Marcia Tereza Luz Lisboa

Psychosocial aspects of work and musculoskeletal disorders in nursing workers

This study aimed to evaluate the association between psychological demands and control on work and the occurrence of musculoskeletal disorders among nursing workers. This cross-sectional study involved 491 nursing workers from a University hospital in Rio Grande do Sul. Brazilian versions of the Nordic Musculoskeletal Questionnaire and the Job Content Questionnaire were used. Among the participants, 96.3% reported some pain in any given part of the body last year, 73.1% in the last seven days and 65.8% reported difficulty in their daily routine. The chances of shoulder pain (OR=1.97; CI95%=1.07-3.64), in the thoracic spine (OR=1.83; CI95%=1.02-3.35) and in the ankles (OR=2.05; CI95%=1.05-4.02) were higher in the high work demand quadrant when compared to the low demand quadrant, after adjustments for potentially confusing factors Intervention measures in the organizational structure are needed, redefining demand levels and control at work.Este estudo objetivou avaliar a associacao entre demandas psicologicas e controle sobre o trabalho e a ocorrencia de disturbios musculoesqueleticos em trabalhadores de enfermagem. Trata-se de estudo transversal, envolvendo 491 trabalhadores de enfermagem de um hospital universitario do Rio Grande do Sul, Brasil. Utilizaram-se versoes brasileiras do Nordic Musculoskeletal Questionnaire e do Job Content Questionnaire. Dos participantes, 96,3% referiram dor em alguma regiao do corpo no ultimo ano, 73,1% nos ultimos sete dias e 65,8% relataram dificuldade nas atividades diarias. As chances de dor nos ombros (OR=1,97; IC95%=1,07-3,64), na coluna toracica (OR=1,83; IC95%=1,02-3,35) e nos tornozelos (OR=2,05; IC95%=1,05-4,02) foram maiores no quadrante de trabalho em alta exigencia quando se comparou ao de baixa exigencia, apos ajuste por potenciais fatores de confusao. Faz-se necessaria a adocao de medidas interventivas na estrutura organizacional, redimensionando os niveis de demanda e de controle no trabalho.

Aspectos psicossociais do trabalho e distúrbio musculoesquelético em trabalhadores de enfermagem

This study aimed to evaluate the association between psychological demands and control on work and the occurrence of musculoskeletal disorders among nursing workers. This cross-sectional study involved 491 nursing workers from a University hospital in Rio Grande do Sul. Brazilian versions of the Nordic Musculoskeletal Questionnaire and the Job Content Questionnaire were used. Among the participants, 96.3% reported some pain in any given part of the body last year, 73.1% in the last seven days and 65.8% reported difficulty in their daily routine. The chances of shoulder pain (OR=1.97; CI95%=1.07-3.64), in the thoracic spine (OR=1.83; CI95%=1.02-3.35) and in the ankles (OR=2.05; CI95%=1.05-4.02) were higher in the high work demand quadrant when compared to the low demand quadrant, after adjustments for potentially confusing factors Intervention measures in the organizational structure are needed, redefining demand levels and control at work.Este estudo objetivou avaliar a associacao entre demandas psicologicas e controle sobre o trabalho e a ocorrencia de disturbios musculoesqueleticos em trabalhadores de enfermagem. Trata-se de estudo transversal, envolvendo 491 trabalhadores de enfermagem de um hospital universitario do Rio Grande do Sul, Brasil. Utilizaram-se versoes brasileiras do Nordic Musculoskeletal Questionnaire e do Job Content Questionnaire. Dos participantes, 96,3% referiram dor em alguma regiao do corpo no ultimo ano, 73,1% nos ultimos sete dias e 65,8% relataram dificuldade nas atividades diarias. As chances de dor nos ombros (OR=1,97; IC95%=1,07-3,64), na coluna toracica (OR=1,83; IC95%=1,02-3,35) e nos tornozelos (OR=2,05; IC95%=1,05-4,02) foram maiores no quadrante de trabalho em alta exigencia quando se comparou ao de baixa exigencia, apos ajuste por potenciais fatores de confusao. Faz-se necessaria a adocao de medidas interventivas na estrutura organizacional, redimensionando os niveis de demanda e de controle no trabalho.

Condições de trabalho, características sociodemográficas e distúrbios musculoesqueléticos em trabalhadores de enfermagem

Tânia Solange Bosi de Souza Magnago, Marcia Tereza Luz Lisboa, Rosane Harter Griep, Ana Lucia Cardoso Kirchhof, Silviamar Camponogara, Carolina de Quadros Nonnenmacher, Leticia Becker Vieira ABSTRACT Objectives: To verify the prevalence of musculoskeletal symptoms among nursing workers at a teaching university hospital in Rio Grande do Sul, and to identify socio-demographic and labor variables associated with those symptoms. Methods: Transversal study involving 491 nursing workers at a teaching university hospital in Rio Grande do Sul. It was used the Brazilian version of the Nordic Musculoskeletal Questionnaire to identify the musculoskeletal. Results: Among participants, 96.3% reported pain in some part of the body in the last year, 73.1 % in the last seven days and 65.8% difficulties in daily activities; pain in the spinal column was the most frequent mentioned by workers; socio-demographic characteristics (being a woman, extremes of age, minor children, little education, obesity, tabaccoism) and labor characteristics (technician or auxiliary nurse, night shift work, strenuous physical labor) were associated with pain in various regions. Conclusion: The results indicated for participatory proposals for promoting health and well-being in nursing work environment; hospital managers and workers should participate. keywords: Work; Cumulative trauma disorders; Occupational healthObjectives: To verify the prevalence of musculoskeletal symptoms among nursing workers at a teaching university hospital in Rio Grande do Sul, and to identify socio-demographic and labor variables associated with those symptoms. Methods: Transversal study involving 491 nursing workers at a teaching university hospital in Rio Grande do Sul. It was used the Brazilian version of the Nordic Musculoskeletal Questionnaire to identify the musculoskeletal. Results: Among participants, 96.3% reported pain in some part of the body in the last year, 73.1 % in the last seven days and 65.8% difficulties in daily activities; pain in the spinal column was the most frequent mentioned by workers; socio-demographic characteristics (being a woman, extremes of age, minor children, little education, obesity, tabaccoism) and labor characteristics (technician or auxiliary nurse, night shift work, strenuous physical labor) were associated with pain in various regions. Conclusion: The results indicated for participatory proposals for promoting health and well-being in nursing work environment; hospital managers and workers should participate.

Trabalho da enfermagem e distúrbio musculoesquelético: revisão das pesquisas sobre o tema

Resumen Este estudio tuvo por objetivo identificar la producción brasileña de tesis y diser taciones acerca los disturbios musculoesqueléticos en trabajadores de enfermería. Las publicaciones han sido investigadas en el Banco de Tesis y Diser taciones del Por tal CAPES – “Coordenação de Aperfeiçoamento de Pessoal de Nível Superior” y en los catálogos de la ABEn “Associação Brasileira de Enfermagem”, en el período de 1978 a 2004. Fueron seleccionados los resúmenes de tesis y diser taciones de acuerdo con los siguientes criterios: el cierre “musculoesquelético” en población de trabajadores de enfermería. Dieciocho estudios cumplían los criterios de inclusión. De estos, dos tuvieron abordaje cualitativo, un cuali-cuantitativo y quince abordaje cuantitativo. Los cursos de Postgrado de la Universidad de São Paulo y de la Universidad Federal del Rio de Janeiro fueron los que se destacaron en producciones en la temática en discusión. Los trabajos señalan tanto para el hecho de adolecer musculoesquelético creciente de los trabajadores de enfermería cuanto para las inadecuadas condiciones de trabajo como factor de riesgo para ese adolecer. Palabras clave: Transtornos de traumas acumulados. Salud labora. Enfermería. Condiciones de trabajo. This study aimed to identify the Brazilian scientific production (thesis and dissertations) about musculoskeletal disorders in nursing workers. The publications were searched in the Banco de Teses e Dissertações (thesis and dissertations collection) of the Portal CAPES Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Brazilian Government Agency) and the catalogues of the Associação Brasileira de Enfermagem – ABEN (Brazilian Nursing Association). The period researched was 19782004. The criterion used to select the thesis and dissertations’ abstract was the outcome “musculoskeletal” in nursing population. Eighteen studies matched the criterion. Regarding to the research approach, 2 of them presented a qualitative one, 1 quantitative –qualitative one; and 15 quantitative one. The majority of them were from pos-graduated courses of Universidade de São Paulo and Universidade Federal do Rio de Janeiro. The studies pointed out to the growing number of nursing workers who have became sick due to musculoskeletal disorders; as well as to the poor conditions of work as a risk factor for this.

Prevalência de fatores de risco de natureza modificável para a ocorrência de diabetes mellitus tipo 2

Abstract Resumen El estudio enfadado realizado cerca de estudiantes deuniversidad del curso de enfermeria, para la identificacion defactores del riesgo para la diabetes tipo 2. En cuanto al nivelde riesgo: el 65 % presentaba bajo el riesgo, el 27 % marcoel cero, mientras el 7,5 % mostraba el riesgo alto. La historiacerca de diabetes y hipertension fue identificada en el 45 % dela muestra. El predominio de: el sedentarismo era el mismo al75 %; de la sobrecarga igual al 15 %, y de la obesidad (CMIe” 25 kg/m2) igualan al 5 %. Menos consumo de la comidarica paso todavia en fibras y el aumento del consumo de lacomida rica en grasa. Los datos levantados senalaran lanecesidad de inversiones en acciones de promocion a la saluddentro de la misma unidad de formacion, como la creacion depropios espacios destinados, el aumento del valor de laadquisicion de nuevas practicas de la salud, por el enfasis lapractica de la actividad fisica y incentivo a la adquisicion dealimenticios saludables.Palabras clave: La diabetes mellitas. Enfermeria. Salud deltrabajador. Factores de riesgo.Cross study carried out near nursing students willing to identifythe most prevalent risk factors for type 2 diabetes. Regardingthe level of risk: 65 % presented low risk, 27 % none, while 7,5% was showing high risk. The history close to diabetes and highblood pressure was identified in 45 % of the sample. Thepredominance of: sedentary lifestyle was 75 %; of equalsurcharge to 15 % and obesity (IMC e” 25 kg /m2) equal to 5%. A low consumption of food rich in fibers happened and theincrease of the consumption of food rich in fat. The gathereddata pointed to the need of investments in actions in healthpromotion inside the formation unity itself, like the creation ofown spaces to increase the value of that, as acquisition of newpractices of health, through the emphasis of the physical activityand incentive to the acquisition of food healthy habits.Keywords: Diabetes mellitus. Nursing. Worker‘s health. Riskfactors.Priscila Vieira FrancaResumen El estudio enfadado realizado cerca de estudiantes de universidad del curso de enfermería, para la identificación de factores del riesgo para la diabetes tipo 2. En cuanto al nivel de riesgo: el 65 % presentaba bajo el riesgo, el 27 % marco el cero, mientras el 7,5 % mostraba el riesgo alto. La historia cerca de diabetes y hipertensión fue identificada en el 45 % de la muestra. El predominio de: el sedentarismo era el mismo al 75 %; de la sobrecarga igual al 15 %, y de la obesidad (CMI e” 25 kg/m2) igualan al 5 %. Menos consumo de la comida rica pasó todavía en fibras y el aumento del consumo de la comida rica en grasa. Los datos levantados señalaran la necesidad de inversiones en acciones de promoción a la salud dentro de la misma unidad de formación, como la creación de propios espacios destinados, el aumento del valor de la adquisición de nuevas prácticas de la salud, por el énfasis la práctica de la actividad física y incentivo a la adquisición de alimenticios saludables. Palabras clave: La diabetes mellitas. Enfermería. Salud del trabajador. Factores de riesgo. Cross study carried out near nursing students willing to identify the most prevalent risk factors for type 2 diabetes. Regarding the level of risk: 65 % presented low risk, 27 % none, while 7,5 % was showing high risk. The history close to diabetes and high blood pressure was identified in 45 % of the sample. The predominance of: sedentary lifestyle was 75 %; of equal surcharge to 15 % and obesity (IMC e” 25 kg /m2) equal to 5 %. A low consumption of food rich in fibers happened and the increase of the consumption of food rich in fat. The gathered data pointed to the need of investments in actions in health promotion inside the formation unity itself, like the creation of own spaces to increase the value of that, as acquisition of new practices of health, through the emphasis of the physical activity and incentive to the acquisition of food healthy habits.

Nursing workers: work conditions, social-demographic characteristics and skeletal muscle disturbances

Tânia Solange Bosi de Souza Magnago, Marcia Tereza Luz Lisboa, Rosane Harter Griep, Ana Lucia Cardoso Kirchhof, Silviamar Camponogara, Carolina de Quadros Nonnenmacher, Leticia Becker Vieira ABSTRACT Objectives: To verify the prevalence of musculoskeletal symptoms among nursing workers at a teaching university hospital in Rio Grande do Sul, and to identify socio-demographic and labor variables associated with those symptoms. Methods: Transversal study involving 491 nursing workers at a teaching university hospital in Rio Grande do Sul. It was used the Brazilian version of the Nordic Musculoskeletal Questionnaire to identify the musculoskeletal. Results: Among participants, 96.3% reported pain in some part of the body in the last year, 73.1 % in the last seven days and 65.8% difficulties in daily activities; pain in the spinal column was the most frequent mentioned by workers; socio-demographic characteristics (being a woman, extremes of age, minor children, little education, obesity, tabaccoism) and labor characteristics (technician or auxiliary nurse, night shift work, strenuous physical labor) were associated with pain in various regions. Conclusion: The results indicated for participatory proposals for promoting health and well-being in nursing work environment; hospital managers and workers should participate. keywords: Work; Cumulative trauma disorders; Occupational healthObjectives: To verify the prevalence of musculoskeletal symptoms among nursing workers at a teaching university hospital in Rio Grande do Sul, and to identify socio-demographic and labor variables associated with those symptoms. Methods: Transversal study involving 491 nursing workers at a teaching university hospital in Rio Grande do Sul. It was used the Brazilian version of the Nordic Musculoskeletal Questionnaire to identify the musculoskeletal. Results: Among participants, 96.3% reported pain in some part of the body in the last year, 73.1 % in the last seven days and 65.8% difficulties in daily activities; pain in the spinal column was the most frequent mentioned by workers; socio-demographic characteristics (being a woman, extremes of age, minor children, little education, obesity, tabaccoism) and labor characteristics (technician or auxiliary nurse, night shift work, strenuous physical labor) were associated with pain in various regions. Conclusion: The results indicated for participatory proposals for promoting health and well-being in nursing work environment; hospital managers and workers should participate.

O Trabalho noturno e a prática de enfermagem: uma percepção dos estudantes de enfermagem

Trata-se de uma pesquisa cadastrada no Nucleo de Pesquisa em Enfermagem e Saude do Trabalhador (NUPENST) EEAN/UFRJ. O servico noturno vem trazendo consequencias muitas vezes prejudiciais para a saude do trabalhador. Este estudo objetivou identificar a percepcao do academico de enfermagem sobre o trabalho noturno e analisa-la em relacao a influencia desse plantao na saude do trabalhador de enfermagem. Foi utilizado o referencial teorico Regis1, Pitta2, Fischer et al.3 Estudo quantitativo, onde participaram 67 academicos de enfermagem de uma Universidade Publica. Utilizou-se um questionario. Concluiu-se que embora apenas a minoria dos academicos de enfermagem tenha tido experiencia com o trabalho noturno, a maioria conhece alguns efeitos negativos que podem ser ocasionados pelo trabalho noturno, porem muitas vezes os associam apenas aos aspectos fisiologicos. A pesquisa trouxe subsidios para que essas questoes sejam tratadas ainda no Curso de Graduacao em Enfermagem.

Condições de trabalho de profissionais da enfermagem: avaliação baseada no modelo demanda-controle

Objective: To describe the relationship between indicators of psychological demands and job control among nursing workers, according to the Demand-Control Model. Methods: It was a cross-sectional study, with 491 nurses of a public university hospital in Rio Grande do Sul, in the period of March to December 2006. It was used the Brazilian version of the Job Content Questionnaire, to assess the psychosocial dimensions of work (psychological demands and control). Results: It was found that 30% of nursing workers were classified in the passive work group (low demand and low control), 29% in the active work (high demand and high control), 21% in the high demand ( high demand and low control) and 20% in the low demand (low demand and high control). The high demand was higher among technicians and nursing assistants. Conclusion: It is necessary to implement measures that aim to reduce the psychological demands from work and allow greater flexibility and autonomy to the worker.Objective: To describe the relationship between indicators of psychological demands and job control among nursing workers, according to the Demand-Control Model. Methods: It was a cross-sectional study, with 491 nurses of a public university hospital in Rio Grande do Sul, in the period of March to December 2006. It was used the Brazilian version of the Job Content Questionnaire, to assess the psychosocial dimensions of work (psychological demands and control). Results: It was found that 30% of nursing workers were classified in the passive work group (low demand and low control), 29% in the active work (high demand and high control), 21% in the high demand ( high demand and low control) and 20% in the low demand (low demand and high control). The high demand was higher among technicians and nursing assistants. Conclusion: It is necessary to implement measures that aim to reduce the psychological demands from work and allow greater flexibility and autonomy to the worker.

Fatores facilitadores e impeditivos no cuidar de si para docentes de enfermagem

The objectives of this study were to describe the facilitating and impeding factors towards self-care among nursing students and to discuss implications for the worker´s health perspective. This exploratory study included 33 teachers from three Brazilian Nursing Schools in Federal Universities in the states of Rio de Janeiro as subjects. The facilitating factors were related to consciousness towards self-care, remuneration, the personal relationship, and creativity. The impeding factors were remuneration, work organization, excess activities, a lack of time, and low self-esteem. The impeding factors overwhelm the facilitating factors to self-care, characterizing themselves as obstacles to self-care practices, generating demotivation and prejudices to the students health and the institution, thus making it possible to cut into ones free time and implying less leisure time, rest, and spending time with family and friends.The objectives of this study were to describe the facilitating and impeding factors towards self-care among nursing students and to discuss implications for the workers health perspective. This exploratory study included 33 teachers from three Brazilian Nursing Schools in Federal Universities in the states of Rio de Janeiro as subjects. The facilitating factors were related to consciousness towards self-care, remuneration, the personal relationship, and creativity. The impeding factors were remuneration, work organization, excess activities, a lack of time, and low self-esteem. The impeding factors overwhelm the facilitating factors to self-care, characterizing themselves as obstacles to self-care practices, generating demotivation and prejudices to the students health and the institution, thus making it possible to cut into ones free time and implying less leisure time, rest, and spending time with family and friends. DESCRIPTORS: Nursing. Faculty, nursing. Occupational health.

Violence in daily hospital nursing work

Objective: To describe the frequency of referred verbal, physical and sexual violence and factors associated with verbal violence in nursing teams’ work at public hospitals. Methods: Cross-sectional study, involving 1509 workers at three public hospitals in Rio de Janeiro City – (RJ). Bivariate analysis and logistic regression were applied. Significance was set at 5%. Results: The frequencies of verbal, physical and sexual violence amounted to 982 (65.1%), 46 (3%) and 87 (5.7%), respectively. After applying multivariate analysis, higher chances of referred verbal violence were observed among women, younger professionals, with higher education levels, nurses, who were contracted and receive low levels of social support at work. Conclusion: Verbal violence is frequent in the hospital work environment and associated with different characteristics. A less hostile environment needs to be built for nursing workers.OBJETIVO: Describir la frecuencia de las violencias verbal, fisica y sexual referidas y factores asociados a la violencia verbal en el trabajo de los equipos de enfermeria de hospitales publicos. METODOS: Se trata de um estudio seccional realizado con 1509 trabajadores de tres hospitales publicos del Municipio de Rio de Janeiro - (RJ). Se realizaron analisis bivariados y regresion logistica adoptandose niveles del 5% de significancia. RESULTADOS: Las frecuencias de violencia verbal, fisica y sexual fueron respectivamente 982 (65,1%), 46 (3%) y 87 (5,7%). Despues del analisis multivariado, fueron observadas oportunidades mas elevadas de referir violencia verbal entre as mujeres, los mas jovenes, de escolaridad mas alta, enfermeros, los contratados y bajo apoyo social en el trabajo. CONCLUSION: La violencia verbal es frecuente en el ambiente de trabajo hospitalario asociado a diferentes caracteristicas. La construccion de un ambiente menos hostil para el trabajador de enfermeria se vuelve necesaria.