Objective:to estimate the incidence of surgical site infection in general surgeries at a large Brazilian hospital while identifying risk factors and prevalent microorganisms. Method:non-concurrent cohort study with 16,882 information of patients undergoing general surgery from 2008 to 2011. Data were analyzed by descriptive, bivariate and multivariate analysis. Results:the incidence of surgical site infection was 3.4%. The risk factors associated with surgical site infection were: length of preoperative hospital stay more than 24 hours; duration of surgery in hours; wound class clean-contaminated, contaminated and dirty/infected; and ASA index classified into ASA II, III and IV/V. Staphyloccocus aureus and Escherichia coli were identified. Conclusion:the incidence was lower than that found in the national studies on general surgeries. These risk factors corroborate those presented by the National Nosocomial Infection Surveillance System Risk Index, by the addition of the length of preoperative hospital stay. The identification of the actual incidence of surgical site infection in general surgeries and associated risk factors may support the actions of the health team in order to minimize the complications caused by surgical site infection.

The objective of this study was to learn the level of satisfaction that nurses have about their work. Participants were 34 nurses, who answered the Professional Satisfaction Index (PSI), translated and validated for the Portuguese language and adapted to home care. The following six components were analyzed: Interaction, Autonomy, Remuneration, Professional Status, Organizational Norms, and Working Requirements. The PSI found in the study was 13.19. This was a low value, considering the possible variation from 0.9 to 37.1, though it was greater than the satisfaction indexes found in other nurse studies.

This is a qualitative study with the objective to analyze the managemental actions developed by the nurses, implied in the health-desease process of the nursing workers. It was carried through in a university hospital and the citizens had been managers nurses of the Hospital. The results had shown that the nursing worker's health is determined by the form as the processes of work are organized in the Hospital. The transformation possibilities are organized in new forms to organize the work, privileging the development of the four dimensions of the management, with the adoption of management process and the investment in continued education that privileges the emancipation of the citizens.

RESUmoO objetivo deste estudo foi identificar os fatores que desencadeiam a hipotermia em pacientes em sala de operação e as manifestações em sala de recuperação anesté-sica. O estudo foi realizado em um hospital de grande porte da rede mista da cidade de Santos. A coleta de dados foi realizada em 30 pacientes adultos, com temperatura corpórea na entrada da sala de operações entre de 36ºC e 37,2ºC, com procedimentos cirúrgicos eletivos e anestesia geral. Os resultados demonstraram que os métodos preventivos de hipotermia mais utilizados foram a infusão venosa aquecida e a manta térmica. Na saída da sala de operação e até 30 minutos na sala de recuperação anestési-ca, os pacientes permaneceram hipotérmi-cos. As manifestações de hipotermia foram demonstradas pela hipoxemia e por tremores. Neste estudo, evidenciou-se que a hipotermia no paciente é desencadeada na sala de operação pela falta de medidas preventivas adequadas, acarretando complicações em período de recuperação anestésica. dEScRitoRES Hipotermia Salas cirúrgicas Centros de cirurgia Enfermagem perioperatória Hypothermia in patients during the perioperative periodOriginal article AbStRActThe objective of this study was to identify the factors that trigger hypothermia in patients in surgery, and the manifestations in the anesthesia recovery room. This study was performed in a large hospital of the City of Santos hospital network. Data were collected from 30 adult patients, whose body temperature when entering the surgical suite was between 36ºC and 37.2ºC, who underwent elective procedures and received general anesthesia. Results show that the most common methods used to prevent hypothermia were infusing warmed intravenous fluids and using a thermal blanket. From the moment the patient left the surgical suite until 30 minutes post-recovery in the anesthesia recovery room, patients remained hypothermic. Hypothermia was manifested by hypoxemia and shivering. In this study, it was shown that hypothermia in patients is triggered while in the surgical suite due to the lack of appropriate preventive measures, leading to complications in the anesthesia recovery period. dEScRiPtoRSHypothermia Operating rooms Surgicenters Perioperative nursing RESUmEnEste estudio objetivó identificar los factores desencadenantes de hipotermia en pacientes en sala de operación y las manifestaciones en sala de recuperación anestésica. Fue realizado en hospital de gran porte de la red mixta de Santos-SP. La recolección de datos se efectuó con 30 pacientes adultos con temperatura corporal en entrada de quirófano entre 36ºC y 37,2ºC, con procedimientos quirúrgicos electivos y anestesia general. Los resultados demostraron que los métodos preventivos de hipotermia más utilizados fueron: infusión venosa precalentada y manta térmica. A la salida del quirófano y hasta los 30 minutos en sala de recuperación anestésica, los pacientes permanecieron en hipotermia. Las manifestaciones de hipotermia se demostraron por hipoxemia y temblores. En este estudio se evidenció que la hipotermia en el pac...

This study aimed to investigate the effects of alternating shift work in the daily life of grain processing workers. A quantitative data collection research was carried out at a grain processing company in Goiás -Brazil. Research participants were 53 alternating shift workers. A questionnaire was developed and used for data collection, based on the principles of chronobiology and Pittsburgh Sleep Quality Index, with 31 closed and one open question.The result showed dissatisfactory sleep quality for approximately 50% of the participants.The most evidenced physiological changes referred to the digestive tract. As for behavioral aspects, irritability was highlighted. Among the research participants, 70% considered that their work hours affect their leisure and social life. In conclusion, negative manifestations exist in the daily life of people working in alternating shifts, which can affect their physical, mental and social health. El trabajo en turnos alternados y sus efectos en lo cotidiano del trabajador que beneficia granosSe tuvo por objetivo identificar los efectos del trabajo en turnos alternados en lo cotidiano de los trabajadores que benefician granos. Fue realizada una investigación de recolección de datos con abordaje cuantitativo en una empresa de beneficio de granos en Goiás -Brasil. Participaron de la investigación 53 trabajadores de turnos alternados. Fue elaborado y utilizado un cuestionario para la recolección de datos, basado en los principios de la cronobiología y en el Índice de Calidad del Sueño de Pittsburgh, con 31 preguntas cerradas y una abierta. El resultado evidenció que la calidad del sueño no es satisfactoria para 50% de los participantes. Las alteraciones fisiológicas más evidenciadas se refirieron al tracto digestivo. En cuanto a los aspectos de comportamiento, la irritabilidad fue destacada. De los investigados, 70% consideraron que el descanso y la vida social quedan perjudicados por el horario de trabajo. Se concluye que existen manifestaciones negativas en lo cotidiano de personas que trabajan en turnos alternados, lo que puede afectar su salud física, mental y social.

Objetivo:conhecer a distribuição do absenteísmo-doença entre os trabalhadores rurais de uma empresa florestal em Minas Gerais.Método:estudo transversal com 883 trabalhadores rurais. Realizou-se o levantamento de todos os atestados médicos emitidos na empresa em um período de um ano (2009). Utilizou-se estatística descritiva (prevalências, médias e desvios padrão).Resultados:a população estudada se caracterizou principalmente por trabalhadores do sexo masculino, jovens e de baixa escolaridade, apresentando uma alta rotatividade no trabalho. Os indicadores de absenteísmo-doença calculados foram índice de freqüência (3,65), de gravidade (13,67) e porcentagem de tempo perdido (5,7%). Os agravos mais prevalentes foram os referentes ao aparelho osteomuscular (23,5%), seguidos do aparelho respiratório (14,3%), o das lesões, envenenamentos e outras consequências de causas externas (9,2%) e os sintomas, sinais e achados anormais de exames (9,0%). Foi possível observar uma considerável perda de dias por adoecimento entre os trabalhadores, acometendo principalmente o sistema osteomuscular (2203 dias perdidos).Conclusão:o perfil patológico encontrado tem sido apontado como característico das atividades rurais, sobretudo porque requerem grandes esforços físicos do trabalhador e o expõem a condições de trabalho desfavoráveis.

the planning and implementation of nursing interventions carried out by baccalaureate nurses are essential for preventing hypothermia and maintaining perioperative normothermia.

The monitoring of absenteeism-illness has revealed its high prevalence, and a strong relationship with work. This study aimed to analyze the factors associated with absenteeismillness among the rural workers in a timber company in Minas Gerais, Brazil. It is an analytical cross-sectional study, carried out among 883 workers. The medical certificates issued in the company over one year were surveyed. For the analysis, use was made of descriptive statistics and bi-and multivariable analyses. The strength of association was measured by the odds ratio (OR) with help from logistic regression (p<0.05). A prevalence of 54% of medical certificates was found in the population. Bivariate analysis revealed an association between job (forestry assistant (OR=13.1), carpenter (OR=15) and chainsaw operator (OR=39.6)), length of service in the company, departments and length of schooling with absenteeism-illness. In the multi-variate analysis, the association between length of schooling and being a carpenter disappeared, while the other associations remained. It is concluded that there is important evidence about the occupational and demographic factors and absenteeism-illness among forestry workers. Factores asociados al absentismo-enfermedad de los trabajadores rurales de una empresa forestalEl acompañamiento del absentismo-enfermedad ha revelado altas prevalencias y fuerte relación con el trabajo. Se objetivó analizar los factores asociados al absentismoenfermedad de los trabajadores rurales de una empresa forestal en Minas Gerais-Brasil.Se trata de un estudio transversal, analítico, realizado con 883 trabajadores. Fueron levantados los testificados médicos durante un año. Se utilizó para análisis estadístico descriptivo, análisis bi y multivariadas. La fuerza de asociación fue medida por el odds ratio (OR) con auxilio de la regresión logística (p<0,05). Fueron encontradas prevalencia del 54,0% de testificados en la población. El análisis bivariada reveló asociación entre la función (ayudante forestal (OR=13,1), ebanista (OR=15) y operador de motosierra (OR=39,6)), tiempo de trabajo, sectores y escolaridad con el absentismo-enfermedad.En la multivariada hubo desaparición de la asociación con el ebanista y con la escolaridad, siendo mantenidas las demás. Se concluye que hay evidencias importantes sobre la relación entre factores ocupacionales y demográficos y el absentismo-enfermedad de los trabajadores forestales.