el salario y las condiciones de trabajo adecuadas, como una carga horaria reducida y recursos materiales. Consideraron que el reconocimiento externo por parte de otros actores involucrados en la relación de cuidado, como gestores, usuarios y profesionales de la salud, es esencial para la valorización del trabajo. (AU)

Efecto de la "ley de residentes" sobre el bienestar laboral en cirugía: resultados de un estudio nacional de métodos mixtos en Colombia / Effect of the "residents' law" on occupational well-being in surgery: Results of a national mixed methods study in Colombia

Introducción. El efecto de las políticas para el mejoramiento del bienestar de los residentes, en términos de desgaste profesional y compromiso laboral, es controversial y su resultado tras la implementación de la "ley de residentes" (1917/2018) en Colombia es desconocido. Este estudio explora el efecto de esta ley en médicos residentes de cirugía colombianos. Métodos. Estudio de métodos mixtos secuencial explicativo. Inicialmente, se invitó a todos los residentes de cirugía del país a autodiligenciar los cuestionarios UWES-17 y MBI-HSS para evaluar el compromiso laboral (vigor, dedicación y absorción) y desgaste profesional (agotamiento emocional, despersonalización y baja realización personal) antes (2019) y después (2022) de la implementación de la ley. Se probaron diferentes hipótesis mediante modelos de ecuaciones estructurales. Los resultados fueron explorados con cirujanos mediante grupos focales. La información cualitativa fue analizada manualmente y por inteligencia artificial, y reportada en temas principales. Resultados. Participaron en el estudio 400 residentes. La tasa de desgaste profesional fue de 24,8 % antes y 15,8 % después (p=0,032). El análisis de ecuaciones estructurales confirmó que el agotamiento emocional sobre el desgaste profesional fue menor en 2022 (p=0,022). No se identificaron cambios significativos en el compromiso laboral. La principal explicación fue atribuida a los beneficios económicos de la ley. Conclusión. La tasa de desgaste profesional en médicos residentes de cirugía colombianos se redujo significativamente tras la implementación de la "ley de residentes". Estos hallazgos tienen implicaciones para la practica y el mejoramiento de la calidad de la educación.

Introduction. The effect of policies to improve residents' well-being, in terms of professional burnout and work commitment is controversial, and its result after the implementation of the "residents' law" (1917/2018) in Colombia is unknown. This study explores the effect of this law on Colombian surgical residents. Methods. Explanatory sequential mixed methods study. Initially, all surgical residents in the country were invited to self-complete the UWES-17 and MBI-HSS questionnaires to evaluate work commitment (vigor, dedication, and absorption) and professional burnout (emotional exhaustion, depersonalization, and low personal accomplishment) before (2019) and after (2022) the implementation of the law. Different hypotheses were tested using structural equation models. The results were explored with surgeons through focus groups. Qualitative information was analyzed manually and by artificial intelligence, and reported into main themes. Results. 400 residents participated in the study. Burnout rates were 24.8% before and 15.8% after (p=0.032). The structural equations analysis confirmed that emotional exhaustion over professional burnout was lower in 2022 (p=0.022). No significant changes in work commitment were identified. The main explanation was attributed to the economic benefits of the law. Conclusion. The burnout rate in Colombian surgical residents was significantly reduced after the implementation of the "residents' law". These findings have implications for practice and improving the quality of education

Práticas coletivas e individuais associadas à dificuldade dos enfermeiros da atenção primária à saúde / Collective and individual practices associated with the difficulty of primary health care nurses / Prácticas coletivas e individuais asociadas a la dificultad de las enfermeras de atención primaria de salud

Objetivo: analisar as práticas individuais e coletivas que estão associadas as dificuldades dos enfermeiros que atuam na Atenção Primária à Saúde da região Norte. Métodos: observacional de prevalência e analítico. Foram incluídos enfermeiros da atenção básica. A coleta ocorreu entre novembro de 2019 a agosto de 2021, nos sete estados do Norte, através de um formulário eletrônico, analisados pelos testes binomial, quiquadrado e G no programa Bioestat. Resultados: Entre os 626 enfermeiros do estudo, 15,7% (98/626) afirmaram ter dificuldade no exercício de suas práticas, quanto à autonomia das suas responsabilidades normativas legais. O Amapá teve menor proporção (8,3%; 9/108) de enfermeiros com dificuldade em relação a região. As práticas associadas a dificuldade foram: a não participação do enfermeiro no gerenciamento dos insumos (p=0,03), realizar consulta eventualmente (p=0,03) e nunca prescrever medicamentos (p=0,02); resolutividade insuficiente na consulta pré-natal (p=0,000), acompanhamento de crescimento e desenvolvimento infantil (p=0,001); planejamento familiar (p=0,000); hanseníase (p=0,005); tuberculose (p=0,031); hipertensão arterial (p<0,0001); diabetes (p<0,0001). Conclusão: As dificuldades quanto à autonomia das responsabilidades normativas legais estão associadas a práticas individuais e coletivas que são privativas do enfermeiro e estão regulamentadas nos programas de saúde pública. (AU)

Objective: to analyze the individual and collective practices that are associated with the difficulties of nurses who work in Primary Health Care in the North region. Methods: observational of prevalence and analytical. Primary care nurses were included. The collection took place between November 2019 and August 2021, in the seven states of the North, through an electronic form, analyzed by the binomial, chi-square and G tests in the Bioestat program. Results: Among the 626 nurses in the study, 15.7% (98/626) stated that they had difficulty in exercising their practices, regarding the autonomy of their legal normative responsibilities. Amapá had a lower proportion (8.3%; 9/108) of nurses with difficulties in relation to the region. The practices associated with the difficulty were: the non-participation of nurses in the management of supplies (p=0.03), occasional consultations (p=0.03) and never prescribing medication (p=0.02); insufficient resolution in the prenatal consultation (p=0.000), monitoring of child growth and development (p=0.001); family planning (p=0.000); leprosy (p=0.005); tuberculosis (p=0.031); arterial hypertension (p<0.0001); diabetes (p<0.0001). Conclusion: Difficulties regarding the autonomy of legal normative responsibilities are associated with individual and collective practices that are exclusive to nurses and are regulated in public health programs. (AU)

Objetivo: analizar las prácticas individuales y colectivas que están asociadas a las dificultades de los enfermeros que actúan en la Atención Primaria de Salud de la región Norte. Métodos: observacional de prevalencia y analítico. Se incluyeron enfermeras de atención primaria. La colecta se realizó entre noviembre de 2019 y agosto de 2021, en los siete estados del Norte, a través de un formulario electrónico, analizado por las pruebas binomial, chi-cuadrado y G en el programa Bioestat. Resultados: Entre los 626 enfermeros del estudio, 15,7% (98/626) afirmaron tener dificultad en el ejercicio de sus prácticas, en cuanto a la autonomía de sus responsabilidades normativas legales. Amapá tuvo menor proporción (8,3%; 9/108) de enfermeros con dificultades en relación a la región. Las prácticas asociadas a la dificultad fueron: la no participación de los enfermeros en la gestión de los insumos (p=0,03), consultas ocasionales (p=0,03) y nunca recetar medicamentos (p=0,02); resolución insuficiente en la consulta prenatal (p=0,000), seguimiento del crecimiento y desarrollo infantil (p=0,001); planificación familiar (p=0,000); lepra (p=0,005); tuberculosis (p=0,031); hipertensión arterial (p<0,0001); diabetes (p<0,0001). Conclusión: Las dificultades en cuanto a la autonomía de las responsabilidades normativas legales están asociadas a las prácticas individuales y colectivas, exclusivas de los enfermeros y reguladas em los programas de salud pública. (AU)

Incontinencia urinaria en trabajadoras de la salud como factor predisponente de presentismo en Chile: estudio exploratorio de método mixto / Urinary incontinence in health workers as a predisposing factor for presenteeism in Chile: A mixed-methods exploratory study

Introducción La incontinencia urinaria impacta de forma negativa la calidad de vida de quienes la padecen y puede perjudicar las actividades laborales, siendo causante de presentismo en las profesionales de salud. Esto puede implicar la disminución en la calidad de la atención y seguridad de la/el paciente. El objetivo del presente estudio es explorar la autopercepción de las trabajadoras de salud que padecen incontinencia urinaria como factor predisponente de presentismo. Métodos Estudio mixto de carácter exploratorio-descriptivo. La muestra fue seleccionada de forma no probabilística e intencionada por criterio y conveniencia con un tamaño de 14 voluntarias, considerando la saturación de la información. Para el proceso y análisis de datos temáticos se consideraron los criterios de confiabilidad definidos por Guba. Resultados Muestra con edad media de 38,9 + 7,1 años y un puntaje de SPS-6 medio de 15,8 + 3,5 puntos, mostrando mayor alteración en la dimensión de evitar la desconcentración. Las narrativas presentes en el caso estudiado aportaron información relevante de cómo la incontinencia urinaria afecta el desempeño laboral de las trabajadoras de salud a través de la interrupción en su jornada, disminución en la calidad de la atención clínica, como también el aumento de su ansiedad respecto a su entorno. Conclusiones Dado que la incontinencia urinaria y el presentismo son experiencias subjetivas y multidimensionales, al igual que el efecto negativo en el desempeño laboral, se recomienda un estudio que permita identificar variables predictoras y las pérdidas económicas asociadas a esta condición. Con ello se buscaría establecer mejoras en el ambiente laboral, así como en el autocuidado de funcionarias, procurando mayores beneficios y mejores niveles de eficiencia en la organización.

Introduction Urinary incontinence negatively impacts the quality of life and can harm work activities, causing presenteeism in health professionals and decreasing the quality of care and patient safety. The objective of this study is to explore the self-perception of health workers who suffer from urinary incontinence as a predisposing factor for presenteeism. Methods Mixed study of an exploratory-descriptive nature. The sample was selected in a non-probabilistic and intentional way by criterion and convenience with a size of 14 volunteers, considering the saturation of the information. Reliability criteria defined by Guba for the process and analysis of thematic data were considered. Results The sample had a mean age of 38.9 + 7.1 years and a mean SPS-6 score of 15.8 + 3.5 points, showing alteration in the dimension of avoiding deconcentration. The narratives in the case study provide relevant information on how urinary incontinence affects the work performance of health workers through the interruption in their day, decreases the quality of clinical care, and increases their anxiety regarding their environment. Conclusions Urinary incontinence and presenteeism are subjective, and multidimensional experiences affect work performance. Therefore, further studies are recommended to identify predictor variables and the economic losses associated with this condition to establish improvements in the work environment and the self-care of female employees seeking greater benefits and better levels of efficiency in the organization

Perfil da assistência psicológica em um hospital público baiano: procedimentos e processos de trabalho psicológicos / Profile of psychological care in a public hospital: psychological work procedures and processes / Perfil de la atención psicológica en un hospital público baiano: procedimientos y procesos de trabajo psicológico

O fazer da psicologia hospitalar, embora recente, abarca variadas intervenções, que, com auxílio de registros, podem ser evidenciadas por meio de processos de trabalho. Foi objetivo deste estudo caracterizar o serviço de psicologia de um hospital geral público baiano e sua assistência entre janeiro e dezembro de 2022. Foi realizada uma pesquisa de consulta documental em Boletim Diário Assistencial e documento que descreve história da psicologia no hospital usando estatística descritiva e categorização temática dos dados. Desde 1984, o hospital oferece assistência psicológica, organizada por processos de trabalho e linhas de cuidados materno-infantis, pediátricos, crônicos, cirúrgicos e neurológicos. Em termos de procedimentos, foram prestados 13.821 para pacientes e 13.249 para familiares, com destaque para o atendimento psicológico. Foram realizados 4.960 procedimentos não assistenciais, não descritos no prontuário de saúde, principalmente discussões multiprofissionais (55,82%). Tais procedimentos podem ser analisados por divisão em processos de trabalho: acolhimento, acompanhamento, avaliação, comunicação, educação, formação, atividades grupais, organizativos, orientação, acolhimento, investigação e terapêuticos. Os psicólogos do hospital são diaristas, atuando como interconsultores quando há solicitação, principalmente de médicos, por telefone, guia de solicitação, sistema de prontuário e presencialmente, tornando-se espaço propício para a prática interdisciplinar. Por fim, pode-se concluir a importância do fazer da psicologia no hospital em questão e as variadas intervenções realizadas para contribuir para a saúde biopsicossocial de pacientes e seus familiares. Assim, destaca-se a importância da informação em saúde com registro qualificado para ser instrumento de gestão visando transformar e dar visibilidade a práticas de saúde.

Hospital psychology care, although recent, encompasses various interventions that can be evinced via work processes by analyzing clinical records. This documentary research characterizes the psychological care provided by a public general hospital in Bahia, Brazil, between January and December 2022. Data were collected from the Daily Care Bulletin and from a document that describes the history of hospital psychology using descriptive statistics and thematic data categorization. The analyzed hospital provides psychological care since 1984, organized by work processes and lines of mother-infant, pediatric, chronic, surgical and neurological care. Regarding procedures, 13,821 were provided to patients and 13,249 to family members, with emphasis on psychological care. As for non-medical procedures, not described in the health records, a total of 4,960 were performed, mainly multidisciplinary discussions (55.82%). Such procedures can be analyzed by dividing them into work processes: embracement, monitoring, evaluation, communication, education, training, group activities, organization, guidance, investigation and therapy. The hospital's psychologists work on a daily basis and act as inter-consultants when requested, mainly by doctors, via telephone, request guide, medical record and in person, becoming a suitable space for interdisciplinary practice. The findings reinforce the importance of hospital psychology and the various interventions performed to collaborate with patients' biopsychosocial health. Hence, qualified recording of health information is an important management tool for transforming and giving visibility to health practices.

El trabajo de la psicología hospitalaria, aunque reciente, engloba diversas intervenciones, que se pueden evidenciar con la ayuda de los registros en los procesos de trabajo. El objetivo de este estudio fue caracterizar el servicio de psicología de un hospital general público de Bahía (Brasil) y su asistencia efectuada entre enero y diciembre de 2022. Se realizó una búsqueda documental en el Boletín de Asistencia Diaria y en un documento que describe la historia de la psicología en el hospital mediante el uso de la estadística descriptiva y la categorización temática de los datos. Desde 1984 el hospital oferta asistencia psicológica, organizada por procesos de trabajo y líneas de cuidado materno-infantil, pediátrica, crónica, quirúrgica y neurológica. Se brindaron 13.821 procedimientos a pacientes y 13.249 a familiares, con énfasis en la atención psicológica. Se realizaron un total de 4.960 procedimientos no asistenciales, no descritos en los registros de salud, principalmente discusiones multidisciplinarias (55,82%). Los procedimientos se pueden analizar mediante su división en los siguientes procesos de trabajo: recepción, seguimiento, evaluación, comunicación, educación, formación, actividades grupales, organización, orientación, recepción, investigación y terapia. Los psicólogos del hospital son jornaleros, actúan como interconsultores cuando hay una solicitud, principalmente de los médicos, vía teléfono, guía de solicitud, sistema de historia clínica y presencial, convirtiéndose en un espacio propicio para la práctica interdisciplinaria. Finalmente, se puede concluir sobre la importancia de hacer de la psicología en el hospital en cuestión y las diversas intervenciones que se realizan para colaborar con la salud biopsicosocial de los pacientes y sus familias. Asimismo, se destaca la importancia de la información en salud con registro calificado como herramienta de gestión con miras a transformar y dar visibilidad a las prácticas en salud.

Work-related stress and quality of life in nurses during the Covid-19 pandemic

Introduction: Work-related stress is the physical and emotional manifestation triggered by an imbalance in coping with perceived demands. One of the workers most affected by work-related stress is the nursing staff, a situation that was exacerbated during the COVID-19 pandemic and could affect their quality of life. Objective: To evaluate the connection between quality of life and work-related stress in nurses during the COVID-19 pandemic. Materials and Methods: Analytical, cross-sectional study, with a quantitative approach. Descriptive statistics and multiple linear regression analysis were used for the present study. Results: A negative correlation was obtained between quality of life and stress level (r = -0,438, p < 0,01), and being a professional nurse was related to higher stress levels. On the other hand, being 31 years or older and having more than 12 months of work experience were associated with a higher quality of life score, while being female, single, divorced, or widowed and having higher acute stress scores indicated a significantly worse quality of life. Discussion: Acute stress negatively affects the quality of life of nurses during the COVID-19 pandemic and this differs significantly according to age, sex, marital status, and work experience. Conclusion: It is recommended that the health sector authorities design policies that guarantee strategies to improve the mental health of nursing personnel, as well as to guarantee fair and dignified treatment.

Association between COVID-19 post-infection and work capacity among healthcare workers in the National Referral Hospital in Indonesia

Background@#Patients who had severe COVID-19 infection were thought to be one of the factors affecting the suitability of work capacity. Functional capacity can be measured by 6-minute walking test (6MWT). Some particular jobs have a minimum functional capacity to be met. @*Objectives@#The aim of this research is to determine the relationship between severity of COVID-19 infection and work capacity among post-infected healthcare workers in the National Referral Hospital. @*Methods@#A cross-sectional study among healthcare workers who had COVID-19 infection from June to July 2021, and had undergone functional capacity examination from September to November 2021 was conducted. Data processing was carried out by collecting data from medical records of infected healthcare workers. Bivariate analysis statistic test was done to determine the association between degree of severity and work capacity. Determination of the suitability of work capacity was done by comparing the results of the functional capacity examination with the minimum estimated matabolic equivalents (METs) needs of workers. @*Results@#A total of 102 employees data from ages 25 to 58 years were collected. The result showed that 81 employees had unsuitable work capacity with most of them coming from the mild infected group (83.3%). Conclusion. There is no significant relationship (p>0.05) between age, gender, BMI, sequelae, comorbidities, and degree of severity of COVID-19 infection and work capacity among healthcare workers. Even though there is no signficant relationship between severity of COVID-19 and work capacity, this research shows there are more than 50% post-infected healthcare workers who have unsuitable work capacity.

Overview and Enlightenment of Codes of Ethics for Nurses at Home and Abroad / 中国医学伦理学

Formulating codes of ethics for nurses are not only the need of establishing nurses’ professional image and dignity, but also the demand of nursing discipline development. By combing the relevant documents of codes of ethics for nurses at home and abroad, this paper summarized the main contents and application of codes of ethics for nurses, found that codes of ethics for nurses were based on the basic principle of "patient-oriented", discussing the relationship between nurses and patients, collaborators, environment, society, specialty and personal development, and forming the constraint standard for nurses’ behavior in combination with the expectation of local cultural values for nursing industry. The codes of ethics for nurses in China need to further clarify the scope of nursing, formulate behavioral norms in various specialties, and through clinical evaluation, education, management and other aspects to promote its popularization and implementation.

Challenges and Countermeasures of Mental Health Social Work in Shanghai in Post-Epidemic Era / 中国医学伦理学

This paper summarized three developing conditions and five service modes of mental health social work in Shanghai by reading literature and investigating and interviewing the social work service of mental health medical institutions in Shanghai. Three challenges to mental health social work after COVID -19 were identified: firstly, the reduction of direct services led to a decrease in the number of service beneficiaries, and the effectiveness of services could not be guaranteed; secondly, the application of social work methods was forced to adjust, which challenges the service ability of social workers; thirdly, the expansion or increase of the scope of service objects and the insufficient number of social workers led to difficulties in service response. In view of the above challenges and problems, countermeasures are proposed: ensure the continuity of professional relationship and service effectiveness through flexible and diversified service methods; knit for social work online working ability training, increasing network service experience; the scope of service objects expanding gradually and multi-sectoral cooperation to prevent psychological problems in key groups; set up a volunteer team to serve mental health.

Social Work Intervention of Stranded Patients from the Ecosystem Perspective: Based on the Clinical Case Record Analysis of Social Work Department in Shanghai D Hospital / 中国医学伦理学

Based on the service of stranded patients in D Hospital, this study aimed to explore the multiple needs of stranded patients and construct an intervention mode from the ecosystem perspective. Using the method of case study, taking the service of stranded patients in hospital D as an example, 49 case records and verbatim interviews with stakeholders were analyzed. The discharge and resettlement of stranded patients faces multiple obstacles from individuals, families, medical and social systems. This study constructed the social work intervention model from the ecosystem perspective: information collection and needs assessment, empowerment of individual system, reconstruction of family support system, coordination of medical system and linking social support system. The intervention process achieved efficient effects. Social work intervention of stranded patients should pay attention to patients’ psychosocial needs and improve awareness of system difficulties; mobilize the multi-system support network and deliver services in combination with case management method; conduct social advocacy for the breakthrough of law and policy.

Practice and Reflection on Building Community of Doctor-patient in Foreign Aid Medical Work: Taking the Eighth Batch of China (Shaanxi) Medical Team Assisting Malawi as an Example / 中国医学伦理学

China’s foreign aid medical work is an important part of development of friendly relations with foreign countries and an important way to build a human health community. African countries generally have backward economic and social development, poor medical and health conditions and different languages and cultures, which makes the development of foreign aid medical work special and challenging. Foreign aid doctors and local patients share common feelings, mutual respect, equality, mutual trust and sincere cooperation, and building a community of destiny with the common goal of defeating diseases is an essential content to promote the health of the people of the recipient countries and realize the community of human health. Taking the work practice of the eighth batch of China (Shaanxi) medical team assisting Malawi as an example, this paper expounded the specific practice of building a community of doctor-patient in foreign aid medical work and discussed its significance, to provide theoretical and practical basis for the smooth development of foreign aid medical work in the future.

Psychological and organizational factors impacting job satisfaction during the COVID-19 Pandemic: A study on similar exposure groups in Indonesia

Introduction@#The COVID-19 pandemic has impacted technical workers who work more often in the field (e.g., engineering, mechanical, health safety environment (HSE), quality control, and production workers) with increasingly complex workloads and work pressures. Few studies have yet to examine the job satisfaction of such workers using a combination of psychological and organizational factors during difficult times, such as the current COVID-19 pandemic. @*Objective@#This study aims to explain whether psychological and organizational factors affect employee job satisfaction as a result of the COVID-19 pandemic. @*Methods@#This quantitative research uses Partial Least Square-Structural Equation Modeling. A survey with a questionnaire was used to collect data in this study. Using the non-probability sampling technique, data from 103 respondents spread throughout four Similar Exposure Groups (SEGs) in Indonesia were collected. Data analysis in this study used SmartPLS 3.0. @*Results@#Male workers in this study constituted more than 90% of the respondents, the majority with a long working period (more than five years). Worker experience was directly proportional to worker age; most workers were between 41 and 56 years old. The results, with a majority of SEGs from engineering, found that out of five hypotheses (H1–H5), four are accepted while one is rejected. Employee job satisfaction during this pandemic is influenced by the feeling of safety (H1) and work pressure (H3). Work pressure is further influenced by the feeling of safety at work (H2). Moreover, work pressure acts as a mediator on the feeling of safety and job satisfaction (H4). However, job satisfaction is not influenced by management commitment (H5). @*Conclusion@#Management commitment to work safety during pandemic situations must be adjusted, especially regarding policies to ensure the availability of additional standards on health protocols to prevent the spread of COVID-19 in the workplace. In addition, the guarantee that the company is committed to ensuring that workers feel safe will be covered if exposed to COVID-19. Occupational safety and health standards are no longer fully focused on work equipment or facilities. The feeling of safety and work pressure during a pandemic require attention from companies in accordance with their existing limitations and capabilities.

Prevalence of Work Ability and its Associated Factors among Secondary School Teachers in Selangor, Malaysia

@#Introduction: Work ability is the relationship between a person’s personality, health, lifestyle, and employment-related factors. There are, however, few studies evaluating the variables linked to school teachers’ work ability. The purpose of this study was to assess school teachers’ work ability and the factors that affect it. Methods: A cross-sectional study of secondary school teachers was carried out. Sociodemographic characteristics, physical activity, body mass index, low back pain (LBP), psychological factors, work-related factors, health-related quality of life (HRQoL), and work ability were all collected through the questionnaire. The association between potential factors and job ability was investigated using ordinal logistic regression. Results were presented using odds ratios (OR) and 95 % confidence intervals (CI). Results: Of 1280, there were 1037 (81.0%) teachers who returned the questionnaire. The majority (71.9%) of the participants had moderate work ability, while 22.6% had good, and 5.5% had poor work ability. None of them were particularly had excellent work ability. The factors associated with increased work ability in the multivariable analysis were better HRQoL, namely physical (OR 1.11, 95%CI: 1.07, 1.15) and mental (OR 1.12, 95%CI: 1.06, 1.16) health and wellbeing. Conclusion: Positive associations exist between a teacher’s work ability and their physical and emotional well-being. Henceforth suggesting that these factors should be incorporated in workplace health promotion programs to maintain teachers’ work ability.

Work and lifestyle influencing factors for thyroid cancer among young and middle-aged patients with thyroid nodules / 环境与职业医学

Background The number of persons with thyroid nodules has increased rapidly in recent years, and thyroid cancer caused by malignant nodules has become a key problem endangering the health of young and middle-aged groups in China. Objective To explore work and lifestyle influencing factors for developing thyroid cancer among young and middle-aged patients with thyroid nodules. Methods The subjects with thyroid nodules were reported by routine physical examines ordered at the Huadong Sanatorium. We conducted a 1∶4 matched case-control study in which 232 patients diagnosed with thyroid cancer from 2012 to 2022 were matched to 928 controls by gender and age (±5 years). A validated questionnaire was used to collect data on work and lifestyle behaviors. Univariate and multivariate logistic regression models were applied to explore potential relationships between selected factors (including environment, working hours, stress, diet, exercise, and mental health) and thyroid cancer. Spearman rank correlation was used to analyze the correlations between variables. Results The results of univariate logistic regression showed a history of thyroid cancer reported among first-degree relatives (OR=6.059, 95%CI: 1.007, 36.473), obesity (OR=1.973, 95%CI: 1.296, 3.004), noise and vibration exposure (OR=1.988, 95%CI: 1.143, 3.456), frequent stress (OR=2.093, 95%CI: 1.231, 3.559), frequent depression (OR=2.034, 95%CI: 1.048, 3.947), frequent anger (OR=1.791, 95%CI: 1.066, 3.012), frequent fried food diet (OR=1.535, 95%CI: 1.026, 2.297), and frequent fast food diet (OR=1.836, 95%CI: 1.048, 3.215) were risk factors for reporting thyroid cancer developing from thyroid nodules, while regular meals (OR=0.245, 95%CI: 0.061, 0.989) and frequent exercise (OR=0.571, 95%CI: 0.342, 0.952) were protective factors for reporting no thyroid cancer. The results of Spearman correlation analysis showed that body mass index was positively correlated with frequent fried food, fast food, and sugary beverage diets (r=0.123, 0.083, 0.077, P<0.01), and negatively correlated with frequent depression and anger (r=−0.090, −0.070, P<0.05). The results of multiple logistic regression found that a history of thyroid cancer reported among first-degree relatives (OR=6.712, 95%CI: 1.071, 42.066), obesity (OR=2.032, 95%CI: 1.321, 3.125), noise and vibration exposure (OR=1.991, 95%CI: 1.089, 3.637), and frequent stress (OR=2.468, 95%CI: 1.417, 4.300) were associated with an elevated risk of reporting thyroid cancer developing from thyroid nodules patients. Regular exercise (frequency≥3 times·week−1, > 30 min per episode) (OR=0.516, 95%CI: 0.300, 0.890) was associated with a lowered risk of reporting thyroid cancer. Conclusions Multiple risk factors associated with reporting thyroid cancer among young and middle-aged groups with thyroid nodules are identified, such as obesity, noise and vibration exposure, frequent stress, and lack of exercise.

Clinical characteristics of acute acquired concomitant esotropia among different age groups / 国际眼科杂志(Guoji Yanke Zazhi)

AIM: To analyze the clinical characteristics of acute acquired concomitant esotropia(AACE)in patients among different age groups.METHODS: Retrospective analysis of clinical data. A total of 112 non-Swan type AACE patients who underwent surgery at Peking University People's Hospital from January 2015 to December 2022 were retrospectively analyzed. Clinical data were collected and the characteristics were compared, including gender, age, diopter, duration of disease, daily time spent on near work, angles of deviation before and after surgery, stereopsis, etc. According to age, patients were divided into three groups: &#x003C;18 years old group(22 cases), 18-45 years old group(67 cases), and &#x003E;45 years old group(23 cases). The clinical characteristics of patients were compared in each group.RESULTS: A total of 112 patients were included in the study, comprising 56 males and 56 females, with a median age of 29.50(19.25, 41.75)years old. Among them, 97 patients had myopia(86.6%). There were 93 patients(83.0%)who spent more than 8 h on near work. The age group &#x003C;18 years old had the shortest duration before surgery, with a median time of 1.00(0.50, 1.00)a, the minimum negative diopter, with a median diopter of -0.75(-3.19, -0.56)D in the right eye and the diopter of -1.25(-2.81, -0.75)D in the left eye, and the maximum preoperative near angle of deviation, with a median angle of 30.00(18.50, 80.00)PD, and the maximum preoperative distant angle of deviation, with a median angle of 35.00(23.75, 80.00)PD. All these differences were statistically significant compared with other two groups(both P&#x003C;0.05). For the age group from 18 to 45 years old, the median near angle of deviation was 20.00(14.00, 30.00)PD, and the median distant angle of deviation was 25.00(20.00, 35.00)PD, both of which were higher than those in the age group &#x003E;45 years old(both P&#x003C;0.05). For the age group &#x003E;45 years old, the median near angle of deviation after surgery was -4.50(-7.50, 0)PD, and the median distant angle of deviation after surgery was 4.50(0, 9.50)PD, which were smaller than those in other two groups(all P&#x003C;0.05). The age group &#x003E;45 years old had the hiughest surgical success rate(100%). The preoperative stereopsis was better in age group &#x003E;45 years old than the group &#x003C;18 years old(P&#x003C;0.05). The postoperative stereopsis of the age group of 18 to 45 years old and the age group &#x003E;45 years old was better than age group &#x003C;18 years old(both P&#x003C;0.05).CONCLUSION: Surgical patients with AACE are mainly in the age group from 18 to 45 years old. The characteristic of angle of deviation is that distant angle of deviation is greater than near angle of deviation. The patients &#x003C;18 years old have larger preoperative angles of deviation than adults, while their stereoacuity is worse than adults in the early postoperative period. It is recommended that augmented-dose surgery should be performed in AACE patients who are in the age group of 18 to 45 years old(5-10 PD). A conservative surgery should be designed for hyperopia young children without established binocular vision.

Avaliação da qualidade do sono em profissionais de saúde da emergência / Evaluación de la calidad del sueño en profesionales de la salud de emergencia / Sleep quality assessment in emergency health professionals

Resumo Objetivo Avaliar a qualidade do sono de profissionais dos serviços de emergência e sua associação com o nível de fadiga e qualidade de vida. Métodos Estudo descritivo, transversal e correlacional, realizado nas unidades do Serviço de Atendimento Móvel de Urgência (SAMU) e na Unidade de Pronto Atendimento (UPA), no ano de 2021, com 108 participantes. Para avaliação da qualidade do sono, foi utilizado o Índice de Qualidade do Sono de Pittsburgh versão Brasileira (PSQI-BR); para avaliação da Fadiga, foi utilizada a Escala de Fadiga de Chalder, em conjunto com a Escala de Necessidade de Descanso (ENEDE); e para avaliação da qualidade de vida, foi utilizado o World Health Organization Quality of Life Brief Version (WHOQOL-bref), sendo que os instrumentos utilizados foram adaptados para a língua portuguesa em estudos anteriores. Foram aplicados testes de associação para a análise estatística, tendo sido utilizados o Teste Qui-Quadrado de Pearson, o Teste U Mann-Whitney ou Kruskal Wallis e a correlação de Spearman. Valores de p <0,05 foram considerados como significativos. Resultados Foi identificado que 72,2% dos participantes apresentaram má qualidade do sono e 75,9% estavam fadigados. Foi observada associação significativa entre a qualidade do sono e a fadiga, a necessidade de descanso e a qualidade de vida. Conclusão Foi identificado que os profissionais de saúde que trabalham em serviço de urgência e emergência apresentam má qualidade do sono e de vida e níveis elevados de fadiga e necessidade de descanso, o que pode impactar diretamente suas atividades pessoais e profissionais.

Resumen Objetivo Evaluar la calidad del sueño de profesionales de los servicios de emergencia y su relación con el nivel de fatiga y calidad de vida. Métodos Estudio descriptivo, transversal y correlacional, realizado en las unidades del Servicio de Atención Móbil de Urgencia (SAMU) y en la Unidad de Pronta Atención (UPA), en el año 2021, con 108 participantes. Para evaluar la calidad del sueño, se utilizó el Índice de Calidad del Sueño de Pittsburgh, versión brasileña (PSQI-BR). Para evaluar la fatiga, se utilizó la Escala de Fatiga de Chalder, junto con la Escala de Necesidad de Descanso (ENEDE). Para evaluar la calidad de vida, se utilizó el World Health Organization Quality of Life Brief Version (WHOQOL-bref). Los instrumentos utilizados fueron adaptados al idioma portugués en estudios anteriores. Se aplicaron pruebas de asociación para el análisis estadístico, para lo cual se utilizó la Prueba χ2 de Pearson, la Prueba U de Mann-Whitney o la prueba de Kruskal-Wallis y la correlación de Spearman. Se consideraron valores de p<0,05 como significativos. Resultados Se identificó que el 72,2 % de los participantes presentó una mala calidad de sueño y el 75,9 % tenía fatiga. Se observó una asociación significativa entre la calidad del sueño y la fatiga, la necesidad de descanso y la calidad de vida. Conclusión Se identificó que los profesionales de la salud que trabajan en servicios de urgencia y emergencia presentaron mala calidad de sueño y de vida y niveles elevados de fatiga y necesidad de descanso, lo que puede impactar directamente en sus actividades personales y profesionales.

Abstract Objective To assess emergency service professionals' sleep quality and its association with the level of fatigue and quality of life. Methods A descriptive, cross-sectional and correlational study, carried out in the units of the Mobile Emergency Care Service (SAMU) and in the Emergency Care Unit (ECU), in 2021, with 108 participants. To assess sleep quality, the Pittsburgh Sleep Quality Index, Brazilian version (PSQI-BR), was used; to assess fatigue, the Chalder Fatigue Scale was used, together with the Need for Recovery Scale (NFR); and to assess quality of life, the World Health Organization Quality of Life Brief Version (WHOQOL-bref) was used, and the instruments used were adapted to Portuguese in previous studies. Association tests were applied for statistical analysis, using Pearson's chi-square test, Mann-Whitney U test or Kruskal Wallis and Spearman's correlation. P-values <0.05 were considered significant. Results It was identified that 72.2% of participants had poor sleep quality and 75.9% were fatigued. A significant association was observed between sleep quality and fatigue, the need for recovery and quality of life. Conclusion It was identified that health professionals working in emergency services have poor sleep quality and life, and high levels of fatigue and need for recovery, which can directly impact their personal and professional activities.

Nurses' workload during the COVID-19 pandemic: potential for experiences of moral distress / Carga de trabajo de las enfermeras durante la pandemia de COVID-19: potencial para experiencias de sufrimiento moral / Sobrecarga de trabalho de enfermeiros na pandemia de COVID-19: potência para vivências de sofrimento moral

ABSTRACT Objectives: to understand nurses' experiences of moral distress related to work overload during the COVID-19 pandemic in Brazil. Methods: qualitative research, whose data collection occurred through individual interviews with 19 nurses who worked on the front line of COVID-19 in health services in southeastern Brazil. Data were analyzed using thematic content analysis. Results: work overload proved to be a powerful source of experiences of moral distress due to excessive working hours during vaccination, double working hours, a troubled relationship due to pressure from managers and the population and physical and mental exhaustion, which prevented nurses from act according to their judgment. Final Considerations: nurses' work overload reflects on quality patient care and prevents nurses from acting in accordance with their moral principles, generating moral distress in nurses.

RESUMEN Objetivos: comprender las experiencias de angustia moral de los enfermeros relacionadas con la sobrecarga de trabajo durante la pandemia de COVID-19 en Brasil. Métodos: investigación cualitativa, cuya recolección de datos ocurrió a través de entrevistas individuales con 19 enfermeros que actuaron en la primera línea de COVID-19 en servicios de salud de la región Sudeste de Brasil. Los datos fueron analizados mediante análisis de contenido temático. Resultados: la sobrecarga de trabajo resultó ser una poderosa fuente de experiencias de sufrimiento moral por exceso de jornada durante la vacunación, doble jornada laboral, relaciones conflictivas por presiones de los directivos y la población y agotamiento físico y mental, lo que impidió al enfermero actuar según su criterio. Consideraciones Finales: la sobrecarga de trabajo de las enfermeras se refleja en la calidad de la atención al paciente e impide que las enfermeras actúen de acuerdo con sus principios morales, generando sufrimiento moral en las enfermeras.

RESUMO Objetivos: compreender vivências de sofrimento moral de enfermeiros relacionadas à sobrecarga de trabalho durante a pandemia de COVID-19 no Brasil. Métodos: pesquisa qualitativa, cuja coleta de dados ocorreu através de entrevistas individuais com 19 enfermeiros que atuaram na linha de frente da COVID-19 em serviços de saúde da região Sudeste do Brasil. Os dados foram analisados mediante análise temática de conteúdo. Resultados: a sobrecarga de trabalho mostrou-se potente fonte para vivências de sofrimento moral devido à jornada de trabalho excessiva na vacinação, à dupla jornada de trabalho, à relação conturbada por pressão de gestores e população e ao esgotamento físico e mental, os quais impediam o enfermeiro de agir conforme o seu julgamento. Considerações Finais: a sobrecarga de trabalho dos enfermeiros reflete na assistência de qualidade ao paciente, e impede que os enfermeiros atuem conforme os seus princípios morais, gerando sofrimento moral nos enfermeiros.

The impact of Covid-19 on community and hospital pharmacists: a thematic analysis study

Abstract There are a limited number of studies examining the effects of the pandemic on the daily lives of Turkish community pharmacists, and no research investigating the impact on the lives of Turkish hospital pharmacists has been found. This study aimed to examine the effects of the pandemic on the personal and professional lives of Turkish community pharmacists and hospital pharmacists. In this qualitative study design, a comprehensive set of interviews was conducted with a total of 13 community pharmacists and 7 hospital pharmacists, employing a semi-structured interview guide. Through thematic content analysis of the interviews, four main themes, 1) long-term impacts, 2) dealing strategies, 3) professional life impacts, 4) personal life impacts, have emerged for both community pharmacists and hospital pharmacists. In addition to the psychological impacts and supply chain issues commonly mentioned in the literature, the study revealed ongoing effects such as the inability to sell available products and economic difficulties. Also, the increased demand for over-the-counter products during the pandemic highlights the need for the government to develop policies to address this issue.

Como se constitui a atividade docente? uma análise pela psicologia histórico-cultural / ¿cómo se constituye la actividad docente? un análisis por la psicología histórico-cultural / How is the teaching activity constituted? an analysis by historical-cultural psychology

A Teoria da Atividade desenvolvida pelo pensador russo Alexis Leontiev oferece subsídios para compreender a constituição humana a partir das relações sociais e apropriação do conhecimento. Nesse caminho, o desenvolvimento das ações do professor no ensino deve se constituir em atividade. Assim, objetivamos investigar docentes em exercício na Educação Básica para reunir elementos sobre a constituição da atividade docente na sociedade do trabalho. Para isso, três professoras do Ensino Básico público contribuíram com a pesquisa: foram realizadas entrevistas semiestruturadas e acompanhadas as rotinas de trabalho nas escolas envolvidas. Nos resultados, depreendemos que há possibilidades das ações de ensino se constituírem em atividade, mesmo diante das condições alienantes e fragmentadas que o professorado vivencia nesse cenário. Ainda, como considerações, reiteramos a defesa por políticas públicas que garantam condições concretas para a atuação docente para que possa cumprir seu papel junto à transformação e emancipação dos sujeitos pela Educação.

La Teoría de la Actividad desarrollada por el pensador ruso Alexis Leontiev ofrece ayuda para comprender la constitución humana a partir de las relaciones sociales y apropiación del conocimiento. En ese camino, el desarrollo de las acciones del profesor en la enseñanza debe se constituir en actividad. Así, objetivamos investigar docentes en ejercicio en la Enseñanza Básica para reunir elementos sobre la constitución de la actividad docente en la sociedad del trabajo. Para eso, tres profesoras de la Enseñanza Básica pública contribuyeron a la investigación: se realizaron entrevistas semiestructuradas y acompañadas las rutinas de labor en las escuelas abarcadas. En los resultados, deprendemos que hay posibilidades das acciones de enseñanza se constituyeren en actividad, incluso delante de las condiciones alienantes y fragmentadas que el profesorado vivencia en ese escenario. Aún, como consideraciones, hacemos hincapié en la defensa por políticas públicas que garanticen condiciones concretas a la actuación docente para que pueda cumplir su papel junto a la transformación y emancipación de los sujetos por la Educación.

The Activity Theory developed by russian thinker Alexis Leontiev offers subsidies to understand human constitution from social relations and knowledge appropriation. In this way, the development of the teacher's actions in teaching should be the activity. Thus, we aim to investigate teachers' performance in the Basic Education to gather elements about the constitution of teaching activity in the labor society. For this, three teachers from public Basic Education contributed to the research: semi -structured interviews were conducted and the work routines were accompanied in the involved schools. In the results, we find that there are possibilities for teaching actions to be activity, even in the face of the alienating and fragmented conditions that the teacher's experiences in this scenario. Also, as considerations, we reiterate the defense for public policies that guarantee concrete conditions for teaching action so that it can fulfill its role with the transformation and emancipation of the subjects by education.

Promoção à saúde mental de trabalhadores do agronegócio: um estudo reflexivo / Promoting the mental health of agribusiness workers: a reflective study / Promoción de la salud mental de los trabajadores del agronegorio: un estudio reflexivo

Introdução: Os trabalhadores do setor administrativo do agronegócio estão susceptíveis a riscos ocupacionais em seu processo de trabalho, como: físicos, químicos, de acidentes e ergonômicos, biológicos e psicossociais como fadiga, tensão e pressão no trabalho. Essas condições influenciam na saúde física e mental desses trabalhadores interferindo no desempenho das atividades laborais e na qualidade de vida no trabalho. Em decorrência destes fatores, nota-se a importância de encontrar meios para proporcionar uma melhor qualidade de vida e satisfação no ambiente ocupacional bem como, promover uma saúde mental entre os trabalhadores do agronegócio. Objetivo: Refletir as estratégias organizacionais do enfermeiro do trabalho para a promoção da saúde mental no ambiente laboral de trabalhadores do agronegócio. Método: Estudo reflexivo, do tipo descritivo, que reflete as experiências no desenvolvimento de ações de uma equipe multidisciplinar de uma empresa de agronegócio localizada em mais de três estados brasileiros e conta com 1200 trabalhadores. A ideia do cuidado com a saúde mental dos trabalhadores do agronegócio surgiu a partir da observação da enfermeira do trabalho na busca recorrente dos trabalhadores ao departamento de gente e gestão, com relatos de problemas vivenciados dentro e fora da empresa. Frente a essa problemática surgiu a necessidade de disponibilizar para os trabalhadores um cuidado com foco na saúde mental, por meio de acolhimento e direcionamento para atendimento especializado dentro da própria empresa. Diante disso, foi estruturado dentro do Programa de Qualidade de Vida no Trabalho, já existente na empresa, um pilar denominado cuidado com a saúde emocional, com modalidades de atendimentos individuais, grupos de rodas de conversa e no formato on-line. Resultados: Com a divulgação do programa os trabalhadores estavam mais à vontade para buscar atendimentos com a psicóloga do programa e mostram-se interessados pelos grupos de rodas de conversas. Durante um ano, 238 trabalhadores buscaram pelo atendimento. A partir de então, a promoção do cuidado com a saúde mental dos trabalhadores ocorreu por meio da manutenção dos grupos de atendimentos individuais. Conclusão: O cuidado com a saúde mental no contexto corporativo é essencial para promover a integridade física e psicológica do trabalhador. Contudo, é necessário que a empresa invista mais em campanhas informativas com cuidado com a saúde mental, pois durante um ano, apenas 19,83% dos trabalhadores buscaram pelos atendimentos propostos pela empresa, além de que, a implementação de um programa para a saúde dos trabalhadores, valoriza a profissão do enfermeiro do trabalho e lhe traz subsídios para a continuidade e qualidade de assistências àqueles que o mesmo assiste.

Introduction: Workers in the agribusiness administrative sector are susceptible to occupational risks in their work process, such as: physical, chemical, accident and ergonomic, biological and psychosocial such as fatigue, tension and pressure at work. These conditions influence the physical and mental health of these workers, interfering with the performance of work activities and quality of life at work. As a result of these factors, it is important to find ways to provide a better quality of life and satisfaction in the occupational environment, as well as promoting mental health among agribusiness workers. Objective: To reflect the organizational strategies of occupational nurses to promote mental health in the work environment of agribusiness workers. Method: Reflective, descriptive study, which reflects the experiences in developing actions of a multidisciplinary team from an agribusiness company located in more than three Brazilian states and has 1200 workers. The idea of caring for the mental health of agribusiness workers arose from the observation of the occupational nurse in the workers' recurring search for the people and management department, with reports of problems experienced inside and outside the company. Faced with this problem, the need arose to provide workers with care focused on mental health, through welcoming and directing them to specialized care within the company itself. In view of this, a pillar called care for emotional health was structured within the Quality of Life at Work Program, already existing in the company, with individual assistance modalities, conversation groups and in an online format. Results: With the publicity of the program, workers were more comfortable seeking assistance from the program's psychologist and were interested in conversation groups. During one year, 238 workers sought assistance. From then on, the promotion of care for workers' mental health occurred through the maintenance of individual care groups. Conclusion: Mental health care in the corporate context is essential to promote the physical and psychological integrity of workers. However, it is necessary for the company to invest more in informative campaigns with care for mental health, as during one year, only 19.83% of workers sought the services proposed by the company, in addition to the implementation of a health program of workers, values the profession of occupational nurses and provides support for the continuity and quality of care for those they assist.

Introducción: Los trabajadores del sector administrativo agroindustrial son susceptibles a riesgos laborales en su proceso de trabajo, tales como: físicos, químicos, accidentalidad y ergonómicos, biológicos y psicosociales como fatiga, tensión y presión en el trabajo. Estas condiciones influyen en la salud física y mental de estos trabajadores, interfiriendo en el desempeño de las actividades laborales y la calidad de vida en el trabajo. Como resultado de estos factores, es importante encontrar formas de brindar una mejor calidad de vida y satisfacción en el entorno ocupacional, así como promover la salud mental entre los trabajadores de la agroindustria. Objetivo: Reflejar las estrategias organizacionales de las enfermeras ocupacionales para promover la salud mental en el ambiente laboral de los trabajadores de la agroindustria. Método: Estudio reflexivo, descriptivo, que refleja las experiencias en el desarrollo de acciones de un equipo multidisciplinario de una empresa agroindustrial ubicada en más de tres estados brasileños y que cuenta con 1200 trabajadores. La idea de cuidar la salud mental de los trabajadores del agronegocio surgió a partir de la observación de la enfermera ocupacional en la búsqueda recurrente de los trabajadores por el departamento de personas y gestión, con relatos de problemas vividos dentro y fuera de la empresa. Ante esta problemática surgió la necesidad de brindar a los trabajadores una atención enfocada a la salud mental, a través de su acogida y orientación a atención especializada dentro de la propia empresa. Ante esto, se estructuró un pilar denominado atención a la salud emocional dentro del Programa Calidad de Vida en el Trabajo, ya existente en la empresa, con modalidades de atención individual, grupos de conversación y en formato online. Resultados: Con la publicidad del programa, los trabajadores se sintieron más cómodos buscando ayuda del psicólogo del programa y se interesaron por los grupos de conversación. Durante un año, 238 trabajadores buscaron ayuda. A partir de entonces, la promoción del cuidado de la salud mental de los trabajadores se dio a través del mantenimiento de grupos de atención individuales. Conclusión: El cuidado de la salud mental en el contexto empresarial es fundamental para promover la integridad física y psicológica de los trabajadores. Sin embargo, es necesario que la empresa invierta más en campañas informativas con cuidado de la salud mental, ya que durante un año, sólo el 19,83% de los trabajadores buscó los servicios propuestos por la empresa, además de la implementación de un programa de salud de los trabajadores. valora la profesión de enfermeras ocupacionales y brinda apoyo para la continuidad y calidad de la atención a quienes asisten.