Silviamar Camponogara

Na trilha da fenomenologia: um caminho para a pesquisa em enfermagem

The use of different methodological references has been a constant search in the practice of research of different areas of knowledge. Therefore, nursing has tried to base its studies on diversified references, as a way to broaden its body of knowledge. Thus, this article aims to propose a few considerations and ideas about the use and contributions of phenomenology as a research method in the nursing area, by reviewing its main guiding presuppositions, as well as analyzing the availability of the use of phenomenology in studies of this area. So, we claim the importance of phenomenology as a methodological reference, but also a theoretical-philosophical reference for nursing research.

Condições de trabalho e características sócio-demográficas relacionadas à presença de distúrbios psíquicos menores em trabalhadores de enfermagem

Psychological demands and control are psychosocial dimensions of work that may generate high levels of stress in nursing work. This study evaluates the association between psychological demands and control in nursing work and the occurrence of minor psychic disorders among nursing workers. This transversal study includes 491 nursing workers from a university hospital in Rio Grande do Sul, Brazil. In order to evaluate the minor psychic disorders and the psychosocial dimensions, Brazilian versions of the Self-Report questionnaire-20 and the Job Content Questionnaire were used, during the period of March to September of 2006. An 18.7% prevalence of minor psychic disorders was observed . After adjustments for potentially confusing elements, the chance for minor psychic disorders was higher (OR=2.76; IC 95%: 1.21-6.27) in the high demand working quadrant when compared to workers in the low demand working quadrant. We consider it necessary to have organizational and participatory management which includes the workers in the process of changes and improvements in the working environment, mainly those that affect demands and control in work. DESCRIPTORS: Work. Working environment. Mental disorders. Occupational health. Nursing.Psychological demands and control are psychosocial dimensions of work that may generate high levels of stress in nursing work. This study evaluates the association between psychological demands and control in nursing work and the occurrence of minor psychic disorders among nursing workers. This transversal study includes 491 nursing workers from a university hospital in Rio Grande do Sul, Brazil. In order to evaluate the minor psychic disorders and the psychosocial dimensions, Brazilian versions of the Self-Report questionnaire-20 and the Job Content Questionnaire were used, during the period of March to September of 2006. An 18.7% prevalence of minor psychic disorders was observed . After adjustments for potentially confusing elements, the chance for minor psychic disorders was higher (OR=2.76; IC 95%: 1.21-6.27) in the high demand working quadrant when compared to workers in the low demand working quadrant. We consider it necessary to have organizational and participatory management which includes the workers in the process of changes and improvements in the working environment, mainly those that affect demands and control in work. DESCRIPTORS: Work. Working environment. Mental disorders. Occupational health. Nursing.

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.

Prazer-sofrimento dos trabalhadores de enfermagem de um serviço de hemodiálise.

Este estudio tuvo como objetivo identificar los factores que generan placer y sufrimiento a los trabajadores de enfermeria de un servicio de hemodialisis. Se trata de una investigacion cualitativa, desarrollada con doce trabajadores de enfermeria. La recoleccion de los datos se dio de marzo hasta abril de 2009, por medio de una entrevista semi-estructurada. Se empleo la tecnica del analisis tematico para el analisis de los datos. Los factores que generan placer en el trabajo fueron: gustarles lo que hacen, ser reconocido, ayudar al paciente y tener una guardia sin intercurrencias. Los factores que generan sufrimiento fueron: presenciar el sufrimiento del paciente, sentirse impotente, sufrir con la agresividad del paciente y tener dificultades en el relacionamiento con los companeros de trabajo. Se hizo evidente la necesidad de que haya discusiones colectivas en los servicios acerca de los factores de placer-sufrimiento en el trabajo.Um dos focos de investigacao na area de saude do trabalhador tem sido a relacao trabalho, saude e adoecimento. Este estudo objetivou identificar os fatores geradores de prazer e sofrimento dos trabalhadores de enfermagem de um servico de hemodialise. Pesquisa qualitativa, desenvolvida com doze trabalhadores de enfermagem. A coleta dos dados ocorreu de marco a abril de 2009, por meio de entrevista semi-estruturada. Empregou-se a tecnica da analise tematica para analise dos dados. Os fatores geradores de prazer no trabalho foram gostar do que faz, ser reconhecido, ajudar o paciente e ter um plantao sem intercorrencias. Os fatores geradores de sofrimento foram presenciar o sofrimento do paciente, sentir-se impotente, sofrer com a agressividade do paciente e ter dificuldades no relacionamento com os colegas de trabalho. Evidenciou-se a necessidade de discussoes coletivas nos servicos acerca dos fatores de prazer-sofrimento no trabalho.

Uma revisão sistemática sobre a produção científica com ênfase na relação entre saúde e meio ambiente

The discussion on points linked to the interface between the environment and health has turned into a very important subject of interest nowadays. Thus, this article aims to show a survey of the national and international scientific production about this subject, in an attempt to identify the most frequent themes of this production. The data were collected during the months of March and April of 2005, from two homepages where scientific publications are available on the web, from which, 603 publications were used as analysis material, by means of categorization. The data showed that there is a very significant number of countries with scientific production on this area, being the most frequent the USA and Russia, whose most relevant theme area is related to risk evaluation. Brazil appears as the third most frequent country in terms of production and most of its work is directed to the study of vectors (transmitters) of infecting-contagious diseases. About the other countries, there is a diversification of lines of investigation. In general, it is perceived that the production of knowledge of this area still occurs in a very isolated and fragmented way, with little importance to the diversity of factors involved in the environmental questions, as well as with little space to interdisciplinary and inter sectorial work, so important in the analysis of the interface health-environment.

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.

Reflexivity, knowledge and ecological awareness: premises for responsible action in the hospital work environment

The article aims to analyze the interface of reflexivity, knowledge and ecologic awareness in the context of hospital work, based on data collected in a qualitative case study carried out at a public hospital. Field observation data and interviews are discussed in the light of sociologic and philosophic references. Workers expressed the interface between knowledge and action, in which there is a cycle of lack of knowledge, automatism in the actions and lack of environmental awareness, posing limits to individual awareness and to responsibility towards environmental preservation. Increased debate and education, including the environmental issue, are needed in the context of hospital work. Although hospital work is reflexively affected by the environmental problem, that does not guarantee the reorientation of practices and responsible action towards the environment.O artigo propoe analisar a interface reflexividade, conhecimento e consciencia ecologica no contexto do trabalho hospitalar, a partir de dados de pesquisa qualitativa, tipo Estudo de Caso, em instituicao hospitalar publica. Os dados de observacao de campo e entrevista sao discutidos a luz de referenciais sociologicos e filosoficos. Os trabalhadores expressaram a interface entre conhecimento e acao, em que se retroalimentam a falta de conhecimentos, o automatismo no desenvolvimento de acoes e a falta de consciencia ambiental, impondo limites a consciencia individual e a responsabilidade com a preservacao ambiental. A ampliacao do debate e a educacao voltada para a tematica ambiental se colocam como necessidade no contexto do trabalho hospitalar. Embora o trabalhador hospitalar seja reflexivamente afetado pela problematica ambiental, isso nao garante a reorientacao de suas praticas e o agir responsavel com o meio ambiente.

Perfil dos pacientes internados na unidade de terapia intensiva adulto de um hospital universitário

Objetivo: o estudo objetivou tracar o perfil dos pacientes internados na Unidade de Terapia Intensiva Adulto de um hospital universitario. Metodo: estudo do tipo retrospectivo, de carater descritivo, com abordagem quantitativa. Os dados foram coletados por meio de formulario proprio, diretamente do prontuario dos pacientes e, apos, sofreram um processo de analise quantitativa. Resultados: os resultados evidenciam que a populacao e predominantemente, do sexo masculino, idosa e procedente do pronto atendimento da instituicao. As principais causas de internacao foram as doencas infecciosas e as doencas neurologicas. O tempo medio de internacao foi de 14 dias. A infeccao hospitalar foi a complicacao mais frequente. O indice de obito foi de 50%. Conclusoes: o conhecimento desses dados e fundamental para otimizar o processo de trabalho e de cuidado em unidades criticas, possibilitando, ao enfermeiro, melhor planejar acoes de cuidado em saude.

SAÚDE E MEIO AMBIENTE NA CONTEMPORANEIDADE: O NECESSÁRIO RESGATE DO LEGADO DE FLORENCE NIGHTINGALE

Evidences that show that the contemporary society is going through an intense environmental crisis are more and more shocking. As contemporary subjects, we suffer the impact of such environmental problems, but not necessarily do we take actions in order to minimize this environment impact. This text aims to problematize the relation between the environment issues and the area of health, reviewing conceptual bases that may make it possible for health and nursing professionals to reflect about the topic and their role in the process of environmental preservation, especially in an attempt to highlight the legacy left by Florence Nightingale. It is necessary a resumption of the legacy of Florence Nightingale in a way to qualify the environmental dimension as indispensable for the process of health assistance, not only in terms of the promotion of health and quality of life, but also to promote the minimization of the environmental impact that comes with the work in the health area. Ethical reflection and educative approach are fundamental points in this process.

O espaço do diálogo na pesquisa em enfermagem: relato de experiência sobre a fase de coleta de dados

Se trata de un relato de experiencia cuyo objetivo es reflexionar sobre la importancia de crear un espacio dialogico en el proceso de la investigacion en enfermeria, especialmente en la fase de la recoleccion de los datos, como una forma de calificar el proceso de ensenanza y de investigacion propiamente dicho. La experiencia ocurrio en los meses de marzo a agosto de 2006, cuando estudiantes de enfermeria recolectaron datos de una investigacion con abordaje cuantitativo, por medio de entrevistas a una poblacion de 532 trabajadores de enfermeria de un hospital universitario. Durante este periodo ocurrieron encuentros dialogicos entre los involucrados, con el objeto de posibilitar intercambios de experiencias y el establecimiento de un espacio para la manifestacion de sentimientos, dificultades, construccion de estrategias de accion y de aprendizaje. La experiencia fue significativa, mostrando que el aprendizaje en investigacion debe ser acompanado de un proceso dialogico entre los involucrados, posibilitando su autonomia y compromiso.This work consists of an experience report that aims to reflect upon the importance of creating a dialogic space in the process of nursing research, especially during the phase of data collection, as a way to qualify the teaching and research process itself. The experience was carried out from March until August of 2006, when nursing students collected data through interviews for a quantitative study from a population of 532 nursing workers of a University Hospital. During this period, dialogic meetings between the involved workers and researchers occurred, aiming to make the exchange of experiences possible, as well as the establishment of a space where they could express their feelings and difficulties, and where the construction of strategies for action and learning can happen. The experience was significant; pointing out that learning in research must be associated to a dialogic process between those involved, making its autonomy and commitment possible. RESUMEN: Se trata de un relato de experiencia cuyo objetivo es reflexionar sobre la importancia de crear un espacio dialógico en el proceso de la investigación en enfermería, especialmente en la fase de la recolección de los datos, como una forma de calificar el proceso de enseñanza y de investigación propiamente dicho. La experiencia ocurrió en los meses de marzo a agosto de 2006, cuando estudiantes de enfermería recolectaron datos de una investigación con abordaje cuantitativo, por medio de entrevistas a una población de 532 trabajadores de enfermería de un hospital universitário. Durante este período ocurrieron encuentros dialógicos entre los involucrados, con el objeto de posibilitar intercambios de experiencias y el establecimiento de un espacio para la manifestación de sentimientos, dificultades, construcción de estratégias de acción y de aprendizaje. La experiencia fue significativa, mostrando que el aprendizaje en investigación debe ser acompañado de un proceso dialógico entre los involucrados, posibilitando su autonomía y compromiso. P A L A V R A S C H A V E : Pesquisa. Estudantes de enfermagem. Aprendizagem.