Factors Associated With the Occurrence of Adverse Effects Resulting From Hypodermoclysis in Older Adults in Palliative Care: A Cohort Study.

This study aimed to analyze the factors associated with local adverse effects resulting from hypodermoclysis in older adult patients in palliative care. The study involved 127 older adults undergoing palliative care at a hospital in southeastern Brazil. Data collection was performed from August to November 2019. Patients aged 60 years or older, with a prescription for hypodermoclysis at the time of admission and who were not receiving hypodermoclysis at the time of admission, were included. Data collected included sociodemographic, clinical, pharmacotherapeutic, and adverse effects of hypodermoclysis administration. Most participants were women (59.0%), with a mean age of 78.5 years. Frailty was the most prevalent diagnosis (26.8%), and 80.2% of patients were in the end-of-life stage. There was an incidence of 24.0% of adverse events, with catheter obstruction and swelling in the surrounding area of the hypodermoclysis site being the most frequent at 11.3% and 8.5%, respectively. Ondansetron administration by hypodermoclysis was 3 times more likely to have an adverse effect compared to not using this drug. In contrast, a protective factor was evident with the administration of 0.9% sodium chloride, which contributed to the reduction of complications. The occurrence of adverse effects from hypodermoclysis in the study population of older adults in palliative care was low.

Organizational climate, job satisfaction, and burnout in nursing workers.

Introduction: Characterized by high levels of emotional exhaustion and depersonalization and reduced professional accomplishment, burnout syndrome has been a major cause of psychic illness in nursing workers, with a serious impact on the quality of services and on patient safety. Objectives: To analyze the correlation between organizational climate, job satisfaction, and burnout in nursing workers. Methods: This is a cross-sectional study with a sample of 534 Brazilian nursing workers. We used the Organizational Climate Scale for Health Organizations, the Job Satisfaction Questionnaire (S20/23), and the Maslach Burnout Inventory. An analytical descriptive analysis of the data was performed using relative and absolute frequencies, mean, standard deviation, minimum, maximum, and correlation test between the variables. Results: Organizational climate and job satisfaction were evaluated as regular. With regard to burnout, moderate levels of emotional exhaustion, low levels of depersonalization, and high levels of professional accomplishment were observed. A strong positive correlation was found between job satisfaction and organizational climate; in addition to a moderate negative correlation between emotional exhaustion and both organizational climate and job satisfaction, and a moderate negative correlation between depersonalization and job satisfaction. Conclusions: Organizational climate and job satisfaction had a negative correlation with burnout dimensions, representing possible protective factors.

Introdução: Caracterizada por elevados níveis de exaustão emocional, despersonalização e diminuição da realização profissional, a síndrome de burnout tem sido uma grande causa de adoecimento psíquico em trabalhadores de enfermagem, com sérios impactos na qualidade dos serviços e na segurança do paciente. Objetivos: Analisar a correlação entre clima organizacional, satisfação no trabalho e burnout em trabalhadores de enfermagem. Métodos: Trata-se de um estudo transversal, realizado com uma amostra de 534 trabalhadores de enfermagem brasileiros. Utilizou-se a Escala de Clima Organizacional para Organizações de Saúde, o Questionário de Satisfação no Trabalho (S20/23) e o Inventário de Burnout de Maslach. Foi realizada uma análise analítica e descritiva dos dados por meio de frequências relativas e absolutas, média, desvio padrão, mínimo, máximo e teste de correlação entre as variáveis. Resultados: O clima organizacional e a satisfação no trabalho foram avaliados como regulares. Quanto ao burnout, observou-se moderada exaustão emocional, baixa despersonalização e elevada realização profissional. Verificou-se correlação positiva forte entre satisfação no trabalho e clima organizacional; correlação negativa moderada entre exaustão emocional e clima organizacional; correlação negativa moderada entre exaustão emocional e satisfação no trabalho; e correlação negativa moderada entre despersonalização e satisfação no Trabalho. Conclusões: Clima organizacional e satisfação no trabalho apresentaram correlação negativa com as dimensões de burnout, constituindo-se em possíveis fatores de proteção.

Prevalence of COVID-19 testing among health workers providing care for suspected and confirmed cases.

OBJECTIVES: To describe the prevalence of testing among health workers providing care for suspected and confirmed cases of COVID-19. METHODS: This quantitative, cross-sectional study was conducted from April to June 2020, using a convenience sample. An online questionnaire was used for collecting sociodemographic, occupational, and clinical data, which were analyzed descriptively. RESULTS: In total, 437 health workers participated in the study, with a predominance of nursing workers (58.68%), women (70.3%), age between 30 and 49 years (54.2%), individuals living in the Southeast region of Brazil (60.54%), working in the public care system (69.11%), and focused on primary care (30.89%). Among the participants, 36% reported comorbidities, 21.1% had symptoms suggestive of COVID-19, and only 27% had undergone some type of COVID-19 testing. CONCLUSIONS: Despite the existence of risk comorbidities and symptoms suggestive of contamination, the frequency of testing was below one third among respondents. The lack of action compromises health surveillance and protection strategies for workers providing care for the population and may favor the contamination of new patients and the community.

Intervention strategies for the health of university hospital nursing staff in Brazil.

OBJECTIVE: The aim of this study was to propose intervention strategies for the health of hospital-based nursing staff. METHOD: It was a field study, with a quantitative and qualitative approach, developed from data collected through the Monitoring System of Nursing Workers' Health in seven public and university hospitals of Brazil. Intervention strategies proposed considered regional specificities and the demands presented by professionals in each setting. RESULTS: The interventions were developed for: each workload to which nursing staff was exposed; processes of strain generated; and intervention strategies at the settings, according to the needs of the national scenario. CONCLUSION: Monitoring the health of nursing staff is a beginning point for building strategies directed at the health profile of each reality.