Liana Lautert

Fatores ocupacionais associados aos componentes da síndrome de Burnout em trabalhadores de enfermagem

El objetivo es el de identificar los factores ocupacionales que estan asociados con los tres componentes del Sindrome de Burnout en los enfermeros que trabajan en la atencion hospitalaria. Se trata de un estudio transversal realizado en un hospital en la Sierra Gaucha. La muestra fue de 164 trabajadores del equipo de enfermeria. Para el analisis de los datos se utilizo la estadistica analitica. Los resultados senalan que los tres componentes del Sindrome de Burnout presentaron asociacion estadistica significativa (p<0,05) con las siguientes caracteristicas ocupacionales: sobrecarga de trabajo, falta de motivacion para trabajar, conflicto entre los valores personales y los institucionales, falta de recompensas y dificultad para conciliar su trabajo en dos instituciones diferentes. Se concluye que el mantenimiento de condiciones adversas en el trabajo genera estres, obligando a los trabajadores a desarrollar mecanismos de adaptacion, que a veces no son eficaces y que, en ultima instancia, conducen al desarrollo del Sindrome de Burnout.The objective of this study is to identify occupational factors associated with the three components of Burnout Syndrome among nursing workers who work in hospital care. It is a cross-sectional study carried out in a hospital located in the Serra Gaucha, RS, Brazil. Analytical statistics were applied to a sample of 164 nursing personnel. The results indicate that Burnout Syndrome components showed statistically significant associations (p<0.05) with the following occupational characteristics: work overload, lack of work motivation, conflicts of personal versus institutional values, lack of opportunity for reward, having the same task in different institutions, and the difficulty in conciliating different jobs. We conclude that maintaining adverse work conditions generates stress, forcing the employee to develop adaptive mechanisms which sometimes are not effective. Together, these factors lead to the development of Burnout Syndrome. DESCRIPTORS: Burnout professional. Occupational health. Surveillance of the workers Health; Nursing. FACTORES OCUPACIONALES ASOCIADOS CON LOS COMPONENTES DEL SÍNDROME DE BURNOUT EN LOS TRABAJADORES DEL ENFERMERÍA RESUMEN: El objetivo es el de identificar los factores ocupacionales que están asociados con los tres componentes del Síndrome de Burnout en los enfermeros que trabajan en la atención hospitalaria. Se trata de un estudio transversal realizado en un hospital en la Sierra Gaucha. La muestra fue de 164 trabajadores del equipo de enfermería. Para el análisis de los datos se utilizó la estadística analítica. Los resultados señalan que los tres componentes del Síndrome de Burnout presentaron asociación estadística significativa (p<0,05) con las siguientes características ocupacionales: sobrecarga de trabajo, falta de motivación para trabajar, conflicto entre los valores personales y los institucionales, falta de recompensas y dificultad para conciliar su trabajo en dos instituciones diferentes. Se concluye que el mantenimiento de condiciones adversas en el trabajo genera estrés, obligando a los trabajadores a desarrollar mecanismos de adaptación, que a veces no son eficaces y que, en última instancia, conducen al desarrollo del Síndrome de Burnout. DESCRIPTORES: Agotamiento profesional. Salud del trabajador. Vigilancia de la salud del trabajador. Enfermería.

Síndrome de Burnout entre os trabalhadores da Estratégia de Saúde da Família

This descriptive study was developed with sixteen Family Health Strategy teams from Santa Maria (Rio Grande do Sul), with the objective to identify works with the Burnout syndrome and the variables associated with this disorder. The sample consisted of 86 workers, representing 86.3% of professionals (physicians, nurses, nursing technicians, dentists and dental office assistants) and 30.2% of community health agents, who answered the Maslach Burnout Inventory. The average age of the group was 36.94 +/- 9.3 years, with a predominance of females (84.9%). Most participants had a partner (68.2%), children (69.4%), have worked in the team for, in average, 3.38 +/- 1.9 years and do not exercise regularly (62.8%). Six workers (6.9%) presented the Burnout Syndrome, which has a statistically significant association (p = 0.034) with the young age variable. Younger subjects obtained higher scores on the subscales for emotional distress and depersonalitation on the Burnout Inventory.

Work under urgency and emergency and its relation with the health of nursing professionals

The study aimed at understanding work under urgent and emergency conditions and its connection with the health of nursing professionals, who work at an urgency and emergency state service. Descriptive qualitative case study carried out at a state service in Porto Alegre, RS. The collection of data included the analysis of documents from the Institution, the observation of the work dynamics, and the performance of semi-structured interviews with the nursing professionals. The data were submitted to content analysis. One could understand that the health of the nursing professionals is constituted from a working dynamics which is sometimes harmful because it results from an organizational context that carries marks of a state health system with many gaps, however, that allows the meaning of work to be an essential element for the ability to keep the balance and not getting sick in view of the work demands.The study aimed at understanding work under urgent and emergency conditions and its connection with the health of nursing professionals, who work at an urgency and emergency state service. Descriptive qualitative case study carried out at a state service in Porto Alegre, RS. The collection of data included the analysis of documents from the Institution, the observation of the work dynamics, and the performance of semi-structured interviews with the nursing professionals. The data were submitted to content analysis. One could understand that the health of the nursing professionals is constituted from a working dynamics which is sometimes harmful because it results from an organizational context that carries marks of a state health system with many gaps, however, that allows the meaning of work to be an essential element for the ability to keep the balance and not getting sick in view of the work demands.

Occupational stress and work capacity of nurses of a hospital group

The study aimed to evaluate the relationship between occupational stress and the work capacity index of 368 nurses (82.1% of the population) of a Hospital Group. A questionnaire with socio-occupational questions was used as well as two scales: the Job Stress Scale and the Work Capacity Index. The group of nurses was predominantly female (93.2%), worked in care activities (63.9%), had undertaken at least one Postgraduate course (76%) and were satisfied with the unit where they worked (70.5%). Occupational stress was present in 23.6% of the nurses, of these 15.2% presented High Strain work and 8.4% Passive Work. Social Support exercised a significant positive influence on all groups - exposed or not to occupational stress. Regarding the Work Capacity, this was Moderate (28-36 points) for 51.4% of the nurses and Good (37-43 points) for 47.4%. There was no correlation between stress and work capacity.Este estudo teve como objetivo avaliar a relacao entre o estresse laboral e o indice de capacidade para o trabalho, de 368 enfermeiros (82,1% da populacao) de um grupo hospitalar. Utilizou-se um questionario com questoes socio-ocupacionais e duas escalas: a Job Stress Scale e o indice de capacidade para o trabalho. O grupo de enfermeiros era predominantemente feminino (93,2%), trabalhando em atividades assistenciais (63,9%), possuia pelo menos um curso de pos-graduacao (76%) e satisfeito com a unidade onde trabalhava (70,5%). O estresse laboral esta presente em 23,6% dos enfermeiros, e, desses, 15,2% apresentam alta exigencia no trabalho e 8,4% trabalho passivo. O apoio social exerce influencia positiva significativa sobre todos os grupos - expostos e nao expostos ao estresse laboral. Quanto a capacidade para o trabalho, essa e moderada (28-36 pontos) para 51,4% dos enfermeiros e boa (37-43 pontos) para 47,4%. Nao ha correlacao entre o estresse e a capacidade para o trabalho.

Estresse e síndrome de burnout entre trabalhadores da equipe de Saúde da Família

OBJETIVO: Compreender o estresse laboral vivenciado pelos trabalhadores das equipes de Saude da Familia (ESF), do municipio de Santa Maria, Rio Grande do Sul e as implicacoes para sua saude. METODOS: Estudo descritivo, com integracao de metodos quantitativos e qualitativos, desenvolvido com 86 trabalhadores de todas as ESF do municipio. Na primeira etapa, foi aplicado o Maslach Burnout Inventory (MBI) e na segunda, foi aplicada entrevista semiestruturada com os 12 trabalhadores que apresentaram os maiores (seis) e os menores (seis) escores no MBI. RESULTADOS: A idade jovem teve associacao estatisticamente significativa com os niveis de estresse apresentados pelos trabalhadores (p= 0,034). Os trabalhadores esgotados utilizavam formas de enfrentamento direcionadas as emocoes, ou seja, recursos pessoais, enquanto os nao esgotados resolviam os problemas do cotidiano laboral com apoio do grupo de trabalho. CONCLUSAO: Os principais motivos para o desenvolvimento da Sindrome de Burnout estavam vinculados a problemas relacionais e organizacionais.

Coping mechanisms used by non-burned out and burned out workers in the family health strategy

La investigacion objetivo investigar los mecanismos para enfrentar el estres, utilizados por los trabajadores de los dieciseis equipos de la Estrategia de la Salud de la Familia (ESF) de Santa Maria, RS, Brasil. Fueron entrevistados, en los meses de enero y febrero de 2007, seis trabajadores con puntajes compatibles con el sindrome de Burnout, identificados por el Maslach Burnout Inventory, y seis sin el sindrome. En el analisis de contenido de las declaraciones, se identifico que los trabajadores agotados utilizan, predominantemente, mecanismos individuales para enfrentamiento de los problemas laborales, en cuanto los no agotados recurren a mecanismos colectivos. Lo encontrado apunta para la importancia de las relaciones interpersonales entre los miembros del equipo de la ESF para el enfrentamiento del estres laboral y para la necesidad de construir estrategias colectivas, con el objetivo de prevenir el estres y mantener la salud del trabajador.A pesquisa objetivou investigar os mecanismos de enfrentamento do estresse utilizados pelos trabalhadores das dezesseis equipes da Estrategia de Saude da Familia (ESF) de Santa Maria, RS, Brasil. Foram entrevistados, nos meses de janeiro e fevereiro de 2007, seis trabalhadores com escores compativeis com a sindrome de Burnout, identificados pelo Maslach Burnout Inventory, e seis sem a sindrome. Na analise de conteudo das falas, identificou-se que os trabalhadores esgotados utilizam, predominantemente, mecanismos individuais para enfrentamento dos problemas laborais, enquanto os nao esgotados recorrem a mecanismos coletivos. Os achados apontam para a importância do relacionamento interpessoal entre os membros da equipe da ESF para o enfrentamento do estresse laboral e para a necessidade de construcao de estrategias coletivas, com o objetivo de prevenir o estresse e manter a saude do trabalhador.

O trabalho em urgência e emergência e a relação com a saúde das profissionais de enfermagem

The study aimed at understanding work under urgent and emergency conditions and its connection with the health of nursing professionals, who work at an urgency and emergency state service. Descriptive qualitative case study carried out at a state service in Porto Alegre, RS. The collection of data included the analysis of documents from the Institution, the observation of the work dynamics, and the performance of semi-structured interviews with the nursing professionals. The data were submitted to content analysis. One could understand that the health of the nursing professionals is constituted from a working dynamics which is sometimes harmful because it results from an organizational context that carries marks of a state health system with many gaps, however, that allows the meaning of work to be an essential element for the ability to keep the balance and not getting sick in view of the work demands.The study aimed at understanding work under urgent and emergency conditions and its connection with the health of nursing professionals, who work at an urgency and emergency state service. Descriptive qualitative case study carried out at a state service in Porto Alegre, RS. The collection of data included the analysis of documents from the Institution, the observation of the work dynamics, and the performance of semi-structured interviews with the nursing professionals. The data were submitted to content analysis. One could understand that the health of the nursing professionals is constituted from a working dynamics which is sometimes harmful because it results from an organizational context that carries marks of a state health system with many gaps, however, that allows the meaning of work to be an essential element for the ability to keep the balance and not getting sick in view of the work demands.

Capacidade para o trabalho de enfermeiros de um hospital universitário

This is a cross-sectional study that evaluated the work ability index (WAI) and the sociodemographic and work-related aspects of 93 nurses in a university hospital. The data were analyzed using descriptive and analytical statistics. The sample was predominantly female (98.9%), with 41.7 (SD = 9.0) years old 63.4% have a partner, sleep 6.9 (SD = 1.3) hours daily, 8.6% smoked and 37.6% performed regular physical activity The WAI score was 40.1 (SD = 3.7), indicating a good work capacity. There were correlations between WAI and age (r = -0.22, p = 0.0394), duration of work (r = -0.23, p = - 0.0295), and sleep (r = 0.26, p = 0.0162). Nurses who live alone and non-smokers had higher average than those with a partner and who smoked (41.3 and 39.6; 40.4 and 37.8; p = 0.0476). Thus, healthy life habits such as sleeping 7 hours or more and not smoking were positively associated with work capacity.Estudo transversal que avaliou o Indice de Capacidade para o Trabalho (ICT) e os aspectos sociodemograficos e laborais de 93 enfermeiros de um hospital universitario. Os dados foram coletados por questionario e analisados por estatistica descritiva e analitica. A amostra foi predominantemente feminina (98,9%), com 41,7 (dp = 9,0) anos de idade, 63,4% tem companheiro, dormem 6,9 (dp = 1,3) horas por dia, 8,6% fumavam e 37,6% realizavam atividade fisica regular. O escore medio do ICT foi de 40,1 (dp = 3,7), indicando boa capacidade para o trabalho. Houve correlacoes entre o ICT e idade (r = -0,22; p = 0,0394); tempo de trabalho (r = -0,23; p = 0,0295) e horas de sono (r = 0,26; p = 0,0162). Enfermeiros que vivem sozinhos e os nao fumantes apresentaram medias superiores no ICT aqueles com companheiro e que fumam (41,3 e 39,6; 40,4 e 37,8; p = 0,0476). Habitos saudaveis de vida como dormir sete horas ou mais e nao fumar associam-se positivamente com a capacidade para o trabalho.

O estresse da equipe multiprofissional na Sala de Cirurgia

This article is a case study that presents common stressors, answers to professionals individual and collective handling in the operating room. The data was collected through interview of 32 persons of the surgical team, submitted to content analysis, arising eight differentiated categories from them: significant stress experiences; stressing situations; individual behavior in the operating room; stress handling; responsibilities and compromises; behavioral responses. Even though relationship with patients generates important life experiences, the patient was considered the minor stressor agent, being the interpersonal relations the most significant one. To cope with stressful situations the professionals use the handling focused on the problem, on emotion, on relief maneuvers, and on development of social relationships.This article is a case study that presents common stressors, answers to professional’s individual and collective handling in the operating room. The data was collected through interview of 32 persons of the surgical team, submitted to content analysis, arising eight differentiated categories from them: significant stress experiences; stressing situations; individual behavior in the operating room; stress handling; responsibilities and compromises; behavioral responses. Even though relationship with patients generates important life experiences, the patient was considered the minor stressor agent, being the interpersonal relations the most significant one. To cope with stressful situations the professionals use the handling focused on the problem, on emotion, on relief maneuvers, and on development of social relationships. Descriptors: Stress; Operating room; Behavior and behavior mechanisms.

Suporte humanizado no pronto socorro: um desafio para a enfermagem

Este relato de experiencia describe el soporte humanizado desarollado por la enfermera durante la asistencia del paciente en situacion critica de salud, en un Servicio de Emergencia de Porto Alegre (Brasil). El soporte se ha basado en los presupuestos de Jean Watson. La experiencia resulto en momentos de auto-conocimiento y reflexiones acerca de las posibilidades de construccion del proceso humanistico interpersonal en el ambiente de emergencia. Incluso se ha podido identificar algunas limitaciones de la opcion teorica referente a su aplicacion practica.This experience report describes the humanized support given by the nurse in the attendance to patients in eminently critical health situation in the Emergency Hospital of Porto Alegre (Brasil). The proposal was based on Jean Watson theory. The experience gave moments for personal and professional self-knowledge, and thoughts concerning the possibilities of construction of interpersonal humanist process in the emergency environment as well. Yet, it was possible to identify some limitations of the theory options referent to its practical applicability.