Jorgana Fernanda de Souza Soares

The prevalence of musculoskeletal diseases among casual dock workers

This study identified the prevalence of work-related musculoskeletal disorders among casual dockworkers. This is a retrospective and quantitative study, the data sources of which included the medical files of dockworkers from 2000 to 2009. Data were collected in a medical service for dockworkers using a previously developed form; descriptive quantitative analysis was performed. Ethical aspects were complied with. A total of 15.8% of the diagnoses identified among male workers referred to musculoskeletal disorders. Individuals older than 52 years of age and with more than 21 years working in the field predominated. The most frequent musculoskeletal diseases included low back pain (38.8%), tendinitis (19.7%), and neck pain (12.5%). These diseases can be prevented through health interventions, confirming the importance of developing clinical support in nursing in order to improve the quality of life of dockworkers.Este estudio tuvo como objetivo identificar la prevalecia de enfermedades osteomusculares relacionadas al trabajo entre trabajadores portuarios sin registro. Estudio cuantitativo, retrospectivo. La fuente de datos las tablas de atencion medica de los trabajadores portuarios sin registro en el periodo de 2000 a 2009. La colecta de datos fue realizada en un Servicio de Medicina del Trabajo Portuario a partir de un formulario predeterminado. Se procedio en el analisis cuantitativo descriptivo de los datos. Los aspectos eticos fueran respetados. Se identifico 15,8% diagnosticos de enfermedades osteomusculares, entre trabajadores del sexo masculino. Predominaran individuos con mas de 52 anos de edad y con tiempo de actuacion laboral superior a 21 anos. Las principales enfermedades fueran de lumbalgia (38,8%), tendinitis (19,7%) y cervicalgia (12,5%). Las enfermedades osteomusculares mas prevalentes fueran las lumbalgias, tendinitis y cervicalgias, las cuales pueden prevenirse por medio de acciones interventoras y evaluativas en salud, ratificando la importancia de construir subsidios clinicos en enfermeria que colaboren para la cualidad de vida del trabajador portuario.

Risk perception in family health work: study with workers in Southern Brazil

This analytical and qualitative study aimed to identify how workers in the Family Health Strategy perceive the risks they are exposed to at work. Thematic analysis and the reference framework of the work process were used to examine the contents of interviews with 48 subjects (community health agents, nurses, nursing auxiliaries and physicians). The workers noticed the following risks: physical and moral violence, typical work accident, emotional exhaustion, lack of problem-solving ability and occupational disease. The results predominantly show the connection with the object / subject of the work and the social environmental characteristics of the related communities. The study adds to the body of knowledge and can systemize collective and individual technological processes for occupational health risk management in primary health care.This analytical and qualitative study aimed to identify how workers in the Family Health Strategy perceive the risks they are exposed to at work. Thematic analysis and the reference framework of the work process were used to examine the contents of interviews with 48 subjects (community health agents, nurses, nursing auxiliaries and physicians). The workers noticed the following risks: physical and moral violence, typical work accident, emotional exhaustion, lack of problem-solving ability and occupational disease. The results predominantly show the connection with the object / subject of the work and the social environmental characteristics of the related communities. The study adds to the body of knowledge and can systemize collective and individual technological processes for occupational health risk management in primary health care.

Processo de trabalho da Estratégia Saúde da Família: a concepção de gestão que permeia o agir em saúde

Este estudo, de carater explicativo e transversal, e natureza predominantemente qualitativa, tem o objetivo de analisar o processo de trabalho dos gestores municipais da Estrategia Saude da Familia (ESF), a fim de apreender a concepcao de gestao que permeia seu agir em saude. Os dados foram coletados atraves de entrevista semiestruturada gravada, junto aos gestores da ESF pertencentes a 12 municipios da Terceira Coordenadoria Regional de Saude do Rio Grande do Sul (3aCRS/RS), totalizando 15 sujeitos. A analise tematica congregou uma abordagem dialetica, seguindo os passos de pre-analise, exploracao e tratamento do material e interpretacao dos resultados. Os resultados foram organizados em tres subtemas elucidativos das acoes desenvolvidas pelos gestores investigados: 1) Acoes de organizacao/funcionamento da Saude da Familia; 2) Acoes de formacao/educacao permanente ou continuada; 3) Acoes de monitoramento e avaliacao. Apreendem-se do processo de trabalho duas concepcoes de gestao, sendo a primeira relacionada a gestao classica/tradicional e a segunda relativa aos preceitos da cogestao. A guisa de conclusao, depreende-se que o processo de trabalho dos gestores da ESF na 3aCRS/RS apresenta fortalezas e fragilidades, relacionadas a concepcao de gestao que estrutura seu trabalho. Assim, sugere-se a revisao de algumas praticas, de modo que a cogestao seja a concepcao preferencial utilizada para a administracao da Saude da Familia.

Estudo com enfermeiros e médicos da atenção básica à saúde: uma abordagem socioambiental

This is a quantitative study which, using a socio-environmental approach, analyzed the organizational process of work in primary health care. The objectives were to analyze how nurses and physicians identified strategies in order to work the relationship between health and the environment; which environmental problems influence the health oc communities; and how they act as communities in the face of such problems. Structured interviews were carried out with 36 nurses and 19 physicians in two cities in southern Brazil, followed with quantitative and contextual analysis. The question referring to knowledge of the environmental situations which imply effective or potential health risks received a significantly higher average from the nurses (p=0,000) and from the physicians (p=0,042). The lack of basic sanitation, the presence of vectors, inadequate handling of solid residues, and non-paved streets were the environmental problems of the community to which these workers attributed the best averages (p=0,000). It can thus be concluded that the organizational structure of work in primary health care still is not significantly influenced by the health and environment relationship.This is a quantitative study which, using a socio-environmental approach, analyzed the organizational process of work in primary health care. The objectives were to analyze how nurses and physicians identified strategies in order to work the relationship between health and the environment; which environmental problems influence the health oc communities; and how they act as communities in the face of such problems. Structured interviews were carried out with 36 nurses and 19 physicians in two cities in southern Brazil, followed with quantitative and contextual analysis. The question referring to knowledge of the environmental situations which imply effective or potential health risks received a significantly higher average from the nurses (p=0,000) and from the physicians (p=0,042). The lack of basic sanitation, the presence of vectors, inadequate handling of solid residues, and non-paved streets were the environmental problems of the community to which these workers attributed the best averages (p=0,000). It can thus be concluded that the organizational structure of work in primary health care still is not significantly influenced by the health and environment relationship.

Prevenção de agravos e promoção da saúde: um estudo com trabalhadores portuários

Estudio cuantitativo, transversal y descriptivo, realizado en el puerto de Rio Grande, en la ciudad de Rio Grande do Sul, Brasil. El objetivo fue identificar el conocimiento y participacion de trabajadores al respecto de los servicios portuarios especializados, siendo utilizada una muestra con 306 individuos. En el grupo general de los trabajadores participantes del estudio, la mayoria identifico la existencia del Programa de Prevencion de Riesgos Ambientales (67,32%), del Servicio Especializado en Seguridad y Salud en el Trabajo Portuario (93,46%) y de la Comision de Prevencion de Accidentes en el Trabajo Portuario (97,38%). Sobre la participacion de los trabajadores en los servicios citados, estratificada por categoria profesional, se destaca en relacion al primero, la colaboracion, implantacion, ejecucion y respeto a las orientaciones (p=0,001), y con relacion al segundo y tercer servicios, la participacion en la eleccion de los representantes (p=0,001). Se evidencia que conocer estos servicios y participar se relaciona con la actividad desarrollada por los trabajadores. Tales evidencias contribuyen para un acuerdo entre el apoyo educativo y ambiental para la gestion de riesgos y la promocion de la salud de los trabajadores portuarios.

Percepção do risco no trabalho em saúde da família: estudo com trabalhadores no Sul do Brasil

This analytical and qualitative study aimed to identify how workers in the Family Health Strategy perceive the risks they are exposed to at work. Thematic analysis and the reference framework of the work process were used to examine the contents of interviews with 48 subjects (community health agents, nurses, nursing auxiliaries and physicians). The workers noticed the following risks: physical and moral violence, typical work accident, emotional exhaustion, lack of problem-solving ability and occupational disease. The results predominantly show the connection with the object / subject of the work and the social environmental characteristics of the related communities. The study adds to the body of knowledge and can systemize collective and individual technological processes for occupational health risk management in primary health care.This analytical and qualitative study aimed to identify how workers in the Family Health Strategy perceive the risks they are exposed to at work. Thematic analysis and the reference framework of the work process were used to examine the contents of interviews with 48 subjects (community health agents, nurses, nursing auxiliaries and physicians). The workers noticed the following risks: physical and moral violence, typical work accident, emotional exhaustion, lack of problem-solving ability and occupational disease. The results predominantly show the connection with the object / subject of the work and the social environmental characteristics of the related communities. The study adds to the body of knowledge and can systemize collective and individual technological processes for occupational health risk management in primary health care.

Sistema de significados sobre a finalidade do trabalho na Saúde da Família: uma abordagem qualitativa

This exploratory study was performed to understand the system of meanings about the purpose of the nursing and medical work performed by Family Health teams, in the cities of Rio Grande and Pelotas (Brazil). Data collection was performed by semi-directed individual interviews. The interviews of 82 participants were recorded, and analyzed. The nuclear meaning of the purpose, as an end transmuted into the product of collective work, was in agreement with the possibility of the community implementing changes and acquiring healthy individual and collective behaviors. This gives evidence of the component of ethics in the process, by means of categories such as solidarity and compassion. This led to a marker, in the text production, of the human condition in the construction of the work purpose. Through the analysis and critical discussion of the theme, this study contributes to the macro-dimension of developing competencies and adjustment to the health needs of society.Se trata de un estudio exploratorio y descriptivo, con un abordaje cualitativo, objetivando comprender el sistema de significados sobre la finalidad del trabajo de enfermeros y medicos de los equipos de la Salud de la Familia, en las ciudades de Rio Grande y Pelotas. La entrevista dirigida parcialmente, individual y grabada, fue utilizada en la recoleccion de los datos, siguiendose un analisis tematico de las declaraciones de 82 participantes. El significado nuclear de la finalidad, como fin transmutado en producto del trabajo colectivo, se mostro de acuerdo con la posibilidad de realizar cambios y adquirir comportamientos individuales y colectivos saludables por parte de la comunidad, evidenciandose el componente etico en el proceso, por medio de categorias como la solidaridad y la compasion. De esto se derivo, en la produccion textual, un marcador de la condicion humana en la construccion de la finalidad del trabajo. Por medio del analisis y discusion critica de la tematica, este estudio contribuye para la dimension macro de la formacion de competencias y adecuacion a las necesidades sociales de salud.

Determinantes sociais de saúde: características da comunidade e trabalho das enfermeiras na saúde da família

Este estudo objetivou identificar os Determinantes Sociais de Saude que despontam nos depoimentos das enfermeiras, ao caracterizarem a comunidade, analisando sua relacao com o trabalho desenvolvido. Trata-se de um estudo exploratorio-descritivo com analise qualitativa nas categorias teoricas dos determinantes. Utilizou-se entrevista semiestruturada gravada com consentimento das 65 enfermeiras da Estrategia Saude da Familia, pertencentes a 3a Coordenadoria Regional de Saude do Rio Grande do Sul. Evidenciou-se a inter e intrarrelacao nos fatores determinantes da saude, obtendo 104 citacoes para as caracteristicas anatomofisiologicas dos individuos/comunidade correspondentes aos determinantes proximais e em associacao predominantemente ao trabalho desenvolvido pelas enfermeiras. Para os determinantes intermediarios houve 27 citacoes e, para os distais, 166, com predominante referencia a localizacao territorial das comunidades em areas rurais e perifericas. As enfermeiras relataram uma estreita relacao entre as caracteristicas proximais e o trabalho por elas desenvolvido, bem como visualizam a relacao com os demais determinantes na relacao com o processo de adoecimento

O risco do uso de drogas no trabalho portuário: estudo no extremo sul do Brasil

Abstract Resumen Keywords:Street Drugs. Risk. Working Environment. Nursing.Palabras clave:Drogas Ilicitas. Riesgo. Ambiente de Trabajo. Enfermeria. O RISCO DO USO DE DROGAS NO TRABALHO PORTUARIO:ESTUDO NO EXTREMO SUL DO BRASIL a The Risk of the Use of Drugs in the Harbour Work:Study in the Southern Extreme of BrazilEl Riesgo del Uso de Drogas en el Trabajo Portuario:Estudio en el Extremo Sur del Brasil Jorgana Fernanda de Souza Soares 1 Marta Regina Cezar-Vaz 2 Leticia da Silveira Cardoso 3 Maria Cristina Flores Soares 4 Valdecir Zavarese da Costa 5 Marlise Capa Verde de Almeida 6 Este e um estudo quantitativo, exploratorio e descritivo. Objetivou identificar a realidade do uso de drogas entre os trabalhad oresportuarios avulsos no microambiente portuario, no extremo sul do Brasil. A amostra constituiu-se de 306 trabalhadores. Osdados foram coletados atraves de entrevista estruturada e individual e analisados quantitativamente. Dos participantes, 43,14%responderam que seus colegas ja trabalharam sob o efeito de drogas, e as mais utilizadas foram o alcool (94,70%) e a maconha(77,27%). O motivo apontado com maior frequencia para o uso foi a dependencia (40,15%). O conhecimento da realidade dousuario de drogas e a preocupacao com o uso em ambientes de trabalho tornam-se ferramentas importantes para o enfermeiro,posicionando-o como colaborador e parceiro na sensibilizacao dos individuos para a diminuicao dos riscos decorrentes do usode drogas na vida do trabalhador e no ambiente de trabalho.This is a quantitative, exploratory and descriptive study. Itaimed at identifying the reality of drug usage among the PortWorkers at the port environment, in the southern extreme ofBrazil. The sample consisted of 306 workers. The data wascollected through structured, individual interview and werequantitatively analyzed. Among the participants, 43,14%answered that their workmates had already worked under theeffect of drugs and the mostly used were alcohol (94,70%)and marijuana (77,27%). The most mentioned reason for theuse was the addiction (40,15%). The knowledge of the realityof the drug user and the concern with the use at workingenvironments, become important tools for the nurse,positioning it as a collaborator and partner in thesensibility of the individuals for the reduction of riskswhich result from the use of drugs in the life of theworker as well as in the work environment.Esto es un estudio cuantitativo, exploratorio y descriptivo.Objetiva identificar la realidad del uso de drogas entre lostrabajadores portuarios autonomos en el micro ambienteportuario, en la extremidad del sur del Brasil. La muestraconsistio en 306 trabajadores. Los datos fueran recogidos atraves de entrevista estructurada, individual y analizada demodo cuantitativo. De los participantes, 43.14% habiancontestado a que sus colegas habian trabajado sobre el efectode drogas y las mas utilizadas fueron el alcohol (94.70%) y lamarihuana (77.27%). La razon apuntada con mayor frecuenciafue la dependencia (40.15%). El conocimiento de la realidaddel usuario de drogas y la preocupacion con el uso enambientes de trabajo, se convierten en herramientasimportantes para el enfermero, localizando lo comocolaborador y companero en la sensibilizacion de los individuospara la reduccion de los riesgos consecuentes del uso dedrogas en la vida del trabajador y en el ambiente de trabajo.

Injury prevention and health promotion: a study among dock workers

Estudio cuantitativo, transversal y descriptivo, realizado en el puerto de Rio Grande, en la ciudad de Rio Grande do Sul, Brasil. El objetivo fue identificar el conocimiento y participacion de trabajadores al respecto de los servicios portuarios especializados, siendo utilizada una muestra con 306 individuos. En el grupo general de los trabajadores participantes del estudio, la mayoria identifico la existencia del Programa de Prevencion de Riesgos Ambientales (67,32%), del Servicio Especializado en Seguridad y Salud en el Trabajo Portuario (93,46%) y de la Comision de Prevencion de Accidentes en el Trabajo Portuario (97,38%). Sobre la participacion de los trabajadores en los servicios citados, estratificada por categoria profesional, se destaca en relacion al primero, la colaboracion, implantacion, ejecucion y respeto a las orientaciones (p=0,001), y con relacion al segundo y tercer servicios, la participacion en la eleccion de los representantes (p=0,001). Se evidencia que conocer estos servicios y participar se relaciona con la actividad desarrollada por los trabajadores. Tales evidencias contribuyen para un acuerdo entre el apoyo educativo y ambiental para la gestion de riesgos y la promocion de la salud de los trabajadores portuarios.