Objective: To evaluate the perception of the safety climate of nursing professionals working in the medical and surgical clinics of a teaching hospital. Methods: A cross-sectional, descriptive study using a quantitative approach. We used the Safety Attitudes Questionnaire (SAQ) -Short A satisfação no trabalho foi demonstrada por todos os profissionais, com escores acima de 75, enquanto o domínio Percepção da Gerência apresentou valores mais baixos. Conclusão: A satisfação do profissional, o diálogo e o suporte à equipe por parte da administração são essenciais para a garantia da segurança do paciente. Conhecer a percepção dos profissionais de enfermagem sobre o clima de segurança contribui para a melhoria do cuidado em saúde e para a redução dos riscos ao paciente. Descritores: Percepção; Cultura organizacional; Gerenciamento de segurança RESUMEN Objetivo: Evaluar la percepción del clima de seguridad de los profesionales de enfermería que actúan en las clínicas médicas y quirúrgicas de un Hospital de Enseñanza. Métodos: Estudio transversal, descriptivo y con abordaje cuantitativo. Fue utilizado el Safety Attitudes Questionnaire (SAQ) -Short Form 2006, traducido para la lengua portuguesa. Resultados: La percepción del clima de seguridad de los profesionales varió conforme el género, la clínica, la categoría profesional y el tiempo de actuación. La satisfacción en el trabajo fue demostrada por todos los profesionales, con scores arriba de 75, en cuanto que el dominio Percepción de la Gerencia presentó valores más bajos. Conclusión: La satisfacción del profesional, el diálogo y el soporte al equipo por parte de la administración son esenciales para la garantía de la seguridad del paciente. Conocer la percepción de los profesionales de enfermería sobre el clima de seguridad contribuye para la mejoría del cuidado en salud y para la reducción de los riesgos del paciente.

It is important to develop strategies to protect workers from negative working conditions that are associated with deterioration of health.

Background This study aimed to analyse how immigrant workers in Spain experienced changes in their working and employment conditions brought about Spain's economic recession and the impact of these changes on their living conditions and health status.

Objective: To identify work-related accidents with exposure to biological material that occurred in a university hospital, discussing the results with the process of implementation of safety measures and health of workers required under Standard NR-32. Methods: This was an exploratory study with a quantitative data approach. A survey was conducted of workplace accidents, the interviews with the coordinator of the Office of Safety and Occupational Medicine, and analysis of documents of the Program of Environmental Risk Prevention and the Program of Control Occupational Health Medicine. Results: The percentage of accidents at work decreased over the period, in which various requirements of this standard were being adopted. Needlestick accidents were the most frequent, there being in all sectors of the hospital the offering of safety devices required by NR-32. Conclusion: There was a reduction of accidents with biological material in the hospital between 2007 and 2009. However, it is not quantitatively significant, despite the implementation of several guidelines of NR-32 over the years. It requires the collaboration between managers, and safety services and employees in occupational health promotion. RESUMENObjetivo: Identificar los accidentes de trabajo con exposición a material biológico ocurridos en un hospital universitario, discutiendo los resultados con el proceso de implementación de las medidas de seguridad y salud de los trabajadores, exigidas por la Norma Reglamentadora NR-32. Métodos: Estudio exploratorio de abordaje cuantitativo de los datos. Fue realizado un levantamiento de los accidentes de trabajo, las entrevistas con el coordinador del Servicio de Seguridad y Medicina del Trabajo y el análisis de datos documentales del Programa de Prevención de Riesgos Ambientales y del Programa de Control Médico de Salud Ocupacional. Resultados: El porcentaje de accidentes de trabajo se redujo a lo largo del período, en el cual varias exigencias de esa norma fueron siendo adoptadas. Los accidentes con material punzocortante fueron los más frecuentes, no habiendo en todos los sectores del hospital el ofrecimiento de los dispositivos de seguridad exigidos por la NR-32. Conclusión: Hubo reducción de accidentes de trabajo con material biológico en el hospital estudiado entre 2007 y 2009. Con todo, no es cuantitativamente significativa, a pesar de la implantación de varias directrices de la NR-32 a lo largo de los años. Es necesaria la colaboración entre gestores, servicios de seguridad y trabajadores en la promoción de la salud en el trabajo.

Pesquisa exploratória descritiva com o objetivo de identificar a ocorrência e as características dos acidentes de trabalho (AT) com exposição a material biológico entre trabalhadores de um hospital do Estado de São Paulo. Os dados foram coletados por meio de levantamento documental dos registros de AT no hospital e posterior registro no protocolo eletrônico da Rede de Prevenção de Acidentes de Trabalho (REPAT). Os dados foram tratados com uso da estatística descritiva e apresentados em tabelas e figuras. No ano de 2006 foram notificados 94 acidentes envolvendo exposição do trabalhador a fluidos corpóreos no hospital. Considerando-se a proporcionalidade das categorias expostas, o instrumentador cirúrgico (18,75%), o auxiliar de enfermagem (7,78%) e o biologista (4,76%) foram as categorias mais vitimadas. A agulha hipodérmica foi o agente causador de lesão em 71,62% dos casos. Os AT ocorreram em maior freqüência na administração de medicamentos (32,97%) e na coleta de sangue (15,95%). Constatou-se a existência de dados parciais quanto ao uso de Equipamentos de Proteção Individual e a situação vacinal dos trabalhadores. Os resultados revelaram indicadores importantes das características dos acidentes e as lacunas de registros extremamente importantes para a elaboração de um programa preventivo eficaz para minimizar a ocorrência dos acidentes.

Objective: To analyze the knowledge, potentialities and barriers related to the implantation of the Kangaroo Method in the perception of nurses who work in the maternal-infant units of a school hospital. Method: An exploratory-descriptive research with a qualitative approach, guided by the Policy of Humanized Attention to the Low Weight Newborn, Kangaroo Method. Held between January and March 2018, with eight nurses from a maternal-infant unit. Data was collected between January and March 2018, through semi-structured interviews, transcribed and submitted to Thematic Content Analysis associated with Atlas Ti version eight resources. Results: Three categories emerged: Barriers to the development of the Kangaroo Method; Knowledge about the Kangaroo Method; and Potentialities of the Kangaroo Method. Conclusions and implications for practice: The nurses' speeches revealed partial knowledge, lack of practical experience and barriers related to team resistance and lack of institutional support, although they considered the method with potential benefits to provide bonding and indicate continuing education as a necessary strategy for its implementation.

Bibliographic review with the objective to identify the Brazilian legislation related to occupational exposure of health workers to biological material and compare it with the main recommendations of the International Labor Organization (ILO) and the Centers for Disease Control and Prevention (CDC). The information was searched by access to the websites of the Ministry of Health, Ministry of Labor and Employment, ILO and CDC. The data collected were categorized into five themes for better understanding and analysis. We find that the Brazilian legislation covers most of the international recommendations, but the obligation of providing safety devices was later included in the legislation. It is concluded that workers need information about their rights and duties before the exposure to biological hazards.

Objective: To apprehend the perception of relatives of psychoactive substances dependents about their facilitating strengths to deal positively with the adversities from this context. Method: Qualitative and descriptive study developed between July/2016 and August/2017 at Psychosocial Care Center Alcohol and Drugs of a city on the countryside of São Paulo, through a semi-structured interview for data collection. Eight family members of chemical addicted participate. The interviews were recorded by audio, transcribed and analyzed by content analyze technique, thematic category. Results: The relatives recognized that their facilitating strengths permeated through the religiosity and spirituality, beliefs systems, support from the specialized mental health service support and of friendship, whilst social support network. The strengths also depended on the cohesion and assertive communication of the family. Conclusion: The facilitating strengths recognized by relatives help them deal positively with adversities in the chemical addiction context, strengthening the familiar resilience.