Qualitative descriptive and exploratory research, performed with 20 nursing professionals working in a general radiology unit and surgery center with the "C-arm" equipment, and the hemodynamics unit of a southern Brazilian teaching hospital. Aim was to analyze the dimensions of the work process for radiological technology nurse professionals. This paper made clear that radiological technologies are outside nursing, which leads to the invisibility of ionizing radiation, leading to inappropriate attitudes about radiological protection, which can be related to harm in professionals, caused by lack of knowledge about this issue. Among radiological nursing work process dimensions, the care dimension emerged. The necessity of implementing a continuous educational program in services which utilize radiological technologies was emphasized, thereby promoting, for patients and for nursing professionals, safer environments and integral care.
Objective: to identify the participation of a multi-professional healthcare team in a Radiation Protection Program, and to describe the implementation of this program by the staff working in the service.Method: qualitative, exploratory and descriptive research, performed through a semi-structured interview with professionals of the radiology service of a public hospital in the South of Brazil. A sample of 25 participants was considered sufficient after data saturation. The content analysis was used, with Atlas-Ti 7.0 software for treatment and data analysis. Two main categories emerged: Participation of the multi-professional healthcare team in the Radiation Protection Program and Implementation of the program by the multi-professional healthcare team.Results: the program is not known by a large part of the team, indicating that the professionals would have difficulties in identifying intercurrences involving ionizing radiation, as well as in finding fast solutions in emergency situations.Conclusion: in the service researched, the Radiation Protection Program is only known by those who participated in its creation, and most of the members of the multi-professional team did not participate in it, which allows to deduce that its implementation by part of the team is, for this reason, impaired. Método: investigación cualitativa, exploratoria y descriptiva, realizada a través de entrevista semiestructurada con profesionales de servicios de radiología hospitalaria, de un hospital público del Sur de Brasil. La muestra de 25 participantes fue considerada suficiente después de la saturación de datos. Se utilizó análisis de contenido, con auxilio del software Atlas-Ti 7.0 para el tratamiento y análisis de los datos. Emergieron dos categorías principales: Participación del Equipo Multiprofesional de salud en el Programa de Protección Radiológica e Implementación del Programa por el Equipo Multiprofesional. DESCRIPTORS:Resultados: el programa es desconocido por la mayor parte del equipo, indicando que los trabajadores tendrían dificultades para identificar inconvenientes que involucren radiaciones ionizantes, así como encontrar rápidas soluciones en situaciones emergenciales.Conclusión: en el servicio investigado, el Programa de Protección Radiológico solamente es conocido por quien participó de su elaboración, es decir, gran parte de los integrantes del equipo multiprofesional no participó de la elaboración del Programa de Protección Radiológica, lo que permite deducir que la implementación de él por parte del equipo, está comprometida.DESCRIPTORES: Radiación ionizante. Protección radiológica. Servicio hospitalario de radiología. Equipo de asistencia al paciente. Salud del trabajador.
Objective: to analyze the psychic exhaustion experienced by nursing workers in nuclear medicine services. Method: a qualitative study that used the methodological assumptions of Psychodynamics of Work. The study was 12 nursing workers from two nuclear medicine services. For data analysis and treatment, Collective Subject Discourse was used with help of the software QualiQuantSoft®. Results: the psychic exhaustion experienced by nursing workers originates mainly from work organization, conditions and relationships, and can compromise the quality of care provided and workers’ quality of life. Psychic exhaustion is manifested by stress, tiredness and apathy in activities performed outside the work environment. Final considerations: individuals who work also live socially, so psychic health maintenance will impact on work activity. The service should include workers in the organization and offer spaces for dialogue and collective support.
Este estudo objetivou identificar e dar visibilidade aos principais riscos ocupacionais de técnicos em radiologia, associados à assistência ao paciente portador de múltiplos traumas, em um serviço hospitalar de radiologia convencional. Pesquisa exploratório-descritiva com abordagem qualitativa. A coleta de dados ocorreu por meio da técnica de observação participante dos atendimentos efetuados pelos técnicos em radiologia num serviço de radiologia convencional de um hospital geral de Florianópolis entre maio e setembro de 2012. As observações que caracterizaram exposição a risco ocupacional foram descritas em diário de campo sendo posteriormente aproximadas e comparadas com o referencial teórico contido na Portaria N 25/1994. Constatou-se que os riscos ocupacionais a que se encontram expostos os técnicos em radiologia na assistência ao portador de múltiplos traumas estão relacionados à exposição à radiação ionizante, fluídos corporais e riscos ergonômicos, negligencia ao uso de equipamento de proteção individual e defeitos nos equipamentos. Os técnicos em radiologia tornam-se mais vulneráveis aos riscos ocupacionais quando prestam assistência ao paciente politraumatizado. Palavras-chave: Riscos Ocupacionais. Tecnologia Radiológica. Saúde do Trabalhador.This study aimed to identify and give visibility to the main occupational hazards of radiology technicians, associated with the care of multiple trauma patient with a hospital department of conventional radiology. Exploratory and descriptive research with a qualitative approach. The data were collected through participant observation technique of calls made by radiology technicians in conventional radiology service of a general hospital in Florianópolis between May and September 2012. The observations that have characterized exposure to occupational risk were described in journal field subsequently estimated and compared with the theoretical framework contained in Decree No 25/1994. It was found that the occupational risks to which they are technicians exposed in radiology in the care of multiple traumas carrier are related to exposure to ionizing radiation, body fluids and ergonomic risks, neglects to personal protective equipment use and defects in equipment. The radiology technicians become more vulnerable to occupational risks when assisting polytrauma patients.
Objetivos: comparar o Programa de Proteção Radiológica de um hospital público na região Sul do Brasil com o estabelecido na legislação brasileira vigente e descrever o cotidiano do serviço. Metodologia: estudo qualitativo, exploratório e descritivo desenvolvido por observação não participante e análise documental do Memorial Descritivo. Participaram 14 trabalhadores ocupacionalmente e para-ocupacionalmente expostos. Adotada Análise de Conteúdo para a análise de dados. Resultados: evidenciaram-se inconsistências no Programa de Proteção Radiológica e necessidade de inserção de outros itens, além dos indicados na Portaria 453. As dificuldades burocráticas e financeiras, inerentes a maioria dos hospitais públicos, repercutem na adequação ágil às situações emergentes e importantes com relação à Proteção Radiológica. Conclusão: a formação continuada mostra-se necessária para atualização dos profissionais ocupacionalmente e para-ocupacionalmente expostos. Descritores: Radiação Ionizante; Proteção Radiológica; Serviço Hospitalar de Radiologia.Radiation Protection: from legislation to practice of a serviceObjectives: to compare the Radiological Protection Program of a public hospital in Southern Brazil, with the stated in Brazilian legislation and describe their daily lives. Methodology: qualitative, exploratory and descriptive study developed by nonparticipant observation and documentary analysis of the Descriptive Memorial. Thirteen workers occupationally and paraoccupationally exposed participated. Adopted Content Analysis to analyze data. Results: showed up inconsistencies in the Radiation Protection Program and necessity of including other items, than those specified in Ordinance 453. The bureaucratic and financial difficulties, inherent to most public hospitals, affects the agile adaptation to emerging and important situations regarding Radiation Protection. Conclusion: continuing education is shown to be necessary for updating professionals occupationally and para-occupationally exposed.Descriptors: Ionizing Radiation; Radiation Protection; Hospital Radiology Department.Protección Radiológica: de la legislación a la práctica de un servicioObjetivos: comparar el Programa de Protección Radiológica de un hospital público en el sur de Brasil, con lo dispuesto en la legislación brasileña y describir su cotidiano. Metodologia: estudio cualitativo, exploratorio y descriptivo mediante observación no participante y análisis documental del Memorial Descriptivo. Participaron 13 trabajadores ocupacionalmente y para-ocupacionalmente expuestos. Adoptada Análisis de Contenido para analizar los datos. Resultados: se presentaron inconsistencias en el Programa de Protección Radiológica y necesidad de incluir otros elementos, además de los especificados en la Ordenanza 453. Las dificultades burocráticas y financieras inherentes a la mayoría de los hospitales públicos, afecta la adaptación ágil para situaciones emergentes y importantes en relación con la Protección Radiológica. Conclusion: la educación continua se demuestra necesaria para la actualización de los profesionales ocupacionalmente y para-ocupacionalmente expuestos.Descriptores: Ionizante Radiación; Protección Radiológica; Servicio de Radiología en Hospital.
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