Revista Brasileira de Medicina do Trabalho最新文献

{"title":"Working and health conditions in teleworkers in mandatory social isolation due to COVID-19: exploratory survey in Lima and Callao.","authors":"Kevin Jesus Mayma-Aguirre, Miguel Angel Burgos-Flores, Iselle Lynn Sabastizagal-Vela, Jonh Maximiliano Astete-Cornejo","doi":"10.47626/1679-4435-2023-1139","DOIUrl":"10.47626/1679-4435-2023-1139","url":null,"abstract":"<p><strong>Introduction: </strong>The socioeconomic and health situation of people have been affected during the COVID-19 pandemic; in Peru, preventive labor measures were taken to promote home working, which generated working conditions requiring special attention.</p><p><strong>Objectives: </strong>To describe the results of an online survey on working and health conditions in workers from Lima and Callao who worked from home during the first period of mandatory social isolation due to COVID-19.</p><p><strong>Methods: </strong>In this exploratory study, an online survey adapted from the Questionnaire on Working Conditions, Employment and Health in Latin America and the Caribbean was applied between March 21 and April 11, 2020.</p><p><strong>Results: </strong>Of the 179 workers included, 50.8% reported doing remote work, and 49.2% teleworking; 3.9% did not have necessary computer equipment for their work activities, 54.2% required more time to finish their scheduled activities and 31.8% of workers did not have an adequate environment for home working. Regarding health conditions, more than 40% reported spinal discomfort, headache, and anxiety symptoms.</p><p><strong>Conclusions: </strong>Latent problems were identified regarding the working and health conditions of the Peruvian population working from, which may represent a burden on public health not considered in the prevention measures during the pandemic.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 3","pages":"e20231139"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11595393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aspects of mental suffering among nursing professionals at a public hospital in the city of São Paulo, Brazil.","authors":"Jessica Andrea Bravo Santana, Rodolfo Antonio Corona, Arthur Arantes Cunha, João Silvestre Silva-Junior","doi":"10.47626/1679-4435-2023-1157","DOIUrl":"10.47626/1679-4435-2023-1157","url":null,"abstract":"<p><strong>Introduction: </strong>Nurse practitioners are fundamental to organize patient care at the various levels of health care services. This includes exposure to various work stressors, which can affect the quality of the service as a result of physical and mental exhaustion.</p><p><strong>Objectives: </strong>This study aimed to investigate and analyze the rate and the factors associated with mental suffering in licensed practical nurses and nursing assistants in a hospital in Brazil.</p><p><strong>Methods: </strong>This is a cross-sectional study conducted with a nursing support team in a hospital in São Paulo, Brazil. The participants answered the Self-Reporting Questionnaire, which assesses mental suffering, and a questionnaire with questions about sociodemographic, occupational, clinical and health risk behavior data in 2013.</p><p><strong>Results: </strong>Their mean age was 32.8 years (standard deviation ± 8.5), and their mean length of service was 6.9 years (standard deviation ± 7.0). The participants were predominantly licensed practical nurses (53.5%), women (73.3%), working less than 40 hours per week (63.4%), with more than one job (74.3%), and no chronic illnesses (84.2%). The overall rate of mental suffering was 23.8%. The most frequent (46.5%) complaint was feeling nervous, tense or worried.</p><p><strong>Conclusions: </strong>Mental suffering is a risk factor for overall health and workers' health care services should focus on health promotion and disease prevention.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 3","pages":"e20231157"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11595401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational accidents with exposure to biological material in a university hospital in Pernambuco.","authors":"Edivane Patrícia Galdino Monteiro, Ivanéle Maria Soares Bezerra, Magaly Bushatsky, Adriana Conrado de Almeida, Rosana Anita da Silva Fonseca, Emanuel Sávio de Souza Andrade","doi":"10.47626/1679-4435-2023-1106","DOIUrl":"10.47626/1679-4435-2023-1106","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational accident with biological material consists of the worker's contact with blood and/or other organic fluids during their working shift.</p><p><strong>Objectives: </strong>To describe the epidemiological profile of occupational accidents with exposure to biological material reported in a university hospital in Pernambuco, Brazil, from 2009 to 2019.</p><p><strong>Methods: </strong>This is an analytical, cross-sectional, retrospective study that analyzes 134 notification forms of accidents with exposure to biological material. Bivariate analysis was performed with Fisher's exact test.</p><p><strong>Results: </strong>Women had more accidents, 83.6% (n = 112). Nursing professionals represented 45.5% (n = 61) of cases. Percutaneous exposure predominated in 70.9% (n = 95). Drug administration and inadequate disposal of sharps accounted for 62.7% (n = 84), and gloves were the most worn personal protective equipment, 62.7% (n = 84). Of those injured, 62.7% (n = 84) had been fully vaccinated against hepatitis B.</p><p><strong>Conclusions: </strong>This study refers us to the relevance of broad and comprehensive information about worker health policies, including technical-professional foundation, labor rights, the importance of records, and prevention awareness.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 3","pages":"e20231106"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11595390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate change and its impacts on the world of work.","authors":"Andrea Franco Amoras Magalhães","doi":"10.47626/1679-4435-2024-223","DOIUrl":"https://doi.org/10.47626/1679-4435-2024-223","url":null,"abstract":"","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 3","pages":"e2024223"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11595389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The meaning of work for hospital unit nurses: a scoping review.","authors":"Thiago Portela Caroccini, Alexandre Pazetto Balsanelli, Vanessa Neves","doi":"10.47626/1679-4435-2023-1116","DOIUrl":"10.47626/1679-4435-2023-1116","url":null,"abstract":"<p><p>Over the years, work has become a meaningful activity in the lives of professionals, contributing to social inclusion and personal fulfillment and influencing quality of life. This is particularly true for nurses, for whom work has significant meaning. This study aims to explore how nurses' recognition of the meaning of their work is critical to their job performance. This scoping review was conducted using the Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean Health Sciences Literature, Medical Literature Analysis and Retrieval System Online, and American Psychological Association databases. The review included studies in Portuguese, English and Spanish published between 2016 and 2022. The final sample included 10 studies that reported characteristics related to the meaning of work: 56% were qualitative descriptive studies, 22% were cross-sectional, and 22% did not report their design. Most studies were conducted in Brazil (n = 6), followed by China, Japan, and Namibia. Articles were classified and analyzed according to the following categories: sample, description of values or attributes of the meaning of work, and hospital context. The study concludes that nurses perceive meaning in their work through affirmation; exchange of esteem; sharing of information; trust; autonomy; interpersonal relationships; communication; interpersonal relationships with patients; reciprocity; involvement; job satisfaction; opportunities for learning and development; recognition and moral integrity; affective commitment; and stress related to work hours.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 3","pages":"e20231116"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11595381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout syndrome and coping strategies among professors in the health area.","authors":"Gilvana Maria Vieira Xavier, Claudio José Dos Santos Júnior, Mara Cristina Ribeiro, Geraldo Magella Teixeira","doi":"10.47626/1679-4435-2024-1175","DOIUrl":"10.47626/1679-4435-2024-1175","url":null,"abstract":"<p><strong>Introduction: </strong>Burnout syndrome is a condition resulting from chronic exposure to interpersonal stressors in the workplace. Faculty in the health field are particularly susceptible to burnout syndrome due to frequent emotional stress.</p><p><strong>Objectives: </strong>To identify an association between the dimensions of burnout syndrome and the coping strategies these faculty have adopted.</p><p><strong>Methods: </strong>An observational, analytical and cross-sectional study was conducted in 2021 with 164 faculty from a public university. The Maslach Burnout Inventory and the Brief-Coping Orientation to Problems Experienced were used. The analysis included descriptive statistics and Spearman correlation, using SPSS 16.0.</p><p><strong>Results: </strong>Emotional exhaustion was high for 54.88% of the sample. Depersonalization scored high for 97.57% of the participants, whereas personal accomplishment was high for 100%. These results are no indication of burnout syndrome, which requires high scores for emotional exhaustion and depersonalization and low scores for personal accomplishment. Active coping, planning, and positive reframing were the most used strategies, which are aimed at solving problems and are considered protective against this condition. Denial, behavioral disengagement, and substance use, which are focused on avoidance and emotion, with potentially negative effects, were the least used. The correlations between the dimensions of burnout syndrome and the coping factors were weak or very weak.</p><p><strong>Conclusions: </strong>Although burnout syndrome was not identified, the sample was at a high risk of becoming ill due to emotional exhaustion. The correlations between the dimensions of burnout syndrome and the coping factors were weak.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 3","pages":"e20241175"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11595380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure to musculoskeletal and psychosocial risks in SME workers, Antofagasta, Chile, 2021-2022.","authors":"Guido Solari Montenegro, Monserrat Rivera Iratchet, Alejandra Velasco Mur, Milena Álvarez Andrade, Karin Orellana Urra, Paola Gómez Inostroza","doi":"10.47626/1679-4435-2023-1119","DOIUrl":"10.47626/1679-4435-2023-1119","url":null,"abstract":"<p><strong>Introduction: </strong>In Chile, small and medium-sized enterprises employ approximately 5,000,000 workers, of whom only 10% are formally protected from accidents and occupational diseases, and there is little information on their exposure to occupational hazards and demographic characteristics.</p><p><strong>Objectives: </strong>To identify some occupational musculoskeletal and psychosocial risks and sociodemographic characteristics in small and medium-sized enterprises workers in the region of Antofagasta, Chile.</p><p><strong>Methods: </strong>Using a descriptive and exploratory design, their sociodemographic characteristics and the jobs of a sample of 273 workers were evaluated to determine the risks due to manual handling of loads, work-related upper extremity musculoskeletal disorders, and psychosocial factors. A sociodemographic survey, the technical guide of the Ministry of Labor, the technical standard and checklist of the Ministry of Health, and the Superintendencia de Seguridad Social/Instituto Sindical de Trabajo, Ambiente y Salud questionnaire of the Superintendency of Social Security were used.</p><p><strong>Results: </strong>Overall, 23% of workers presented normal body mass index, 11.7% were at risk for manual handling of loads, and 16.9% at risk for work-related upper extremity musculoskeletal disorders. The greatest prevalence of psychosocial risk was observed in the double presence dimension (46.89%). A relationship was only found between psychological demands and compensation dimensions and the job positions and between psychological demands and economic activity.</p><p><strong>Conclusions: </strong>Risk for manual handling of loads and work-related upper extremity musculoskeletal disorders was found in mining service companies, in men with technical and blue-collar positions, and in those with high psychosocial risk in the double presence dimension. An association was identified between two psychosocial dimensions with the workers' positions and the economic activity of their company.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 3","pages":"e20231119"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11595398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food consumption of workers in an information technology company: randomized clinical study.","authors":"Diana Souza Santos Vaz, Anne Cristine Rumiato, Inês Monteiro","doi":"10.47626/1679-4435-2023-1187","DOIUrl":"10.47626/1679-4435-2023-1187","url":null,"abstract":"<p><strong>Introduction: </strong>The structure of the workplace, work relationships, accessibility and quality of food and time for meals reflect on individuals' eating habits.</p><p><strong>Objectives: </strong>Analyze the changes in the diet of workers in relation to the consumption of calories, macronutrients and micronutrients.</p><p><strong>Methods: </strong>Longitudinal study, lasting 8 months, randomized and descriptive clinical trial, with 95 information technology workers in the city of Campinas, state of São Paulo. The workers were divided into two groups based on a draw, the intervention group participated in monthly meetings and received messages via WhatsApp^® forwarded weekly, and the control group participated in two meetings. In the nutritional evaluation, the measurements of weight, height, waist circumference and skin folds were bicipital, tricipital, suprailiac and subscapular; they also responded to the 24-hour recall in which the consumption of macronutrients (protein, carbohydrates and lipids), micronutrients (vitamins A and C, calcium and selenium), calories and fiber was measured.</p><p><strong>Results: </strong>It was observed that there was a significant difference between the final and start consumption of protein (p = 0.0008), carbohydrate (p = 0.0053) and calcium (p = 0.0197) in the control and selenium group (p = 0.0049) of the intervention group.</p><p><strong>Conclusions: </strong>There were no significant changes in diet and in the reduction of body measures. The environment, time of intervention and frequency of individual consultations need to be reviewed for future studies, in order to improve commitment, make participation more active, for interventions to be effective.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 3","pages":"e20231187"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11595394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Core competencies in occupational medicine from the perspective of the different fields of professional activity.","authors":"Rodolfo Miguel Alves Carniato, Marcia Cristina Bandini, Sérgio Roberto de Lucca, Valmir Antonio Zulian de Azevedo","doi":"10.47626/1679-4435-2023-1168","DOIUrl":"https://doi.org/10.47626/1679-4435-2023-1168","url":null,"abstract":"<p><p>Occupational physicians are expected to be ethical, technical, and humanistic professionals, working to promote and prevent work-related illnesses and to preserve worker's health. The Competências Essenciais Requeridas para o Exercício da Medicina do Trabalho (Core Competencies Required for the Practice of Occupational Medicine) guidelines should be a reference in their professional practice. This article aimed to analyze whether the domains currently proposed in the competencies of the specialty are reflected in the professional practice of those interviewed. This is a qualitative study including 12 interviews with occupational physicians in different fields. The narratives were recorded and the content was categorized according to the competencies matrix of the specialty. The analysis of the speeches showed that all the participants addressed the five domains of the Competências Essenciais Requeridas para o Exercício da Medicina do Trabalho. The interviewees stressed the positive and critical aspects of training and professional practice and the need for constant learning updates. According to the interviewees, the competencies are suitable for the various fields of work in occupational medicine. Special attention should be paid to ethical and moral dilemmas, which are a permanent challenge for occupational physicians who deal with conflicting interests between employers and workers on a daily basis.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 3","pages":"e20231168"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11595391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of professional life of intensive care unit workers during the COVID-19 pandemic.","authors":"Regina Claudia da Silva Souza, Mariana Davies Ribeiro Bersaneti, Ana Lúcia Siqueira Costa Calache","doi":"10.47626/1679-4435-2023-1232","DOIUrl":"10.47626/1679-4435-2023-1232","url":null,"abstract":"<p><strong>Introduction: </strong>Intensive care environment poses daily challenges to health workers. During the COVID-19 pandemic, intensive care unit staff experienced significant levels of secondary traumatic stress and burnout. Although they find satisfaction in their work, repeated exposure to the suffering caused by patients' severe conditions exposes them to a high risk of compassion fatigue.</p><p><strong>Objectives: </strong>To evaluate the relationship between sociodemographic and professional variables and the professional quality of life represented by compassion satisfaction, secondary traumatic stress, and burnout during the first wave of the COVID-19 pandemic in a high-complexity hospital.</p><p><strong>Methods: </strong>This cross-sectional study was conducted from July to September 2020 in an intensive care unit of a Brazilian hospital. Participants were 89 health care workers who completed a questionnaire via the Research Electronic Data Capture platform, consisting of sociodemographic data and the Professional Quality of Life instrument. Professionals who were on leave for more than 2 months, enrolled in residency programs, or in leadership positions were excluded.</p><p><strong>Results: </strong>Levels of compassion satisfaction, burnout, and secondary traumatic stress were characterized as moderate, affecting 98.9%, 69.7%, and 59.5% of the sample, respectively. No sociodemographic variable was associated with professional quality of life.</p><p><strong>Conclusions: </strong>Workers showed moderate levels of compassion satisfaction, secondary traumatic stress, and burnout. No association was found between sociodemographic variables and professional quality of life. Understanding such issues among workers is crucial for the implementation of mental health promotion interventions.</p>","PeriodicalId":38694,"journal":{"name":"Revista Brasileira de Medicina do Trabalho","volume":"22 3","pages":"e20231232"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11595377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}