OBJECTIVE:To assess factors associated with professional and total hours of work (work + home) among nursing staff. METHODS:Cross-sectional study conducted in a university hospital in the city of São Paulo, southeastern Brazil, between 2004 and2005. A total of 696 workers (nurses, nurse technicians and aids), mostly women (87.8%) working day and/or night shifts, participated in the study. A selfadministered questionnaire was used to collected information on demographic characteristics, and working and life conditions. Translated and adapted into Portuguese versions of the Job Stress Scale, Effort-reward imbalance, ShortForm-Health-related quality of life and the Work Ability Index were also administered. Logistic regression models were used for data analysis. RESULTS:Sole breadwinner, working night shifts and effort-reward imbalance were the variables associated with both professional (OR = 3.38, OR = 10.43, OR = 2.07, respectively) and total hours of work (OR = 1.57, OR = 3.37, OR = 2.75, respectively). There was no signifi cant association between the variables related to hours of work and low Work Ability Index. Inadequate rest at home was statistically associated with professional (OR = 2.47) and total hours of work (OR = 1.48). Inadequate leisure time was signifi cantly associated with professional hours of work (OR = 1.58) and barely associated with total hours of work (OR = 1.43). CONCLUSIONS:The sole breadwinner, working night shifts and effortreward imbalance are variables that need to be further investigated in studies on work hours among nursing staff. These studies should explore workers' income and the relationship between effort and reward, taking into consideration gender issues.
OBJECTIVE:To evaluate working conditions associated with health-related quality of life (HRQL) among nursing providers. METHODS:Cross-sectional study conducted in a university hospital in the city of São Paulo, Southeastern Brazil, during 2004Brazil, during -2005. The study sample comprised 696 registered nurses, nurse technicians and nurse assistants, predominantly females (87.8%), who worked day and/or night shifts. Data on sociodemographic information, working and living conditions, lifestyles, and health symptoms were collected using self-administered questionnaires. The following questionnaires were also used: Job Stress Scale, Effort-Reward Imbalance (ERI) and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Ordinal logistic regression analysis using proportional odds model was performed to evaluate each dimension of the SF-36. RESULTS:Around 22% of the sample was found to be have high strain and 8% showed an effort-reward imbalance at work. The dimensions with the lowest mean scores in the SF-36 were vitality, bodily pain and mental health. High-strain job, effort-reward imbalance (ERI>1.01), and being a registered nurse were independently associated with low scores on the role emotional dimension. Those dimensions associated to mental health were the ones most affected by psychosocial factors at work. CONCLUSIONS:Effort-reward imbalance was more associated with health than high-strain (high demand and low control). The study results suggest that the joint analysis of psychosocial factors at work such as effort-reward imbalance and demand-control can provide more insight to the discussion of professional roles, working conditions and HRQL of nursing providers. Psychosocial and work organization factors have been special objects of interest of study and interventions in the light of the precarious and unstable relationship between work and production, 19 the nature of illnesses among workers, and a growing concern with people's well-being and quality of life.Psychosocial factors at work are associated to the interaction between environment and working conditions, job duties and individual worker characteristics taking into account all their features and demands, including those outside the work environment. Workers' health and work performance are affected by these interactions and their experience. 11 Studies with populations of workers have suggested that psychosocial stressors such as high psychological strain, lack of control and social support, high effort and reward at work and overcommitment can be associated RESUMO OBJETIVO: Avaliar condições de trabalho associadas à qualidade de vida relacionada à saúde entre profi ssionais de enfermagem. MÉTODOS:Estudo transversal realizado em um hospital universitário de São Paulo, SP, em 2004SP, em -2005. A população estudada foi de 696 enfermeiros, técnicos e auxiliares de enfermagem, predominantemente feminina (87,8%) e que trabalhava em turnos diurnos e/ou noturnos. Os dados sociodemográfi cos, de condições de trabalho e de vida...
OBJECTIVE:To estimate the prevalence of minor psychiatric disorders and to identify associated stressors among truck drivers. METHODS:A cross-sectional study was conducted with 460 truck drivers from a cargo transportation company of the Southern and Southeastern regions of Brazil, in 2007. Workers completed a questionnaire about sociodemographic, lifestyle and working conditions data. Working conditions were the independent variables, including occupational stressors, job satisfaction and job demand-control. The outcome evaluated was the occurrence of minor psychiatric disorders. Multiple and univariate logistic regression analyses were performed. RESULTS:The prevalence of minor psychiatric disorders was 6.1%. The most frequently reported stressors were traffi c congestion, tracking control and extended working hours. High job demand, low social support and extended daily working hours, as reported by drivers, were associated with minor psychiatric disorders. CONCLUSIONS:Work involving extended working hours was associated with the occurrence of minor psychiatric disorders, both in the analysis of general working conditions and as a factor considered to be a stressor by drivers. Thus, regulation of working hours with focus on the limitation of the daily working hours is necessary to reduce the chance of developing minor psychiatric disorders in drivers.
The present study evaluates the significance of the process of public school teachers returning to work following sick leave for mental and behavioral disorders. It is a qualitative study conducted with 20 elementary school teachers currently active or undergoing retraining. Data was obtained thru individual interviews, focus groups and a questionnaire, which included socioeconomic data and work conditions, during 2011 and 2012. Data was analyzed by means of thematic categorization. Most participants were women, average age of 44 years old, and working 43.2 hours per week. Among those who were active teachers, returning to work was associated with the reasons that led to the sick leave, their ability to accomplish actual work and the possibility of being valued at work. Regarding teachers undergoing retraining, the impacts of returning to work included the conflict of returning to the classroom or being away from it. It was paramount to discuss their professional identity in order to understand the process of returning to work for the teachers undergoing retraining. Two themes were common to both groups of teachers: the role of the school managerial team during the process of returning to work and the prejudice they faced in the work environment. It was not possible to approach returning to work without discussing the sick leave process. The performed analyses, by the point of view of the participants, revealed a number of topics to understand the process of sick leave and returning to work, as well as the living and working conditions of the teachers. Keywords: Teachers; Return to Work; Mental Disorders; Sick Leave; Prejudice; Occupational Health. ResumoEste estudo analisa os sentidos de retorno ao trabalho atribuídos por professores servidores públicos após afastamentos por transtornos mentais e comportamentais. Tratou-se de pesquisa qualitativa com 20 professores, ativos e em readaptação funcional, do ensino fundamental. A coleta de dados ocorreu entre 2011 e 2012, por meio de entrevistas individuais, grupos focais e questionário socioeconômico e de condições de trabalho. A análise de dados foi realizada por codificação temática para o estabelecimento de uma estrutura de ideias. A maioria dos participantes era de mulheres. A média de idade era 44 anos e de jornada de trabalho de 43,2 horas/semana. Os sentidos de retorno ao trabalho para os professores ativos estavam ancorados nas ideias relacionadas aos motivos do afastamento, à capacidade para o trabalho e à valorização do trabalho. Para os professores readaptados, os sentidos atribuídos refletiram conflitos entre retornar à sala de aula ou manter-se readaptado. Discutir e compreender a identidade profissional foram primordiais no entendimento do processo de retorno dos professores readaptados. Dois temas associados ao retorno foram transversais a ambos os conjuntos de professores: o papel da equipe gestora neste processo e os preconceitos no ambiente de trabalho. Não foi possível abordar o retorno ao trabalho sem considerar o afastamento. A análise ...
É expressamente proibida a comercialização deste documento, tanto na sua forma impressa como eletrônica. Sua reprodução total ou parcial é permitida exclusivamente para fins acadêmicos e científicos, desde que na reprodução figure a identificação do autor, título, instituição e ano da dissertação. Silva AA. Avaliação da qualidade de vida relacionada à saúde: percepções sobre as condições de trabalho e de vida entre profissionais de enfermagem, de hospital universitário no município de São Paulo./ Health-related quality of life: perception on living and working conditions among nursing professionals of an university hospital of São Paulo [Master thesis]. São Paulo (BR):
Resumo Objetivo: analisar a estrutura, o funcionamento das intervenções para prevenção de agravos e a promoção da saúde do trabalhador no Brasil, segundo os critérios de sistematicidade, agência transformativa e transformação. Métodos: foi realizada uma revisão de escopo de estudos empíricos publicados entre 2010 e 2019. Para avaliar e interpretar os achados e discutir suas possibilidades e tendências de desenvolvimento, utilizaram-se os três critérios mencionados. Resultados: foram incluídos 147 estudos; observou-se que o objeto da intervenção é mais comum em elementos isolados do sistema de atividade produtiva do que sobre o conjunto completo; a agência transformativa dos atores envolvidos é pouco estimulada; a transformação efetiva das condições que deram origem às intervenções aparece com mais frequência nas situações em que se pretendia mudar apenas aspectos proximais aos agravos de saúde. Conclusão: embora parte dos estudos reporte mudanças implementadas, a maioria deles não refere intervenções sobre os determinantes de saúde e não envolve os trabalhadores como protagonistas das mudanças. Os achados permitiram discutir possibilidades de desenvolvimento e desafios para intervenções.
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