Luiz Almeida da Silva

Nurses' workload and its relation with physiological stress reactions

OBJECTIVE: to analyze the relation between the workload and the physiological stress reactions among nurses working at a hospital service. METHODS: cross-sectional, correlational, quantitative study, involving 95 nurses, in 2011 and 2012. Spearmans bivariate Correlation Test was used. RESULTS: most subjects are female, between 23 and 61 years old and working between 21 and 78 hours per week. The most frequent physiological reactions were back pain, fatigue/exhaustion, stiff neck and stomach acidity, with 46.3% of the subjects presenting low and 42.1% moderate physiological stress responses. No correlation was found between the workload and the physiological stress responses. CONCLUSION: although most of the nurses work more than 36 hours/week, physiologically, they do not present high reaction levels in response to stress. These workers deal with conflicts in the vertical and horizontal relations between professionals, family members and patients. In that sense, taking care of professionals who offer health services can be a fundamental strategy, as good user care mainly depends on healthy teams.OBJETIVO: analizar la relacion entre la carga horaria de trabajo y las reacciones fisiologicas de estres entre enfermeros de servicio hospitalario. METODOS: estudio trasversal, correlacional, cuantitativo, desarrollado con 95 enfermeros en 2011 y 2012. De forma bivariada, fue utilizada la Prueba de Correlacion de Spearman. RESULTADOS: la mayoria de los sujetos es del sexo femenino, rango de edad entre 23 y 61 anos y trabaja de 21 a 78 horas semanales. Las reacciones fisiologicas mas frecuentes fueron dolores de espalda, fatiga/agotamiento, rigidez en el cuello y acidez estomacal, siendo que 46,3% de los sujetos revelaron bajas respuestas fisiologicas al estres y moderadas en 42,1%. No fue encontrada correlacion entre la carga horaria de trabajo y las reacciones fisiologicas del estres. CONCLUSION: aunque la mayoria de los enfermeros ejerza su funcion por mas de 36 horas/semana, fisiologicamente no muestran reacciones elevadas de respuesta al estres. Tales trabajadores lidian con conflictos en las reacciones verticales y horizontales entre profesionales, familiares y pacientes. En ese sentido, cuidar de profesionales que ofrecen servicios de salud puede ser estrategia fundamental, ya que buena atencion a los usuarios depende principalmente de equipos saludables.

Relation between workplace accidents and the levels of carboxyhemoglobin in motorcycle taxi drivers

OBJECTIVEnTo investigate the relation between workplace accidents and the levels of carboxyhemoglobin found in motorcycle taxi drivers.nnnMETHODnCorrelational, quantitative study involving 111 workers and data obtained in July 2012 through a questionnaire to characterize the participants and blood collection to measure carboxyhemoglobin levels.nnnRESULTn28.8% had suffered workplace accidents; 27.6% had fractured the lower limbs and significant symptoms of carbon monoxide exposure were verified in smokers. The carboxyhemoglobin levels were higher among smokers and victims of workplace accidents.nnnCONCLUSIONnMotorcycle taxi drivers had increased levels of carboxyhemoglobin, possibly due to the exposure to carbon monoxide; these levels are also increased among smokers and victims of workplace accidents. The study provides advances in the knowledge about occupational health and environmental science, and also shows that carboxyhemoglobin can be an indicator of exposure to environmental pollutants for those working outdoors, which can be related to workplace accidents.OBJECTIVE: to investigate the relation between workplace accidents and the levels of carboxyhemoglobin found in motorcycle taxi drivers. METHOD: correlational, quantitative study involving 111 workers and data obtained in July 2012 through a questionnaire to characterize the participants and blood collection to measure carboxyhemoglobin levels. RESULT: 28.8% had suffered workplace accidents; 27.6% had fractured the lower limbs and significant symptoms of carbon monoxide exposure were verified in smokers. The carboxyhemoglobin levels were higher among smokers and victims of workplace accidents. CONCLUSION: motorcycle taxi drivers had increased levels of carboxyhemoglobin, possibly due to the exposure to carbon monoxide; these levels are also increased among smokers and victims of workplace accidents. The study provides advances in the knowledge about occupational health and environmental science, and also shows that carboxyhemoglobin can be an indicator of exposure to environmental pollutants for those working outdoors, which can be related to workplace accidents.

O processo de revisão por pares: uma revisão integrativa de literatura

Objective: To evaluate the available evidence in the literature about the process of peer review for scientific articles in the area of health. Methods: An integrative review of the literature, which was conducted using searches of databases of Latin American Literature and of the Caribbean Health Sciences, National Library of Medicine, Medical Literature Analysis and Retrieval System Online and the Cumulative Index to Nursing and Allied Health Literature. A total of 12 studies was analyzed. Results: It was shown that many criticisms of the process exist because of its subjectivity, but that it is still believed there is a need for it. Conclusion: This process is essential for the diffusion of knowledge, as an essential step in the judgment of scientific manuscripts; however, it is important to consider changes to reduce subjectivity to ensure credibility of the process.Objective: To evaluate the available evidence in the literature about the process of peer review for scientific articles in the area of health. Methods: An integrative review of the literature, which was conducted using searches of databases of Latin American Literature and of the Caribbean Health Sciences, National Library of Medicine, Medical Literature Analysis and Retrieval System Online and the Cumulative Index to Nursing and Allied Health Literature. A total of 12 studies was analyzed. Results: It was shown that many criticisms of the process exist because of its subjectivity, but that it is still believed there is a need for it. Conclusion: This process is essential for the diffusion of knowledge, as an essential step in the judgment of scientific manuscripts; however, it is important to consider changes to reduce subjectivity to ensure credibility of the process.

The peer review process: an integrative review of the literature*

Objective: To evaluate the available evidence in the literature about the process of peer review for scientific articles in the area of health. Methods: An integrative review of the literature, which was conducted using searches of databases of Latin American Literature and of the Caribbean Health Sciences, National Library of Medicine, Medical Literature Analysis and Retrieval System Online and the Cumulative Index to Nursing and Allied Health Literature. A total of 12 studies was analyzed. Results: It was shown that many criticisms of the process exist because of its subjectivity, but that it is still believed there is a need for it. Conclusion: This process is essential for the diffusion of knowledge, as an essential step in the judgment of scientific manuscripts; however, it is important to consider changes to reduce subjectivity to ensure credibility of the process.Objective: To evaluate the available evidence in the literature about the process of peer review for scientific articles in the area of health. Methods: An integrative review of the literature, which was conducted using searches of databases of Latin American Literature and of the Caribbean Health Sciences, National Library of Medicine, Medical Literature Analysis and Retrieval System Online and the Cumulative Index to Nursing and Allied Health Literature. A total of 12 studies was analyzed. Results: It was shown that many criticisms of the process exist because of its subjectivity, but that it is still believed there is a need for it. Conclusion: This process is essential for the diffusion of knowledge, as an essential step in the judgment of scientific manuscripts; however, it is important to consider changes to reduce subjectivity to ensure credibility of the process.

Measurement of pressure levels of hypertensive elderly people in a primary care reference program

ABSTRACT Objective : to compare the pressure levels of elderly hypertensive patients in two nursing visits. Method : this is a quantitative, descriptive, observational study, case study type, developed with 80 elderly patients with hypertension, who underwent two nursing consultations during May 2015 to May 2016 registered in a reference unit and attended to in the Program of Education and Control of Systemic Arterial Hypertension. Results : participants had elevated pulse pressure, even though systolic and diastolic blood pressures were controlled. Also, they used one or more antihypertensive drugs. Conclusion : blood pressure levels were maintained in prehypertension values. However, the pulse pressure was high and increased progressively from the first to the second measurement. Therefore, the sample studied had increased cardiovascular risk. Descriptors : Arterial Pressure; Hypertension; Aging; Blood Pressure Monitors. RESUMO Objetivo: comparar em duas consultas de enfermagem os niveis pressoricos de idosos hipertensos. Metodo: estudo quantitativo, descritivo, observacional, tipo estudo de caso, desenvolvido com 80 pacientes idosos com hipertensao, os quais foram submetidos a duas consultas de enfermagem durante os meses de maio de 2015 a maio de 2016, cadastrados em uma unidade de referencia e atendidos no Programa de Educacao e Controle de Hipertensao Arterial Sistemica. Resultados: os participantes apresentaram pressao de pulso elevada, mesmo estando com a pressao arterial sistolica e diastolica controladas, alem disso, faziam uso de um ou mais anti-hipertensivos. Conclusao: os niveis pressoricos se mantiveram em valores de pre-hipertensao, entretanto, a pressao de pulso estava elevada e aumentou progressivamente da primeira para segunda afericao. Portanto, a amostra estudada apresentou risco cardiovascular aumentado. Descritores: Pressao Arterial; Hipertensao; Envelhecimento; Monitores de Pressao Arterial. RESUMEN Objetivo: comparar en dos consultas de enfermeria los niveles presoricos de ancianos hipertensos. Metodo: estudio cuantitativo, descriptivo, observacional, tipo estudio de caso, desarrollado con 80 pacientes ancianos con hipertension, los cuales fueron sometidos a dos consultas de enfermeria durante los meses de mayo de 2015 a mayo de 2016 registrados en una unidad de referencia y atendidos en el Programa de Educacion e Control de Hipertension Arterial Sistemica. Resultados: los participantes presentaron presion de pulso elevada, mismo estando con la presion arterial sistolica y diastolica controladas. Ademas de eso, usaban uno o mas anti-hipertensivos. Conclusion: los niveles presoricos se mantuvieron en valores de pre-hipertension, sin embargo, la presion de pulso esta elevada y aumento progresivamente de la primera para segunda medicion. Por lo tanto, la muestra estudiada presento riesgo cardiovascular aumentado. Descriptores : Presion Arterial; Hipertension; Envejecimiento; Monitores de Presion Sanguinea.

Accidente de trabajo y autoestima de profesionales de enfermería en ambientes hospitalarios

Abstract Objective: to analyze the occurrence of work accidents and the self-esteem of nurses in hospitals of a municipality of Minas Gerais. Method: descriptive-analytical and cross-sectional study developed with 393 nursing professionals from three hospitals of a municipality in southern Minas Gerais. The Rosenberg Self-Esteem Scale and a questionnaire to characterize the population and work accidents were used for data collection. Data analysis was performed using Persons chi-squared test, Fishers exact test, Cronbachs alpha, odds ratio and logistic regression. Results: of the professionals studied, 15% had suffered an accident at work and 70.2% presented high self-esteem. Through the analysis, it was observed that smoking, religious belief and an outstanding event in the career were significantly associated with work accidents. In relation to self-esteem, family income, length of time working in the profession and an outstanding event in the career presented significant associations. Conclusion: factors such as smoking, religious belief, family income, length of time working in the profession and an outstanding event in the career can cause professionals to have accidents and/or cause changes in self-esteem, which can compromise their physical and mental health and their quality of life and work.Objetivo: analizar la ocurrencia de accidentes de trabajo y la autoestima de profesionales de enfermeria en ambientes hospitalarios en un municipio de Minas Gerais. Metodo: estudio descriptivo, analitico y transversal, desarrollado con 393 profesionales de enfermeria de tres hospitales de un Municipio del sur de Minas Gerais. Para recoleccion de datos se utilizo la Escala de Autoestima de Rosenberg y un cuestionario de caracterizacion de la poblacion y de accidente de trabajo. Para analizar los datos fueron utilizadas las pruebas de Person, Exacta de Fisher, Alfa de Cronbach, odds ratio y regresion logistica. Resultados: de los profesionales investigados, 15% sufrieron accidente de trabajo y 70,2% poseia autoestima alta. Por medio del analisis, se observo que el tabaquismo, la creencia religiosa y el evento excepcional en la carrera presentaron asociacion significativa con accidente de trabajo. En relacion a la autoestima, la renta familiar mensual, el tiempo de actuacion en la profesion y el evento excepcional en la carrera, tuvieron asociacion significativa. Conclusion: factores como tabaquismo, creencia religiosa, renta familiar, tiempo de actuacion en la profesion y evento excepcional en la carrera, pueden ocasionarle al profesional un accidente y/o provocar alteraciones en la autoestima, lo que puede comprometer su salud fisica y mental y su calidad de vida y trabajo.

Work accidents and self-esteem of nursing professional in hospital settings

Abstract Objective: to analyze the occurrence of work accidents and the self-esteem of nurses in hospitals of a municipality of Minas Gerais. Method: descriptive-analytical and cross-sectional study developed with 393 nursing professionals from three hospitals of a municipality in southern Minas Gerais. The Rosenberg Self-Esteem Scale and a questionnaire to characterize the population and work accidents were used for data collection. Data analysis was performed using Persons chi-squared test, Fishers exact test, Cronbachs alpha, odds ratio and logistic regression. Results: of the professionals studied, 15% had suffered an accident at work and 70.2% presented high self-esteem. Through the analysis, it was observed that smoking, religious belief and an outstanding event in the career were significantly associated with work accidents. In relation to self-esteem, family income, length of time working in the profession and an outstanding event in the career presented significant associations. Conclusion: factors such as smoking, religious belief, family income, length of time working in the profession and an outstanding event in the career can cause professionals to have accidents and/or cause changes in self-esteem, which can compromise their physical and mental health and their quality of life and work.Objetivo: analizar la ocurrencia de accidentes de trabajo y la autoestima de profesionales de enfermeria en ambientes hospitalarios en un municipio de Minas Gerais. Metodo: estudio descriptivo, analitico y transversal, desarrollado con 393 profesionales de enfermeria de tres hospitales de un Municipio del sur de Minas Gerais. Para recoleccion de datos se utilizo la Escala de Autoestima de Rosenberg y un cuestionario de caracterizacion de la poblacion y de accidente de trabajo. Para analizar los datos fueron utilizadas las pruebas de Person, Exacta de Fisher, Alfa de Cronbach, odds ratio y regresion logistica. Resultados: de los profesionales investigados, 15% sufrieron accidente de trabajo y 70,2% poseia autoestima alta. Por medio del analisis, se observo que el tabaquismo, la creencia religiosa y el evento excepcional en la carrera presentaron asociacion significativa con accidente de trabajo. En relacion a la autoestima, la renta familiar mensual, el tiempo de actuacion en la profesion y el evento excepcional en la carrera, tuvieron asociacion significativa. Conclusion: factores como tabaquismo, creencia religiosa, renta familiar, tiempo de actuacion en la profesion y evento excepcional en la carrera, pueden ocasionarle al profesional un accidente y/o provocar alteraciones en la autoestima, lo que puede comprometer su salud fisica y mental y su calidad de vida y trabajo.

Riscos ocupacionais e adoecimentos entre professores da rede municipal de ensino

Objetivo: o presente trabalho objetivou identificar o conhecimento dos professores da rede municipal de educacao sobre os riscos ocupacionais do seu ambiente de trabalho e as causas dos seus adoecimentos. Metodo: estudo transversal, quantitativo, realizado com 33 professores da rede municipal de ensino que foram afastados por doenca relacionada ao trabalho em 2013. O estudo seguiu os preceitos etico-legais e recebeu sua aprovacao por meio do protocolo CAAE: 30585114.5.0000.5083. Resultados: entre os entrevistados 90,9% sao do sexo feminino, com media de 17,13± 4,99 anos de profissao, media de idade de 45,79±9,82, media de afastamento de 28,45 ± 38,05 dias/ano. A variavel frequencia do adoecimento mostrou significância quando comparada ao desenvolvimento de prevencao de doencas no trabalho (p=0,016); 66,7% reconhecem os riscos ocupacionais no ambiente laboral, ocorrendo adoecimentos por riscos ergonomicos e psicossociais (33,3%). Todas as categorias cruzadas entre atestados e relatos dos trabalhadores mostraram bom entendimento para as causas de afastamentos, sendo respiratorio (p=0,02), psicossocial (p=0,001), osteomuscular (p=0,001), ginecologico (p=0,001). Conclusao: professores reconhecem a existencia dos riscos ocupacionais no ambiente de trabalho com enfase no risco ergonomico e psicossocial realizam medidas de prevencoes e nao desejam mudar de area de atuacao.

Perfil epidemiológico das ocorrências registradas pelo corpo de bombeiros de um município de Goiás, Brasil central, 2012

Objetivo : caracterizar as ocorrencias traumaticas atendidas pelos profissionais do Corpo de Bombeiros Militar do Estado de Goias (CBM) em Jatai, 2012. Metodologia: estudo descritivo de corte transversal e analise quantitativa. Utilizou-se como fonte de dados as fichas de registro do CBM totalizando 1805 ocorrencias e 1919 vitimas. Resultados: 733(38,19%) tinham idade entre 21 e 40 anos; 1101 (57,40%) eram do sexo masculino. De 1805 ocorrencias, 754 (42%) eventos foram clinicos e 1051 (58%) traumaticos. Dentre os traumas, destaque 260 (25%) ocorrencias carro x moto, 157 (15%) quedas de moto. Os procedimentos basicos mais realizados foram uso de oximetro de pulso, afericao de pressao arterial, uso de prancha longa. Observou-se numero consideravel de dados incompletos ou preenchidos incorretamente nas fichas de atendimento. Conclusao: observou-se altos indices de violencia e acidentes de trânsito, configurando o servico do corpo de bombeiros como estrategia eficaz e necessaria para atendimento a comunidade. Alguns dados nao puderam ser observados em decorrencia da falta de anotacoes, sugere-se melhoria da qualidade das informacoes. Esses resultados podem servir de base para novos estudos e reflexoes acerca da tematica, fornecendo subsidios para o planejamento, implementacao e avaliacao de acoes e politicas de saude publica, visando prevencao e reducao desses eventos. Descritores: Bombeiros; Trabalho de Resgate; Acidentes de Trânsito.

Carga horaria de trabajo de los enfermeros y su relación con las reacciones fisiológicas de estrés

OBJECTIVE: to analyze the relation between the workload and the physiological stress reactions among nurses working at a hospital service. METHODS: cross-sectional, correlational, quantitative study, involving 95 nurses, in 2011 and 2012. Spearmans bivariate Correlation Test was used. RESULTS: most subjects are female, between 23 and 61 years old and working between 21 and 78 hours per week. The most frequent physiological reactions were back pain, fatigue/exhaustion, stiff neck and stomach acidity, with 46.3% of the subjects presenting low and 42.1% moderate physiological stress responses. No correlation was found between the workload and the physiological stress responses. CONCLUSION: although most of the nurses work more than 36 hours/week, physiologically, they do not present high reaction levels in response to stress. These workers deal with conflicts in the vertical and horizontal relations between professionals, family members and patients. In that sense, taking care of professionals who offer health services can be a fundamental strategy, as good user care mainly depends on healthy teams.OBJETIVO: analizar la relacion entre la carga horaria de trabajo y las reacciones fisiologicas de estres entre enfermeros de servicio hospitalario. METODOS: estudio trasversal, correlacional, cuantitativo, desarrollado con 95 enfermeros en 2011 y 2012. De forma bivariada, fue utilizada la Prueba de Correlacion de Spearman. RESULTADOS: la mayoria de los sujetos es del sexo femenino, rango de edad entre 23 y 61 anos y trabaja de 21 a 78 horas semanales. Las reacciones fisiologicas mas frecuentes fueron dolores de espalda, fatiga/agotamiento, rigidez en el cuello y acidez estomacal, siendo que 46,3% de los sujetos revelaron bajas respuestas fisiologicas al estres y moderadas en 42,1%. No fue encontrada correlacion entre la carga horaria de trabajo y las reacciones fisiologicas del estres. CONCLUSION: aunque la mayoria de los enfermeros ejerza su funcion por mas de 36 horas/semana, fisiologicamente no muestran reacciones elevadas de respuesta al estres. Tales trabajadores lidian con conflictos en las reacciones verticales y horizontales entre profesionales, familiares y pacientes. En ese sentido, cuidar de profesionales que ofrecen servicios de salud puede ser estrategia fundamental, ya que buena atencion a los usuarios depende principalmente de equipos saludables.