Enfermagem: Atualidades Do Século Xxi

Ribeiro, Aclênia Maria Nascimento; Sousa, Adriana Rodrigues Alves de; Pessoa, Adriana Vanessa Santos; Mourão, Adriana de Sousa; Araújo, Aline Borges de; Neto, Amadeu Luis de Carvalho; Carvalho, América Brasilina Barros de; Oliveira, Ana Lívia Castelo Branco de; Fontinele, Andreza da Silva; Furtado, Angelina Monteiro; Silva, Angélica Gilderllany Sousa; Nascimento, Antonia Paula Teixeira do; Gomes, Beatriz Cardoso; Teixeira, Brena Nathana Rocha; Reis, Bruna de Abreu Sepúlveda; Machado, Bruno Abilio da Silva; Gomes, Bruno da Silva; Oliveira, Danielle Machado; Chagas, Diego Cipriano; Moura, Edmércia Holanda; Oliveira, Elton Filipe Pinheiro de; Araujo, Elyne Maria da Costa; Silva, Emanuella Rodrigues e; Alves, Eva Marianna Lima Freire; Santos, Fernando Rocha dos; Cruz, Francisca Maria Pereira da; Costa, Gabriela Oliveira Parentes da; Costa, Girlene Ribeiro da; Pinto, Iara Regina Silva; Belfort, Ilka Kassandra Pereira; Carvalho, Jackson Laffity de França; Maia, Janainna Maria; Silva, Joelma Muniz da; Silva, Joicy Cristina Rodrigues da; Lima, José Lucas Veras de; Silva, Joyce Soares e; Bandeira, Larissa de Lima Machado; Costa, Lidiane Vieira da; Santos, Lidyane Rodrigues Oliveira; Frazão, Louise de Macedo Sousa; Toussaint, Luciana Spindola Monteiro; Freitas, Maria Célia de; Ferreira, Maria Tamires Alves; Barros, Rafael Gerson Meireles; Santos, Rebeca Barbosa dos; Santos, Rosana Serejo dos; Galvão, Tatiana Custódio das Chagas Pires; Araújo, Thayna Mayara de Oliveira; Mesquita, Valéria Gomes; Feitosa, Willane Maria de Resende; Leite, Yara Maria Rêgo; Nunes, Ádrya Camila Mendes

doi:10.47094/978-65-88958-56-8

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“…The feeling of anger towards clients was the only one associated with working in the most vulnerable region. Anger and other negative feelings were reported by nursing professionals 31 and the general population 32 regarding the context of COVID-19, showing perceptible stress and work overload related to the disease. Being depressed, anxious and stressed were feelings reported by most of the participants, which is in agreement with other studies 33 34 that have identified increased rates of mental health symptoms, such as anxiety and stress, and mental disorders, such as post-traumatic stress, especially among nurses and doctors.…”

Section: Discussionmentioning

confidence: 98%

Effects of working in vulnerable contexts on the mental health of primary healthcare professionals during the COVID-19 pandemic: a mixed-methods study

de Miranda,

Rodrigues da Silva,

Fonseca

et al. 2023

BMJ Open

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ObjectiveThe objective of this study is to analyse the relationship and psychosocial issues between working during the COVID-19 pandemic in primary healthcare (PHC) facilities located in the most vulnerable health region (HR) of the Federal District of Brazil (FDB) compared with a lesser region.DesignMixed-method study data. The questionnaire was based on the World Health Survey and the Convid Behavioural Survey. Quantitative data were described in absolute and relative frequency. Pearson’s χ2test verified differences according to the region (significance level <5%). A margin of error of 8% with 95% CI defined the sample. The content analysis (by Bardin) analysed the qualitative data.SettingA representative sample of PHC professionals working at the Western HR and Central HR of the FDB.Participants111 women and 27 male PHC professionals, aged ≥ 18 years.Outcome measuresPsychosocial variables—personal emotions towards the clients, social relationships and use of psychoactive substances (PAS).InterventionAn online questionnaire (27 questions) and 1 open-ended question.ResultsThe sample comprised 138 PHC professionals; 80.40% were female aged between 40 and 49 years old (27.3%); declared themselves as black/pardo (58.7%); were married (53.60%), and worked in family healthcare teams (47.80%). No association between working in the most vulnerable HR compared with the least one and presenting psychosocial issues, except for anger towards clients (p=0.043). 55.10% worked much more than usual, 60.80% reported being depressed, 78.20% anxious, 76.80% stressed, 77.50% had no empathy and 78.30% felt isolated from family/friends. Towards the clients, 59.40% reported empathy and 72.5% no affection/care. The consume of psychotropic medications was reported by 34.80%, and 14.50% increased alcohol/PAS use. Qualitative data leverage quantitative findings: work overload, the indifference of the Federal Government and distance from family/friends.ConclusionWorking in the most vulnerable region and in the least one affects the psychosocial aspects of the PHC professionals equally.

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Section: Discussionmentioning

confidence: 98%