Absentismo laboral en trabajadores del hospital psiquiátrico Vilardebó de Montevideo, durante el año 2013 / Work absenteeism in workers of the Vilardebo psychiatric hospital in Montevideo in 2013

En Uruguay, la información sobre absentismo laboral en trabajadores vinculados a la salud mental ha presentado dificultades en su sistematización. Surge entonces, la posibilidad de abordar dicha problemática en el único hospital psiquiátrico público del país, dado el interés de autoridades, profesionales y constatar la existencia de mejoras en la calidad de los registros institucionales. Objetivo general: Caracterizar el absentismo laboral en trabajadores del hospital psiquiátrico Vilardebó de Montevideo, durante el año 2013, según certificaciones médicas. Metodología: Convergen aspectos exploratorios, descriptivos y correlaciones, bajo un diseño cuantitativo, no experimental, transversal, retrospectivo. Resultados: El mayor ausentismo laboral se observó en el turno matutino, en mujeres auxiliares de enfermería; sin embargo, los mayores ausentismos días promedio se dieron en hombres por causa de salud mental. Asimismo, 33, 6% de la población estudiada presentó más de 2 certificaciones. Dado el Test Chi-Cuadrado se constató la no independencia entre: motivo de certificación en función del turno y/o cargo del trabajador/a. Discusión: algunos de los resultados se reconocen en otros estudios; siendo uno de los primeros trabajos en la materia se sugiere la realización de nuevas investigaciones con el fin de observar la dinámica temporal del fenómeno estudiado, dadas sus implicancias individuales, colectivas, asistenciales e institucionales(AU)

In Uruguay, the systematic gathering of information on worker absenteeism due to mental health has been difficult. We had an opportunity to address this problem in the only public psychiatric hospital in the country, given the interest of authorities, professionals on verifying improvements in the quality of institutional records. Overall objective. To describe the medical certifications of workers of the Vilardebó psychiatric hospital in Montevideo in 2013. Methodology. Approach that brings together exploratory, descriptive and correlation aspects, using a quantitative, nonexperimental, cross-sectional, retrospective study design. Results. The greatest absenteeism from work was observed in the morning shift among female nursing assistants; however, the highest average number of absenteeism days 33.6% of the study population had more than two medical certifications. Based on chi-square statistics, non-independence was found between the reason for medical certification depending on the shift and / or job title of the worker. Discussion. Some of the results are consistent with prior studies. However, being one of the first studies on this subject, more research is needed to further examine the temporal dynamics of these observations, given their individual, collective, healthcare and institutional implications(AU)

Fatiga laboral y ausentismo en el trabajo en mujeres auxiliares de enfermería de un hospital de alta complejidad, Chile / Occupational fatigue and work absenteeism in female assistant nurses of a high-complexity hospital, Chile

Resumen Esta investigación ignifi la asociación entre la fatiga y el absentismo en el trabajo en 110 asistentes de enfermería de un hospital altamente complejo en Chile. Se ignifi un cuestionario sociodemográfico y la escala Check Strength Individual Strength. Los resultados mostraron que el ignific de absentismo predominante fue de 11 a 29 días. Los mayores promedios de fatiga se presentaron en los mayores de 2 años, con más de 10 pacientes en el consultorio y con contrato annual. No hubo diferencias significativas entre la fatiga media en relación con el absentismo, pero hubo una asociación ignificative entre la fatiga física (p = 0,040; OR = 1,054) y la antigüedad en el trabajo (p = 0,001; OR = 1,084) con el absentismo laboral. Finalmente, se concluye que la fatiga física y la antigüedad en el servicio clínico representaron un factor de riesgo significativo para el absentismo.

Abstract This research examined the association between occupational fatigue and work absenteeism in 110 female assistant nurses of a high-complexity hospital in Chile. A sociodemographic questionnaire and the Checklist Individual Strength (CIS) scale were used. The results showed that the predominant absenteeism range was 11-29 days. The highest means of fatigue occurred in those with seniority above 2 years, with more than 10 patients in charge and an annual contract. No significant difference was observed between the fatigue means concerning absenteeism, but a significant association was observed between physical fatigue (p = 0.040, OR = 1.054) and service seniority (p = 0.001, OR = 1.084) with work absenteeism. Finally, we can conclude that physical fatigue and seniority in the clinical service are significant risk factors for the occurrence of absenteeism.

Time Pressure, Time Autonomy, and Sickness Absenteeism in Hospital Employees: A Longitudinal Study on Organizational Absenteeism Records

BACKGROUND: Although work absenteeism is in the focus of occupational health, longitudinal studies on organizational absenteeism records in hospital work are lacking. This longitudinal study tests time pressure and lack of time autonomy to be related to higher sickness absenteeism. METHODS: Data was collected for 180 employees (45% nurses) of a Swiss hospital at baseline and at follow-up after 1 year. Absent times (hours per month) were received from the human resources department of the hospital. One-year follow-up of organizational absenteeism records were regressed on self-reported job satisfaction, time pressure, and time autonomy (i.e., control) at baseline. RESULTS: A multivariate regression showed significant prediction of absenteeism by time pressure at baseline and time autonomy, indicating that a stress process is involved in some sickness absenteeism behavior. Job satisfaction and the interaction of time pressure and time autonomy did not predict sickness absenteeism. CONCLUSION: Results confirmed time pressure and time autonomy as limiting factors in healthcare and a key target in work redesign.

Afastamento laboral por transtornos mentais entre os servidores da prefeitura municipal de Manaus: uma análise preliminar / Technical clearance for mental disorders among the servers in the city hall of Manaus: a preliminary analysis

O presente trabalho teve o propósito de investigar as ocorrências de afastamentos laborais decorrentes de transtornos mentais entre os servidores da Prefeitura Municipal de Manaus ­ PMM, registrados pela Junta Médica do Município, no período de janeiro a dezembro de 2011. Encontrou-se, após a análise documental, dados de extrema significância que convergem com inúmeros estudos os quais assinalam a natureza do trabalho como fator de risco para o adoecimento mental. Verificou-se, através dos mesmos, que os transtornos mentais estão entre as maiores causas de afastamentos das atividades laborais, especialmente entre os servidores da área da saúde e da educação, representando 10% do total de licenças concedidas em 2011. Esses achados poderão subsidiar futuros estudos que tenham como foco a promoção de saúde e a qualidade de vida desses profissionais, constituindo-se em um grande desafio para os gestores públicos (AU).

This study aimed to investigate the occurrence of work absenteeism due to mental disorders among the servers of the Prefeitura Municipal de Manaus - PMM, registered by the Medical Board of the Municipality, between January and December 2011. After the documentary analysis, data of extreme significance that converge with numerous studies which indicate the nature of work as a risk factor for mental illness were found. It is through them that mental disorders has been a major cause of absence from work activities, especially among the servers in the area of health and education, representing 10% of total permits issued in 2011. These findings may support future studies that focus on health promotion and quality of life of these professionals, thus becoming a major challenge for policy makers (AU).

Indirect costs in the treatment of Tuberculosis under DOTS.

Introduction: Tuberculosis (TB) causes enormous social and economic disruption and hampers nation’s development. DOTS strategy under RNTCP is one of the largest public health programes found to be beneficial against TB. The key component of DOTS is that each dose during continuous phase of treatment should be administered to patients under the supervision of a DOT provider, either from the community or the health system. This may sometime leads to loss of wages or incurs transportation charges for treatment in the program. Material and methods: A cross sectional study was conducted in 2 randomly selected DOTS centre of Jalandhar. Total number of patients registered during third quartile of 2014 was 107, out of which 102 patients can be contacted. Information regarding indirect costs i.e. wage loss, expenditure on transportation and extra nutrition was collected from all the patients. The data so collected was entered in analyzed using SPSS 16 software. Results: Overall mean expenditure of category 1 and 2 patients treated under DOTS was Rs 2072/- and 2319/- month. The major share of indirect costs (3/4 th) can be attributed to wage loss due to decreased capacity to work or work absenteeism. Majority of the patients (79%) preferred to take additional nutrients, which contributes to around one fourth of the total indirect costs. Travel costs as means of indirect expenditure were minimal (1.5%). Conclusion: Around half of the patients had undergone decrease in their monthly income. The major share of indirect costs (74%) can be attributed to wage loss due to decreased capacity to work. Recommendations: The patients registered under RNTCP should be covered under some food subsidy schemes with the help of Government sector/ NGOs. Patients unable to continue with their jobs should be assisted by social security schemes/ insurance coverage.

Workplace System Factors of Obstetric Nurses in Northeastern Ontario, Canada: Using a Work Disability Prevention Approach

BACKGROUND: The purpose of this study was to examine the relationship nursing personal and workplace system factors (work disability) and work ability index scores in Ontario, Canada. METHODS: A total of 111 registered nurses were randomly selected from the total number of registered nurses on staff in the labor, delivery, recovery, and postpartum areas of four northeastern Ontario hospitals. Using a stratified random design approach, 51 participants were randomly selected in four northeastern Ontario cities. RESULTS: A total of 51 (45.9% response rate) online questionnaires were returned and another 60 (54.1% response rate) were completed using the paper format. The obstetric workforce in northeastern Ontario was predominately female (94.6%) with a mean age of 41.9 (standard deviation = 10.2). In the personal systems model, three variables: marital status (p = 0.025), respondent ethnicity (p = 0.026), and mean number of patients per shift (p = 0.049) were significantly contributed to the variance in work ability scores. In the workplace system model, job and career satisfaction (p = 0.026) had a positive influence on work ability scores, while work absenteeism (p = 0.023) demonstrated an inverse relationship with work ability scores. In the combined model, all the predictors were significantly related to work ability scores. CONCLUSION: Work ability is closely related to job and career satisfaction, and perceived control at work among obstetric nursing. In order to improve work ability, nurses need to work in environments that support them and allow them to be engaged in the decision-making processes.