Análisis psicométrico de la escala de evaluación de la percepción del teletrabajo femenino durante situaciones de confinamiento familiar: el caso del COVID-19 / Psychometric analysis of the female teleworking perception scale during situations of family confinement: the case of COVID-19 / Análise psicométrico e validade da escala de percepção do teletrabalho feminino em situações de confinamento familiar: o caso da COVID-19

El estudio examina las características psicométricas de una escala que mide la percepción sobre el teletrabajo femenino en la población chilena en situación de confinamiento familiar, construida durante la pandemia por COVID-19. El cuestionario explora la interacción entre los ámbitos del trabajo y la familia, centrándose específicamente en la salud mental, las actitudes hacia el teletrabajo femenino, las dinámicas familiares relacionadas con el teletrabajo femenino y las dinámicas laborales en el contexto del teletrabajo femenino durante la pandemia. Los resultados indican una fuerte coherencia interna tanto para la escala global como para sus cuatro dimensiones diferenciadas: Salud Mental, ámbito laboral, teletrabajo femenino y ámbito familiar. El análisis factorial exploratorio (AFE) revela índices de ajuste favorables gl = 17; p<0.183; x 2 /gl = 22.211; CFI = 0.995; NNFI = 0.983; RMSEA = 0.052 para los 12 ítems en las cuatro dimensiones, alineándose bien con la estructura teórica respaldando los fundamentos del constructo balance trabajo/familia.

The study examines the psychometric characteristics of a scale that measures the perception of female teleworking in the Chilean population in a situation of family confinement, built during the COVID-19 pandemic. The questionnaire explores the interaction between the spheres of work and family, specifically focusing on mental health, attitudes towards female teleworking, family dynamics related to female teleworking, and work dynamics in the context of female teleworking during the pandemic. The results indicate strong internal coherence both for the global scale and for its four differentiated dimensions: Mental Health, work environment, female teleworking and family environment. The exploratory factor analysis (EFA) reveals favorable adjustment indices df = 17; p<0.183; χ 2 /df = 22.211; CFI = 0.995; NNFI = 0.983; RMSEA = 0.052 for the 12 items in the four dimensions, aligning well with the theoretical structure supporting the foundations of the work/family balance construct.

O estudo examina as características psicométricas de uma escala que mede as percepções do teletrabalho feminino na população chilena em confinamento familiar, construída durante a pandemia da COVID-19. O questionário explora a interação entre os domínios do trabalho e da família, concentrando-se especificamente na saúde mental, nas atitudes em relação ao teletrabalho feminino, na dinâmica familiar relacionada ao teletrabalho feminino e na dinâmica do trabalho no contexto do teletrabalho feminino durante a pandemia. Os resultados indicam uma forte consistência interna tanto para a escala geral quanto para suas quatro dimensões distintas: saúde mental, ambiente de trabalho, teletrabalho feminino e ambiente familiar. A análise fatorial exploratória (AFE) revela índices de ajuste favoráveis gl = 17; p<0,183; χ 2 /gl = 22,211; CFI = 0,995; NNFI = 0,983; RMSEA = 0,052 para os 12 itens nas quatro dimensões, alinhando-se bem com a estrutura teórica que sustenta os fundamentos do conceito de equilíbrio entre trabalho e família.

Labor shortage of physicians in rural areas and surgical specialties caused by Work Style Reform Policies of the Japanese government: a quantitative simulation analysis / Journal of Rural Medicine

Objective: The Japanese government’s physician workforce reform, which commenced in April 2024, introduced regulations on physicians’ working hours. However, in areas facing physician shortages such as rural regions and surgical medical specialties, healthcare provision relies heavily on the extended working hours of each physician. The anticipated impact of this reform, when implemented, was significant.Materials and Methods: Using publicly available government data, we estimated the current working hours of physicians in various medical specialties in each prefecture across Japan. Subsequently, we calculated the ratio of surplus or deficit physicians when hypothetically assuming that all physicians adhered to the regulatory upper limit of 58.4 working hours per week nationwide.Results: Assuming that all physicians work to the regulated maximum, there would be a shortage of doctors in various medical specialties across Japan, such as surgery, neurosurgery, orthopedic surgery, obstetrics and gynecology, and emergency medicine. Geographically, shortages of doctors are observed in rural prefectures such as those in the Tohoku region, particularly in emergency- and surgery-related specialties, indicating a critical shortage of physicians in rural areas. Additionally, it has become evident that even in medical specialties with a calculated surplus of physicians nationwide, the margin of surplus is generally only a few percentage points.Conclusion: Currently, rural areas and surgical medical specialties in Japan have limited leeway in the physician workforce, and the strict application of workforce reform may lead to a severe shortage of physicians in these areas. It is noteworthy that as similar reforms may subsequently be implemented in other countries, analogous challenges would arise. Thus, the implementation of workforce reform requires a flexible approach to minimize its negative effects, which widen the existing disparity in the workforce.

Health promotion of long-haul truck drivers and their families / Promoción de la salud de los conductores de camiones de larga distancia y sus famílias / Promoção da saúde de motoristas de caminhão de longa distância e suas famílias

ABSTRACT Objectives: to describe the development of a Health Information and Communication Technology for the health care of long-haul truck drivers and their families. Methods: this is a description of the development of an Information and Communication Technology, developed from March to September 2023, following the systematization of the experience in five steps: 1) starting point, 2) initial questions, 3) recovery of the lived process, 4) background reflection, and 5) arrival points. Results: the technology called "Work-Family Balance," electronically available, presents resources for the health care of long-haul truck drivers. It is anchored in studies on the health of long-haul truck drivers, notes from the International Labor Organization, the Strategic Action Plan for Confronting Chronic Diseases and Non-Communicable Diseases in Brazil, 2021-2030, and the Declaration by the International Association of Family Nursing. Final Considerations: the theoretical improvement of nursing can potentially improve the health care of long-haul truck drivers, prevent Chronic Non-Communicable Diseases, and promote work-life balance to achieve the goals of Agenda 2030.

RESUMEN Objetivos: describir el desarrollo de una Tecnología de Información y Comunicación en Salud para el cuidado de la salud de los conductores de camiones de larga distancia y de sus famílias. Métodos: se trata de una descripción del desarrollo de una Tecnología de Información y Comunicación, realizada en el período de mayo a septiembre de 2023, siguiendo la Sistematización de la Experiencia en cinco etapas: 1) punto de partida, 2) preguntas iniciales, 3) recuperación del proceso vivido, 4) reflexión de fondo y 5) puntos de llegada. Resultados: la tecnología denominada "Equilibrio Trabajo-Familia," disponible electrónicamente, presenta recursos para la atención a la salud de los conductores de camiones de larga distancia, anclada en estudios sobre la salud de estos conductores; Notas de la Organización Internacional del Trabajo; el Plan de Acciones Estratégicas para el Enfrentamiento de las Enfermedades Crónicas y Agravios No Transmisibles en Brasil, 2021-2030, y la declaración de la Asociación Internacional de Enfermería de Familias. Consideraciones Finales: el mejoramiento teórico de la enfermería tiene el potencial de mejorar la atención a la salud de los conductores de camiones de larga distancia, prevenir Enfermedades Crónicas No Transmisibles y promover el equilibrio trabajo-vida para alcanzar las metas de la Agenda 2030.

RESUMO Objetivos: descrever o desenvolvimento de uma Tecnologia da Informação e Comunicação em Saúde para o cuidado da saúde dos motoristas de caminhão de longa distância e de suas famílias. Métodos: trata-se de uma descrição do desenvolvimento de uma Tecnologia da Informação e Comunicação, realizada no período de maio a setembro de 2023, seguindo a Sistematização da Experiência, em cinco etapas 1) ponto de partida, 2) perguntas iniciais, 3) recuperação do processo vivido, 4) reflexão de fundo e 5) pontos de chegada Resultados: a Tecnologia denominada Equilíbrio trabalho-família, disponibilizada eletronicamente, apresenta recursos para o a atenção à saúde de motoristas de caminhão de longa distância, ancorada em estudos sobre a saúde dos motoristas de caminhão de longa distância; Notas Organização Internacional do Trabalho; Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas e Agravos Não Transmissíveis no Brasil, 2021-2030, e declaração da Associação Internacional de Enfermagem de famílias. Considerações Finais: o aprimoramento teórico da enfermagem tem potencial para melhorar a atenção à saúde dos motoristas de caminhão de longa distância, prevenir Doenças Crônicas Não Transmissíveis e promover o equilíbrio trabalho-vida para o alcance das metas da Agenda 2030.

Medidas abrangente e reduzida de comportamento de suporte do supervisor à família / Comprehensive and short-form measures of family supportive supervisor behaviors / Medidas integral y reducida de comportamiento de apoyo al supervisor familiar

O suporte do supervisor à família conceitua-se como comportamentos dos supervisores voltados a apoiar os papéis familiares dos funcionários. O presente estudo objetivou obter evidências de validade da Medida de Comportamento Suporte do Supervisor à Família, nas versões abrangente e reduzida, em amostras brasileiras. Participaram desta pesquisa 503 trabalhadores, de ambos os sexos. As análises fatoriais confirmatórias evidenciaram que a versão abrangente ficou composta por 14 itens, divididos em quatro fatores de primeira ordem (emocional, instrumental, modelo de papéis e gestão criativa) e um fator de segunda ordem. A versão reduzida unifatorial compôs-se por quatro itens. Ambas as versões apresentaram bons índices de consistência interna. Os instrumentos correlacionaram-se positivamente com o enriquecimento trabalho-família, suporte do supervisor e satisfação no trabalho, e negativamente com o conflito trabalho-família e intenção de rotatividade. Concluiu-se que os instrumentos apresentaram propriedades psicométricas que recomendam seu uso em investigações futuras.(AU)

The concept of a family-supportive supervisor refers to supervisors' behaviors aimed at supporting employees' family roles. This study aimed to obtain evidence of validity of the Measure of Family Supportive Supervisor Behaviors, both in its comprehensive and abbreviated versions, using Brazilian samples. A total of 503 workers of both sexes participated in this research. Confirmatory factor analyses showed that the comprehensive version consisted of 14 items, grouped into four first-order factors (emotional, instrumental, role model and creative management), all contributing to a second-order factor. The unifactorial reduced version consisted of four items. Both versions showed good internal consistency indices. The instruments exhibited positive correlations with work-family enrichment, supervisor support, and job satisfaction while demonstrating negative correlations with work-family conflict and turnover intention. It was concluded that the instruments presented psychometric properties that recommend their use in future research.(AU)

El apoyo del supervisor a la familia se define a las acciones de los supervisores dirigidos para respaldar los roles familiares de los empleados. El presente estudio tuvo como objetivo obtener evidencias de validez de la Medida del Comportamiento de Apoyo del Supervisor a la Familia, en las versiones extensa y breve, en muestras brasileñas. En esta investigación participaron 503 trabajadores de ambos sexos. Los análisis factoriales confirmatorios revelaron que la versión extensa quedó compuesta por 14 ítems, divididos en cuatro factores de primer orden (emocional, instrumental, modelo a seguir y gestión creativa) y un factor de segundo orden. La versión breve unifactorial constaba de cuatro ítems. Ambas versiones mostraron buenos índices de consistencia interna. Los instrumentos se correlacionaron positivamente con el enriquecimiento trabajo-familia, el apoyo del supervisor y la satisfacción laboral, y negativamente con el conflicto trabajo-familia y la intención de rotación. Se concluye que los instrumentos presentan propiedades psicométricas que respaldan su uso en futuras investigaciones.(AU)

Calidad de vida laboral y riesgo de disfunción sexual en enfermeras

Las experiencias y relaciones personales insatisfactorias en el ámbito laboral se asocian a resultados negativos en el aspecto sexual. La disfunción sexual femenina (DSF) es la alteración de cualquiera de las fases del orgasmo. La calidad de vida laboral (CVL) es la percepción del trabajador entre las exigencias del trabajo y las técnicas de afrontamiento. Objetivo: Determinar la asociación entre la calidad de vida laboral y el riesgo de disfunción sexual femenina en enfermeras de un hospital público del Callao, Perú. Método: Estudio observacional, transversal y analítico realizado en enfermeras del Hospital Nacional Daniel Alcides Carrión (HNDAC) de la provincia Constitucional del Callao, Perú. El riesgo de DSF fue medido con la prueba de Rosen. La CVL fue medida con el cuestionario de CVP-35. El análisis estadístico se realizó con el programa STATA versión 15. Se consideró significativo un valor de p<0,05 con un IC de 95%. Resultados: El estudio contó con la participación de 168 enfermeras que respondieron de forma completa. Las dimensiones de CVL asociadas a DSF fueron apoyo directo (p=0,01), motivación intrínseca (p=0,003), la pregunta sobre desconexión de trabajo (p=0,007), el ingreso mensual (p=0,003), el estado civil (p=0,001) y consumo de alcohol (p=0,014). No hubo asociación en el análisis multivariado. Conclusión: En el presente estudio no existió una asociación entre las dimensiones de la calidad de vida laboral y el riesgo de disfunción sexual femenina ajustado por confusores.

Unsatisfactory personal experiences and relationships in the work environment are associated with negative sexual outcomes. Female sexual dysfunction (FSD) is the disturbance of any of the phases of orgasm. Quality of work life (QWL) is the worker's perception between work demands and coping techniques. Objective: To determine the association between quality of work life and the risk of female sexual dysfunction in nurses of a public hospital in Callao, Peru. Methods: Observational, cross-sectional, analytical study conducted in nurses of the Hospital Nacional Daniel Alcides Carrión (HNDAC) of the Constitutional province of Callao, Peru. The risk of FSD was measured with the Rosen test. CVL was measured with the CVP35 questionnaire. Statistical analysis was performed with the STATA version 15 program. A value of p<0.05 with a 95% CI was considered significant. Results: The study involved 168 nurses who responded completely. The dimensions of CVL associated with DSF were direct support (p=0.01), intrinsic motivation (p=0.003), the question on work disconnection (p=0.007), monthly income (p=0.003), marital status (p=0.001) and alcohol consumption (p=0.014). There was no association in the multivariate analysis. Conclusion: In the present study there was no association between dimensions of quality of work life and confounder-adjusted risk of female sexual dysfunction.

Estrés relacionado con el trabajo y sintomatología mental en personas trabajadoras: Un análisis de género / Work-related stress and mental symptoms in working people: A gender analysis

El objetivo fue analizar el estrés laboral de mujeres y hombres con empleo y categorías laborales y demográficas similares, estudiando su asociación con la sintomatología mental. Estudio exploratoriodescriptivo y transversal con una muestra de conveniencia formada por 2643 personas con empleo y edades entre 18 y 64 años de las cuales el 54.3% son hombres y el 45.7% mujeres. Todas fueron evaluadas mediante cinco autoinformes y una hoja de recogida de datos sociodemográficos y de usos del tiempo. Resultados: El 67.5% de los hombres y el 66.5% de las mujeres tuvo algún tipo de estrés relacionado con el trabajo, no existiendo diferencias entre mujeres y hombres en ninguna de las medidas de estrés laboral, en insatisfacción con el rol laboral, ni en la asociación entre el estrés laboral y la sintomatología mental, asociación que era muy baja en mujeres y en hombres. Las mujeres tenían más estrés crónico no laboral y mayores contrariedades diarias que los hombres, además de mayor sintomatología mental de ansiedad, depresión grave, somática y de disfunción social. Asimismo, dedicaban más tiempo a las tareas domésticas y de cuidado y menos al ocio y a las actividades físico-deportivas que los hombres. Conclusiones: los resultados evidenciaron que el rol laboral no supone amenazas específicas para la salud mental de las mujeres con empleo, aunque sí parecen suponerlas su mayor dedicación a las tareas domésticas y de cuidado. Los resultados del presente trabajo son relevantes para el diseño de políticas y programas destinados a fomentar la salud de la ciudadanía y al logro de mayor igualdad de género(AU)

The objective was to analyze work stress in women and men with similar occupation and demographic categories, studying its association with mental symptomatology. Exploratory-descriptive and cross-sectional study with a convenience sample of 2643 employed persons aged 18 to 64 years, 54.3% of whom were men and 45.7% women. All were assessed by five self-reports and a sociodemographic and time-use data collection sheet. Results: 67.5% of the men and 66.5% of the women had some type of work-related stress. There were no differences between women and men in any of the measures of work stress, in dissatisfaction with the work role, or in the association between work stress and mental symptomatology, association that was very low in both women and men. Women had more chronic non-work stress and greater daily hassles than men, as well as greater symptomatology of anxiety, severe depression, somatic and social dysfunction. In addition, they spent more time on housework and caregiving and less time on leisure and physical-sports activities than men. Conclusions: the results show that the work role does not pose specific threats to the mental health of working women, although their greater dedication to domestic and caregiving tasks does seem to do so. The results of this study are relevant for the design of policies and programs aimed at promoting the health of citizens and achieving greater gender equality(AU)

Quality of Work life Among the Paediatricians Graduated from Master of Medicine (MMed) of Universiti Sains Malaysia

@#Introduction: Malaysian Paediatricians suffer from psychological challenges and stresses, but unfortunately, their quality of work life (QWL) has yet to be studied. This study aims to explore the QWL score and its predictors among the qualified paediatricians of Universiti Sains Malaysia (USM). Methods: A cross-sectional study using a validated QWL questionnaire was performed from June to December 2022. The graduates of Master of Medicine in Paediatrics (USM) were invited to participate in the study, through an online built QWL questionnaire. Reminders were sent a few times to increase the response rate. The QWL was used due to a good internal consistency with Cronbach alpha of 0.95. Descriptive statistics were used to analyse the sociodemographic characteristics. The variables for QWL were determined using logistic regression analysis. Results: The study included the participation of 123 paediatricians. Majority of the participants were Malay (87.8%), Muslim (90%) and married (78%). Among all participants, 53.6% has good QWL score. Factors that associated with good QWL were married status (p= 0.02) and higher salary (p=0.012). Individuals whose are married and having higher income are 3.2 and 5.2 times respectively more likely to have good QWL. Conclusion: More than half of qualified paediatricians had good QWL and necessary steps should be strived at improving these factors for a better work-life balance.

Patrones de conducta social de trabajadores informales durante eventos extremos: lecciones de la vida social durante la pandemia de covid-19 en Lima, Perú / Patterns of social behavior among informal workers during extreme events: lessons from social life during the Covid-19 pandemic in Lima, Peru

RESUMEN El estudio analiza los cambios en la vida social durante la pandemia y en la inicial pospandemia, en una población de alta informalidad en Lima, en la zona textil de Gamarra, que involucra a 89.123 personas. Es una investigación cualitativa, basada en 62 entrevistas semiestructuradas a confeccionistas, comerciantes de tienda y vendedores/as ambulantes. El estudio identifica dos momentos: a) las experiencias de recepción del shock por la pandemia de covid-19, y b) las experiencias de reprocesamiento del trabajo y la vida cotidiana y las salidas encontradas por la población. Se concluye que el futuro podría tener elementos adquiridos de la vida cotidiana con el covid-19, hacia una sociedad más preventiva ante los riesgos emergentes, en particular, conductas más higienistas y consideradas con la salud, más cercanas a la familia, con un uso mayor de la digitalización y trabajo híbrido, con más capital social.

ABSTRACT This study analyzes changes in social life during the pandemic and the early stages of the post-pandemic period within a population characterized by high levels of informality in Lima, particularly the textile district of Gamarra, encompassing 89,123 people. A qualitative approach was adopted, based on 62 semi-structured interviews with garment manufacturers, in-store traders, and street vendors. Two distinct moments could be identified: a) experiences confronting the shock induced by the Covid-19 pandemic; and b) experiences of reconfiguring work and daily life, alongside strategies adopted by the population. In conclusion, the study suggests that some elements of daily life acquired during the Covid-19 pandemic may carry over into the future, inducing society to place greater emphasis on preventive measures against emerging risks, including behaviors related to hygiene and health, fostering closer family ties, increased utilization of digitalization and hybrid work models, and the cultivation of enhanced social capital.

Ancient vocation, new reality: experiences of teachers during the COVID-19 pandemic / Antiga vocação, nova realidade: vivências de professoras de ensino fundamental durante a pandemia da COVID-19

The COVID-19 pandemic led to social isolation and school closures as measures to contain its spread. Based on phenomenology, the present study aimed to know and understand the senses and meanings that 10 Elementary School teachers attributed to their work in the midst of the COVID-19 pandemic. Method Dialogical meetings were held with each participant generating Comprehensive Narratives. Results The results were organized into five significant elements: (a) fulfillment of a childhood dream arising from the influence of significant people; (b) teaching as an act of love and social transformation; (c) continuous search for space and social recognition, (d) pandemic as an imbalance of life and profession and (e) digital teachers as a new reality. Conclusion The reiteration of the teachers' commitment and motivation in the face of the imposed challenges, the need for adaptation and resilience and a change in perspective in the self-image and perception of social appreciation in relation to teaching work stand out.

A pandemia da COVID-19 acarretou isolamento social e fechamento das escolas como medidas para conter sua propagação. Fundamentado na fenomenologia, o presente estudo objetivou conhecer e compreender os sentidos e significados que 10 professoras, de Ensino Fundamental, atribuíram ao seu trabalho em meio à pandemia da COVID-19. Método Encontros dialógicos foram realizados com cada participante, gerando Narrativas Compreensivas. Resultados Os resultados foram organizados em cinco elementos significativos: (a) realização de um sonho de infância decorrente da influência de pessoas significativas; (b) docência como um ato de amor e de transformação social; (c) busca contínua por espaço e reconhecimento social, (d) pandemia como desequilíbrio de vida e profissão e (e) professores digitais como uma nova realidade. Conclusão Destaca-se a reiteração do compromisso, e a motivação das professoras, frente aos desafios impostos e as necessidades de adaptação e resiliência, assim como uma mudança de perspectiva na autoimagem e percepção da valorização social em relação ao trabalho docente.

Adaptação transcultural e validação da escala "indicadora de trabalho-vida" (work-life indicator) para uso no Brasil: Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil) / Transcultural adaptation and validation of the work-life indicator scale for use in Brazil: Longitudinal Study of Adult Health (ELSA-Brasil)

Resumo Objetivo: descrever etapas de adaptação transcultural e validade dimensional para uso, no Brasil, da escala "indicadora de trabalho-vida" (work-life indicator). Métodos: realizaram-se análises das equivalências conceitual, de itens e da semântica, conduzidas por pesquisadores experientes em uso de escalas e/ou saúde ocupacional. A escala foi aplicada a participantes da terceira onda do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). Procedeu-se, então, a avaliação da equivalência de mensuração, utilizando-se Análises Fatoriais Exploratória (AFE) e Confirmatória (AFC). Resultados: aplicada a 7.277 participantes (50,3% do sexo masculino), a escala apresentou equivalências conceitual, de itens e semântica pertinentes no contexto brasileiro, bem como adequada correspondência de significado referencial/denotativa de termos e geral/conotativa dos itens. As AFE e AFC corroboraram a estrutura teórica de três dimensões - i) vida pessoal invadindo trabalho, ii) trabalho invadindo vida pessoal e iii) controle de limites percebidos -, com indicadores de ajuste adequados após a exclusão de dois itens da primeira dimensão. Na AFC, obteve-se índice de ajuste comparativo=0,968, índice de Tucker-Lewis=0,957 e raiz do erro quadrático médio de aproximação=0,039 (IC90%: 0,035;0,041). Conclusão: a escala é promissora para avaliar o gerenciamento de limites entre trabalho e vida pessoal no contexto brasileiro, assim como facilitará a realização de estudos sobre a influência desse gerenciamento na saúde e bem-estar dos(as) trabalhadores(as).

Abstract Objective: to describe the stages in the transcultural adaptation and dimensional validation of the "life-work indicator" scale for use in Brazil. Methods: equivalence analyses regarding concept, items, and semantics were conducted by researchers experienced in using scales and/or occupational health. The scale was applied to the third wave of the Longitudinal Study of Adult Health (Estudo Longitudinal de Saúde do Adulto, ELSA-Brasil). Measurement equivalence was then assessed using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Results: applied to 7,277 participants (50.3% of them male), the scale displayed equivalences regarding concept, items, and semantics proper to the Brazilian context, as well as appropriate correspondences in referential/denotative meaning of terms and overall/connotative meaning of items. EFA and CFA corroborated its theoretical structure in three dimensions -i) personal life invading work, ii) work invading personal life, and iii) perceived boundary control - returning suitable fit indices after exclusion of two items from the first dimension. CFA returned comparative fit index of 0.968, Tucker-Lewis index of 0.957, and root mean square error of approximation of 0.039 (90%CI: 0.035;0.041). Conclusion: the scale shows to be promising for assessing the management of boundaries between work and personal life in the Brazilian context, and will facilitate studies on the influence of such management on workers' health and wellbeing.

Saúde sem colarinhos: desafios da saúde ocupacional no advento do pós-Fordismo / No collar health: occupational health challenges with the advent of post-Fordism

Resumo Introdução: o termo pós-Fordismo refere-se a um modelo de organização laboral de acordo com a evolução dos meios de produção na segunda metade do século XX. Fruto das alterações substanciais dos mecanismos de regulação e contratação, este modelo prioriza a flexibilização e fragmentação da relação com o trabalhador. Com o advento informático, o pós-Fordismo ganha novos moldes e hiperboliza-se com as economias de plataforma em linha e a chamada uberização do trabalho. Objetivo: analisar criticamente as características do modelo pós-fordista e seus impactos à saúde ocupacional. Métodos: foi realizada uma revisão narrativa da literatura. Resultados: apontam-se para três aspectos do modelo pós-Fordista: 1) instabilidade laboral; 2) sobrecarga laboral; e 3) demanda psicossocial. Esses determinantes têm sido fortemente associados a maus resultados em saúde, sobretudo mental. Conclusões: as mudanças na conceptualização do trabalhador e do lugar do trabalho na vida do indivíduo exigem novas formas de pensar a saúde ocupacional. Para mitigar as consequências do pós-Fordismo, é necessária uma clara percepção das suas dinâmicas e uma mobilização de esforços multissetoriais.

Abstract Introduction: the term post-Fordism refers to the evolution of labour organization according to the new production models that emerged in the second half of the 20th century. As a result of substantial changes in the mechanisms of regulation and contracting, they prioritize the flexibilization and fragmentation of the employer-employee relationship. With the advent of information technology, post-Fordism gained new moulds and became hyperbolized with the online platform economies and the so-called uberization of work. Objectives: to critically analyse the characteristics of the post-Fordist model and its impacts in occupational health. Methods: this research was carried out with a review of the literature. Results: we point to three aspects of the post-Fordist model: 1) work instability; 2) work overload; and 3) psychosocial demand. The impact of these aspects, determinant on labour activities, have strong associations with bad health outcomes, especially in mental health. Conclusions: these changes in the conceptualization of workers and the place of work in their lives require new ways of thinking about occupational health. A clear perception of its dynamics, and a mobilization of multisectoral efforts, is needed to mitigate the consequences of this model.

Felicidade no trabalho e interação familiar em enfermeiros: estudo transversal* / Felicidad en el trabajo e interacción familiar en enfermeros: estudio transversal / Happiness at work and family interaction in nurses: cross-sectional study

Objetivo: analisar a associação entre felicidade no trabalho, interação familiar e variáveis sociodemográficas/profissionais em enfermeiros do contexto hospitalar. Métodos: estudo transversal com amostra de conveniência de 363 enfermeiros. Foram aplicados questionário para caracterização sociodemográfica/profissional, Shorted Happiness at Work Scale e Survey Work-Home Interaction Nijmegen. Na análise e tratamento de dados, recorreu-se à estatística descritiva e inferencial. Resultados: observaram-se níveis moderados de felicidade no trabalho (4,44±1,15) e níveis moderados a baixos de interação familiar (1,02±0,31). Estado civil, atividades de lazer, local de trabalho, tempo de experiência profissional, categoria profissional, horário de trabalho e percepção de trabalho estressante associaram-se à felicidade no trabalho. Idade, sexo, filhos, dependentes, atividades de lazer, tempo de experiência profissional, horário de trabalho e percepção de trabalho estressante associaram-se à interação familiar. Conclusão: os enfermeiros apresentaram níveis moderados de felicidade no trabalho e moderados a baixos de interação familiar, associados a variáveis sociodemográficas e profissionais específicas.

Objective: to analyze the association among happiness at work, family interaction and sociodemographic/professional variables in nurses in the hospital context. Methods: cross-sectional study with a convenience sample of 363 nurses. Questionnaires for sociodemographic/professional characterization, Shorted Happiness at Work Scale and Survey Work-Home Interaction Nijmegen were applied. In data analysis and processing, descriptive and inferential statistics were used. Results: moderate levels of happiness at work (4.44±1.15) and moderate to low levels of family interaction (1.02±0.31) were observed. Marital status, leisure activities, place of work, length of professional experience, professional category, working hours and perception of stressful work were associated with happiness at work. Age, gender, children, dependents, leisure activities, length of professional experience, working hours and perception of stressful work were associated with family interaction. Conclusion: nurses showed moderate levels of happiness at work and moderate to low levels of family interaction, associated with specific sociodemographic and professional variables.

Objetivo: analizar la asociación entre felicidad en el trabajo, interacción familiar y variables sociodemográficas/profesionales en enfermeros en el contexto hospitalario. Métodos: estudio transversal con muestra por conveniencia de 363 enfermeros. Se aplicaron un cuestionario de caracterización sociodemográfica/profesional, el Shorted Happiness at Work Scale y el Survey Work-Home Interaction Nijmegen. En el análisis y procesamiento de los datos, se utilizó estadística descriptiva e inferencial. Resultados: se observaron niveles moderados de felicidad en el trabajo (4,44±1,15) y niveles moderados a bajos de interacción familiar (1,02±0,31). El estado civil, las actividades de ocio, el lugar de trabajo, la duración de la experiencia profesional, la categoría profesional, la jornada laboral y la percepción de trabajo estresante se asociaron con la felicidad en el trabajo. La edad, el sexo, los hijos, las personas dependientes, las actividades de ocio, la duración de la experiencia profesional, la jornada laboral y la percepción del trabajo estresante se asociaron con la interacción familiar. Conclusión: los enfermeros mostraron niveles moderados de felicidad en el trabajo y niveles moderados a bajos de interacción familiar, asociados a variables sociodemográficas y profesionales específicas.

A BRIEF STUDY ON MEDICAL REPRESENTATIVE'S WORK-LIFE BALANCE

In this serious world everybody are running towards their profession development despite the fact that they attempt to satisfy their family responsibilities. The person who is adjusting their work and life are more useful and more dedicated towards their association. Everybody confronting dif?cult circumstance for adjusting work life. The balance between serious and fun activities is basically centered around depicting about the person needs between time distribution and work. The balance between serious and fun activities is considered as ordinary issues that had been raised at present and this occurs because of the improvement of the opposition and innovation. Here the Clinical agents are the person who are confronting signi?cant issues in regards to their equilibrium between work and life since they are the person who is working in the ?eld. The workplace for them is unstable and they don't have insurance towards their security while driving over the course of the day. The clinical delegates are the person who move towards their objective full ?llment and even they works in an adaptable working hour they are the person who is working in the ?eld for extended periods, because of the work pressure they blow their top so they are feeling the loss of their quality time with their loved ones. Here in this paper the clinical agent balance between fun and serious activities in view of their day to day exercises, dif?culties and purposes behind irregularity are examined and the systems are loped to achieve a fair work life

Impact of the SARS-CoV-2 pandemic on Colombian anesthesiologists: Survey study / Impacto de la pandemia por SARS-CoV-2 en anestesiólogos colombianos. Estudio de encuesta

Abstract Introduction: The practice of anesthesiology during the COVlD-i9/SARS-CoV-2 pandemic has had a psychological impact, and has been associated with ethical dilemmas, work overload, and occupational risk. Objective: To understand different problems affecting anesthesiologists, in particular with regards to professional ethics in the decision-making process, increased personal workload, and the potential risk in terms of their own safety and health, as a consequence of working during the COVlD-19 pandemic. Methods: Observational, descriptive, cross-sectional study. A survey was administered to anesthesiologists members of the Colombian Society of Anesthesiology and Resuscitation (S.C.A.R.E.), to enquire about work hours, occupational safety, prevention standards and strategies, and ethical aspects involved in decision making during the COVID-19 pandemic. Results: 218 anesthesiologist participated in the survey. Most of the respondents felt that there was not a significant increase in their workload, except for those in critical care (42.5 %; n = 17). Most of the participants believe that leisure time is not enough. 55.96 % (n = 122) of the participants said they felt moderately safe with the biosecurity measures, but with a higher risk of contagion versus other practitioners, with 72.9 % (n = 159) responding that they used their own money to buy personal protection equipment (PPE). There was also evidence that one fourth of the respondents has faced ethical dilemmas during the resuscitation of SARS-CoV-2 - infected patients. Conclusions: The information gathered is a preliminary approach to the situation arising in Colombia as a result of the pandemic; it is clear that anesthesiologists perceive higher associated lack of safety due to different factors such as higher risk of infection, shortage of PPEs and burnout, inter alia. Hence we believe that it is fundamental to acknowledge the work of all anesthesiologists and understand the impact that the pandemic has had on this group of professionals.

Resumen Introducción: El ejercicio de la anestesiología durante la pandemia por COVID-i9/SARS-CoV-2 ha tenido un impacto psicológico y ha estado asociado a dilemas éticos, aumento en la sobrecarga y riesgo laboral. Objetivo: Comprender distintos problemas en los que se han visto envueltos los médicos anestesiólogos, en especial los relacionados con su ética profesional en el proceso de tomar decisiones, el aumento en la carga personal y el posible riesgo de su seguridad y salud como consecuencia de su labor durante la pandemia por COVID-19. Métodos: Estudio observacional, descriptivo, de corte transversal. Por medio de una encuesta, aplicada a anestesiólogos afiliados a la Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.), se indagó acerca de jornadas laborales, seguridad laboral, normas y estrategias de prevención, y aspectos éticos vinculados con la toma de decisiones durante la pandemia por COVID-19. Resultados: Participaron 218 anestesiólogos. La mayoría de los encuestados consideró que no hubo aumento significativo en su carga laboral, excepto aquellos que ejercen en cuidado crítico (42,5 %; n = 17). La mayoría de los participantes consideran que el tiempo de descanso no es suficiente. Un 55,96 % (n = 122) de los participantes, refieren sentirse moderadamente seguros con las medidas de bioseguridad, pero con un mayor riesgo de contagio frente a otros profesionales, con un 72,9 % (n = 159) y manifestaron haber invertido de sus propios recursos para la adquisición de elementos de protección personal (EPP). Así mismo, se evidenció que una cuarta parte de los entrevistados se ha enfrentado a dilemas éticos durante la reanimación de pacientes infectados por SARS-CoV-2. Conclusiones: La información obtenida hace un acercamiento inicial a la problemática generada en Colombia por la pandemia, donde es evidente que los anestesiólogos perciben una mayor inseguridad asociada, debido a diversos factores como mayor riesgo de infección, insuficiencia de EPP y burnout, entre otros. Por ende, creemos que es fundamental reconocer el trabajo de todos los anestesiólogos, y comprender el impacto que la pandemia ha tenido en estos profesionales.

INFLUENCING FACTORS OF WORK-LIFE BALANCE TRENDS IN WOMEN EMPLOYEE LIFE

In organizations and on the home front, the challenge of work-life balance is rising to the top of many employers' and employees' consciousness. the challenge of work-life balance is rising to the highest of the many women employers' and employees' consciousness. In today's fast-paced society, human resource professionals seek options to positively impact rock bottom line of their companies, improve employee morale, retain women employees with valuable company knowledge, and keep step with workplace trends. this text provides human resource professionals with a historical perspective, data, and possible solutions for organizations and women employees alike to work/life balance. Three factors global competition, personal lives/family values, and an aging workforce present challenges that exacerbate work/life balance. this text offers the attitude that human resource professionals can assist their companies to maximize these factors by using work-life initiatives to realize a competitive advantage within the marketplace.

Gender, work-family conflict, and weight gain: four-year follow-up of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) / Gênero, conflito entre trabalho e família e ganho de peso: o seguimento de quatro anos do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil) / Género, conflicto laboral-familiar y aumento de peso: 4 años de seguimiento en el Estudio Longitudinal de Salud del Adulto brasileño (ELSA-Brasil)

This study sought to analyze the effect of work-to-family conflict (demands from work that affect one's family/personal life), family-to-work conflict (demands from family/personal life that affect work), and lack of time for self-care and leisure due to professional and domestic demands on the incidence of weight gain and increase in waist circumference by gender in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Our study included 9,159 ELSA-Brasil participants (4,413 men and 4,746 women) who attended baseline (2008-2010) and the first follow-up visit (2012-2014). Weight gain and increase in waist circumference were defined as an annual increase ≥ 75th percentile, i.e., ≥ 1.21kg/year and ≥ 1.75cm/year, respectively for women; and ≥ 0.96kg/year and ≥ 1.41cm/year respectively for men. Associations were estimated by Poisson regression applying robust variance with the R software. Analyses were stratified by gender and adjusted for socioeconomic variables. Adjusted models showed a higher risk of weight gain among women who reported family-to-work conflict frequently and sometimes (relative risk - RR = 1.37 and RR = 1.15, respectively) and among those who reported frequent lack of time for self-care and leisure (RR = 1.13). Among men, time-based work-to-family conflict (RR = 1.17) and strain-based work-to-family conflict (RR = 1.24) were associated with weight gain. No associations were observed between work-family conflict domains and increase in waist circumference. These findings suggest that occupational and social health promotion programs are essential to help workers balance work and family life to reduce weight gain.

O objetivo foi analisar o efeito de conflitos entre o trabalho e a família (demandas do trabalho que interferem na vida familiar ou pessoal) e entre a família e o trabalho (demandas da vida que interferem no trabalho), além da falta de tempo para autocuidado e lazer em função de demandas profissionais e domésticas, na incidência de ganho de peso e aumento da circunferência abdominal, de acordo com gênero, no Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). O estudo presente incluiu 9.159 participantes do ELSA-Brasil (4.413 homens e 4.746 mulheres) que frequentaram a linha de base (2008-2010) e a primeira visita de seguimento (2012-2014). O ganho ponderal e o aumento de circunferência abdominal foram definidos enquanto ganho anual ≥ 75º percentil, i.é., ≥ 1,21kg/ano e ≥ 1,75cm/ano, respectivamente, em mulheres, e ≥ 0,96kg/ano e ≥ 1,41cm/ano, respectivamente, em homens. As associações foram estimadas pela regressão de Poisson com variância robusta, usando o software R. As análises foram estratificadas por gênero e ajustadas por variáveis socioeconômicas. Os modelos ajustados mostraram risco maior de ganho ponderal em mulheres que relatavam conflitos frequentes ou eventuais de família para o trabalho (risco relativo - RR = 1,37 e RR = 1,15, respectivamente), e naquelas que relatavam frequentemente falta de tempo para autocuidado e lazer (RR = 1,13). Nos homens, os conflitos de tempo do trabalho para a família (RR = 1,17) e os conflitos de tensão do trabalho para a família (RR = 1,24) mostraram associação com ganho ponderal. Não foram observadas associações nos domínios dos conflitos de trabalho para a família e o aumento de circunferência abdominal. Os achados sugerem a necessidade de programas de promoção ocupacional e de saúde social para ajudar homens e mulheres economicamente ativos a equilibrarem o trabalho e a vida familiar para reduzir o ganho de peso.

El objetivo fue analizar el efecto del trabajo en conflictos de familia (exigencias del trabajo que interfieren en la familia/vida personal), conflictos de familia en el trabajo (exigencias de la familia/vida personal que interfieren con el trabajo), y la falta de tiempo para el autocuidado y ocio, debido a exigencias profesionales y domésticas en la incidencia de aumento de peso y aumento de contorno de cintura por género en el Estudio Longitudinal de Salud del Adulto brasileño (ELSA-Brasil). Este estudio incluyó a 9.159 participantes del ELSA-Brasil (4.413 hombres y 4.746 mujeres) que formaban parte de la base de referencia (2008-2010) y de la primera visita de seguimiento (2012-2014). El aumento de peso y contorno de cintura se definió como un aumento anual ≥ 75º percentil, p.ej., ≥ 1,21kg/año y ≥ 1,75cm/año, respectivamente, en mujeres, y ≥ 0,96kg/año y ≥ 1,41cm/año, respectivamente, en hombres. Se estimaron las asociaciones por regresión de Poisson, aplicando variancia robusta, usando R software. Se estratificaron análisis por género y se ajustaron para variables socioeconómicas. Los modelos ajustados mostraron un riesgo mayor de aumento de peso entre mujeres que informaron de un conflicto de familia para trabajar frecuentemente y a veces (riesgo relativo - RR = 1,37 y RR = 1,15, respectivamente), y entre quienes informaron de falta de tiempo para el autocuidado y ocio frecuentemente (RR = 1,13). Entre hombres, el trabajo basado en el tiempo respecto a conflictos familiares (RR = 1,17), así como el trabajo basado en el esfuerzo respecto a la misma cuestión (RR = 1,24) estuvieron asociados al aumento de peso. No se observaron asociaciones entre los ámbitos trabajo-conflictos de familia y aumento de peso. Estos resultados sugieren la necesidad de programas sociales de promoción ocupacional y de salud para ayudar a hombres y mujeres a equilibrar la fuerza laboral en el trabajo y la vida familiar, con el fin de reducir el aumento de peso.

Equilíbrio trabalho-família entre cuidadores de idosos: uma revisão sistemática / Work-family balance among caregivers of elderly people: a systematic review

Resumo Introdução Trabalhadores podem vivenciar um conflito de papéis ao tentarem conciliar trabalho e atividades de cuidado com familiares idosos. Objetivo Realizar uma revisão sistemática das pesquisas empíricas sobre equilíbrio trabalho-família entre cuidadores de idosos. Método Foram consultadas as bases de dados Scopus, PubMed, Scielo, BVS, Web of Science e PsycInfo para identificar as pesquisas publicadas no período de 2015 a 2020. Resultados Identificaram-se 20 artigos que foram categorizados da seguinte forma: 1. Cuidadores de idosos com demência e câncer; 2. Gênero; 3. Geração Sanduíche e baby boomers; e 4. Estratégias de enfrentamento individuais e coletivas. Destacou-se que existem especificidades no equilíbrio trabalho-família que podem favorecer tanto o spillover positivo quanto o negativo; por isso devem ser consideradas no planejamento das estratégias individuais e coletivas. Conclusão Para favorecer o equilíbrio trabalho-família, deve-se estudar as escolhas entre os trabalhos e responsabilidades familiares, bem como ampliar esse quadro estreito por meio da análise de aspectos que envolvam gênero, biografia, normas culturais, valores sociais, aspectos econômicos e soluções políticas disponíveis a esses trabalhadores.

Abstract Introduction Active workers may experience role conflict when trying to reconcile work and caregiving activities with elderly family members. Objective To carry out a systematic review of empirical research on work-family balance among caregivers of the elderly. Method Scopus, PubMed, Scielo, BVS, Web of Science and PsycInfo databases were consulted to identify research published from 2015 to 2020. Results 20 articles were identified and categorized as follows: 1. Caregivers of elderly people with dementia and cancer; 2. Gender; 3. Sandwich Generation and Baby Boomers; and 4. Individual and collective coping strategies. It was highlighted that there are specificities in the work-family balance that can favor both positive and negative spillovers; therefore, they must be considered in the planning of individual and collective strategies. Conclusion In order to favor work-family balance, the choices between work and family responsibilities should be studied, as well as expanding this narrow framework through the analysis of aspects involving gender, biography, cultural norms, social values, economic aspects and political solutions available to these workers.

Percepciones que tienen trabajadores chilenos sobre el impacto del teletrabajo en el entorno de covid-19

RESUMEN La pandemia ha generado diversos cambios que han llevado a las empresas a buscar estrategias para continuar sus procesos productivos y proteger la salud de los trabajadores; entre estas, la más destacada es el Teletrabajo. Objetivo: Analizar las percepciones que tienen los trabajadores chilenos sobre el impacto del teletrabajo en términos de Estrés laboral, Balance Vida-Trabajo y Satisfacción, en ambiente de contingencia producto del COVID-19. Material y Método: Investigación de tipo cuantitativa, tipo relacional y de corte transversal que utilizó un muestreo por conveniencia y se obtuvieron datos de 225 trabajadores chilenos que estaban realizando teletrabajo producto del COVID-19 y respondieron la encuesta on-line. Se utilizó un instrumento con 26 reactivos, que se aplicó a trabajadores mayores de edad que estuvieran realizando actividades desde casa, entre los meses de septiembre a octubre de 2020, logrando obtener 181 respuestas útiles. Resultados: Los trabajadores que se encuentran en modalidad telemática corresponden mayormente a mujeres, solteras, entre 24 a 40 años, del ámbito educativo, del sector público y tienen experiencia laboral mayor a diez años; existe una relación positiva entre la satisfacción laboral y el teletrabajo (r= 0,381), mientras que para las variables Estrés laboral y Balance vida-trabajo sucede lo contrario, es decir, una relación negativa (r= -0,408). Conclusión: Las actividades telemáticas producen a los trabajadores sintomatología de estrés, como tensión y/o ansiedad, pero a pesar de esto, tienen una actitud positiva ante este cambio en la modalidad laboral, tratando de vivir el día a día y buscando cómo apoyar a otros.

ABSTRACT The pandemic has caused several changes that have led companies to look for strategies to continue their production processes and protect the health of workers. Among these strategies, the most important is Teleworking. Objective: To analyze the perceptions that Chilean workers have on the impact of teleworking in terms of work stress, work-life balance and satisfaction, in a contingency environment as a result of COVID-19. Material and Method: Quantitative, relational and cross-sectional research using convenience sampling and data from 225 Chilean workers who were teleworking as a result of COVID-19 and responded to the on-line survey. An instrument with 26 items was applied to workers of legal age who were carrying out activities from home, between the months of September to October 2020, collecting 181 useful responses. Results: People working from home correspond mostly to single women, between 24 to 40 years old, who work in the field of education or the public sector and have work experience of more than ten years; there is a positive relationship between job satisfaction and teleworking (r= 0.381), while for the variables work stress and work-life balance a negative relationship was observed (r= -0.408). Conclusion: Teleworking produces stress symptoms among workers, such as tension and/or anxiety. Nevertheless, workers have a positive attitude towards this modality, trying to adapt and seeking support from other people.

RESUMO A pandemia gerou várias mudanças que levaram as empresas a procurar estratégias para continuar os seus processos de produção e proteger a saúde dos trabalhadores; entre estas, a mais relevante é o Teletrabalho. Objetivo: Analisar as percepções dos trabalhadores chilenos sobre o impacto do teletrabalho em termos de Estresse no trabalho, Equilíbrio Vida-Trabalho e Satisfação, em um ambiente de contingência resultante da COVID-19. Material e Método: Pesquisa quantitativa, do tipo relacional e corte transversal utilizando amostragem de conveniência e obtendo dados de 225 trabalhadores chilenos que estavam realizando teletrabalho como resultado da COVID-19 e responderam ao questionário online. Foi utilizado um instrumento com 26 reativos, que foi aplicado a trabalhadores adultos que realizavam atividades desde casa, entre setembro e outubro de 2020, obtendo 181 respostas úteis. Resultados: Os trabalhadores que estão no modo telemático, correspondem maioritariamente a mulheres, solteiras, entre 24 e 40 anos, do campo educativo, do sector público e têm mais de dez anos de experiência de trabalho; existe uma relação positiva entre a satisfação profissional e o teletrabalho (r= 0,381), enquanto para as variáveis Estresse no trabalho e Equilíbrio Vida-Trabalho acontece o contrário, ou seja, uma relação negativa (r= -0,408). Conclusão: As atividades telemáticas produzem sintomas de estresse nos trabalhadores, tais como tensão e/ou ansiedade, mas apesar disso, têm uma atitude positiva em relação a esta mudança na modalidade de trabalho, tentando viver dia após dia e procurando formas de apoiar os outros.

Construcción y validación del Cuestionario Conciliación vida laboral-familiar como factor de calidad en servicios estomatológicos / Construction and validation of the work-family life reconciliation questionnaire as a quality factor in dental services

RESUMEN Fundamento: la conciliación vida laboral-familiar se convierte en un factor de calidad en los servicios. Objetivo: validar un cuestionario sobre conciliación vida laboral - familiar como factor de calidad en servicios estomatológicos. Métodos: se realizó un estudio de innovación tecnológica en Guantánamo en el período enero-abril de 2017. Se utilizó el criterio de expertos mediante la técnica Delphi, se seleccionaron expertos según el coeficiente de competencias. Para la validación de contenido se siguieron los criterios de Moriyama, la confiabilidad interna se evaluó con un pilotaje, para este se realizó un muestreo intencional. La consistencia interna se determinó a través del cálculo del coeficiente alfa de Cronbach. Resultados: la valoración de los expertos en la primera ronda de la técnica Delphi permitió realizar modificaciones a la propuesta, en la segunda y tercera valoraron adecuadamente todos los ítems, la validación de contenido determinó una alta correlación entre estos; además las categorías propuestas, incluidas en la construcción del cuestionario, fueron adecuadas. El pilotaje posibilitó realizar algunos ajustes y modificaciones para elaborar la versión final del cuestionario. El índice de consistencia interna alfa de Cronbach resultante fue igual o superior a 0,70 en todos los ítems. Conclusiones: el cuestionario diseñado asegura la evaluación de la conciliación vida laboral-vida familiar como factor de calidad de los servicios estomatológicos. Los resultados de las técnicas aplicadas permiten, al realizar algunas modificaciones en la propuesta inicial, que la versión final validada sea fiable y esté disponible para su uso con fines investigativos.

ABSTRACT Foundation: work-family life balance becomes a quality factor in services. Objective: to validate a questionnaire on work-family life reconciliation as a quality factor in dental services. Methods: a study of technological innovation was carried out in Guantánamo from January to April 2017. Expert criteria was used through Delphi technique, experts were selected according to competence coefficient. Moriyama criteria was followed for content validation, internal reliability was evaluated with a pilot test with an intentional sampling was performed. Internal consistency was determined by calculating the Cronbach's alpha coefficient. Results: experts' assessment in the first Delphi round allowed modifications to the proposal, in the second and third all the items were adequately assessed, content validation determined a high correlation between them; furthermore, the proposed categories, included in the construction of the questionnaire, were adequate. Piloting made it possible to make some adjustments and modifications to prepare the questionnaire final version. The resulting Cronbach's alpha internal consistency index was equal to or greater than 0.70 in all items. Conclusions: the designed questionnaire ensures the work-family life balance evaluation as a quality factor of dental services. The results these techniques allow the final validated version to be reliable and available for research purposes, when making some modifications to the initial proposal.

Equilíbrio Dinâmico e Mobilidade Explicam a Qualidade de Vida na ICFEP, Superando Todos os Outros Componentes da Aptidão Física / Dynamic Balance and Mobility Explain Quality of Life in HFpEF, Outperforming All the Other Physical Fitness Components

Resumo Fundamento A aptidão física é um importante determinante da qualidade de vida (QV) em pacientes com insuficiência cardíaca com fração de ejeção preservada (ICFEP). No entanto, ainda não se sabe como os diferentes componentes da aptidão física se relacionam com as dimensões específicas da QV em pacientes com ICFEP. Objetivo Avaliar a associação entre diferentes componentes da aptidão física e dimensões da QV em pacientes com ICFEP, e examinar quais componentes da aptidão física foram independentemente associados à QV. Métodos Os pacientes com ICFEP foram avaliados quanto à aptidão física [equilíbrio dinâmico e mobilidade ("teste 8-feet Up-and-go "), força da parte superior do corpo (Teste de força de preensão manual), aptidão cardiorrespiratória (ACR) (teste de caminhada de 6 minutos) e composição corporal (índice de massa corporal)] e para QV ( Minnesota Living With Heart Failure Questionnaire ). Uma correlação parcial foi utilizada para verificar a associação entre os componentes da aptidão física e as dimensões da QV. A análise das dimensões dos preditores independentes de QV foi realizada através da análise de regressão linear multivariada stepwise . A significância estatística foi estabelecida em p <0,05. Resultados Tanto a ACR quanto o equilíbrio dinâmico e a mobilidade estão significativamente associados ao escore total e às dimensões físicas da QV (p <0,05), mas apenas o equilíbrio dinâmico e a mobilidade foram concomitantemente associados à dimensão emocional (r = 0,597; p = 0,004). O equilíbrio dinâmico e a mobilidade foram associados de forma independente ao escore total (β = 0,651; r2 = 0,424; p = 0,001), e as dimensões física (β = 0,570; r2 = 0,324; p = 0,04) e emocional (β = 0,611; r2 = 0,337 p = 0,002) da QV. Conclusão Nossos dados sugerem que o equilíbrio dinâmico e a mobilidade avaliam melhor a QV do que a ACR, comumente medida na prática clínica. Ainda não se sabe se as intervenções direcionadas especificamente ao equilíbrio dinâmico e à mobilidade têm diferentes impactos na QV. (Arq Bras Cardiol. 2020; 114(4):701-707)

Abstract Background Physical fitness is an important determinant of quality of life (QoL) in heart failure with preserved ejection fraction (HFpEF) patients. However, how the different physical fitness components correlate with the specific dimensions of QoL in HFpEF patients remains unknown. Objective To evaluate the association between different physical fitness components and QoL dimensions in HFpEF patients, and, assess which physical fitness components were independently associated to QoL. Methods Patients with HFpEF were assessed for physical fitness [dynamic balance and mobility (8-foot-up-and go test), upper body strength (handgrip), cardiorespiratory fitness (CRF) (6-minute-walking test) and body composition (body mass index)] and for QoL (Minnesota Living With Heart Failure Questionnaire). Partial correlation was used to verify the association between physical fitness components and QoL dimensions. The determination of independent predictors in QoL dimensions was assessed through stepwise multivariate linear regression analysis. Statistical significance was set at p<0.05. Results Both CRF and dynamic balance and mobility are significantly associated with the total score and physical dimensions of QoL (p<0.05), but only dynamic balance and mobility were concomitantly associated with the emotional dimension (r=0.597; p=0.004). Dynamic balance and mobility were independently associated with total score (β=0.651; r2=0.424; p=0.001), physical (β=0.570; r2=0.324; p=0.04) and emotional (β=0.611; r2=0.373 p=0.002) dimensions of QoL. Conclusion Our data suggests that dynamic balance and mobility better assess QoL than CRF, which is commonly measured in clinical practice. Whether interventions specifically targeting dynamic balance and mobility have different impacts on QoL remains unknown. (Arq Bras Cardiol. 2020; 114(4):701-707)