scholarly journals Exposição das Equipes de Enfermagem aos Riscos Ocupacionais Causados por Resíduos Biológicos no Hospital Universitário em São Luís do Maranhão, Brasil

Author(s):  
Helone Eloísa Frazão Guimarães Faray ◽  
Everton Ferreira Lemos ◽  
Rosemary Matias ◽  
Arlindo Faray Vieira ◽  
Eduardo de Castro Ferreira

As atividades de trabalho dos profissionais de enfermagem estão sujeitas a riscos e situações geradoras de desgaste do profissional, contribuindo para ocorrência de doenças e contaminação do ambiente. Objetivou-se analisar os riscos ocupacionais relacionados aos resíduos biológicos hospitalares presentes no cotidiano das equipes de enfermagem dos diferentes setores hospitalares do cuidado à criança, associado ao tempo de serviço. Trata-se de uma pesquisa de natureza aplicada com abordagem quantitativa de caráter descritivo exploratório, transversal, realizada no Hospital Universitário em São Luís do Maranhão, onde a equipe de enfermagem é composta por enfermeiros, técnicos e auxiliares de enfermagem. Foi aplicado questionários a 98 profissionais de enfermagem que compõem a unidade de saúde da criança do hospital universitário em São Luís do Maranhão, no ano de 2018. Em relação aos acidentes de trabalho sofridos pelos profissionais que possuem menos de cinco anos de serviço, a categoria enfermeiro apresentou maior percentual (31,6%), seguido pelo técnico de enfermagem (21,6%). A maioria dos trabalhadores (75,6%) que relataram ter recebido treinamento em serviço não se acidentaram. Medidas preventivas e estratégias de educação em saúde devem ser assimiladas entre profissionais de enfermagem, sobre o manejo adequado de resíduos e incentivar a implementação de precauções para minimizar a ocorrência de agravos que comprometem a saúde e atividades laborais desenvolvidas no seu ambiente, bem como orientações sobre as consequências dos acidentes de trabalho.   Palavras-chave: Acidentes de Trabalho. Enfermagem. Ambiente Hospitalar.  Abstract The work activities of nursing professionals are subject to risks and situations that generate professional wear, contributing to the occurrence of diseases and the environment contamination. The objective was to analyze the occupational risks related to hospital biological waste present in the daily lives of nursing teams from different childcare sectors hospital. It is a research of an applied nature with a quantitative approach of an exploratory, cross-sectional descriptive character, carried out at the University Hospital in São Luís do Maranhão, where the nursing team is composed of nurses, technicians and nursing assistants. Questionnaires were applied to 98 nursing professionals who made up the child health unit of the university hospital in São Luís do Maranhão, in the year 2018. Regarding occupational accidents suffered by professionals who have less than five years of service, the category of nurse presented a higher percentage (31.6%) followed by a nursing technician (21.6%). Most workers (75.6%) who reported having received on-the-job training did not have an accident. Preventive measures and health education strategies must be assimilated among nursing professionals, regarding the adequate waste management and encourage the  precautions implementation to minimize the occurrence of injuries that compromise health and work activities carried out in their environment, as well as guidance on the consequences of accidents at work.   Keywords: Accidents at Work. Nursing. Hospital Environment.

2021 ◽  
Vol 24 (5-esp.) ◽  
pp. 450-454
Author(s):  
Helone Eloísa Frazão Guimarães Faray ◽  
Rosemary Matias ◽  
Everton Ferreira Lemos ◽  
Arlindo Faray Vieira ◽  
Eduardo de Castro Ferreira

Os profissionais da equipe de enfermagem realizam, em seu cotidiano de trabalho, muitas atividades laborais que conduzem a riscos ocupacionais relacionados aos resíduos biológicos, entre outros, e que precisam ser levados em consideração para que o ambiente de trabalho seja vivenciado com segurança. Destarte, objetivou-se demonstrar a percepção da equipe de enfermagem frente ao ambiente e segurança no trabalho. Trata-se de uma pesquisa de natureza aplicada com abordagem quantitativa e qualitativa de caráter descritivo exploratório, transversal, realizada no Hospital Universitário em São Luís do Maranhão, em que a equipe de enfermagem é composta por enfermeiros, técnicos e auxiliares de enfermagem. Este estudo foi realizado por meio da aplicação de questionários a 98 profissionais de enfermagem, que compõem a unidade de saúde da criança do Hospital Universitário em São Luís do Maranhão, de acordo com o critério de inclusão adotado. Sobre as atividades que as equipes de enfermagem consideram mais perigosas para a sua saúde e para o ambiente hospitalar, o maior percentual está para o descarte de resíduo hospitalar (33,7%), seguido da manipulação dos resíduos dos pacientes (18,4%) e aspiração traqueal (18,4%). A prevenção e habilidades em educação e saúde devem ser assimiladas entre profissionais de enfermagem, sobre o manejo adequado de resíduos e incentivar a implementação de precauções para minimizar a ocorrência de agravos, que comprometem a saúde e atividades laborais desenvolvidas no seu ambiente, bem como orientações sobre as consequências dos acidentes de trabalho.   Palavras-chave:  Enfermagem. Resíduos Biológicos. Ambiente Hospitalar.   Abstract The nursing team professionals carry out many work activities in their daily work that lead to occupational risks related to biological waste, among others, and that need to be taken into account so that the work environment is experienced safely. Thus, the objective was to demonstrate the  nursing team perception regarding the environment and safety at work. It is an applied nature research with a quantitative and qualitative approach of an exploratory, transversal descriptive character, carried out at  University Hospital in São Luís do Maranhão, where the nursing team is composed of nurses, technicians and nursing assistants This study was carried out by applying questionnaires to 98 nursing professionals who make up the child health unit at  university hospital in São Luís do Maranhão, according to the inclusion criterion adopted. Regarding the activities that the nursing teams consider as the most dangerous for their health and for the hospital environment, the highest percentage is for the disposal of hospital waste (33.7%), followed by the handling of patient waste (18.4%) and tracheal aspiration (18.4%). Prevention and skills in education and health must be assimilated among nursing professionals, on the proper  waste management and encourage the implementation of precautions to minimize the  injuries occurrence that affect the health and work activities carried out in their environment, as well as guidance on the consequences of accidents at work.   Keywords: Nursing. Biological Waste. Hospital Environment.


2013 ◽  
Vol 21 (6) ◽  
pp. 1298-1305 ◽  
Author(s):  
Andrea Prochnow ◽  
Tânia Solange Bosi de Souza Magnago ◽  
Janete de Souza Urbanetto ◽  
Carmem Lúcia Colomé Beck ◽  
Suzinara Beatriz Soares de Lima ◽  
...  

OBJECTIVE: to evaluate the association between psychological demands, control over the work and the reduction of work ability of nursing professionals. METHOD: this cross-sectional study involved 498 nursing professionals of a university hospital in the State of Rio Grande do Sul, Brazil. Data collection was carried out in 2009 using the Brazilian versions of the Work Ability Index and Job Stress Scale, with logistic regression models used for the data analysis. RESULTS: the prevalence of 43.3% for reduced work ability and 29.7% for high-strain in the job (high psychological demand and low control) were observed. The chances for professionals presenting reduced work ability under high-strain were higher and significant when compared to those classified as being under low-strain, even after adjusting for potential confounders, except for age and gender. CONCLUSION: a high prevalence of reduced work ability was observed. This evidence indicates the need for investigation and detailed analysis of the psychosocial aspects of the professionals with regard to the health/disease process of nursing professionals.


2007 ◽  
Vol 15 (6) ◽  
pp. 1131-1137 ◽  
Author(s):  
Daniella Antunes Pousa Faria ◽  
Eulália Maria Chaves Maia

This study aimed to investigate, through a cross-sectional study, factors that influence anxiety levels and feelings of a nursing team who care for terminal patients with cancer. The sample consisted of 50 Nursing Assistants and Technicians from the Hospital reference on cancer care in Rio Grande do Norte, Brazil. Data were collected through the State-Trait Anxiety Inventory. Results showed that 69.8% of the professionals have medium anxiety levels and 30.2% have high levels of anxiety. The Number of Patients attended and "Working in another Institution" interfered in the anxiety levels. The most remarkable professionals' feelings were suffering and sadness, and Child was the most difficult age group to care for. Studies which develop support strategies to those health professionals are necessary to reduce and/or to prevent high anxiety and stress levels.


2020 ◽  
Author(s):  
Jean-Rodolphe MACKANGA ◽  
Emeline Gracia MOUENDOU MOULOUNGUI ◽  
Josaphat IBA-BA ◽  
Pierre POTTIER ◽  
Jean-Baptiste MOUSSAVOU KOMBILA ◽  
...  

Abstract Background: burnout in the hospital environment is a problem that affects care and training. Often explored in the high-income medical context, burnout is poorly studied in low and middle-income countries characterized by a precarious hospital situation and a high stake linked to the Millennium Development Goals. The aim of our study was to determine in medical practitioners, in a sub-Saharan African country’s medical context, the burnout level and associated factors. Methods: a prospective cross-sectional study by using a self-administered Likert-scale questionnaire addressed to doctors and doctoral medical students in Gabon. Maslach Burnout Inventory scale has been used. Burnout symptoms were defined by high level in at least one of the 3 dimensions. Severe burnout defined by high level in all dimensions. Explored factors: socio-demographic and psychometric. Multiple logistic regression has been performed. Results: among 104 participants, severe burnout prevailed at 1.9% (95% CI: 0.2% -6.8%) and burnout symptoms at 34.6% (95% CI: 25, 6% -44.6%). The associated factors with burnout symptoms: age (OR = 0.86, p = 0.004), clinical activity in a university hospital center (OR = 5.19, p = 0.006), the easy access to the hospital (OR = 0.59, p = 0.012), number of elderly dependents living with the practitioner (OR = 0.54, p = 0.012), to live in the borough where the hospital is located (OR = 0.24, p = 0.039) and to be favorable to traditional medicine (OR = 1.82, p = 0.087). Nagelkerke’s R-squared:53.1%. Conclusion: in Gabon, middle-income country, almost one practitioner in two has burnout symptoms. The young age, the university hospital center, the difficulty to access to hospital and to live in the borough where the hospital is located increase the probability of burnout symptoms. These results must put question to relevant authorities regarding health and medical education, to set up: a public transport for practitioners, an optimal primary health care system, a regulation of medical tasks in hospitals, a training in clinical supervision.


2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Anabel Sarduy ◽  
Leticia Da Costa Leites ◽  
Adniel Díaz Hernández

Las infecciones originadas durante el proceso asistencial hospitalario, son un importante problema de salud de notable actualidad por la morbilidad y mortalidad que producen. Determinar el nivel de conocimientos de los profesionales de enfermería que laboran en las unidades de atención al paciente grave en la prevención de la sepsis por procederes. El tipo de investigación fue Investigación descriptiva, transversal, con sede en el Hospital Universitario Arnaldo Milián Castro de Villa Clara en el período de junio 2013-2014. El universo del estudio lo constituyeron 130 enfermeros y la muestra seleccionada por el método probabilístico aleatorio por conglomerados quedó conformada por 44. Se utilizó el cuestionario como instrumento. En el estudio participaron licenciados en enfermería y enfermeros técnicos, los profesionales con experiencia laboral entre 1 y 5 años fueron más cuantiosos, todos los conglomerados presentaron representantes en el estudio siendo los de más número las Unidades de Cuidados Intensivos de Adultos 1 y 2; las preguntas que menos respuestas correctas recibieron y mayor frecuencia de error mostraron fueron la 1, 10, 2, 16, 18, 19, 13, 5, 15 y 20, resultando deficiencias los contenidos que en ellas se tratan: proceso de limpieza, descontaminación, desinfección y esterilización, sustancias que se utilizan con este fin, abordaje venoso y aspiración endotraqueal principalmente; las preguntas que lograron mayor promedio de calificación fueron la 4 y la 7 con 5 puntos cada una. El nivel de conocimiento fue considerado como bueno en el 22.70% de la muestra estudiada.ABSTRACTThe infections originated during the hospital care process, are an important health problem of notable relevance due to the morbidity and mortality they produce. Todetermine the level of knowledge of the nursing professionals who work in the units of attention to the serious patient in the prevention of the sepsis by means of procedures. The type of research was Descriptive, cross-sectional research, based at the Arnaldo Milián Castro University Hospital of Villa Clara in the period of June 2013-2014. The universe of the study consisted of 130 nurses and the sample selected by the random probability probabilistic method by clusters was conformed by 44. The questionnaire was used as instrument. The study involved graduates in nursing and technical nurses, professionals with work experience between 1 and 5 years were more numerous, all conglomerates presented representatives in the study being the most number of Adult Intensive Care Units 1 and 2; The questions that received the least correct answers and the highest frequency of error showed were 1, 10, 2, 16, 18, 19, 13, 5, 15 and 20, resulting in deficiencies in the contents that they deal with: cleaning process, decontamination , Disinfection and sterilization, substances used for this purpose, venous approach and endotracheal aspiration mainly; The questions that achieved the highest grade point average were 4 and 7 with 5 points each. The level of knowledge was considered good in 22.70% of the sample studied


2011 ◽  
Vol 30 (04) ◽  
pp. 158-162
Author(s):  
Aida Carla Santana de Melo Costa ◽  
Carlos Umberto Pereira ◽  
Edna Aragão Farias Cândido

Abstract Objectives: To evaluate the kinetic functional condition of children with hydrocephalus; to identify the condition of the muscle tone; to verify the static and dynamic functional activities; and to verify the association between tone changes and functional activities. Method: A cross-sectional, descriptive, exploratory and field study, using qualitative and quantitative approach, performed at the University Hospital in Aracaju city, from August 2009 to March 2010. Results: From 50 evaluated children, 30 (60%) had hypertonia; 10 (20%) were hypotonic; and 10 (20%) did not show muscle tone alteration. The age average was considerably lesser in hypertonic children and higher in hypotonic and without tone alteration children. The average of carried through surgeries was more expressive in hypertonic children. Motor sequels had been present in 92% of the sample. The static functional activities, as well as dynamic functional activities, were lower in hypertonic children (p < 0,0001) and higher in hypotonic and normal tone children. Conclusions: Muscle tone exacerbation is more present in hydrocephalus children and motor function is impaired, being the neuropsychomotor development delayed more evident in spastic children group and less pronounced in children with normal muscle tone.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Francílio Araújo Almeida ◽  
Antonio Augusto Lima Teixeira-Junior ◽  
Jaqueline Diniz Pinho ◽  
Elaine Fiod Costa ◽  
Gyl Eanes Barros Silva

Abstract Background Oculosporidiosis (ocular rhinosporidiosis) accounts for 15% of cases of rhinosporidiosis, which is a chronic granulomatous disease and is endemic in India and Sri Lanka. In Brazil, the climatic and hydrographic similarities to these endemic areas and the presence of riverside populations contributes to an increase in the incidence of rhinosporidiosis particularly in the State of Maranhão. This study, therefore, aimed to identify the number of diagnosed cases of oculosporidiosis and describe its the clinical epidemiology, laboratory, histopathology, and therapeutic characteristics. Methods The study is descriptive, observational, and cross-sectional, and reports the prevalence and clinical epidemiological characteristics of oculosporidiosis in the State of Maranhão, Brazil. A retrospective analysis of the paper and electronic records for a period from 1999 to 2017 was conducted in the University Hospital of Federal University of Maranhão (HU-UFMA), located in the northeastern region of Brazil. Results Thirty patients were diagnosed with rhinosporidiosis, eight of them had oculosporidiosis and seven of these met the criteria to be included in the study. Of the cases (23.3% of all 30), five were men (71.4%) and two women (28.5%), with an average age of 16.4 ± 15.6 years. In terms of race, four patients (57.1%) declared themselves white and three (42.9%) as brown. The north of the state, the mesoregion, had the most diagnosed cases accounting for 57.1% of the total. Left eye was the most affected site, reported in six patients (85.7%), while the conjunctiva was affected in all patients. Rhinosporidiosis and papilloma were the predominant diagnostic hypotheses (28.5 and 28.5%, respectively), followed by chronic scleritis, granuloma, and chalazion (14.25, 14.25, and 14.25%, respectively). All these cases were treated with lesion excision, and only two patients (28.5%) progressed with recurrence. Conclusion It was verified that there was a male predominance, with only one eye reported as an infected site, with no bilateral involvement. The younger age group (between 1 and 2 years of age) was more affected by oculosporidiosis, and histopathological examination was necessary for a conclusive diagnosis.


2015 ◽  
Vol 23 (4) ◽  
pp. 733-740 ◽  
Author(s):  
Edilaine Cristina da Silva Gherardi-Donato ◽  
Lucilene Cardoso ◽  
Carla Araújo Bastos Teixeira ◽  
Sandra de Souza Pereira ◽  
Emilene Reisdorfer

AbstractObjective: to analize the relationship between depression and work stress in nursing professionals with technical education level of a teaching hospital in a city of the state of São Paulo.Methods: a cross-sectional study was carried out with 310 nursing technicians and nursing assistants, randomly selected. The outcome analyzed was the report of depression and its relationship with high levels of work stress, measured using the Job Stress Scale. Descriptive statistics and logistic regression were performed.Results: the prevalence of depression in this study was 20%, and it was more expressive in females, aged over 40 years, living without a partner and in smokers. The chance of depression was twice as high among professionals showing high levels of work stress, even after multiple regression adjusting.Conclusion: depressive symptoms were strongly associated with high stress levels among nursing assistants and nursing technicians, evidencing a problem to be considered along with the planning of specific intervention programs for this population, as well as the need for better cases management by the supervisors.


2019 ◽  
Vol 17 (1) ◽  
pp. 9
Author(s):  
Flávia Barreto Tavares Chiavone ◽  
Andrea Tayse de Lima Gomes ◽  
Cláudia Cristiane Filgueira Martins Rodrigues ◽  
Larissa De Lima Ferreira ◽  
Pétala Tuani Candido de Oliveira Salvador ◽  
...  

Aim: to measure the stress levels of nursing professionals from the surgical center of a university hospital in northeastern Brazil. Method: this is a descriptive and cross-sectional study using a quantitative approach that was performed with 57 workers from the researched sector. The data collection was performed in February 2015, through the application of a sociodemographic questionnaire and the Lipp Stress Symptom Inventory. Result: it was verified that only 11 (19.3%) professionals presented some stage of stress; however, a concern is pointed out in the study regarding the stage of stress in which workers are: resistance. This indicates that stress is no longer in its initial phase. Regarding the inferential analysis of the data, it was evidenced that the practice of physical activity is a protective factor against the incidence of stress. Conclusion: although the investigated sector has potentially stressful characteristics, being a closed sector, the population investigated presented low levels of stress incidence.


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