Pediatric oncology nursing workers: the use of defensive strategies at work

Abstract

Trabalhadores de enfermagem em oncologia pediátrica: o uso de estratégias defensivas no trabalhoTrabajadores de enfermería oncológica pediátrica: el uso de estrategias defensivas en el trabajo AbstrActObjective: To describe defensive strategies used by nursing workers in pediatric oncology towards suffering at work. Methodology:A qualitative, exploratory and descriptive study was carried out in 2013 with 20 nursing workers of pediatric oncology at a teaching hospital. The techniques of non-participant observation and focus group were used to produce the data, which were submitted to thematic analysis. Results: Some of the individual strategies identified were conformity, distancing from the experience with children, rationalization, and refuge in pleasurable moments. Furthermore, group strategies were pointed out, such as speaking and listening, coming together as a work group, redefining suffering, and the search for a new meaning in life. Conclusions:Spaces for speaking and listening can enable the sharing of experiences of suffering, helping workers to recognize defensive strategies and strengthen resistance actions. Algumas estratégias individuais identificadas foram conformismo, distanciamento do convívio com as crianças, racionalização e refúgio nos momentos de lazer. Além disso, foram apontadas estratégias coletivas como os movimentos de fala e escuta, a agregação do coletivo de trabalho, a ressignificação do sofrimento e a busca de um novo sentido para a vida. Conclusões:Espaços de fala e escuta podem possibilitar a partilha das vivências de sofrimento, auxiliando o trabalhador a reconhecer as estratégias defensivas e fortalecer os movimentos de resistência. Palavras-chave:Enfermagem; Saúde do trabalhador; Oncologia; Pediatria; Pesquisa qualitativa. resumenObjetivo: Describir las estrategias defensivas utilizadas por trabajadores de enfermería en oncología pediátrica delante el sufrimiento en el trabajo. Metodología: Estudio cualitativo, exploratorio y descriptivo, realizado en 2013 con 20 trabajadores de enfermería actuantes en oncología pediátrica de un hospital universitario. Para la producción de datos fue empleada la técnica de observación non-participante y grupo focal. Los datos fueron sometidos al análisis temático de contenido. Resultados:Algunas estrategias individuales identificadas fueron conformismo, distanciamiento del convivio con niños, racionalización y refugio en momentos de ocio. Además, fueron apuntadas estrategias colectivas como los movimientos de hablar y escuchar, la agregación del colectivo de trabajo, resignificación de sufrimiento y búsqueda de un nuevo sentido para la vida. Conclusiones:Espacios de habla y escucha pueden posibilitar el compartir las vivencias de sufrimiento, ayudando al trabajador a reconocer las estrategias defensivas y fortalecer los movimientos de resistencia.

Musculoskeletal pain in undergraduate health students: prevalence and associated factors

“…The study included 792 undergraduate health students, of which 44 participated online. There was a predominance of female (74.6%), single (94.6%) students with median age of 21 years (19)(20)(21)(22)(23).…”

“…Although the data collection period was between the middle and the end of the semester, when students had great academic task demands, sparing some amount of time for leisure activities in the routine is key for students' well-being. In these moments, they temporarily detach themselves from academic environment demands, and this helps with the relief of everyday life tensions (18)(19) .…”

Aspectos Contextuais Sobre O Gerenciamento Do Cuidado De Enfermagem À Criança Com Dor Oncológica Crônica

“…Caring for hospitalized children with chronic cancer pain was characterized by nursing professionals as an experience permeated by learning, since there are discoveries about new modalities of care and human values. From this perspective, literature 44 states that nursing professionals who work in a pediatric oncology unit learn to give new meaning to life, family / professional relationships, illness and death due to their experiences of caring. 44 Nursing care developed for hospitalized children with chronic cancer pain includes: medication administration, vital signs verification, hygiene, pain assessment and management, and giving information about treatment.…”

“…From this perspective, literature 44 states that nursing professionals who work in a pediatric oncology unit learn to give new meaning to life, family / professional relationships, illness and death due to their experiences of caring. 44 Nursing care developed for hospitalized children with chronic cancer pain includes: medication administration, vital signs verification, hygiene, pain assessment and management, and giving information about treatment. Corroborating this result, the literature [45][46] reveals that the hospitalized child with cancer needs multiple types of care, such as: medication administration, hygiene, peripheral venipuncture, vital signs verification, chemotherapy administration, blood transfusion, training with the family to perform care, comfort, family support, pain assessment and management pain.…”

Pleasure and Suffering in the Nursing Work in a Pediatric Intensive Therapy Unit

“…4 Entende-se que a busca pela superação das situações geradoras de prazer e sofrimento faz com esses profissionais valorizem suas relações pessoais, tornando-os capazes de valorizar ainda mais as suas vidas. 17 Por fim, percebe-se que o prazer no tra-…”