Occupational Stress: the Exposure of an Emergency Unit Nursing Team / Estresse Ocupacional: Exposição da Equipe de Enfermagem de uma Unidade de Emergência

Abstract

RESUMO: Objetivo: Descrever os fatores estressores para a equipe de enfermagem do setor de emergência de um hospital público. Métodos: Estudo qualitativo, cujos sujeitos foram enfermeiros e técnicos de enfermagem, utilizou a entrevista semiestruturada e a análise de conteúdo temática de Bardin. A pesquisa foi aprovada pelo Comitê de Ética e Pesquisa da UESB-BA. Resultados: Os profissionais da equipe de enfermagem da Emergência estão expostos a fatores de riscos psicológicos, inclusive ao estresse ocupacional, devido à sobrecarga de trabalho, à demanda maior do que as condições assistenciais da equipe e ao número insuficiente de profissionais da enfermagem no setor. Conclusão: Percebe-se a necessidade de uma ampla discussão sobre as condições de trabalho destes profissionais e de implementação de ações que visem à melhoria do ambiente, de modo a garantir o direito à sua saúde no trabalho.Descritores: Esgotamento Profissional, Equipe de enfermagem, Saúde do trabalhador.

Factors preceding occupational distress in emergency nurses: An integrative review

“…Multiple minor findings were clustered into the subtheme of organisational processes and practices including staffing, resources, culture, bed blocking, administrative tasks and the physical environment. Participants articulated ‘we have certain difficulty in terms of material that is always lacking’ (Passos Souza Amaral et al, 2019, p. 459) and ‘here we have barebones everything, so I think it's just trying to figure out what you have to do and doing it’ (Dekeseredy et al, 2019, p. 12). In relation to staffing, ‘you don't develop staffing matrixes that predict nobody's going to get a lunch’ (Bouchard, 2016, p. 33) and ‘I think it [burnout] happens more often when we're short staffed and then we end up picking up overtime and not really having time off’ (Rozo et al, 2017, p. 264).…”

“…Presenting patients whom staff deemed as requiring non‐urgent care increased the perceived and potentially unnecessary workload for nursing staff. Participants explained: ‘it's work that assists patients who, most of the time, were not supposed to be treated here’ (Passos Souza Amaral et al, 2019, p. 462) or ‘when I was med‐surg like I knew all my patients needed to be there….in the ER, not everybody has a reason to be there’ (Bouchard, 2016, p. 36) The volume of patient presentations was also identified and described as a source of occupational distress. For example, ‘it's on the weekends when you are overwhelmed with numbers’ (Dekeseredy et al, 2019, p. 12).…”

Nursing Care Provided to People With Covid-19: Challenges in the Performance of the Cofen/Corens System

“…The dimensions of the precariousness analyzed affect nursing professionals and also clinical practice in healthcare, since they prevent or limit the care provided to the user as some minimum working conditions are not guaranteed. 20,23 In a previous study 13 carried out in an Emergency Unit of a hospital service in the Northeast of Brazil with nurses and nursing technicians, among the factors which hindered satisfactorily executing their activities were the lack of material and human resources, an excess of daily activities, patient demands, in addition to the inadequate physical conditions of the hospital.…”

“…In the opposite direction, the pandemic macro-context circumscribes the invisibility of work processes, meaning that nursing professionals are confronted with a reality marked by the lack of working conditions, low wages, long hours, and experience suffering and death, among other problems. [11][12][13] Brazilian Nursing as a professional category is organized into three categories, namely: Nurses, Nursing Technicians and Nursing Assistants; the professional practice of these are standardized and supervised by the Federal Nursing Council (Cofen) and respective Regional Councils (Corens), also known as the Cofen/Corens system. 14 This system is responsible for ensuring the quality of the services provided, being in compliance with the Law 15 which defines the rights and duties of professionals, and above all to guarantee professional protection.…”

Religiosidade/espiritualidade no câncer infantojuvenil: implicações psicossociais para crianças/adolescentes adoecidos, familiares/cuidadores e equipe de saúde

“…A exposição constante e durante um significativo período a situações de estresse pode motivar a apresentação de outros sintomas psicossomáticos, sendo entre eles a depressão (Santos et al, 2019).…”