Saúde dos trabalhadores de enfermagem e a segurança do paciente: o olhar de gerentes de enfermagem*

Baptista, Patrícia Campos Pavan; Pustiglione, Marcelo; Almeida, Mirian Cristina dos Santos; Felli, Vanda Elisa Andrés; Garzin, Ana Claudia Alcântara; Melleiro, Marta Maria

doi:10.1590/s0080-623420150000800017

Cited by 15 publications

(13 citation statements)

References 19 publications

(20 reference statements)

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“…So far, this issue has received modest attention (33)(34)(35), especially in Croatia (30), and the main objective of our study was to establish the association between presenteeism and absenteeism on the one hand and patient safety culture on the other. We also wanted to check again our previous negative findings (30) -no association between presenteeism and patient safety culture -on a much larger sample.…”

mentioning

confidence: 99%

Patient safety culture shapes presenteeism and absenteeism: a cross-sectional study among Croatian healthcare workers

Brborović

2017

Archives of Industrial Hygiene and Toxicology

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Healthcare workers have high rates of injuries and illnesses at the workplace, and both their absence from work due to illness (absenteeism) or working ill (presenteeism) can compromise patient safety and the quality of health care delivered. Following this premise, we wanted to determine whether presenteeism and absenteeism were associated with patient safety culture (PSC) and in what way. Our sample consisted of 595 Croatian healthcare workers (150 physicians and 445 nurses) who answered the short-form WHO Health and Work Performance Questionnaire and the Hospital Survey on Patient Safety Culture. The results have confirmed the association with both presenteeism and absenteeism in several PSC dimensions, but not as we expected based on the premise from which we started. Opposite to our expectations, lower job performance (as a measure of presenteeism) was associated with higher PSC instead of lower PSC. Absenteeism, in turn, was associated with lower PSC, just as we expected. These findings suggest that it is the PSC that shapes presenteeist and absenteeist behaviour and not the other way around. High PSC leads to presenteeism, and low PSC to absenteeism. We also believe that the presenteeism questionnaires should be adjusted to health care and better define what lower performance means both quantitatively and qualitatively in a hospital setting. KEY WORDS: nurses; physicians; work performancePresenteeism and absenteeism are rather widespread and present a growing public health concern (1-3). Presenteeism is summarily defined as working ill instead of having taken leave (4) and entails lower performance at work due to health problems (3,5,6). Absenteeism is defined as absence from work (7) due to valid (sick-leave) or less valid reasons (taking a day-off) (8). Both have a very similar negative effect on business, such as expenses and losses in work hours, production, and work morale (9, 10). Presenteeism is often a hidden cost, as workers are physically present, but their performance/productivity is poor (3,11). A large study (12) reported presenteeismrelated production losses of 72 % compared with 28 % of those caused by absenteeism. Other studies also reported higher costs of presenteeism than of absenteeism (13,14).Two longitudinal studies have indicated that presenteeism may increase the risk of future health disorders (15, 16), as it stands in the way of recovery (3, 17). In fact, presenteeism can lead to more sickness absence, as indicated by the positive correlation between the two in several studies (4,18,19).The extent of presenteeism is perhaps best illustrated by a Dutch study (20) reporting that 70 % of the randomly selected participants had claimed to have worked sick at least once a year (20). With physicians, this prevalence soars to 90 % (21-25).In medical profession, presenteeism not only affects the quality of work (3, 11, 26) but puts patients, colleagues, and visitors at the risk of contagion (3,27). In other words, it compromises the very purpose of their work -patient safety. However, pa...

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confidence: 99%

Patient safety culture shapes presenteeism and absenteeism: a cross-sectional study among Croatian healthcare workers

Brborović

2017

Archives of Industrial Hygiene and Toxicology

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“…O absenteísmo representa significativo entrave para organização do processo de trabalho, pois interfere na dinâmica das atividades, provoca o comprometimento dos recursos financeiros e influencia na qualidade e segurança da assistência prestada (18)(19) . Além disso, corresponde a um indicador do perfil de saúde dos profissionais, haja vista que, por ser frequentemente resultado do adoecimento do trabalhador, permite a análise da exposição às cargas de trabalho, em cada setor hospitalar, e a implementação de intervenções precoces para melhoria das condições laborais de enfermeiros (18,20) .…”

Section: Discussionunclassified

Condições de saúde e características do trabalho de enfermeiros de um hospital universitário

et al. 2020

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Objetivo: analisar o perfil sociodemográfico, as condições de saúde e as características do trabalho de enfermeiros. Métodos: estudo transversal, realizado com 152 enfermeiros de um hospital universitário. Utilizou-se de instrumento estruturado, o qual foi analisado por estatística descritiva. Resultados: os enfermeiros consideraram a saúde como boa (50,7%), realizavam atividade física (53,3%), não fumavam (92,8%), não consumiam álcool (56,6%), apresentavam algum problema de saúde (63,2%) e utilizam medicamentos diariamente (54,6%). Observou-se maior quantitativo de profissionais do ambulatório (17,8%) e clínica médica (15,8%), que atuavam no hospital estudado por até cinco anos (61,2%), celetistas (74,3%), sem outro vínculo empregatício (54,6%), do turno diurno (56,6%), com escala de seis horas (36,2%), que referiram ausência do trabalho por até cinco dias (38,2%), devido a problemas de saúde (41,4%). Conclusão: percebeu-se presença de processos de adoecimento entre os profissionais, os quais podem interferir na qualidade e segurança do cuidado prestado.

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“…A trained nursing manager who is aware of the impact of continuing education practices is capable of promoting significant changes in the quality of life of patients and staff (36,38) , impacting the reduction of adverse events (39) , generating a lower rate of absenteeism (36) and improved care (38)(39) .…”

Section: Discussionmentioning

confidence: 99%

Recursos e competências para gestão de práticas educativas por enfermeiros: revisão integrativa

Koericha

Lanzoni

Tavares

et al. 2019

Rev. Gaúcha Enferm.

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Objective: To know the resources used and the necessary skills to the nurse for the management of educational practices in health services. Method: This is an integrative literature review, carried out in the Latin American and Caribbean databases on Health Sciences Information (BIREME), PubMed Central (PMC), Scopus and Web of Science (WoS). After analysis resulted in 18 studies, published between the period 2011 to 2017, which were presented in three categories. Results:The results were presented in the categories: instrumental resources used in health education, technological resources applied to educational practices and competencies for management of educational practices. Conclusion:This study brings as a contribution to the practice of nurses subsidies for the development of management of educational practices in health services through technological and instrumental resources and professional skills that aim at team development, user autonomy and institutional growth.Objetivo: Conhecer os recursos utilizados e as competências necessárias ao enfermeiro para a gestão das práticas educativas nos serviços de saúde.Método: Trata-se de uma revisão integrativa de literatura, realizada nas bases de dados Latino-Americano e do Caribe de Informação em Ciências da Saúde (BIREME), PubMed Central (PMC), Scopus e Web of Science (WoS), a qual após análise resultou em 18 estudos, publicados entre o período de 2011 a 2017, que foram apresentados em três categorias.Resultados: Os resultados foram apresentados nas categorias: recursos instrumentais utilizados na educação em saúde, recursos tecnológicos aplicados às práticas educativas, e competências para gestão das práticas educativas. Conclusão:Este estudo traz como contribuição para a prática do enfermeiro subsídios para o desenvolvimento da gestão das práticas educativas nos serviços de saúde por meio de recursos tecnológicos e instrumentais e de competências profissionais que visam o desenvolvimento da equipe, autonomia do usuário e crescimento institucional. Palavras-chave:Educação. Educação em saúde. Enfermagem. Supervisão de enfermagem. Liderança. Gestão em saúde. RESUMEN Objetivo: Conocer los recursos utilizados y las competencias necesarias al enfermero para la gestión de prácticas educativas en los servicios de salud.Método: Se trata de una revisión integradora de literatura, realizada en las bases de datos Latinoamericano y del Caribe de Información en Ciencias de la Salud (BIREME), PubMed Central (PMC), Scopus y Web of Science (WoS). Luego del análisis se obtuvieron 18 estudios publicados entre el período de 2011 y 2017, que se presentaron en tres categorías.Resultados: Los resultados se presentaron en las categorías: recursos instrumentales utilizados en la educación en salud, recursos tecnológicos aplicados a las prácticas educativas, y competencias para la gestión de las prácticas educativas.Conclusión: Este estudio trae como contribución a la práctica del enfermero subsidios para el desarrollo de la gestión de las prácticas educativas en los servicios de sal...

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Saúde dos trabalhadores de enfermagem e a segurança do paciente: o olhar de gerentes de enfermagem*

Cited by 15 publications

References 19 publications

Patient safety culture shapes presenteeism and absenteeism: a cross-sectional study among Croatian healthcare workers

Patient safety culture shapes presenteeism and absenteeism: a cross-sectional study among Croatian healthcare workers

Condições de saúde e características do trabalho de enfermeiros de um hospital universitário

Recursos e competências para gestão de práticas educativas por enfermeiros: revisão integrativa

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