Prevalence and Factors Associated with Burnout Syndrome among Primary Health Care Nursing Professionals: A Cross-Sectional Study.

The objective of the study was to evaluate the prevalence and factors associated with Burnout Syndrome (BS) in Primary Health Care (PHC) nursing professionals from the state of Bahia, Brazil. A multicentre, cross-sectional population-based study was conducted in a cluster sample among 1125 PHC Nursing professionals during the years 2017 and 2018. We used a questionnaire that included sociodemographic, labor and lifestyle variables and the Maslach Burnout Inventory scale to identify BS. The associations were evaluated using a robust Poisson regression with the hierarchical selection of the independent variables. The prevalence of BS was 18.3% and the associated factors were ethnicity (prevalence ratio (PR) = 0.62, confidence interval (CI) 95% = 0.47-0.83), residence (PR = 2.35, CI 95% = 1.79-3.09), economic situation (PR = 1.40, CI 95% = 1.06-1.86), satisfaction with current occupation (PR = 1.75, CI 95% = 1.31-2.33), (PR = 1.60, CI 95% = 1.23-2.08), rest (PR = 1.83, 95% CI = 1.41-2.37), technical resources and equipment (PR = 1.37, CI 95% = 1.06-1.77), night shift (PR = 1.49, CI 95% = 1.14-1.96), physical activity practice (PR = 1.72; CI 95% = 1.28-2.31), smoking (PR = 1.82, CI 95% = 1.35-2.45), and satisfaction with physical form (PR = 1.34, CI 95% = 1.01-179). Strategies are needed to prevent BS, with an emphasis on implementing worker health programs in the context of PHC.

Metabolic Syndrome Among Primary Health Care Nursing Professionals: A Cross-Sectional Population-Based Study.

This research aims at evaluating prevalence and factors associated with metabolic syndrome (MS) in primary health care (PHC) nursing professionals. A multicenter, population-based and cross-sectional study was conducted in a team-tested sample of 1125 PHC nurses in the state of Bahia, Brazil. Sociodemographic, labor, lifestyle and human biology variables were investigated by mean of anamnesis. MS was evaluated according to the criteria of the first Brazilian Guideline for Metabolic Syndrome, which fully adopts the criteria of the National Cholesterol Education Program's Adult Treatment Panel III. MS-associated factors were tested by using robust Poisson Regression. The prevalence of MS found was 24.4%; low High Density Lipoprotein (HDL) cholesterol was the most prevalent component of the syndrome. In the multivariate analysis, physical inactivity (PR = 1.25, 95% CI = 1.02-1.53), alcohol use (PR = 1.84, 95% CI = 1.22-2.77), acanthosis nigricans (PR = 3.23, 95% CI = 2.65-3.92), burnout syndrome (PR = 1.45, 95% CI = 1.17-1.81), (PR = 1.37, 95% CI = 1.12-1.69), working as a nursing technician (PR = 1.43, 95% CI = 1.14-1.80), were associated to MS. It was found that the prevalence of MS was high, which evidences the need for interventions in the PHC environment, improvement of working conditions, monitoring of worker safety and health, diet programs and physical activity.

[Bonding to implement the family health program at a basic health unit]. / Formação do vínculo na implantação do Programa Saúde da Família numa Unidade Básica de Saúde.

The objective of this study was to learn about strategies to develop binding between patients and Family Health Program (FHP) professionals at a basic health unit in the city of Fortaleza-CE. This descriptive and qualitative study was performed in August and September 2007 in Fortaleza, Ceará, Brazil. Study informants were the 12 professionals working in the family health program teams. Data was collected through interviews and organized in the form of subject discourse categories, based on the Collective Subject Discourse technique, and analyzed according to the literature. The study complied with inherent ethical issues regarding research involving human beings. The professionals understand bond as relationship, complicity and trust. They believe that service organization, commitment and respect are indispensable to consolidate this process, which can be established with groups, user embracement and home visits. Emphasis is given to the importance of developing bonding in the Family Health Program as a strategy to improve health care.

Formação do vínculo na implantação do Programa Saúde da Família numa Unidade Básica de Saúde / Formación del vínculo en la implantación del Programa Salud de la Familia en una unidad básica de salud / Bonding to implement the Family Health Program at a basic health unit

Este estudo objetivou conhecer as estratégias de formação do vínculo entre usuários e profissionais do Programa de Saúde da Família (PSF) de uma unidade básica em Fortaleza-CE. Estudo descritivo de natureza qualitativa, realizado nos meses de agosto e setembro de 2007 em Fortaleza-Ceará-Brasil. Os informantes do estudo foram os 12 profissionais das equipes de saúde da família. Os dados foram coletados por meio de entrevista e organizados na forma de categorização das falas dos sujeitos, com base na técnica do Discurso do Sujeito Coletivo e analisados com a literatura. Foram respeitadas as questões éticas inerentes a estudos com seres humanos. Os profissionais compreendem vínculo como relacionamento, cumplicidade e confiança. Acreditam que organização do serviço, compromisso e respeito são indispensáveis para a consolidação deste processo, que pode ser formado com grupos, acolhimento e visita domiciliar. Ressalta-se a importância da formação do vínculo no Programa Saúde da Família como estratégia para uma melhor assistência à saúde.

The objective of this study was to learn about strategies to develop binding between patients and Family Health Program (FHP) professionals at a basic health unit in the city of Fortaleza-CE. This descriptive and qualitative study was performed in August and September 2007 in Fortaleza, Ceará, Brazil. Study informants were the 12 professionals working in the family health program teams. Data was collected through interviews and organized in the form of subject discourse categories, based on the Collective Subject Discourse technique, and analyzed according to the literature. The study complied with inherent ethical issues regarding research involving human beings. The professionals understand bond as relationship, complicity and trust. They believe that service organization, commitment and respect are indispensable to consolidate this process, which can be established with groups, user embracement and home visits. Emphasis is given to the importance of developing bonding in the Family Health Program as a strategy to improve health care.

Este estudio tuvo como objetivo conocer las estrategias de formación del vínculo entre usuarios y profesionales del Programa Salud de La Familia (PSF) de una unidad básica en Fortaleza-CE. Estudio descriptivo, de naturaleza cualitativa, realizado en los meses de agosto y septiembre de 2007 en Fortaleza-Ceará-Brasil. Los informantes del estudio fueron los 12 profesionales de los equipos de salud de la familia. Los datos fueron recolectados por medio de una entrevista y los discursos de los sujetos fueron organizados en categorías, con base en la técnica del Discurso del Sujeto Colectivo y analizados con la literatura. Fueron respetadas las cuestiones éticas inherentes a los estudios con seres humanos. Los profesionales comprenden al vínculo como siendo una relación, una complicidad y en la que debe existir confianza. Piensan que la organización del servicio, el compromiso y el respeto son indispensables para la consolidación de este proceso, que puede ser formado con grupos, acogimiento y visita domiciliar. Se destaca la importancia de la formación del vínculo en el Programa Salud de la Familia, como estrategia para obtener una mejor asistencia a la salud.