RESUmoEste estudo descritivo, transversal, censitário, identificou Burnout e alguns fatores associados entre enfermeiros da assistên-cia pediátrica e tocoginecológica de hospital geral do nível terciário de atenção do Recife (PE). Participaram 63 profissionais (98,4% do total) que responderam a um questionário auto-aplicável (aspectos sócio-demográficos, condições laborais e Maslach Burnout Inventory). Na análi-se utilizou-se qui-quadrado, com nível de confiança de 95%. Predominou o gênero feminino (92,1%), com até cinco anos de profissão (68,2%), sendo 52,5% da área pediátrica. Constataram-se altos níveis de exaustão emocional (49,2%) e despersonalização (27,0%) e baixo nível de realização profissional (4,8%), estando 4,7% com Burnout. Mostraram associação: alto nível de exaustão emocional e realizar frequentemente/sempre tarefas com muita rapidez (p=0,039) e receber salário incompatível com o esforço empregado (p=0,016); altos níveis de despersonalização e ter até cinco anos de profissão (p=0,010) e efetuar frequentemente/sempre tarefas com muita rapidez (p=0,009). Para 19,0% pelo menos duas das três dimensões apontavam alta propensão à síndrome.

Acolhimento no cuidado à saúde da mulher no puerpérioPostpartum follow-up of women's health Atención en el cuidado a la salud de la mujer durante el puerperio

Resumo Identificou-se o burnout e fatores associados entre médicos de hospital público do Recife, Brasil, obtendo resposta de 158 profissionais (92,4% do total)

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OBJECTIVE:To understand how Estratégia Saúde da Família (Family Health Strategy) nurses experience the overlapping of duties and building of technical autonomy. METHODOLOGICAL PROCEDURES:This was a qualitative study performed with 22 nurses, in the city of Recife, Northeastern Brazil, between August 2005 and November 2006. Based on management evaluation (geographic access; confl icts in the team, between team and district and between team and community; and public violence in the area), four teams were selected in each of the six health districts. Semi-structured interviews were conducted. The main themes in the interview guide were about work expectations and relevance, its organization and process, and feelings towards these practices. The results were interpreted under the perspective of burnout. ANALYSIS OF RESULTS:The nurses' opinion on the excessive number of families, insuffi cient organizational support and pressures from user demands that had not been met was recurrent. Overlapping of health care and management caused work overload, creating anxiety, impotence, frustration and the feeling of being treated unfairly when tasks were divided among team members. The clinical dimension of practice led to a feeling of insecurity of a technical and ethical nature, in addition to the satisfaction for the power and prestige achieved by the professional category. Specialized medical training represented an obstacle to autonomy and responsibility becoming interdependent. Stress, dissatisfaction, becoming physically and mentally ill, recognition of the relevance of work and importance of one's performance, and low work involvement were reported. CONCLUSIONS:In view of the lack of expectation of changes in the short term, the overlapping of low professional satisfaction and work overload causes negative attitudes, indicating the importance of health promotion to increase the possibility of infl uencing and changing work conditions.