Intensity of nursing work in public hospitals

Abstract

Objective: to analyze the intensity of nursing work in public hospitals. Method: cross-sectional, quantitative study, carried out in 22 public hospitals. The sample was composed of 265 nurses and 810 nursing technicians and assistants. Data were collected through a questionnaire and analyzed with Exploratory Factor Analysis. The calculation of the distribution of the work intensity by category was done using a score ranging from -1 to +1 standard deviation of the data. Fisher’s exact test (0.05 <p≤0.10) was used to observe the significance between groups according to the employment bond. Results: work intensity contributed to the explanation of precarization of work, with a value of 13% for nurses and 51.2% for technicians and assistants. For the technicians and assistants, the variables with the highest factor loadings were ‘work requires more than she can do’ (0.6696) and ‘takes on multiple tasks due to staff shortages’ (0.6156). Among nurses, the highest factor loadings were observed in the variables ‘time pressure at work (0.6779) and ‘Work pace’ (0.6651). Conclusion: the variables analyzed indicate that work intensity occurs differently among nursing workers, and is revealed by the versatility, understaffing and flexibility of work.

Psychological empowerment of health professionals

“…In the nurse's work process, in addition to the care role, the management aspect (16) stands out, which causes these professionals to be under pressure from other nurses, other health professionals, and even from leaders of the institutions, to mobilize and articulate the necessary resources for the provision of care (17) .…”

“…In addition, the insufficient number of nurses (16,19) and the articulating role they play in the health team (18) influence the pace of execution of the activities, demanding that they become more flexible and versatile (16) .…”

“…All these factors can cause negative impacts on patient safety, quality of care (16) , and on all the dimensions of the psychological empowerment experienced by the professionals, imposing a great challenge to be overcome.…”

Advocacy no contexto da pandemia da COVID-19: em defesa dos direitos à saúde

“…Nesse sentido, assevera-se que o sucateamento do sistema público de atenção à saúde ficou ainda mais exposto na crise que se instalou com a pandemia causada pelo novo coronavírus (SARS-CoV-2), pois em um contexto em que se têm poucas certezas ou conhecimentos sobre as formas de transmissão do vírus, as manifestações clínicas da doença, complicações e letalidade, faz-se mister ter condições adequadas para o desenvolvimento seguro do processo de trabalho, treinamento sistemático das equipes, pausas laborais, descanso garantido entre plantões e salários condizentes com as responsabilidades e os riscos a que são submetidas as equipes de enfermagem (Santos et al, 2020). Por esse ângulo, há Research, Society and Development, v. 9, n. 9, e507997646, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i9.7646 8 claro desrespeito à dignidade e à saúde dos trabalhadores e, por consequência, de pacientes/usuários do sistema.…”

Risco de uberização do trabalho de enfermagem em tempos de pandemia da Covid-19: relato de experiência

“…Por sua vez, vínculos precarizados de trabalhos são aqueles em que os contratos laborais são por tempo determinado, sem carteira assinada, por meio de organizações sociais, terceirizações e quarteirizações, regime de pejotização (Pessoa Jurídica), cooperativas, entre outros. Por via desses vínculos, os trabalhadores assumem riscos e ônus inerentes ao trabalho (Santos et al, 2020).…”