Violência laboral como risco psicossocial à saúde dos trabalhadores de enfermagem em hospital psiquiátrico

• Autor(a) principal: Paula, Glaudston Silva de
• Data de Publicação: 2014
• 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/1/11349
• topic: Nursing; Violence; Working conditions; Occupational risks; Occupational health; Enfermagem; Violência; Condições de trabalho; Risco ocupacional; Saúde do trabalhador; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA

The following dissertation is a study that has as a subject-matter the workplace violence as a psychosocial risk to the health of nurses of a psychiatric hospital , whose investigative interest began in the undergraduate studies and later as I worked as a nurse in a psychiatric hospital. Such experiences shaped in a peculiar way my professional trajectory and the interest in the subject-matter of this study, for my understanding that the violence in the psychiatric sphere needs to be uncovered and discussed in order to preventive measures be adopted in the workers collective in view of the welfare, the work satisfaction and quality of the service that is offered to the population. It is intended in this study: to identify the kinds of violence that are present in the nursing work in a psychiatric hospital; to describe the repercussions of the workplace violence to the health of nurses in a psychiatric hospital; and to analyze the coping mechanisms adopted by the nurses in the presence of workplace violence in a psychiatric hospital. The study is a qualitative, descriptive one, whose data was collected in a psychiatric hospital from the city of Rio de Janeiro, through the period from January to February 2013, with 16 workers (7 registered nurses and 9 licensed practical nurses) from the adopted criteria of inclusion. The used technique was the semi-structured interview, through a script with questions about the subject-matter. The project followed the demands from the resolution 196/96, from the Ministry of Health (MH) and was approved by the Comissão de Ética em Pesquisa (CEP) with the number 070.3.2012. After the content analysis the following findings emerged: there are three kinds of violence in the life of the workers. The first refers to the violence suffered mainly during the psychiatric emergencies, where the worker suffers verbal and, in some cases, physical, aggressions by the patient. Another kind of workplace violence was the one committed by the family of the patient in moments of tension, and the third one is the symbolic violence perpetrated by the doctors, mainly the residents. The workplace violence was identified as a consequence of poor working conditions such as human and material resources. The occupational violence showed itself as a psychosocial risk to the worker s health, for it causes psychological and physical suffering, as could be seen through the complains of weariness, stress and fear, that causes the dissatisfaction and demotivation in the workplace. In order to maintain themselves in the work, the workers create coping strategies that are centered on the resolution to the problems resulted from the violence and on the emotion regulation. In the presence of the findings, it was concluded that the violence in the psychiatric hospital is a psychosocial risk that affects the nurses health, and it is due to the organization as well was the workers to propose measures that make the suffered violence visible through the diagnose, the prevention, and collective coping, something that can be done through the denouncing of the workers at the institutions, labor unions and professional organizations. It is emphasized the importance of psychotherapeutic support for nurses that are the victims of violence in order to identify the risk factors and to strengthen the protective factors. It is recommended the continuity of studies in the area, taking the lack of these studies into account.