Fatores de risco para absenteísmo de curta duração em um hospital de médio porte

Abstract

Cad. Saúde Colet., 2017, Rio de Janeiro, 25 (4) ResumoIntrodução: Existem evidências sobre absenteísmo-doença no contexto hospitalar, mas são necessários estudos não só com profissionais do setor de assistência, mas também com outros de diferentes setores. Objetivos: Investigar a associação entre a prevalência de absenteísmo-doença e as características individuais, os hábitos e o estilo de vida, o estado de saúde e as condições de trabalho entre trabalhadores de um hospital filantrópico de médio porte. Método: Estudo transversal com amostra probabilística de 123 profissionais dos setores de assistência, de apoio e administrativo. Foram obtidas informações autodeclaradas sobre ausência do trabalho, características sociodemográficas, estilo de vida, estado de saúde e condições de trabalho. Razões de prevalência de absenteísmo e seus respectivos intervalos de confiança de 95% foram ajustados pela técnica de regressão multivariada de Poisson. Resultados: A prevalência de absenteísmo nos últimos 12 meses foi de 28,5%, independentemente do setor de trabalho. A presença de doença ocupacional, a alta demanda física e psicológica e o tempo de trabalho no hospital permaneceram associados ao absenteísmo após o ajuste multivariado dos dados. Conclusão: Condições precárias de trabalho estão associadas ao absenteísmo-doença entre os profissionais investigados. Esse achado deve ser levado em consideração na formulação de intervenções que envolvem a promoção da saúde desses trabalhadores. Palavras-chave: qualidade da assistência à saúde; riscos ocupacionais; impacto psicossocial; absenteísmo; avaliação de serviços de saúde. Abstract Introduction: Even though there are evidences of absenteeism in the hospital context, more studies are needed beyond the care sector. Objectives: to investigate the associations between the prevalence of absenteeism of three sectors employees of a philanthropic medium-sized hospital and individual characteristics, life habits, health status and working conditions. Method: Cross-sectional study with random sample of 123 professionals from care, administrative and support sectors. The data was collected through a self-administered questionnaire that included information on absence from work, socio-demographic, habits and lifestyle characteristics, health status and working conditions. Prevalence ratios of absenteeism and their respective 95% confidence intervals were adjusted by Poisson multivariate regression. Results: The prevalence of absenteeism due to sickness in last 12 months was 28.5% and it was associated with high physical and psychological demands, working time at the hospital and presence of occupational diseases. Conclusion: Precarious working conditions are associated sickness absenteeism among professionals investigated. This finding must be considered in the formulation of interventions involving the health promotion of these workers.

Factors associated with absenteeism of nursing professionals in university outpatient clinics in Brazil

“…This study identified absenteeism due to illness of 35.9% in the previous year, as reported by respondents. This percentage is higher than that found in studies with public employees in Goiânia/Brazil, which identified a 23% occurrence of sick leave (Leão, Barbosa-Branco, Rassi Neto, Ribeiro, & Turchi, 2015), and for health professionals in a midsize hospital, which found 28.5% (Duarte, Lemos, & Alcantara, 2017). The values for this study were also higher than those found in a survey conducted with nurses in Vietnam, who were absent for various reasons, with an average of 24.7 days and SD of 52.8 days (Luan et al, 2018), and in data for employees on leave due to mental disorders, who had an average of 32.71 days and SD of 22.09 days (Baasch, Trevisan, & Cruz, 2017).…”

“…The prevalence of greater absenteeism among women is corroborated by Brazilian research (Duarte et al, 2017;Leão et al, 2015;Magalhães Filho, Zanin, & Flório, 2018;Santa-Marinha, Teixeira, Maciel, & Moreira, 2018;Santana et al, 2016;Silva et al, 2016), as well as the prevalence of sick leave among married nursing professionals (Duarte et al, 2017;Leão et al, 2015;Silva et al, 2016) those with children (Duarte et al, 2017) and those who had medium levels of education (Duarte et al, 2017;Magalhães Filho et al, 2018;Santa-Marinha et al, 2018;Silva et al, 2016).…”

Association between job satisfaction and workers' quality of life in a public maternity hospital in the far north of Brazil

“…When considering the average income of the servers, about 5.5 minimum wages, the values observed in this research stand out against the findings of a study with a nursing staff of a mediumsized hospital. 19 However, the average income of this study was lower than that observed among nurses of a public hospital in the state of Paraná, with an average of 7.5 minimum wages. 10 Work relates to various aspects of people's lives.…”

Sickness absenteeism among outsourced hygiene and cleaning workers at a university hospital in São Paulo, Brazil, 2015–2017

“…While in our study the rate of sick leave due to mental and behavioral disorders was just 0.2%, these conditions were the leading cause among nurses in Campinas, Brazil 16 . The authors of study performed with cleaning workers in southern Brazil reported an average of 2.24 (range: 1 to 15) certificates per worker, 31.8% of which corresponded to mental and behavioral disorders and 15.9% to musculoskeletal diseases 14 .…”

“…In a study conducted with nursing staff at basic health care facilities in Campinas, Brazil, nurses were found to miss more work days than nursing technicians and assistants. This finding allows suggesting that as concerns sickness absence, nursing professionals with higher educational levels were absent from work longer by comparison to cleaning workers with lower salary 16 , the most common reasons being musculoskeletal disorders 1 .…”