Objective: To know the strategies of resistance adopted by nursing staff, facing situations of moral distress, from an ethical perspective. Method: The authors conducted qualitative research through semi-structured interviews, with fifteen nursing staff members of a university hospital in the extreme south of Brazil, using textual discourse analysis and the theoretical reference of Foucault. Results: Two categories were constructed: denial of oneself and the other -in which one perceives that the nursing staff can perform actions that are governed predominantly by immobility and conformism, avoiding confrontations with whoever represents power in situations that provoke moral distress in them; possibility to care for oneself and for the other -in which nursing workers in situations that provoke moral distress for them exercise power and endurance.Conclusion: it was perceived that some professionals seem to use ethical coping strategies, in order to ensure and preserve their professional values. However, often the choice of some nursing professionals may be to relapse into immobility and the absence of building strategies of endurance. This situation may represent their reduced exercise of power and insufficient resistance in the face of ethical problems, contributing to the intensification of their invisibility in the area of health.Descriptors: Burnout, Professional; Power; Ethics; Nursing. IntroductionIn daily professional life, many situations seem to reflect suffering and distress for the nursing staff.We highlight the power relationships with patients, supervisors and the various teams in the health area, involving moral issues and values related to identified fragilities in care, insufficient nursing staff, lack of material resources and the predominantly bureaucratic work organization, cold and technical .

Objective: to analyze the frequency and intensity of moral distress experienced by nursing personnel in southern Brazil, covering elements of their professional practice. Method: a survey was undertaken in two hospitals in Rio Grande do Sul, Brazil, with 247 nurses. Data was collected by means of the adapted Moral Distress Scale. Results: the perception of situations that lead to moral distress is enhanced in nurses and in nursing staff working in institutions with greater openness to dialogue, which hold team meetings, with fewer working hours and a greater ratio of professionals to patients. Conclusion: understanding moral distress allows us to go beyond solving the problems of the workers themselves, enabling the development of an ethics of active individuals and wide opportunities, defined mainly by the relationship with oneself.Descriptors: Nursing; Nursing Ethics; Burnout. Sufrimiento moral en trabajadores de enfermeríaObjetivo: analizar la frecuencia e intensidad del sufrimiento moral vivido por los profesionales de enfermería del sur de Brasil, abarcando los elementos de su rutina profesional. Método:investigación survey en dos hospitales, con 247 profesionales de enfermería. Los datos fueron recolectados mediante aplicación de la adaptación del Moral Distress Scale. Resultados: la percepción de situaciones que conducen al sufrimiento moral es intensificada en enfermeros; en trabajadores de enfermería que actúan en instituciones con mayor apertura al dialogo, que realizan reuniones de equipo, con menos horas de trabajo y mayor relación del número de profesionales por paciente. Conclusión: entender el sufrimiento moral permite ir más allá de la resolución de los problemas de los propios trabajadores, lo que posibilita la elaboración de una ética de sujetos activos y de amplias posibilidades, definidas principalmente por la relación consigo mismo.

OBJECTIVE: to investigate the burnout syndrome and its relationship with demographic and academic variables among undergraduate nursing students at a public university in Southern Brazil. METHOD: a quantitative study with 168 students, by applying an adaptation of the Maslach Burnout Inventory - Student Survey, validated for this study. We used descriptive and variance analysis of the data analysis. RESULTS: we found that students do not have the burnout syndrome, manifesting high average scores in Emotional Exhaustion, low in Disbelief and high in Professional Effectiveness; that younger students who perform leisure activities have greater Professional Effectiveness, unlike students in early grades with no extracurricular activities; combining work and studies negatively influenced only the Professional Effectiveness factor, while the intention of giving up influenced negatively Disbelief and Professional Effectiveness factors. CONCLUSION: the situations that lead students to Emotional Exhaustion need to be recognized, considering the specificity of their study environments.

Objective: to identify stress triggers in the educational environment as perceived by nursing students.Method: descriptive-exploratory, quantitative study, conducted with 146 nursing students to whom the Stress Assessment Scale was applied, between august and September 2013. Descriptive statistics, analysis of variance and linear regression were used to analyze the data.Results: the most important stress triggers identified was lack of time to be with friends/family and to take part in leisure activities or to rest. Additionally, difficulties faced in relationships between professors and students were directly related to poor academic performance and perceived poor knowledge acquisition.Conclusion: identifying and understanding the factors that stress trigger among nursing students can enable better management of stressful situations, contributing to improved academic performance and, consequently, improved quality of life among students. DESCIPTORS: Nursing students. Stress. Nursing education. Nursing. FATORES PERCEBIDOS PELOS ACADÊMICOS DE ENFERMAGEM COMO DESENCADEADORES DO ESTRESSE NO AMBIENTE FORMATIVO RESUMOObjetivo: identificar os fatores percebidos pelos acadêmicos de enfermagem como desencadeadores do estresse no ambiente formativo.Método: estudo quantitativo, do tipo exploratório-descritivo, realizado com 146 estudantes de enfermagem, mediante aplicação da Escala de Avaliação de Estresse, entre agosto e setembro de 2013. Para análise dos dados utilizou-se a estatística descritiva, análise de variância e análise de regressão linear. Identificou-se como maior desencadeador do estresse universitário a falta de tempo para estar com amigos/ familiares e realizar atividades de lazer ou descansar. Resultados: identificou-se também que as dificuldades existentes nas relações estabelecidas entre estudantes e professores apresentaram relação direta com os sentimentos de baixa qualidade acadêmica e pouco conhecimento adquirido. Conclusão FACTORES PERCIBIDOS POR LOS ESTUDIANTES DE ENFERMERÍA COMO DESENCADENTES DE ESTRÉS EN EL AMBIENTE FORMATIVO RESUMENObjetivo: identificar los factores percibidos por los estudiantes de enfermería como causas de estrés en el ambiente de entrenamiento.Método: estudio cuantitativo, exploratorio y descriptivo, realizado con 146 estudiantes de enfermería mediante la aplicación de la Escala de Evaluación de Estrés, entre agosto y septiembre 2013. La análisis de datos utilizó la estadística descriptiva, análisis de varianza y análisis de regresión.Resultado: se identificaron como el principal desencadenante de la tensión en la universidad fue la falta de tiempo para estar con los amigos/familia y realizar actividades de ocio o de descanso. También se identificó que las dificultades existentes en las relaciones entre los estudiantes y los profesores estaban directamente relacionados con sentimientos de baja calidad académica y pocos conocimientos adquiridos.Conclusión: la identificación y comprensión de los factores que conducen a la estudiante de enfermería destacar que existe un...

RESUMO: Este estudo tem como objetivo identificar a influência das cargas de trabalho na saúde do trabalhador de enfermagem. A busca foi realizada em novembro de 2016, em quatro bases de dados, estabelecendo-se critérios de inclusão e exclusão, sendo selecionados 50 estudos. Os resultados destacam os conceitos, tipos e condições de trabalho que predispõem as cargas de trabalho, evidenciando as consequências na saúde da equipe de enfermagem por meio dos adoecimentos, que acarretam afastamentos e absenteísmo, estresse, desgastes físicos e emocionais, riscos para acidentes de trabalho, entre outros. Conclui-se que a identificação dessas influências possibilita a implementação de ações organizacionais, de prevenção de acidentes e doenças relacionadas ao trabalho. DESCRITORES: Carga de trabalho; Saúde do trabalhador; Absenteísmo; Enfermagem. CARGAS DE TRABALHO E A SAÚDE DO TRABALHADOR DE ENFERMAGEM:REVISÃO INTEGRATIVA* WORKLOADS AND NURSING WORKERS' HEALTH: INTEGRATIVE REVIEWABSTRACT: This study aimed to identify the effects of workloads on the health status of nursing workers. The search was conducted in November 2016, at four databases, and inclusion and exclusion criteria were established. At the end, 50 studies were selected. The results highlight work concepts, types and conditions, demonstrating their effects on the health status of the nursing team, which is manifested through illnesses that result in temporary absence from work (sick leaves) and absenteeism, stress, physical and emotional fatigue, risks of occupational accidents, among others. It is concluded that the identification of these effects allows the implementation of organizational actions targeted to the prevention of occupational accidents and diseases. DESCRIPTORS: Workload; Worker's health; Absenteeism; Nursing. Estudio cuyo objetivo fue identificar la influencia de las cargas de trabajo en la salud del trabajador de enfermería. La búsqueda fue realizada en noviembre de 2016, en cuatro bases de datos, bajo los criterios de inclusión y exclusión, siendo seleccionados 50 estudios. Se destacan los conceptos, tipos y condiciones de trabajo que predisponen las cargas de trabajo, evidenciando las consecuencias en la salud del equipo de enfermería por medio de las enfermedades, las cuales resultan alejamiento y absentismo, estrés, desgastes físicos y emocionales, riesgos para accidentes de trabajo, entre otros. Se constata que la identificación de esas influencias posibilita la implementación de acciones organizacionales, de prevención de accidentes y enfermedades referentes al trabajo.

Objective: To identify predictors of stress and coping strategies adopted by nursing students. Methods: A cross-sectional study conducted with 146 nursing students. The research instruments consisted of the Ways of Coping Questionnaire (WOC) and the Instrument for the Assessment of Stress in Nursing Students (ASNS). Data were analyzed using the Pearson's correlation coefficient and regression analysis. Results: The following predictors of stress were identified: professional education, acquired practical knowledge, and free time and leisure. Predictors of stress were associated with denial and escape-avoidance coping strategies. Conclusion: The most common strategies used by students in stressful events were considered negative and of poor effectiveness, as efforts were focused on emotions and not on the problem, compromising students' professional training process. ResumoObjetivo: Identificar os preditores do estresse e as estratégias de coping utilizadas por estudantes de Enfermagem. Métodos: Estudo transversal realizado com 146 estudantes de Enfermagem. Os instrumentos de pesquisa foram: o inventário de estratégias de coping e a escala de avaliação de estresse. Para análise dos dados utilizaram-se correlação de Pearson e análise de regressão. Resultados: Identificaram-se como preditores do estresse a formação acadêmica, conhecimento prático adquirido, e tempo e lazer. Os preditores do estresse apresentaram associação com as estratégias de coping negação do problema e fuga da realidade. Conclusão: As estratégias mais utilizadas frente a eventos estressores foram consideras negativas e de baixa eficácia por centrarem seus esforços na emoção, e não no problema, comprometendo o processo de formação profissional.

This is a qualitative study aimed to learn the signs and symptoms of the burnout syndrome among undergraduate nursing students, by means of semi-structured interviews with 24 nursing undergraduates from a public university in the south of Brazil. The discursive textual analysis was used and defined three categories, related to the dimensions of the burnout syndrome in students: emotional exhaustion, disbelief and low professional efficacy. The specificities of the situations experienced by students are associated with emotional exhaustion, contributing to the detachment from their studies and compromising their sense of professional efficacy. The worn-out signs, detachment from studies and inefficacy mentioned by the students demand appropriate attention and consideration from higher education institutions, provided with the planning and implementation of actions to minimize the stress caused by the identified situations, which seem to be associated with the development of the burnout dimensions among students. DESCRIPTORS:Students, nursing. Burnout professional. Nursing education. MANIFESTAÇÕES DA SÍNDROME DE BURNOUT ENTRE ESTUDANTES DE GRADUAÇÃO EM ENFERMAGEMRESUMO: Para conhecer as manifestações da síndrome de burnout presentes entre estudantes de graduação em enfermagem, realizou-se pesquisa qualitativa com 24 estudantes de graduação em enfermagem de uma universidade pública do Sul do Brasil, mediante entrevistas semiestruturadas. Utilizou-se a Análise Textual Discursiva, definindo-se, a priori, três categorias referentes às dimensões do burnout em estudantes: exaustão emocional, descrença e baixa eficácia Profissional. As especificidades das situações vivenciadas pelos estudantes estão associadas à exaustão emocional, contribuindo para seu distanciamento dos estudos e o comprometimento do seu sentimento de eficácia profissional. As manifestações de desgaste, distanciamento dos estudos e ineficácia referidas pelos estudantes requerem atenção e valorização por parte das instituições de ensino, com planejamento e implementação de ações para minimizar o estresse ocasionado pelas situações identificadas, as quais parecem estar associadas ao desenvolvimento das dimensões do burnout entre os estudantes. DESCRITORES:Estudantes de enfermagem. Esgotamento profissional. Educação em Enfermagem. MANIFESTACIONES DEL SÍNDROME DE BURNOUT ENTRE ESTUDIANTES DE GRADUACIÓN EN ENFERMERÍARESUMEN: Para conocer las manifestaciones del síndrome de burnout presentes entre los estudiantes de grado en Enfermería, se realizó una investigación cualitativa con 24 estudiantes de grado en Enfermería de una universidad pública del sur de Brasil, mediante entrevistas semi-estructuradas. Se utilizó el análisis textual discursivo, definiendo a priori tres categorías relacionadas con las dimensiones de burnout en estudiantes: debilidad emocional, incredulidad y baja eficacia profesional. La especificidad de las situaciones vividas por los estudiantes están asociadas con la debilidad emocional, contribuyendo para que se distancien de los estudios...

Qualitative study, developed in a Federal University in southern Brazil aiming to know the motives for choosing and evading a Bachelor's degree programme in Nursing, in the evaded students 'perception. The data were collected through a questionnaire sent by e-mail to 19 evaded students. The 9 questionnaires that returned were submitted to Qualitative Textual Analysis, and two categories emerged motives to opt for the nursing programme and motives to evade from the nursing programme. The results showed that the option for the programme is associated to personal vocation, perception of Nursing as a profession of care, and its closeness to the health area. Evasion seems to be related to passing the first option of undergraduate programme, ignorance about the profession, financial difficulties, and professional depreciation. We demonstrated that greater emphasis should be put on promoting knowledge about the nursing work, areas of activity and attributions.