Mirian Cristina dos Santos Almeida

Workloads and strain process in Community Health Agents

OBJECTIVE To identify the workloads present in the work activities of community health agents (CHAs) and the resulting strain processes. METHOD A descriptive, exploratory, cross-sectional and quantitative study conducted with 137 CHAs. Data were collected through a questionnaire and interview guided by the health surveillance software called SIMOSTE (Health Monitoring System of Nursing Workers), following the ethical codes of the current law. RESULTS In total, were identified 140 workloads involved in 122 strain processes, represented by the occurrence of health problems of the CHAs. The mechanical (55.00%) and biological (16.43%) loads stood out. The most common strain processes were the external causes of morbidity and mortality (62.31%) and diseases of the musculoskeletal system and connective tissue (10.66%). CONCLUSION From the identified overloads, it became evident that all workloads are present in the work process of CHAs, highlighting the mechanical load, represented mainly by external causes of morbidity and mortality that are related to occupational accidents.OBJETIVO Identificar as cargas de trabalho presentes na atividade laboral dos agentes comunitarios de saude (ACS) e os processos de desgaste decorrentes. METODO Estudo descritivo-exploratorio, transversal, quantitativo, realizado com 137 ACS. Os dados foram coletados por meio de questionario e entrevista norteada pelo software de vigilância a saude SIMOSTE, seguindo os preceitos eticos da legislacao vigente. RESULTADOS Identificou-se 140 cargas de trabalho envolvidas em 122 processos de desgaste representados pelas ocorrencias de agravos a saude do ACS, destacando-se as cargas mecânica (55,00%) e biologica (16,43%). Os processos de desgastes mais comuns foram as causas externas de morbidade e mortalidade (62,31%) e as doencas do sistema osteomuscular e conjuntivo (10,66%). CONCLUSAO Evidenciou-se a partir dos desgastes identificados, que todas as cargas de trabalho estao presentes no processo de trabalho dos ACS, destacando-se a carga mecânica, representada principalmente pelas causas externas de morbidade e mortalidade, as quais se relacionam com os acidentes de trabalho.

Cargas de trabajo y proceso de desgaste en Agentes Comunitarios de Salud

OBJECTIVE To identify the workloads present in the work activities of community health agents (CHAs) and the resulting strain processes. METHOD A descriptive, exploratory, cross-sectional and quantitative study conducted with 137 CHAs. Data were collected through a questionnaire and interview guided by the health surveillance software called SIMOSTE (Health Monitoring System of Nursing Workers), following the ethical codes of the current law. RESULTS In total, were identified 140 workloads involved in 122 strain processes, represented by the occurrence of health problems of the CHAs. The mechanical (55.00%) and biological (16.43%) loads stood out. The most common strain processes were the external causes of morbidity and mortality (62.31%) and diseases of the musculoskeletal system and connective tissue (10.66%). CONCLUSION From the identified overloads, it became evident that all workloads are present in the work process of CHAs, highlighting the mechanical load, represented mainly by external causes of morbidity and mortality that are related to occupational accidents.OBJETIVO Identificar as cargas de trabalho presentes na atividade laboral dos agentes comunitarios de saude (ACS) e os processos de desgaste decorrentes. METODO Estudo descritivo-exploratorio, transversal, quantitativo, realizado com 137 ACS. Os dados foram coletados por meio de questionario e entrevista norteada pelo software de vigilância a saude SIMOSTE, seguindo os preceitos eticos da legislacao vigente. RESULTADOS Identificou-se 140 cargas de trabalho envolvidas em 122 processos de desgaste representados pelas ocorrencias de agravos a saude do ACS, destacando-se as cargas mecânica (55,00%) e biologica (16,43%). Os processos de desgastes mais comuns foram as causas externas de morbidade e mortalidade (62,31%) e as doencas do sistema osteomuscular e conjuntivo (10,66%). CONCLUSAO Evidenciou-se a partir dos desgastes identificados, que todas as cargas de trabalho estao presentes no processo de trabalho dos ACS, destacando-se a carga mecânica, representada principalmente pelas causas externas de morbidade e mortalidade, as quais se relacionam com os acidentes de trabalho.

Cargas de trabalho e processo de desgaste em Agentes Comunitários de Saúde

OBJECTIVE To identify the workloads present in the work activities of community health agents (CHAs) and the resulting strain processes. METHOD A descriptive, exploratory, cross-sectional and quantitative study conducted with 137 CHAs. Data were collected through a questionnaire and interview guided by the health surveillance software called SIMOSTE (Health Monitoring System of Nursing Workers), following the ethical codes of the current law. RESULTS In total, were identified 140 workloads involved in 122 strain processes, represented by the occurrence of health problems of the CHAs. The mechanical (55.00%) and biological (16.43%) loads stood out. The most common strain processes were the external causes of morbidity and mortality (62.31%) and diseases of the musculoskeletal system and connective tissue (10.66%). CONCLUSION From the identified overloads, it became evident that all workloads are present in the work process of CHAs, highlighting the mechanical load, represented mainly by external causes of morbidity and mortality that are related to occupational accidents.OBJETIVO Identificar as cargas de trabalho presentes na atividade laboral dos agentes comunitarios de saude (ACS) e os processos de desgaste decorrentes. METODO Estudo descritivo-exploratorio, transversal, quantitativo, realizado com 137 ACS. Os dados foram coletados por meio de questionario e entrevista norteada pelo software de vigilância a saude SIMOSTE, seguindo os preceitos eticos da legislacao vigente. RESULTADOS Identificou-se 140 cargas de trabalho envolvidas em 122 processos de desgaste representados pelas ocorrencias de agravos a saude do ACS, destacando-se as cargas mecânica (55,00%) e biologica (16,43%). Os processos de desgastes mais comuns foram as causas externas de morbidade e mortalidade (62,31%) e as doencas do sistema osteomuscular e conjuntivo (10,66%). CONCLUSAO Evidenciou-se a partir dos desgastes identificados, que todas as cargas de trabalho estao presentes no processo de trabalho dos ACS, destacando-se a carga mecânica, representada principalmente pelas causas externas de morbidade e mortalidade, as quais se relacionam com os acidentes de trabalho.

P255 Mental suffering in brazilian nursing workers: proposals to action

Introduction Many researchers have demonstrated the presence of suffering at work researches show the precariousness of health work, specifically in Brazilian nurses, has been an important factor in the genesis of mental suffering, considering the lack of human resources and material, work overload, the multiple demands and low pay. Objectives: analyse the occurrence of mental suffering in Brazilian nursing workers, describe the consequences and propose interventions to reduce the suffering. Methods This is a cross-sectional, descriptive, and quantitative study carried out in a Teaching Hospital. Data were collected by nursing workers health surveillance software (SiMOSTE) Results The study recorded 540 occurrences of Mental and Behavioural Disorders in nurses, more than half of (305; 56.49%) related to Mood disorders, of which we highlight Depressive episodes (190; 35.18%) and the Recurrent depressive disorder (85; 15.75%). For the consequences of Mental and Behavioural Disorders, it was found out, 462 generated sick leaves with an average of 7.67 lost days, 76 resulted in psychiatrist treatment, and 2 caused occupational accidents. In relation to proposals for intervention were suggested : make breaks at work, implement conversation circles and improvement of teamwork. It is necessary discuss the forms of organisations of work, between what is prescribed and what actually takes (Dejours, 2012). Place – and its implications for the scope of psychodynamics of work and mental health. Conclusions The study reveals the relation between the nursing workers and mental suffering, allowing the identification of workloads and strain process to planning of interventions.

0370 Occupational accidents and diseases among community health agents in the municipality of Caraguatatuba/SP

Objectives Identify and analyse of the occupational accidents and diseases occurred with the community health agents in the municipality of Caraguatatuba/SP. Method This descriptive, exploratory, cross-sectional field study with a quantitative approach had the purposes of identifying and analysing of the occupational accidents and diseases occurred with the community health agents in the municipality of Caraguatatuba/SP. The data were collected from 137 workers by means of a questionnaire and an interview. Results The data related to occupational accidents reveal that less than half (59; 43.07%) of the workers had occupational accidents, most of them (44; 74.59%) having reported one; the total of accidents reported was 80, and the most frequent were biker trauma in traffic accidents (43; 53.75%), followed by dog bites (13; 16.25%) and falls (12; 15.00%); the most frequent type of occupational accident was the typical (64; 80.00%), followed by road accidents (13; 16.25%) and occupational disease (3; 3.75%). Besides, 22.63% reported diseases as osteomuscular system and of the connective tissue (13; 30.96%), diseases of the circulatory system (7; 16.68%), the respiratory system, mental and behavioural disorders, skin and subcutaneous tissue diseases (4; 9.52%, respectively). Conclusions The data point to the importance for an investment in the health community health agents in the municipality of Caraguatatuba/SP with training program.