Percepção dos trabalhadores de enfermagem sobre a dinâmica do trabalho e os pacientes em um serviço de hemodiálise

Prestes, Francine Cassol; Beck, Carmem Lúcia Colomé; Tavares, Juliana Petri; Silva, Rosângela Marion da; Cordenuzzi, Onélia da Costa Pedro; Burg, Giovane Matias; Prochnow, Andréa

doi:10.1590/s0104-07072011000100003

Cited by 16 publications

(22 citation statements)

References 7 publications

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“…Another study (5) reported that the members of the nursing staff know that their work has fundamental importance for maintaining the lives of patients and they can see it in the clinical improvement of patients after the completion of the hemodialysis treatment at the end of their work shift. According to the authors, materialization of the result of their work is a differential in the context of their work that gives pride, professional fulfillment, personal gratification, well-being and satisfaction to the nursing staff.…”

Section: Discussionmentioning

confidence: 99%

“…In the PSIWS analysis, factors assessing pleasure such as Freedom of Speech (items [1][2][3][4][5][6][7][8] and Professional fulfillment (items 9-17) were considered positive, therefore the specification, the qualification and how often they are experienced were classified into three different levels, with individual standard deviations, as follows: above 4 = more positive and satisfactory evaluation; between 3.9 and 2.1 = moderate to critical evaluation; below 2.0 = rarely to serious evaluation. On the other hand, for factors assessing suffering at work, such as Professional Exhaustion (items [18][19][20][21][22][23][24] and Lack of recognition (items 25-32), which are considered negative items, the analysis was performed at the following levels: above 4 = more negative and critical assessment; between 3.99 and 2.1 = moderate to critical evaluation; below 2.0 = less negative to satisfactory assessment.…”

Section: Methodsmentioning

confidence: 99%

“…This work has certain specificities, such as the development of activities next to patients in situations of chronic illness and the need of specific knowledge to monitor a procedure with high technical complexity (5) .…”

Section: Introductionmentioning

confidence: 99%

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Pleasure-suffering indicators of nursing work in a hemodialysis nursing service

Prestes

Beck

Magnago

et al. 2015

Rev. esc. enferm. USP

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Objective:To measure the pleasure and suffering indicators at work and relate them to the socio-demographic and employment characteristics of the nursing staff in a hemodialysis center in southern Brazil. Method: Quantitative research, with 46 workers. We used a self-completed form with demographic and labor data and the Pleasure and Suffering Indicators at Work Scale (PSIWS). We conducted a bivariate and correlation descriptive analysis with significance levels of 5% using the Epi-Info® and PredictiveAnalytics Software programs. Results: Freedom of Speech was considered critical; other factors were evaluated as satisfactory. The results revealed a possible association between sociodemographic characteristics and work, and pleasure and suffering indicators. There was a correlation between the factors evaluated. Conclusion: Despite the satisfactory evaluation, suffering is present in the studied context, expressed mainly by a lack of Freedom of Speech, with the need for interventions to prevent injury to the health of workers. DESCRIPTORSNursing; Renal Dyalisis; Burnout, Professional; Occupational Health; Job Satisfaction; Pleasure-Pain Principle. Pleasure-suffering indicators of nursing work in a hemodialysis nursing serviceIndicadores de prazer e sofrimento no trabalho da enfermagem em um serviço de hemodiálise Indicadores de placer y sufrimiento en el trabajo de la enfermería en un servicio de hemodiálisis INTRODUCTIONWork occupies a position of centrality in the lives of individuals, thus constituting a fundamental operator in the construction of the subject. Thus, work activity is a construction of meaning, the conquest of identity, continuity and historicizing of men (1) .In the same perspective, work activity can promote health with a pivotal role, or contribute to destabilization, leading the subject to imbalance, which reinforces the premise that work is never neutral with regards to workers' health (2) .This research is based on the theoretical framework of the psychodynamics of work, holding the dynamic relations between the labor organization and the employee's subjective processes as its object of study. In these relationships, suffering plays a key role that articulates health and pathology at the same time. Health implies dealing with impositions and pressures at work that cause psychological instability, while pathology is related to failures in the ways of coping with suffering (3) .Thus, on the one hand, suffering operates as a mobilizer of investments in the transformation of reality, and the possibility of transforming reality, and on the other it gives pleasure to the worker. Thus, experiences of pleasure and suffering are dialectical and inherent in all work settings (2) .In this perspective, work can be a health promoter when creativity is used to transform a situation of suffering, which positively affects the worker's identity since it increases their resistance to the risk of mental and somatic destabilization (3) .Nursing workers often forget to take care of themselves and the...

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Pleasure-suffering indicators of nursing work in a hemodialysis nursing service

Prestes

Beck

Magnago

et al. 2015

Rev. esc. enferm. USP

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“…Consequently, an interdisciplinary team, especially the nurse, plays an important role in assisting patients and their family members (7) . Furthermore, chronic health problems of patient, the required long-term care and the need for medical staff with technical and scientific knowledge are fundamental elements in the work dynamics of nursing in nephrology (8) . The nursing team that works in the nephrology unit is responsible for all the technical requirements and patient relationship with the environment.…”

Section: Introductionmentioning

confidence: 99%

Perfil dos pacientes e carga de trabalho de enfermagem na unidade de nefrologia

Trepichio

Guirardello

Duran

et al. 2013

Rev. Gaúcha Enferm.

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Chronic kidney failure (CKF), which is frequently silent, can lead to considerable changes in the lives of patients. Depending on the stage, hospitalization and hours of nursing care are required to ensure medical and surgical treatment. The aim of this descriptive and quantitative study is to measure nursing workload at a nephrology unit based on daily application of the Nursing Activities Score (NAS) for 47 consecutive days. Patients were mostly young male adults in the chronic stage of the disease or admitted for kidney transplant. A total of 833 observations were obtained from 62 patients. The resulting NAS workload upon admission was 52%, corresponding to 12.5 hours of care per patient for 24 hours, which is similar to the workload found in intensive care units. This profile allows calculation of nursing work hours required for each patient, and is a valuable tool for nursing managers when determining the number of staff members required to ensure assistance. Other studies should be conducted for clinical validation. Descriptors

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“…This approach can help patients and workers in these settings establish ties and consequently reduce the occurrence of conflicts (17) . Thus, the strategy of working around and yielding can be reinforced by the awareness of workers that patients who commit acts of violence will continue to use the service, that is, there is a possibility that the worker who suffered the violence will have to continue providing care to this same patient in the near future.…”

Section: Discussionmentioning

confidence: 99%

Estratégias utilizadas pela enfermagem em situações de violência no trabalho em hemodiálise

Cordenuzzi¹,

Lima

Prestes

et al. 2017

Rev. Gaúcha Enferm.

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Strategies used by nursing staff in situations of workplace violence in a haemodialysis unit ABSTRACTObjective: To identify strategies that nursing staff use at a haemodialysis unit in situations of violence by patients during care. Method: Qualitative descriptive and exploratory research with focus groups and the participation of eight workers of the nursing staff of a private haemodialysis unit in southern Brazil. The data were subjected to thematic content analysis.Results: The adopted strategies are described in the following categories: Tolerating violence due to the patient's health condition; Working around conflicting situations and giving in to patient's requests; Adopting a position of rejection to violence; and Staying away from the aggressor patient.Final considerations: Workers and, above all, the institution in the role of mediator, must work together to prevent and discourage violence in the workplace. Keywords:Nursing. Workplace violence. Strategies. Renal dialysis. Occupational health. RESUMO Objetivo: Identificar as estratégias utilizadas pelos trabalhadores de enfermagem de um serviço de hemodiálise em situações de violência perpetrada por pacientes durante a assistência.Método: Pesquisa de abordagem qualitativa, do tipo descritiva e exploratória, que utilizou grupo focal com a participação de oito trabalhadores da equipe de enfermagem de um serviço de hemodiálise privado do sul do Brasil. Empregou-se a análise de conteúdo temática para tratamento dos dados. Resultados:As estratégias utilizadas são descritas nas categorias: Tolerar a violência pela condição de saúde do paciente; Contornar as situações de conflito e ceder à solicitação do paciente; Adotar um posicionamento de rejeição à violência; e Se afastar do paciente agressor.Considerações finais: Evidencia-se a necessidade de mobilização coletiva dos trabalhadores e, principalmente, da instituição como mediadora, na busca pela prevenção e não propagação da violência no ambiente de trabalho. Palavras-chave:Enfermagem. Violência no trabalho. Estratégias. Diálise renal. Saúde do trabalhador. RESUMEN Objetivo: Identificar las estrategias utilizadas por el personal de enfermería del servicio de diálisis en situaciones de violencia por parte de los pacientes durante la atención.Método: Investigación cualitativa, descriptiva y exploratoria, que utilizó grupos de enfoque con la participación de ocho trabajadores del personal de enfermería de un servicio de hemodiálisis privada en el sur de Brasil. Se utilizó el análisis de contenido temático.Resultados: Las estrategias utilizadas se describen en las siguientes categorías: Tolerar la violencia por la condición de salud del paciente; Contornar el conflicto y ceder a la petición de la paciente; Adoptar una posición de rechazo a la violencia y alejarse del paciente agresor.Consideraciones finales: Pone de relieve la necesidad de la movilización colectiva de los trabajadores, principalmente de la institución como mediador en la búsqueda de la prevención en lugar de propagación de la violencia en el am...

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Percepção dos trabalhadores de enfermagem sobre a dinâmica do trabalho e os pacientes em um serviço de hemodiálise

Cited by 16 publications

References 7 publications

Pleasure-suffering indicators of nursing work in a hemodialysis nursing service

Pleasure-suffering indicators of nursing work in a hemodialysis nursing service

Perfil dos pacientes e carga de trabalho de enfermagem na unidade de nefrologia

Estratégias utilizadas pela enfermagem em situações de violência no trabalho em hemodiálise

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