Versão on-line em Português/Inglês: http://www.scielo.br/ scielo.php?script=sci_serial&pid=1983-1447&lng=pt&nrm=iso Pereira DS, Araújo TSSL, Gois CFL, Gois Júnior JP, Rodriguez EOL, Santos V. Occupational stressors among nurses working in urgent and emergency care units. Rev Gaúcha Enferm. 2013;34(4):55-61. http://dx.doi.org/10.1590/1983-1447.2014 OCCUPATIONAL STRESSORS AMONG NURSES WORKING IN URGENT AND EMERGENCY CARE UNITS ABSTRACTThe study aimed to assess occupational stressors among nurses working in urgent and emergency care facilities. It is a descriptive research developed in two public hospitals of different complexity degrees, with 49 nurses. Data were collected from June to September 2011. The Bianchi's Stress Scale, which is composed of six domains: Relationship, Unit functioning, Staff management, Nursing care, Unit coordination, and Work conditions was used to assess occupational stressors based on the regular activities performed by nurses. Data were analyzed by using descriptive statistics and Mann Whitney-U test. For the nurses working in the high complexity healthcare facility -hospital A the most stressful domain was Nursing care, while for those professionals working in the medium complexity healthcare facility -hospital B, Staff management was the most stressful domain. The nurses from hospital A perceived carerelated activities as more stressful, while for those in hospital B administrative activities were considered more stressful.

Objective To validate the defining characteristics of the nursing diagnosis “labile emotional control” in traumatic brain injury (TBI) outpatients. Design This was a descriptive, cross‐sectional, quantitative study. Methods Thirty‐one Brazilian nurses who were experts in the area of TBI answered a semistructured questionnaire on the diagnosis “labile emotional control” based on NANDA‐International (NANDA‐I) Taxonomy II (2015–2017) using a Likert‐type scale to rate the 13 defining characteristics. Based on Fehring's model, the weighted average of ≥80 was used to define the main characteristic and the mean of ≥0.50 was considered for total content validation. Results Out of the 13 defining characteristics of the nursing diagnosis studied, “leaving a social situation” (0.80) and “expression of emotions inconsistent with the triggering factor” (0.81) were classified as principal characteristics, while the 11 others were classified as secondary characteristics. The diagnosis “labile emotional control” obtained a total score of 0.69, which was considered valid according to NANDA‐I Taxonomy II. Conclusions Because this is a new diagnosis with subjective characteristics, there is a need to train nurses to recognize the defining characteristics for the diagnosis. Clinical Relevance The validation of this diagnosis helps nurses understand and identify the subjective characteristics of the emotional impressions expressed by patients with TBI. These defining characteristics will help improve TBI nurses’ clinical practice.

Objective. To describe the stress factors related to cardiac surgery and to the environment in an Intensive Care Unit (ICU). Methodology. Exploratory, descriptive and qualitative study based on the statements of patients undergoing cardiac surgery. The data was collected through semi-structured interviews and reviewed using thematic content analysis. Results. Four categories emerged: 1) Surgical experience: overcoming fear; 2) the ICU environment and the postoperative period: a difficult experience; 3) unpleasant experiences: thirst, intubation and pain; and 4) relationship with health care professionals: impersonality, professional presence representing safety and comfort, orientation and information representing safety and clarification. Conclusion. Two groups of stress factors were identified: the intra personal (thirst, pain and others) and extra personal related to the environment.

Foi objeto deste estudo averiguar a associação entre sintomas depressivos e variáveis sociodemográficas e clínicas, e adesão ao tratamento medicamentoso em pessoas com diabetes mellitus tipo 2 (DM2). Estudo descritivo, desenvolvido com uma amostra constituída por 145 pessoas DM2. Foram utilizados o Inventário de Depressão de Beck (BDI) e a Medida de Adesão aos Tratamentos (MAT). A idade média dos participantes foi de 60,4 anos, 77,2% eram mulheres e 51,7% possuíam companheiro(a). A média do BDI foi de 18,4, e 33,1% dos pesquisados apresentaram sintomas depressivos. A prática de atividade física se associou com melhor avaliação no BDI (p< 0,05). Não foi observada correlação clinicamente importante entre o BDI e o MAT (r<0,30). Aproximadamente metade dos participantes apresentou tendência a desencadear a depressão. A prática de atividade física se associou a melhor avaliação no BDI.

Resumo: O estudo objetivou identificar os fatores mais e menos estressores para os pacientes internados em uma Unidade de Terapia Intensiva (UTI).Trata-se de um estudo descritivo, realizado com 45 pacientes internados em uma UTI Cardiológica. Foi utilizada escala tipo Likert de 4 pontos paraavaliar 42 possíveis estressores. Os fatores mais estressores são: não ter controle de si mesmo e cama e/ou travesseiros desconfortáveis, e os menos: serexaminado constantemente por médicos e enfermeiros e assistir aos cuidados médicos e de enfermagem realizados em outros pacientes. Conclui-seque os principais estressores estão relacionados a fatores intrapessoais e ambientais, assim como os menos estressores.Descritores: estresse; unidades de terapia intensiva; cirurgia torácica; enfermagem.Evaluation of stressors to the patient in a cardiology intensive care unitAbstract: The study aimed to identify the most and the least stressful factors for patients hospitalized in a Intensive Care Unit (ICU). A descriptive studycarried out with 45 patients hospitalized in a Cardiology ICU. A 4-point Likert scale was used to evaluate 42 possible stressors. The most stressful factorsare: not to have control on oneself, uncomfortable bed and/or pillows, and the least stressful: being frequently examined by doctors and nurses, watchingthe medical and nursing care being carried out in other patients. We conclude that the main stressors are related to intrapersonal and environmentalfactors, and so are the least stressful ones.Descriptors: stress; intensive care unit; thoracic surgery; nursing.Avaliación de estresores en pacientes de una unidad de cuidados intensivos cardiológicosResumen: El estudio tuvo como objetivo identificar los factores más o menos estresantes, según la percepción del paciente internado en una Unidad deCuidados Intensivos (UCI). Estudio descriptivo, desarrollado con 45 pacientes internados en una UCI Cardiológica. Se utilizó una escala tipo Likert de 4puntos para evaluar 42 posibles causas de estrés. Los factores más estresantes fueron: no tener control de sí mismo, cama y/o almohada desconfortables,observar los cuidados médicos y de enfermería realizados en otros pacientes y escuchar el teléfono tocar. Concluimos que los principales estresantespresentes fueron los relacionados a factores intrapersonales y ambientales, así como considerados menos estresantes.