BackgroundPrimary health care professionals (PHPs) usually report high levels of distress and burnout symptoms related to job strain. Mindfulness, defined as non-judgmental-present-moment awareness, seems to be a moderator in the causal association between life stressors and well-being. This study aimed to verify correlations among self-reported mindfulness, perceived stress (PS), and subjective well-being (SW) in Brazilian PHPs.MethodsWe performed a correlational cross-sectional study in a purposive sample of Brazilian PHPs (physicians, nurses, nursing assistants, and community health workers), working in community-oriented primary care programs (known locally as “Family Health Programs”). We used validated self-reporting instruments: the Mindful Attention Awareness Scale (MAAS), the Perceived Stress Scale (PSS), and the Subjective Well-being Scale (SWS). We performed a multivariate analysis of variance (MANOVA), through regression coefficients (beta) in relation to the professional category (nursing assistant), in addition to the length of time in the same job (under than 6 months) that had indicated the lowest level of PS.ResultsParticipants (n = 450) comprised community health workers (65.8 %), nursing assistants (18 %), registered nurses (10.0 %), and doctors (family physicians) (6.0 %); 94 % were female and 83.1 % had worked in the same position for more than one year. MANOVA regression analysis showed differences across professional categories and length of time in the same job position in relation to mindfulness, PS, and SW. Nurses demonstrated lower levels of mindfulness, higher PS, and SW negative affect, as well as lower SW positive affect. Being at work for 1 year or longer showed a clear association with higher PS and lower SW positive affect, and no significance with mindfulness levels. Pearson’s coefficient values indicated strong negative correlations between mindfulness and PS, and medium correlations between mindfulness and SW.ConclusionIn this study, there were clear correlations between mindfulness, PS, and SW across different primary care professional categories and time in the same job position, suggesting specific vulnerabilities that should be addressed through the development of staff awareness, stress prevention, and well-being interventions.

RESUMOAtividades físicas beneficiam as esferas de vivência do idoso, por isso conhecer o nível de atividade física (NAF) e as principais barreiras à prática é relevante para planejar e desenvolver ações visando a um estilo de vida ativo dessa população. Em análise do NAF e das principais barreiras à prática de atividade física percebidas em idosos, 129 participantes responderam aos questionários Baecke modificado para idosos (QBMI) e de Barreiras. A média no NAF (QBMI) foi de 1,9 pontos e as barreiras mais percebidas foram: "doença" (52%); "necessidade de descanso" (47%); "falta de persistência" (46%); "suficientemente ativo" (41%). Foi também verificado que idosos mais ativos percebem menos barreiras do que os menos ativos. Conclui-se que: a) idosos apresentam baixo NAF; b) a percepção de pessoas idosas quanto a serem suficientemente ativas parece ser diferente do NAF recomendado; c) o NAF parece modular a percepção de barreiras.Palavras-chave: Atividade física. Idosos.

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a percepção de comportamentos relacionados à atenção plena e a versão brasileira do freiburg mindfulness inventory

RESUMO -Este estudo analisa as barreiras percebidas à prática de atividade física e os estágios de mudança de comportamento de idosos institucionalizados preservados cognitivamente. Trinta participantes responderam ao Mini-Exame do Estado Mental, ao Questionário sobre Estágios de Mudança de Comportamento e ao Questionário sobre Barreiras à Prática de Atividade Física. Os resultados mostraram que poucos idosos institucionalizados apresentam uma alta percepção de descrença nos benefícios da atividade física. Entretanto, muito poucos praticam atividades físicas e a maioria não pretende incluí-las em seu estilo de vida. O estágio de comportamento no qual se encontram pode estar sendo mediado pela percepção de barreiras. Conclui-se, coerentemente com as principais barreiras reportadas, que a promoção de atividade física para o idoso institucionalizado deve, prioritariamente, enfatizar a conscientização sobre os riscos do sedentarismo e os benefícios da prática mesmo na presença de doenças, bem como preparar um ambiente seguro e sem gasto financeiro individual.Palavras-chave: atividade física; envelhecimento; institucionalização; comportamento; cognição. Behavior and Barriers: Physical Activity in Institutionalized ElderlyABSTRACT -This study analyzes the barriers perceived in relation to the practice of physical activity and stages of behavior changes in institutionalized and cognitively preserved elderly. Thirty volunteers answered to the Mini-Exam of Mental State, the Questionnaire on Stages of Behavior Changes, and the Questionnaire on Barriers to Physical Activity. The results showed that few institutionalized elderly present a high perception of disbelief on physical activity benefits. However, very few of them are engaged in it and the majority of them do not intend to include it in their lifestyle. The current stage of behavior can be mediated by the perception of barriers. It was concluded, according to the main reported barriers, that the promotion of physical activity to institutionalized elderly should emphasizes, as priorities, the awareness of the risks of a sedentary lifestyle and the benefits of physical activity even in the presence of diseases, in addition to the preparation of a safe environment and without individual costs.