Association and correlation between stress, musculoskeletal pain and resilience in nurses before hospital accreditation maintenance assessment

Abstract

Objective: to associate and correlate musculoskeletal pain, stress and resilience of nurses in the maintenance of Hospital Accreditation Certification. Method: longitudinal study in two moments, before and after the Accreditation maintenance visit, March and June 2019, with 53 nurses from a hospital institution. The data collected was: sociodemographic, clinical and occupational variables, stress, osteomuscular pain and resilience. Descriptive variables, Chi-square test, t test, Fisher’s exact test, Pearson’s correlation and Spearman’s correlation coefficient were used. Results: most of the study participants had average stress levels before and after the evaluation. Most of those who reported pain were at medium stress levels at both times. The resilience capacity increased after the evaluation, which demonstrates that the experienced stressors were adequately addressed. There was no significant association between the cortisol levels and the perceived stress. Conclusion: occupational stress and musculoskeletal pain were experienced by nurses during the Accreditation processes. It was evident that individuality permeated the perception of stress and resilience allowed to overcome the tensions experienced. The study identified that there is a need for planning and implementation of actions to collaborate with the nurses in the best confrontation, aiming to promote resilience.

Resilience and the reduction of occupational stress in Nursing

“…A systematic review that aimed to identify the main psychosocial factors in Nursing work indicated that the perception of justice, respect, support from supervisors and social inclusion favour the preservation of the mental health of Nursing workers 5 . The subjective and individual character in the perception of factors that contribute to stress and the need for health-promoting interventions focused on psychosocial characteristics, which enable the active participation of professionals, are highlighted 28 .…”

Overview of (inter)national accreditation in Brazil

“…A study that evaluated the association between muscle pain, stress, and resilience of nurses during the Accreditation maintenance process, did not find any correlation between the variables studied, but identified a higher resilience capacity after the assessment, indicating that the stressors experienced during the process were faced in an adequate manner, constituting a positive factor for the maintenance of the professionals' health and quality of care. 25 Despite the already mentioned prevalence among hospitals in the list of accredited Brazilian establishments, it is noted that the Therapeutic Diagnostic-Support Units -which represented a computation of services that aid in the determination of diagnosis and/or complement the treatment and rehabilitation of the patient -and the clinics, polyclinics, and outpatient clinics accounted for about a quarter of the total number of certifications. Even if the survey did not make this distinction in the analysis (which can be interpreted as a limitation), it is hypothesized that these establishments concentrate a high proportion of the private sector, since it is possible that they are institutions with a clear market interest in health.…”

La resiliencia y la reducción del estrés laboral en Enfermería

“…Una revisión sistemática que objetivó identificar los principales factores psicosociales en el trabajo de Enfermería, apuntó que la percepción de justicia, respeto, soporte de las jefaturas e inclusión social, favorecen la preservación de la salud mental del trabajador de la área (5) . Se destacan el carácter subjetivo e individual en la percepción de factores que contribuyen para el estrés y la necesidad de realizar intervenciones promotoras de la salud, enfocadas en características psicosociales que posibiliten la participación activa de los profesionales (28) .…”