Objective To examine the impact of the COVID-19 pandemic on birth satisfaction and perceived health care discrimination during childbirth, and in turn, the influence of these birth experiences on postpartum health. Study Design We conducted a cross-sectional, bilingual web survey of 237 women who gave birth at two hospitals in New York City and assessed patient-reported experience and outcomes following the first wave of SARS-CoV-2 infections in the New York region. We ascertained SARS-CoV-2 status at delivery from the electronic medical record using participant-reported name and date of birth. We compared birth experience during the COVID-19 pandemic (March 15, 2020–May 11, 2020) to a pre-pandemic response period (January 1, 2020–March 14, 2020). We estimated risk ratios for associations between birth experience and anxiety, depressive symptoms, stress, birth-related PTSD, emergency department visits, timely postpartum visit, and exclusive breastfeeding. Multivariable models adjusted for age, race-ethnicity, insurance, education, parity, BMI, previous experience of maltreatment/abuse and cesarean delivery. Results Women who gave birth during the peak of the pandemic response, and those that were SARS-CoV-2 positive, Black, and Latina, had lower birth satisfaction and higher perceived health care discrimination. Women with lower birth satisfaction were more likely to report higher postpartum anxiety, stress, depressive symptoms, and lower exclusive breastfeeding. Experiencing one or more incident of health care discrimination was associated with higher levels of postpartum stress and birth-related PTSD. Conclusion Hospitals and policy-makers should institute measures to safeguard against a negative birth experience during the ongoing COVID-19 pandemic, particularly among birthing people of color.
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.
<p>Objetivo: identificar as características empreendedoras de enfermeiras. Método: estudo quantitativo, realizado em um hospital universitário, um hospital filantrópico e na secretaria de saúde, o que possibilitou a comparação das características empreendedoras em distintas instituições de saúde. A coleta de dados ocorreu no primeiro semestre de 2013, com 116 enfermeiras, por meio do questionário Tendência Empreendedora Geral e os dados foram analisados por meio de estatística descritiva e escores do questionário validado. Resultados: as enfermeiras apresentaram pontuação acima da média nas categorias: necessidade de realização e impulso e determinação e, pontuação abaixo da média nos itens autonomia e independência, tendência criativa e riscos calculados. Conclusões: os altos escores demonstram a capacidade das enfermeiras em liderar, gerenciar e atingir metas, por outro lado, os escores abaixo da média evidenciam a baixa autonomia, pouca criatividade e dificuldade em enfrentar situações de risco.</p><p><strong>Descritores: </strong>Papel do Profissional de Enfermagem; Criatividade; Enfermagem.</p>
Objective: construct and validate a tool to identify the factors that influence interpersonal relations and the health of nursing workers in a University Hospital in the South of Brazil. Method: methodological study, in nine steps. The face validation was carried out, with the participation of five experts, professor nurses doctors in Nursing, content with 26 nurses, stricto sensu Nursing Postgraduate students, and the validation of the construct was performed through a quantitative approach with 213 nursing workers. We used the exploratory factorial analysis and the Cronbach’s Alpha in the validation of the construct. Results: the tool consisted of 29 questions and six constructs were identified. The Cronbach’s Alpha value.879 showed satisfactory internal consistency. Conclusion: the tool was valid and reliable for use in the assessment of interpersonal relations among nursing workers in Brazilian University Hospitals.
Objective: to identify the factors impacting interpersonal relations in the nursing field. Method: cross-sectional, quantitative, descriptive, and exploratory study conducted with 213 nursing workers from a university hospital: 54 nurses, 69 nursing technicians, and 90 nursing aids. Data were collected from July to August 2016 using a semi-structured questionnaire addressing the participants’ characteristics and those of the work process, and a validated self-report questionnaire. Descriptive analysis, Pearson’s correlation coefficient, analysis of variance, and linear regression were performed, adopting a p-value<0.05. Results: affective constructions obtained the highest mean (4.62), showing this construct strengthen interpersonal relations at work, followed by administrative actions with a mean equal to 3.86, also a positive factor for interpersonal relations; however, workers seldom perceive their relational difficulties (1.72). The most significant factors were physical and emotional weariness accruing from interpersonal relations (p=0.000) and perception of emotional instability when facing relationship difficulties (p=0.010). Conclusion: interpersonal relations in the nursing field impact the workers’ health, with the potential to cause physical and emotional weariness though managerial actions and the workers’ behaviors also influence interpersonal relations. Thus, actions are needed to promote healthy interpersonal relations within institutions such as regular meetings and managerial support, fostering respect, cordiality, and empathy.
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