Amanda Aparecida Silva

Health-related quality of life and working conditions among nursing providers

OBJECTIVE To evaluate working conditions associated with health-related quality of life (HRQL) among nursing providers. METHODS Cross-sectional study conducted in a university hospital in the city of São Paulo, Southeastern Brazil, during 2004-2005. The study sample comprised 696 registered nurses, nurse technicians and nurse assistants, predominantly females (87.8%), who worked day and/or night shifts. Data on sociodemographic information, working and living conditions, lifestyles, and health symptoms were collected using self-administered questionnaires. The following questionnaires were also used: Job Stress Scale, Effort-Reward Imbalance (ERI) and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Ordinal logistic regression analysis using proportional odds model was performed to evaluate each dimension of the SF-36. RESULTS Around 22% of the sample was found to be have high strain and 8% showed an effort-reward imbalance at work. The dimensions with the lowest mean scores in the SF-36 were vitality, bodily pain and mental health. High-strain job, effort-reward imbalance (ERI>1.01), and being a registered nurse were independently associated with low scores on the role emotional dimension. Those dimensions associated to mental health were the ones most affected by psychosocial factors at work. CONCLUSIONS Effort-reward imbalance was more associated with health than high-strain (high demand and low control). The study results suggest that the joint analysis of psychosocial factors at work such as effort-reward imbalance and demand-control can provide more insight to the discussion of professional roles, working conditions and HRQL of nursing providers.

Jornadas de trabalho na enfermagem: entre necessidades individuais e condições de trabalho

OBJETIVO: Analisar fatores associados a jornada de trabalho profissional e a jornada de trabalho total (profissional + domestica) em profissionais de enfermagem. METODOS: Estudo transversal realizado em hospital universitario no municipio de Sao Paulo, SP, entre 2004 e 2005. Participaram 696 trabalhadores (enfermeiros, tecnicos e auxiliares de enfermagem), predominantemente mulheres (87,8%), que trabalhavam em turnos diurnos e/ou noturnos. Foi aplicado questionario autopreenchivel sobre dados sociodemograficos, condicoes de trabalho e de vida; e versoes traduzidas e adaptadas para o portugues das escalas de demanda-controle-apoio social no trabalho, de desequilibrio esforco-recompensa, do Questionario Generico de Avaliacao de Qualidade de Vida e do Indice de Capacidade para o Trabalho. Foram utilizados modelos de regressao logistica para a analise dos dados. RESULTADOS: Ser o unico responsavel pela renda familiar, o trabalho noturno e o desequilibrio esforco-recompensa foram as unicas variaveis associadas tanto a jornada profissional (OR = 3,38; OR = 10,43; OR = 2,07, respectivamente) quanto a jornada total (OR = 1,57; OR = 3,37; OR = 2,75, respectivamente). Nenhuma das variaveis ligadas as jornadas de trabalho se associou significativamente ao baixo Indice de Capacidade para o Trabalho. O tempo insuficiente para o repouso se mostrou estatisticamente associado as jornadas profissional (OR = 2,47) e total (OR = 1,48). O tempo insuficiente para o lazer se mostrou significativamente associado a jornada profissional (OR = 1,58) e valor limitrofe para a jornada total (OR = 1,43). CONCLUSOES: A responsabilidade financeira, o trabalho noturno e o desequilibrio esforco-recompensa sao variaveis que merecem ser contempladas em estudos sobre as jornadas de trabalho em equipes de enfermagem. Sugere-se que estudos sobre o tema abordem a renda individual do trabalhador, detalhando melhor a relacao entre os esforcos e recompensas, e principalmente discussoes que considerem as relacoes de genero.

Distúrbios psíquicos menores e condições de trabalho em motoristas de caminhão

OBJECTIVE To estimate the prevalence of minor psychiatric disorders and to identify associated stressors among truck drivers. METHODS A cross-sectional study was conducted with 460 truck drivers from a cargo transportation company of the Southern and Southeastern regions of Brazil, in 2007. Workers completed a questionnaire about sociodemographic, lifestyle and working conditions data. Working conditions were the independent variables, including occupational stressors, job satisfaction and job demand-control. The outcome evaluated was the occurrence of minor psychiatric disorders. Multiple and univariate logistic regression analyses were performed. RESULTS The prevalence of minor psychiatric disorders was 6.1%. The most frequently reported stressors were traffic congestion, tracking control and extended working hours. High job demand, low social support and extended daily working hours, as reported by drivers, were associated with minor psychiatric disorders. CONCLUSIONS Work involving extended working hours was associated with the occurrence of minor psychiatric disorders, both in the analysis of general working conditions and as a factor considered to be a stressor by drivers. Thus, regulation of working hours with focus on the limitation of the daily working hours is necessary to reduce the chance of developing minor psychiatric disorders in drivers.OBJETIVO: Estimar a prevalencia de disturbios psiquicos menores e identificar estressores associados entre motoristas de caminhao. METODOS: Estudo transversal conduzido com 460 motoristas de caminhao de uma transportadora de cargas das regioes Sul e Sudeste do Brasil, em 2007. Os trabalhadores preencheram questionario com dados sociodemograficos, estilos de vida e condicoes de trabalho. As variaveis independentes foram condicoes de trabalho, incluindo estressores ocupacionais, satisfacao e demanda-controle no trabalho. O desfecho avaliado foi a ocorrencia de disturbios psiquicos menores. Foram realizadas analises de regressao logistica univariada e multipla. RESULTADOS: A prevalencia de disturbios psiquicos menores foi de 6,1%. Os estressores mais citados foram congestionamentos, controle de rastreamento e jornada extensa de trabalho. A alta demanda no trabalho, o baixo apoio social e a jornada extensa diaria referidos pelos motoristas estiveram associados aos disturbios psiquicos menores. CONCLUSOES: O trabalho em jornadas extensas foi associado a ocorrencia de disturbios psiquicos menores, tanto na analise das condicoes gerais de trabalho quanto como fator referido como estressor pelos motoristas. A regulamentacao da jornada de trabalho com limitacao de horas de trabalho diario e, portanto, uma medida necessaria para a reducao da chance de desenvolvimento de disturbios psiquicos menores em motoristas.

Minor psychiatric disorders and working conditions in truck drivers

OBJECTIVE To estimate the prevalence of minor psychiatric disorders and to identify associated stressors among truck drivers. METHODS A cross-sectional study was conducted with 460 truck drivers from a cargo transportation company of the Southern and Southeastern regions of Brazil, in 2007. Workers completed a questionnaire about sociodemographic, lifestyle and working conditions data. Working conditions were the independent variables, including occupational stressors, job satisfaction and job demand-control. The outcome evaluated was the occurrence of minor psychiatric disorders. Multiple and univariate logistic regression analyses were performed. RESULTS The prevalence of minor psychiatric disorders was 6.1%. The most frequently reported stressors were traffic congestion, tracking control and extended working hours. High job demand, low social support and extended daily working hours, as reported by drivers, were associated with minor psychiatric disorders. CONCLUSIONS Work involving extended working hours was associated with the occurrence of minor psychiatric disorders, both in the analysis of general working conditions and as a factor considered to be a stressor by drivers. Thus, regulation of working hours with focus on the limitation of the daily working hours is necessary to reduce the chance of developing minor psychiatric disorders in drivers.OBJETIVO: Estimar a prevalencia de disturbios psiquicos menores e identificar estressores associados entre motoristas de caminhao. METODOS: Estudo transversal conduzido com 460 motoristas de caminhao de uma transportadora de cargas das regioes Sul e Sudeste do Brasil, em 2007. Os trabalhadores preencheram questionario com dados sociodemograficos, estilos de vida e condicoes de trabalho. As variaveis independentes foram condicoes de trabalho, incluindo estressores ocupacionais, satisfacao e demanda-controle no trabalho. O desfecho avaliado foi a ocorrencia de disturbios psiquicos menores. Foram realizadas analises de regressao logistica univariada e multipla. RESULTADOS: A prevalencia de disturbios psiquicos menores foi de 6,1%. Os estressores mais citados foram congestionamentos, controle de rastreamento e jornada extensa de trabalho. A alta demanda no trabalho, o baixo apoio social e a jornada extensa diaria referidos pelos motoristas estiveram associados aos disturbios psiquicos menores. CONCLUSOES: O trabalho em jornadas extensas foi associado a ocorrencia de disturbios psiquicos menores, tanto na analise das condicoes gerais de trabalho quanto como fator referido como estressor pelos motoristas. A regulamentacao da jornada de trabalho com limitacao de horas de trabalho diario e, portanto, uma medida necessaria para a reducao da chance de desenvolvimento de disturbios psiquicos menores em motoristas.

Nursing work hours: individual needs versus working conditions

OBJETIVO: Analisar fatores associados a jornada de trabalho profissional e a jornada de trabalho total (profissional + domestica) em profissionais de enfermagem. METODOS: Estudo transversal realizado em hospital universitario no municipio de Sao Paulo, SP, entre 2004 e 2005. Participaram 696 trabalhadores (enfermeiros, tecnicos e auxiliares de enfermagem), predominantemente mulheres (87,8%), que trabalhavam em turnos diurnos e/ou noturnos. Foi aplicado questionario autopreenchivel sobre dados sociodemograficos, condicoes de trabalho e de vida; e versoes traduzidas e adaptadas para o portugues das escalas de demanda-controle-apoio social no trabalho, de desequilibrio esforco-recompensa, do Questionario Generico de Avaliacao de Qualidade de Vida e do Indice de Capacidade para o Trabalho. Foram utilizados modelos de regressao logistica para a analise dos dados. RESULTADOS: Ser o unico responsavel pela renda familiar, o trabalho noturno e o desequilibrio esforco-recompensa foram as unicas variaveis associadas tanto a jornada profissional (OR = 3,38; OR = 10,43; OR = 2,07, respectivamente) quanto a jornada total (OR = 1,57; OR = 3,37; OR = 2,75, respectivamente). Nenhuma das variaveis ligadas as jornadas de trabalho se associou significativamente ao baixo Indice de Capacidade para o Trabalho. O tempo insuficiente para o repouso se mostrou estatisticamente associado as jornadas profissional (OR = 2,47) e total (OR = 1,48). O tempo insuficiente para o lazer se mostrou significativamente associado a jornada profissional (OR = 1,58) e valor limitrofe para a jornada total (OR = 1,43). CONCLUSOES: A responsabilidade financeira, o trabalho noturno e o desequilibrio esforco-recompensa sao variaveis que merecem ser contempladas em estudos sobre as jornadas de trabalho em equipes de enfermagem. Sugere-se que estudos sobre o tema abordem a renda individual do trabalhador, detalhando melhor a relacao entre os esforcos e recompensas, e principalmente discussoes que considerem as relacoes de genero.

Qualidade de vida associada a saúde e condições de trabalho entre profissionais de enfermagem

OBJECTIVE To evaluate working conditions associated with health-related quality of life (HRQL) among nursing providers. METHODS Cross-sectional study conducted in a university hospital in the city of São Paulo, Southeastern Brazil, during 2004-2005. The study sample comprised 696 registered nurses, nurse technicians and nurse assistants, predominantly females (87.8%), who worked day and/or night shifts. Data on sociodemographic information, working and living conditions, lifestyles, and health symptoms were collected using self-administered questionnaires. The following questionnaires were also used: Job Stress Scale, Effort-Reward Imbalance (ERI) and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Ordinal logistic regression analysis using proportional odds model was performed to evaluate each dimension of the SF-36. RESULTS Around 22% of the sample was found to be have high strain and 8% showed an effort-reward imbalance at work. The dimensions with the lowest mean scores in the SF-36 were vitality, bodily pain and mental health. High-strain job, effort-reward imbalance (ERI>1.01), and being a registered nurse were independently associated with low scores on the role emotional dimension. Those dimensions associated to mental health were the ones most affected by psychosocial factors at work. CONCLUSIONS Effort-reward imbalance was more associated with health than high-strain (high demand and low control). The study results suggest that the joint analysis of psychosocial factors at work such as effort-reward imbalance and demand-control can provide more insight to the discussion of professional roles, working conditions and HRQL of nursing providers.

Teachers’ sick leave due to mental and behavioral disorders and return to work

This manuscript presents a review of the literature about medical leaves due to mental and behavioral disorders and return to work of teachers. There are scarce published manuscripts. Most articles relate with prevalence of mental disorders and factors associated with the work organization, and did not mention intervention proposals and or changes in the work organization and teaching work. Proposed actions are discussed.

Jornadas de trabajo en la enfermería: entre necesidades individuales y condiciones de trabajo

OBJETIVO: Analisar fatores associados a jornada de trabalho profissional e a jornada de trabalho total (profissional + domestica) em profissionais de enfermagem. METODOS: Estudo transversal realizado em hospital universitario no municipio de Sao Paulo, SP, entre 2004 e 2005. Participaram 696 trabalhadores (enfermeiros, tecnicos e auxiliares de enfermagem), predominantemente mulheres (87,8%), que trabalhavam em turnos diurnos e/ou noturnos. Foi aplicado questionario autopreenchivel sobre dados sociodemograficos, condicoes de trabalho e de vida; e versoes traduzidas e adaptadas para o portugues das escalas de demanda-controle-apoio social no trabalho, de desequilibrio esforco-recompensa, do Questionario Generico de Avaliacao de Qualidade de Vida e do Indice de Capacidade para o Trabalho. Foram utilizados modelos de regressao logistica para a analise dos dados. RESULTADOS: Ser o unico responsavel pela renda familiar, o trabalho noturno e o desequilibrio esforco-recompensa foram as unicas variaveis associadas tanto a jornada profissional (OR = 3,38; OR = 10,43; OR = 2,07, respectivamente) quanto a jornada total (OR = 1,57; OR = 3,37; OR = 2,75, respectivamente). Nenhuma das variaveis ligadas as jornadas de trabalho se associou significativamente ao baixo Indice de Capacidade para o Trabalho. O tempo insuficiente para o repouso se mostrou estatisticamente associado as jornadas profissional (OR = 2,47) e total (OR = 1,48). O tempo insuficiente para o lazer se mostrou significativamente associado a jornada profissional (OR = 1,58) e valor limitrofe para a jornada total (OR = 1,43). CONCLUSOES: A responsabilidade financeira, o trabalho noturno e o desequilibrio esforco-recompensa sao variaveis que merecem ser contempladas em estudos sobre as jornadas de trabalho em equipes de enfermagem. Sugere-se que estudos sobre o tema abordem a renda individual do trabalhador, detalhando melhor a relacao entre os esforcos e recompensas, e principalmente discussoes que considerem as relacoes de genero.

Calidad de vida asociada a la salud y condiciones de trabajo entre profesionales de enfermería

OBJECTIVE To evaluate working conditions associated with health-related quality of life (HRQL) among nursing providers. METHODS Cross-sectional study conducted in a university hospital in the city of São Paulo, Southeastern Brazil, during 2004-2005. The study sample comprised 696 registered nurses, nurse technicians and nurse assistants, predominantly females (87.8%), who worked day and/or night shifts. Data on sociodemographic information, working and living conditions, lifestyles, and health symptoms were collected using self-administered questionnaires. The following questionnaires were also used: Job Stress Scale, Effort-Reward Imbalance (ERI) and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Ordinal logistic regression analysis using proportional odds model was performed to evaluate each dimension of the SF-36. RESULTS Around 22% of the sample was found to be have high strain and 8% showed an effort-reward imbalance at work. The dimensions with the lowest mean scores in the SF-36 were vitality, bodily pain and mental health. High-strain job, effort-reward imbalance (ERI>1.01), and being a registered nurse were independently associated with low scores on the role emotional dimension. Those dimensions associated to mental health were the ones most affected by psychosocial factors at work. CONCLUSIONS Effort-reward imbalance was more associated with health than high-strain (high demand and low control). The study results suggest that the joint analysis of psychosocial factors at work such as effort-reward imbalance and demand-control can provide more insight to the discussion of professional roles, working conditions and HRQL of nursing providers.

Disturbios síquicos menores y condiciones laborales en conductores de camión

OBJECTIVE To estimate the prevalence of minor psychiatric disorders and to identify associated stressors among truck drivers. METHODS A cross-sectional study was conducted with 460 truck drivers from a cargo transportation company of the Southern and Southeastern regions of Brazil, in 2007. Workers completed a questionnaire about sociodemographic, lifestyle and working conditions data. Working conditions were the independent variables, including occupational stressors, job satisfaction and job demand-control. The outcome evaluated was the occurrence of minor psychiatric disorders. Multiple and univariate logistic regression analyses were performed. RESULTS The prevalence of minor psychiatric disorders was 6.1%. The most frequently reported stressors were traffic congestion, tracking control and extended working hours. High job demand, low social support and extended daily working hours, as reported by drivers, were associated with minor psychiatric disorders. CONCLUSIONS Work involving extended working hours was associated with the occurrence of minor psychiatric disorders, both in the analysis of general working conditions and as a factor considered to be a stressor by drivers. Thus, regulation of working hours with focus on the limitation of the daily working hours is necessary to reduce the chance of developing minor psychiatric disorders in drivers.OBJETIVO: Estimar a prevalencia de disturbios psiquicos menores e identificar estressores associados entre motoristas de caminhao. METODOS: Estudo transversal conduzido com 460 motoristas de caminhao de uma transportadora de cargas das regioes Sul e Sudeste do Brasil, em 2007. Os trabalhadores preencheram questionario com dados sociodemograficos, estilos de vida e condicoes de trabalho. As variaveis independentes foram condicoes de trabalho, incluindo estressores ocupacionais, satisfacao e demanda-controle no trabalho. O desfecho avaliado foi a ocorrencia de disturbios psiquicos menores. Foram realizadas analises de regressao logistica univariada e multipla. RESULTADOS: A prevalencia de disturbios psiquicos menores foi de 6,1%. Os estressores mais citados foram congestionamentos, controle de rastreamento e jornada extensa de trabalho. A alta demanda no trabalho, o baixo apoio social e a jornada extensa diaria referidos pelos motoristas estiveram associados aos disturbios psiquicos menores. CONCLUSOES: O trabalho em jornadas extensas foi associado a ocorrencia de disturbios psiquicos menores, tanto na analise das condicoes gerais de trabalho quanto como fator referido como estressor pelos motoristas. A regulamentacao da jornada de trabalho com limitacao de horas de trabalho diario e, portanto, uma medida necessaria para a reducao da chance de desenvolvimento de disturbios psiquicos menores em motoristas.