Saúde das trabalhadoras de enfermagem da atenção básica na Bahia

Detalhes bibliográficos
Autor(a) principal: Lua, Iracema
Data de Publicação: 2014
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UEFS
Texto Completo: http://localhost:8080/tede/handle/tede/69
Resumo: We emphasize in this survey the illness of the worker concerned individual and collective damage that affects the quality of services provided for, with emphasis on nursing professionals, related to the direct contribution to the quality of care and the high stress loads which these professionals are exposed to, in their environment job. Due to female predominance in this category was necessary to approach gender issues in order to analyze the risks of exposure and morbidity profiles no longer under a biological vision, considering social factors in epidemiological analyzes. Considering such problems, we aimed to analyze the factors that are associated with conditions of physical and mental health workers in primary care nursing in Bahia. As a methodological approach, a cross sectional study was conducted in five cities in Bahia in 2011-2013, with a sample of 451 nursing workers. An 8-section questionnaire was elaborated relating to sociodemographic lifestyle, employment status, psychosocial aspects of working, perception of work and life, and health status. The Self Reporting Questionnaire - SRQ - 20 was used to track TMC and self -rated health was identified from the question: "In general, comparing yourself to people of your age, how have you considered your health?" To verify the factors associated with the outcome, we used the analysis of logistic regression in blocks. On considering the results, we identified 16.2 % prevalence of Common Mental Disorders, and 15.8 % of negative self-rated health status, and such occurrences were associated with several factors. The variables statistically associated with TMC, in the final model of analysis were: occupation, workweek, personal safety threatened at work, overload housework, the effort-reward model (ERI ), self-satisfaction, assessment of quality of life and self-rated health. While for the negative self-rated health status, the variables that best were applied were: compatibility of the activities, overload housework, according to the Karasek´s demand-control model, evaluation of quality of life and common mental disorders. Our results reinforce and renew the scientific evidence on subject, reaffirming the relationship between the health-disease process and work, be it professional or domestic as well as the present association between physical fitness and mental health. We highlight the importance of psychosocial aspects of work on workers' health, as evidenced by the association of outcomes with the demand-control model or the effort - reward imbalance model ( ERI ). The results of the study direct relevance to discussions and changes in the nursing work organizations in an attempt to minimize stress and occupational dissatisfaction, and promote health in this category.
id UEFS_eaafdb8c069b90bb19839638701a8f01
oai_identifier_str oai:tede2.uefs.br:8080:tede/69
network_acronym_str UEFS
network_name_str Biblioteca Digital de Teses e Dissertações da UEFS
repository_id_str
spelling Almeida, Maura Maria Guimarães de03040673505http://lattes.cnpq.br/1296156154048480Lua, Iracema2015-07-22T23:57:04Z2014-03-31LUA, Iracema. Saúde das trabalhadoras de enfermagem da atenção básica na Bahia. 2014. 143 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva) - Universidade Estadual de Feira de Santana, Feira de Santana, 2014.http://localhost:8080/tede/handle/tede/69We emphasize in this survey the illness of the worker concerned individual and collective damage that affects the quality of services provided for, with emphasis on nursing professionals, related to the direct contribution to the quality of care and the high stress loads which these professionals are exposed to, in their environment job. Due to female predominance in this category was necessary to approach gender issues in order to analyze the risks of exposure and morbidity profiles no longer under a biological vision, considering social factors in epidemiological analyzes. Considering such problems, we aimed to analyze the factors that are associated with conditions of physical and mental health workers in primary care nursing in Bahia. As a methodological approach, a cross sectional study was conducted in five cities in Bahia in 2011-2013, with a sample of 451 nursing workers. An 8-section questionnaire was elaborated relating to sociodemographic lifestyle, employment status, psychosocial aspects of working, perception of work and life, and health status. The Self Reporting Questionnaire - SRQ - 20 was used to track TMC and self -rated health was identified from the question: "In general, comparing yourself to people of your age, how have you considered your health?" To verify the factors associated with the outcome, we used the analysis of logistic regression in blocks. On considering the results, we identified 16.2 % prevalence of Common Mental Disorders, and 15.8 % of negative self-rated health status, and such occurrences were associated with several factors. The variables statistically associated with TMC, in the final model of analysis were: occupation, workweek, personal safety threatened at work, overload housework, the effort-reward model (ERI ), self-satisfaction, assessment of quality of life and self-rated health. While for the negative self-rated health status, the variables that best were applied were: compatibility of the activities, overload housework, according to the Karasek´s demand-control model, evaluation of quality of life and common mental disorders. Our results reinforce and renew the scientific evidence on subject, reaffirming the relationship between the health-disease process and work, be it professional or domestic as well as the present association between physical fitness and mental health. We highlight the importance of psychosocial aspects of work on workers' health, as evidenced by the association of outcomes with the demand-control model or the effort - reward imbalance model ( ERI ). The results of the study direct relevance to discussions and changes in the nursing work organizations in an attempt to minimize stress and occupational dissatisfaction, and promote health in this category.Aponta-se que o adoecimento do trabalhador causa danos individuais e coletivos, interfererindo na qualidade dos serviços prestados, com ênfase para os profissionais de enfermagem, pela direta atribuição com a qualidade da assistência e pelas elevadas cargas de estresse às quais esses profissionais estão expostos em seu ambiente de trabalho. Pela predominância feminina desta categoria foram abordadas ainda as questões de gênero, a fim de se analisar os riscos de exposição e os perfis de morbimortalidade, não mais sob visão biologicista, considerando os fatores sociais nas análises epidemiológicas. Face a tais questões, objetivou-se analisar os fatores que estão associados às condições de saúde física e mental em trabalhadoras de enfermagem da atenção básica na Bahia. Adotou-se como procedimento metodológico um estudo transversal em cinco cidades baianas entre 2011-2013, com uma amostra de 451 trabalhadoras de enfermagem. Utilizou-se um questionário com 8 blocos de questões referentes às características sociodemográficas, hábitos de vida, situação de trabalho, aspectos psicossociais do trabalho, percepção do trabalho e da vida e situação de saúde. O Self Reporting Questionnaire - SRQ-20 foi utilizado para rastrear TMC e a autoavaliação do estado de saúde foi identificada a partir da pergunta: “De modo geral, em comparação às pessoas da sua idade, como você considera o seu próprio estado de saúde?” Para verificar os fatores associados aos desfechos, empregou-se a análise de regressão logística em blocos. Considerando os resultados, foram identificadas prevalência de transtornos mentais comuns de 16,2% e de autoavaliação negativa do estado de saúde de 15,8%, estando essas ocorrências associadas a fatores diversos. As variáveis estatisticamente associadas ao TMC, no modelo final de análise, foram: categoria profissional, jornada de trabalho semanal, segurança pessoal ameaçada no trabalho, sobrecarga doméstica, desequilíbrio esforço-recompensa (ERI), satisfação consigo mesmo, avaliação da qualidade de vida e autoavaliação do estado de saúde. Enquanto que, para a autoavaliação negativa do estado de saúde, as variáveis que melhor se aplicaram foram: compatibilidade das atividades desenvolvidas, sobrecarga doméstica, situação de trabalho segundo o Modelo Demanda-Controle de Karasek, avaliação da qualidade de vida e transtornos mentais comuns. Os resultados encontrados reforçam e renovam as evidências científicas sobre o tema, reafirmando a relação entre o processo saúde-doença e o trabalho, seja ele profissional ou doméstico, bem como a associação presente entre a saúde física e mental. Destaca-se a importância dos aspectos psicossociais do trabalho na saúde das trabalhadoras, evidenciada pela associação dos desfechos com o Modelo Demanda-Controle ou com o Modelo desequilíbrio Esforço-Recompensa (ERI). Os resultados desse estudo direcionam para a relevância de discussões e mudanças nas organizações de trabalho da enfermagem nos serviços de atenção básica na tentativa de minimizar o estresse e a insatisfação ocupacional, e promover a saúde dessa categoria, bem como a qualidade da assistência prestada por estes.Submitted by Natalie Mendes (nataliermendes@gmail.com) on 2015-07-22T23:57:04Z No. of bitstreams: 1 DISSERTAÇÃO IRACEMA LUA.pdf: 1927753 bytes, checksum: 529b5dc086281d12b0c563f14ce3f3ea (MD5)Made available in DSpace on 2015-07-22T23:57:04Z (GMT). No. of bitstreams: 1 DISSERTAÇÃO IRACEMA LUA.pdf: 1927753 bytes, checksum: 529b5dc086281d12b0c563f14ce3f3ea (MD5) Previous issue date: 2014-03-31Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfporUniversidade Estadual de Feira de SantanaMestrado Acadêmico em Saúde ColetivaUEFSBrasilDEPARTAMENTO DE SAÚDETrabalhadorasEnfermagemTranstornos mentais comunsPercepção de saúdeAtenção básicaWoman-workersNursingCommon mental disordersPerception of healthPrimary careCIENCIAS DA SAUDE::SAUDE COLETIVASaúde das trabalhadoras de enfermagem da atenção básica na Bahiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-1219759018657228036006006006008549511740116106200-61731671037544951992075167498588264571info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UEFSinstname:Universidade Estadual de Feira de Santana (UEFS)instacron:UEFSORIGINALDISSERTAÇÃO IRACEMA LUA.pdfDISSERTAÇÃO IRACEMA LUA.pdfapplication/pdf1927753http://tede2.uefs.br:8080/bitstream/tede/69/2/DISSERTA%C3%87%C3%83O+IRACEMA+LUA.pdf529b5dc086281d12b0c563f14ce3f3eaMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://tede2.uefs.br:8080/bitstream/tede/69/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/692016-01-15 20:27:18.937oai:tede2.uefs.br:8080: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.uefs.br:8080/PUBhttp://tede2.uefs.br:8080/oai/requestbcuefs@uefs.br|| bcref@uefs.br||bcuefs@uefs.bropendoar:2016-01-15T23:27:18Biblioteca Digital de Teses e Dissertações da UEFS - Universidade Estadual de Feira de Santana (UEFS)false
dc.title.por.fl_str_mv Saúde das trabalhadoras de enfermagem da atenção básica na Bahia
title Saúde das trabalhadoras de enfermagem da atenção básica na Bahia
spellingShingle Saúde das trabalhadoras de enfermagem da atenção básica na Bahia
Lua, Iracema
Trabalhadoras
Enfermagem
Transtornos mentais comuns
Percepção de saúde
Atenção básica
Woman-workers
Nursing
Common mental disorders
Perception of health
Primary care
CIENCIAS DA SAUDE::SAUDE COLETIVA
title_short Saúde das trabalhadoras de enfermagem da atenção básica na Bahia
title_full Saúde das trabalhadoras de enfermagem da atenção básica na Bahia
title_fullStr Saúde das trabalhadoras de enfermagem da atenção básica na Bahia
title_full_unstemmed Saúde das trabalhadoras de enfermagem da atenção básica na Bahia
title_sort Saúde das trabalhadoras de enfermagem da atenção básica na Bahia
author Lua, Iracema
author_facet Lua, Iracema
author_role author
dc.contributor.advisor1.fl_str_mv Almeida, Maura Maria Guimarães de
dc.contributor.authorID.fl_str_mv 03040673505
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/1296156154048480
dc.contributor.author.fl_str_mv Lua, Iracema
contributor_str_mv Almeida, Maura Maria Guimarães de
dc.subject.por.fl_str_mv Trabalhadoras
Enfermagem
Transtornos mentais comuns
Percepção de saúde
Atenção básica
topic Trabalhadoras
Enfermagem
Transtornos mentais comuns
Percepção de saúde
Atenção básica
Woman-workers
Nursing
Common mental disorders
Perception of health
Primary care
CIENCIAS DA SAUDE::SAUDE COLETIVA
dc.subject.eng.fl_str_mv Woman-workers
Nursing
Common mental disorders
Perception of health
Primary care
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::SAUDE COLETIVA
description We emphasize in this survey the illness of the worker concerned individual and collective damage that affects the quality of services provided for, with emphasis on nursing professionals, related to the direct contribution to the quality of care and the high stress loads which these professionals are exposed to, in their environment job. Due to female predominance in this category was necessary to approach gender issues in order to analyze the risks of exposure and morbidity profiles no longer under a biological vision, considering social factors in epidemiological analyzes. Considering such problems, we aimed to analyze the factors that are associated with conditions of physical and mental health workers in primary care nursing in Bahia. As a methodological approach, a cross sectional study was conducted in five cities in Bahia in 2011-2013, with a sample of 451 nursing workers. An 8-section questionnaire was elaborated relating to sociodemographic lifestyle, employment status, psychosocial aspects of working, perception of work and life, and health status. The Self Reporting Questionnaire - SRQ - 20 was used to track TMC and self -rated health was identified from the question: "In general, comparing yourself to people of your age, how have you considered your health?" To verify the factors associated with the outcome, we used the analysis of logistic regression in blocks. On considering the results, we identified 16.2 % prevalence of Common Mental Disorders, and 15.8 % of negative self-rated health status, and such occurrences were associated with several factors. The variables statistically associated with TMC, in the final model of analysis were: occupation, workweek, personal safety threatened at work, overload housework, the effort-reward model (ERI ), self-satisfaction, assessment of quality of life and self-rated health. While for the negative self-rated health status, the variables that best were applied were: compatibility of the activities, overload housework, according to the Karasek´s demand-control model, evaluation of quality of life and common mental disorders. Our results reinforce and renew the scientific evidence on subject, reaffirming the relationship between the health-disease process and work, be it professional or domestic as well as the present association between physical fitness and mental health. We highlight the importance of psychosocial aspects of work on workers' health, as evidenced by the association of outcomes with the demand-control model or the effort - reward imbalance model ( ERI ). The results of the study direct relevance to discussions and changes in the nursing work organizations in an attempt to minimize stress and occupational dissatisfaction, and promote health in this category.
publishDate 2014
dc.date.issued.fl_str_mv 2014-03-31
dc.date.accessioned.fl_str_mv 2015-07-22T23:57:04Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv LUA, Iracema. Saúde das trabalhadoras de enfermagem da atenção básica na Bahia. 2014. 143 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva) - Universidade Estadual de Feira de Santana, Feira de Santana, 2014.
dc.identifier.uri.fl_str_mv http://localhost:8080/tede/handle/tede/69
identifier_str_mv LUA, Iracema. Saúde das trabalhadoras de enfermagem da atenção básica na Bahia. 2014. 143 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva) - Universidade Estadual de Feira de Santana, Feira de Santana, 2014.
url http://localhost:8080/tede/handle/tede/69
dc.language.iso.fl_str_mv por
language por
dc.relation.program.fl_str_mv -121975901865722803
dc.relation.confidence.fl_str_mv 600
600
600
600
dc.relation.department.fl_str_mv 8549511740116106200
dc.relation.cnpq.fl_str_mv -6173167103754495199
dc.relation.sponsorship.fl_str_mv 2075167498588264571
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Estadual de Feira de Santana
dc.publisher.program.fl_str_mv Mestrado Acadêmico em Saúde Coletiva
dc.publisher.initials.fl_str_mv UEFS
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv DEPARTAMENTO DE SAÚDE
publisher.none.fl_str_mv Universidade Estadual de Feira de Santana
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da UEFS
instname:Universidade Estadual de Feira de Santana (UEFS)
instacron:UEFS
instname_str Universidade Estadual de Feira de Santana (UEFS)
instacron_str UEFS
institution UEFS
reponame_str Biblioteca Digital de Teses e Dissertações da UEFS
collection Biblioteca Digital de Teses e Dissertações da UEFS
bitstream.url.fl_str_mv http://tede2.uefs.br:8080/bitstream/tede/69/2/DISSERTA%C3%87%C3%83O+IRACEMA+LUA.pdf
http://tede2.uefs.br:8080/bitstream/tede/69/1/license.txt
bitstream.checksum.fl_str_mv 529b5dc086281d12b0c563f14ce3f3ea
bd3efa91386c1718a7f26a329fdcb468
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
repository.name.fl_str_mv Biblioteca Digital de Teses e Dissertações da UEFS - Universidade Estadual de Feira de Santana (UEFS)
repository.mail.fl_str_mv bcuefs@uefs.br|| bcref@uefs.br||bcuefs@uefs.br
_version_ 1800214573284851712