Ambiente das práticas de enfermagem e satisfação profissional em unidades críticas

Abstract

Objective: to analyze the association between the environment of nursing practices and work satisfaction in Intensive Care Units (ICU). Method: a cross-sectional study was performed in eight adult ICUs of a public university hospital between 2012 and 2015. The Nursing Work Index-Revised (NWI-R), in their short forms, and the Index of Work Satisfaction (IWS) were applied to investigate the environment of nursing practices and work satisfaction, respectively. Results: a total of 100 (34.84%) nurses and 187 (65.15%) nursing assistants/ technicians participated in this study. The environment was favorable for autonomy and relationships and it showed vulnerability for control of practices and organizational support. The IWS score indicated low work satisfaction. "Environment of practices", "length of work in the ICU" and "willingness to work" were associated with work satisfaction. Conclusion: to invest in the environment of practices, in factors that promote willingness to work and length of experience in the ICU increases nursing work satisfaction.

Comparison between the working environment of nurse managers and nursing assistants in the hospital context

“…In evaluating the overall scores of the B-NWI-R, both the working environment of nursing assistants and nurse managers were shown to have favorable characteristics. Similar results are described in previous studies using the same instrument in Brazil (8,20) .…”

“…The relationship with physicians was considered positive by the participants, mainly due to the hospital's characterization as a teaching institution. Studies similarly point out that nurses' relationships with physicians in university hospitals are facilitated by the characteristics of these institutions, which seek to promote an environment conducive to autonomy and to developing collaborative work (20,31) .…”

“…Organizational support was evaluated positively by the B-NWI-R and according to the interviews with the two groups participating in the research. Organizational support received by the upper levels of administration is an important stimulus for the managerial practice of nurses (1,20) . However, nurses' reports that decisions come from the Nursing Director point to the existence of a decision-making process based on institutional hierarchy, whose results are then informed and/or passed on to the rest of the professionals.…”

Influências sociodemográficas e laborais na satisfação profissional de enfermeiros em hospital público [Sociodemographic and occupational influences over job satisfaction between nurses in a public hospital] [Influencias sociodemograficas y laborales en la satisfacción profesional de enfermeros en un hospital público]

“…A porcentagem significativa de enfermeiros do sexo feminino corroborou pesquisas realizadas que reforçam o histórico da enfermagem como profissão predominantemente feminina 9,12,13 . Em relação à faixa etária, os achados assemelharam-se a estudos que apontaram para uma equipe de enfermagem que se encontra na faixa etária mais produtiva da vida 7,9,14 .…”

“…A coleta de dados foi realizada durante o horário de trabalho, por meio de questionário entregue a cada participante em envelope lacrado para preservar o sigilo das informações e garantir o anonimato dos sujeitos da pesquisa. O instrumento Índice de Satisfação no Trabalho (IST), ou Index of Work Satisfaction (IWS), foi criado por Stamps 11 , traduzido e validado no Brasil 5 para avaliar a satisfação de enfermeiros em unidades de terapia intensiva, porém o mesmo instrumento tem sido utilizado, de forma crescente, em estudos de diferentes áreas, especialidades e contexto de trabalho 7,[12][13][14][15][16] .…”