Atuação dos trabalhadores de Enfermagem em ressuscitação cardiopulmonar: repercussões psicofísicas na saúde do trabalhador

• Autor(a) principal: Sá, Cláudia Maria da Silva
• Data de Publicação: 2009
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11465
• topic: Worker's Health; Nursing; Work Organization; Cardiopulmonary resuscitation; Saúde e trabalho; Ressuscitação cardiopulmonar (Primeiros socorros); Saúde do trabalhador; Enfermagem; Organização do trabalho; Ressuscitação cardiopulmonar; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Aim of the study: psychophysical repercussions of nursing workers resulting from their practice in cardiopulmonary resuscitation (CPR) among medical in-patients. Objectives: to identify the facilitating and difficulty factors faced by nursing workers practice in CPR, discuss the feelings that emerge from the workers in their practice and analyze the psychophysical repercussions on the workers' health arising from such practice. Qualitative, descriptive study, based on the dialectical method and theoretical reference to the Psychodynamics of Work. The study was developed in four medical wards of a public university hospital in the city of Rio de Janeiro, which had five nurses and twelve nursing assistants as subjects. Data collection instrument chosen was a semi-structured interview, whose information was analysed and dealt with under the light of content analysis approach, resulting in the creation of three categories: the organization of work and its reflexes on the nursing workers practice as regards cardiopulmonary resuscitation, experiences in relation to their practice and the implications on the health of the workers resulting from their practice. The results indicated a significant distancing between the prescribed and the real work, which created in the subjects involved a clear perception of difficulties that resulted in reports that stressed much more on suffering than on pleasure. It was also verified that the feeling of pleasure emerged when the subjects mentioned the recovery of the patient, in the sense of accomplished duty and when they managed to overcome the difficulties involved in that attendance. When facing difficult situations, the workers referred to anguish, irritability, nervousness, anxiety, frustration, that is, negative feelings which are harmful to the worker's health. Various psychophysical repercussions were felt by the workers stemming from the attendance of cardiorespiratory arrests and the ones that have a psychological dimension were the most mentioned, which were identified as: feeling of loss, of being disrespected and impotent to surpass the difficulties, sadness, anxiety, agony, tension, difficulty in facing death and the fear of making mistakes in the procedures. Besides, the subjects also mentioned feeling tense in the cervical region, muscular stiffness, headache and high blood pressure as repercussions linked to the physical dimension. There was also reference to feeling pain in the hands, legs and back, caused by the laborial exercise in conditions not so favorable to the ergonomic necessities for the realization of this activity. From the obtained results, we consider that there is a need to discuss, evaluate and intervene in the working process so that CPR can be better operationalized, with less or no negative impact on the wellbeing of the nursing worker. The change in the working process must involve both the managerial and assistential spheres, on a multidisciplinary level, privileging the practical knowledge of the workers as well. We also recommend the formation and maintenance of reflection groups among health care professionals, especially in Nursing so as to help them better deal with death and acknowledge it as part of the process in Health Care.