scholarly journals Cuidamos dos outros, mas quem cuida de nós? Vulnerabilidades e implicações da COVID-19 na enfermagem

2020 ◽  
Vol 11 (1.ESP) ◽  
Author(s):  
Delmair Oliveira Magalhães Luna Filha ◽  
Beatriz De Castro Magalhães ◽  
Mauro Mccarthy de Oliveira Silva ◽  
Grayce Alencar Albuquerque
Keyword(s):  
Working Conditions ◽  
Structural Changes ◽  
Health Workers ◽  
Protective Equipment ◽  
Factors Associated ◽  
Nursing Team ◽  
Current Scenario ◽  
Nursing Professionals ◽  
Nursing Professional

Resumo Objetivo: refletir sobre os fatores associados à vulnerabilidade do profissional de enfermagem e as repercussões na assistência durante a pandemia COVID-19. Método: ensaio teórico de cunho reflexivo, oriundo de estudos e debates referentes à vulnerabilidade dos profissionais de enfermagem, enquanto trabalhadores da saúde, e aproximação desta condição com o cenário atual de enfrentamento à pandemia da COVID-19.  Resultados: a pandemia do novo coronavírus expôs a vulnerabilidade que já assolava os profissionais de enfermagem frente à desvalorização da profissão, salários baixos, subdimensionamento da equipe de enfermagem, cargas horárias exorbitantes e condições de trabalho insatisfatória, com escassez de equipamentos de proteção individual; e que em conjunto, elevam a susceptibilidade à contaminação pelo COVID-19, adoecimento mental e redução da qualidade da assistência prestada. Considerações finais: com elevada vulnerabilidade ao adoecimento e contaminação, percebe-se a necessidade emergencial de mudanças estruturais no que concerne a valorização da enfermagem.Descritores: Equipe de Enfermagem; Pandemias; Assistência à Saúde; Saúde do trabalhador.WE CARE FOR THE OTHERS, BUT WHO CARES FOR US?VULNERABILITIES AND IMPLICATIONS OF COVID-19 IN NURSINGObjective: to reflect on the factors associated with the vulnerability of the nursing professional and the repercussions in care during the COVID-19 pandemic. Method: a theoretical essay of reflective nature, coming from studies and discussions relating to the vulnerability of nursing professionals, while health workers, and approximation of this condition with the current scenario of coping with the COVID-19 pandemic. Results: the pandemic of the new coronavirus exposed the vulnerability that has already been ravaging nursing professionals facing the devaluation of the profession, low wages, under-dimensioning of the nursing team, exorbitant hourly loads and poor working conditions, with a scarcity of personal protective equipment, which, together, increase the susceptibility to contamination by COVID-19, mental illness and reduced quality of assistance provided. Final Thoughts: with high vulnerability to illness and contamination, there is the urgent need for structural changes concerning the enhancement of nursing.Descriptors: Nursing, Team; Pandemics; Delivery of Health Care; Occupational Health.CUIDAMOS DE LOS DEMÁS, SINO ¿QUIÉN CUIDA DE NOSOTROS? VULNERABILIDADES Y CONSECUENCIAS DE LA COVID-19 EN ENFERMERÍA Objetivo: reflexionar sobre los factores asociados a la vulnerabilidad de los profesionales de enfermería y las repercusiones en la atención durante la pandemia COVID-19. Método: un ensayo teórico de naturaleza reflexiva, procedente de estudios y debates relativos a la vulnerabilidad de los profesionales de enfermería, en cuanto trabajadores de salud, y la aproximación de esta condición con el actual escenario de enfrentamiento de la pandemia del COVID-19. Resultados: la pandemia del nuevo coronavirus puso de manifiesto la vulnerabilidad que ha asolado a los profesionales de enfermería frente a la devaluación de la profesión, los bajos salarios, la falta de dimensionamiento del equipo de enfermería, exorbitantes cargas horarias y las malas condiciones de trabajo, con una escasez de equipamiento de protección individual, que, juntos, aumentan la susceptibilidad a la contaminación por COVID-19, enfermedad mental y disminución de la calidad de la asistencia prestada. Consideraciones finales: con un alto grado de vulnerabilidad a la enfermedad y a la contaminación, hay una necesidad urgente de cambios estructurales en lo que se refiere a la mejora de la enfermería.Descriptores: Grupo de Enfermería; Pandemias; Prestación de Atención de Salud; Salud Laboral.

scholarly journals Nursing professionals’ biosafety in confronting COVID-19

2022 ◽  
Vol 75 (suppl 1) ◽  
Author(s):  
Mônica Alice Santos da Silva ◽  
Morgana Cristina Leôncio de Lima ◽  
Cynthia Angélica Ramos de Oliveira Dourado ◽  
Clarissa Mourão Pinho ◽  
Maria Sandra Andrade
Keyword(s):  
Data Analysis ◽  
Personal Protective Equipment ◽  
Sample Selection ◽  
Internal Flow ◽  
Protective Equipment ◽  
Descriptive Data ◽  
Equipment Availability ◽  
Nursing Team ◽  
Internal Flux ◽  
Nursing Professionals

ABSTRACT Objective: To investigate the nursing professionals’ biosecurity in confronting COVID-19. Methods: This is a Survey type study. Nursing professionals were invited via messaging apps, using self-applied data collection forms. The sample selection (n=693) was non-probabilistic. A descriptive data analysis was conducted. Results: considering the biosafety aspects in facing COVID-19, 79.0% of the participants had not received training or considered it insufficient, 69.3% reported the lack of personal protective equipment during work, and 81.8% did not feel safe with the internal flux adaptations for handling COVID-19 cases. Conclusion: Continuous and effective nursing team training and personal protective equipment availability are necessary, as well as internal flow adjustments for attending suspected or confirmed cases.

scholarly journals Working conditions of a nursing team in mental health facility

2021 ◽  
Vol 74 (suppl 3) ◽  
Author(s):  
Aline Silvia Esteves Morais ◽  
Gisele Fernandes Tarma Cordeiro ◽  
Angela Aparecida Peters ◽  
Tatiana Marques dos Santos ◽  
Rosa Gomes dos Santos Ferreira ◽  
...  
Keyword(s):  
Mental Health ◽  
Working Conditions ◽  
Care Center ◽  
Psychosocial Care ◽  
Structured Interviews ◽  
Nursing Services ◽  
Nursing Team ◽  
Analytical Research ◽  
Interdisciplinary Partnership ◽  
Nursing Professionals

ABSTRACT Objective: To analyze how the nursing team from a Psychosocial Care Center II relates its insertion in the service with the work process. Methods: Descriptive, analytical research outlined as a case study with a qualitative approach. The data were collected through semi-structured interviews with nursing professionals and went through content analysis subsidized by Bardin’s work. Results: Two thematic categories emerged: a) Ways of intake in the nursing services at the Psychosocial Care Center; b) Setbacks in nursing routine at the Psychosocial Care Center. Final considerations: The fact that the professionals have not planned to work in mental health nor have training impacts the rhythm of psychosocial care development at the Psychosocial Care Center, forcing them to seek training in the field after admission. Unmotivated by the working conditions, the nursing team suffers from the absence of an interdisciplinary partnership and goes to great lengths to approach psychosocial care.

scholarly journals Organizational factors associated with health worker protection during the COVID-19 pandemic in four provinces of South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Muzimkhulu Zungu ◽  
Kuku Voyi ◽  
Nosimilo Mlangeni ◽  
Saiendhra Vasudevan Moodley ◽  
Jonathan Ramodike ◽  
...  
Keyword(s):  
South Africa ◽  
Occupational Health ◽  
Health Worker ◽  
Personal Protective Equipment ◽  
Health Workers ◽  
Health Facilities ◽  
Protective Equipment ◽  
Middle Income ◽  
Factors Associated ◽  
Middle Income Countries

Abstract Background Health workers, in short supply in many low-and-middle-income countries, are at increased risk of SARS-CoV-2 infection. This study aimed to assess how South Africa, prepared to protect its health workers from SARS-CoV-2 infection. Methods This was a cross-sectional study design applying participatory action research in four provinces of South Africa. A semi-structured questionnaire and a qualitative observational HealthWISE walkthrough risk assessment was carried out to collect data on occupational safety and health (OSH) systems in 45 hospitals across four provinces to identify factors associated with health worker protection. Adapting the International Labour Organization (ILO) and World Health Organization (WHO) HealthWISE tool, we compiled compliance scores through walkthrough surveys. We used logistic regression to analyze the relationship between readiness indicators and the actual implementation of protective measures. Results We found that health facilities in all four provinces had SARS-CoV-2 plans for the general population but no comprehensive OHS plan for health workers. Provincial Departments of Health (PDoH) varied in how they were organized to respond: Provinces A and D had an OSH SARS-CoV-2 provincial coordinating team and a dedicated budget for occupational health; Province A had an occupational health doctor and nurse; while Province B had an occupational health nurse; Province A and D PDoHs had functional OSH committees; and Province D had conducted some health risk assessments specific to SARS-CoV-2. However, none of the assessed health facilities had an acceptable HealthWISE compliance score (≥ 75%) due to poor ventilation and inadequate administrative control measures. While the supply of personal protective equipment was adequate, it was often not worn properly. Our study found that having an OSH SARS-CoV-2 policy was significantly associated with higher personal protective equipment and ventilation scores. In addition, our analysis showed that hospitals with higher compliance scores had significantly lower infection rates (IRR 0.98; 95% CI: 0.97, 0.98). Conclusions Despite some initial preparedness, greater effort to protect health workers is still warranted. Low-and-middle-income countries may need to pay more attention to OSH systems and consider using tools, such as ILO/WHO HealthWISE tool, to protect health workers’ health.

scholarly journals THECNICAL NOTE: ASSESSMENT OF WORKING CONDITIONS IN AN ANIMAL FEED MILL

2016 ◽  
Vol 24 (2) ◽  
pp. 147-155
Author(s):  
Leonardo Rocha Maia ◽  
Samantha Pereira Ferraz ◽  
Luciano Brito Rodrigues
Keyword(s):  
Working Conditions ◽  
Structural Changes ◽  
Animal Feed ◽  
Health And Safety ◽  
Protective Equipment ◽  
Noise Levels ◽  
Occupational Risks ◽  
Physical Chemical ◽  
Regulatory Standards ◽  
Feed Mill

Were analyzed the working conditions in a small feed mill, with identification of occupational risks (physical, chemical, biological, ergonomic and accidents) and measurement of noise levels. Data collection was performed qualitatively by using a survey, previously developed, as well as in loco observation. There was at least one factor belonging to the five occupational risks, and the ergonomic risk was associated with all activities. The feed mill assessed was not in accordance with the Regulatory Standards related to Health and Safety, and arrangements to adjust it accordingly must be taken. Corrective actions goes from the purchase and supply of appropriate personal protective equipment for worker to structural changes, such as installing handrails and repairing of electrical installations. These initiatives, if implemented could contribute to reducing the risks that affect the health and physical integrity, with opportunities to improve quality and productivity of the services performed.

scholarly journals Relato de experiência: estresse ocupacional no serviço de urgência e emergência vivenciado no interior do Estado do Pará

2018 ◽  
Vol 8 (22) ◽  
pp. 82
Author(s):  
Adriana Cunha Lima Soares ◽  
Marislei Brasileiro ◽  
Danielle Galdino de Souza
Keyword(s):  
Occupational Stress ◽  
Working Conditions ◽  
Health Professionals ◽  
Emergency Service ◽  
Preventive Measures ◽  
Present Report ◽  
The State ◽  
Nursing Team ◽  
Main Factors ◽  
Nursing Professional

O presente relato descreve os principais fatores que contribuíram para desencadear o estresse ocupacional no profissional de enfermagem; analisar a trajetória durante o período de experiência entre junho a novembro de 2016, no interior do Estado do Pará; subsidiar propostas que ofereçam melhorias nas condições de trabalho. O método utilizado tratou-se de um relato de experiência com abordagem crítico-reflexivo de cunho descritivo-compreensivo sobre a vivência realizada no período entre junho a novembro de 2016. É essencial que haja a existência de medidas preventivas quanto ao estresse ocupacional para os profissionais da saúde, em destaque, a equipe de enfermagem que está lidando diretamente com o cuidado aos pacientes, principalmente nos setores de urgência e emergência, local que predispõe mais desgaste físico e emocional, requerendo rapidez nas ações e o exercício da atividade é mais intenso.Descritores: Estresse Ocupacional, Enfermagem, Urgência e Emergência.Experience report: occupational stress in the emergency and emergency service experienced in the State of ParáAbstract: The present report describes the main factors that contributed to trigger the occupational stress in the nursing professional; analyze the trajectory during the period of experience between June and November of 2016, in the interior of the State of Pará; proposals to improve working conditions. The method used was an experience report with a critical-reflexive approach of a descriptive-understanding about an experience performed in the period from June to November 2016. It is essential that there be a provision of preventive measures regarding occupational stress for health professionals, in particular, a nursing team that is dealing directly with the care of patients, especially the urgency and emergency sectors, which predisposes more physical and emotional exhaustion, requiring speed in the actions and the exercise of the activity.Descriptors: Occupational Stress, Nursing, Urgency and Emergency.Relato de experiencia: estrés ocupacional en el servicio de urgencia y emergencia vivido en el interior del Estado del ParáResumen: El presente relato describe los principales factores que contribuyeron a desencadenar el estrés ocupacional en el profesional de enfermería; analizar la trayectoria durante el período de experiencia entre junio a noviembre de 2016, en el interior del Estado de Pará; subsidiar propuestas que ofrezcan mejoras en las condiciones de trabajo. El método utilizado tratado es un relato de experiencia con un enfoque crítico y reflexivo de carácter descriptivo-comprensivo en la experiencia llevada a cabo en el período comprendido entre junio y noviembre de 2016, es esencial que la existencia de medidas preventivas en relación con el estrés ocupacional para los profesionales de la salud, ha destacado el personal de enfermería que están tratando directamente con el cuidado de los pacientes principalmente en los sectores de servicio de urgencias, un lugar que predispone más angustia física y emocional, que requieren acciones rápidas y el ejercicio de la actividad es más intensa.Descriptores: Estrés Ocupacional, Enfermería, Urgencia y Emergencia.

scholarly journals Investigation and Analysis of the Logistics Personnel’s Working Condition in the Post-COVID-19 Era — An Example of a Top Three Hospital in Shanghai

2021 ◽  
pp. 1-11
Author(s):  
Qian Mingping ◽  
Liu Rong ◽  
Hu Longjun ◽  
Gao Wenxue ◽  
Cai Guojun ◽  
...  
Keyword(s):  
Working Conditions ◽  
Working Condition ◽  
Protective Equipment ◽  
Working Pressure ◽  
New Approach ◽  
Brand Building ◽  
Security Personnel ◽  
Hospital Culture ◽  
The Difference

The aim of this work is to explore the working conditions of logistics personnel in hospital and provide a new approach for improving the service quality of them in the post-COVID-19 era. Eighty-four logistics personnel in an upper first-class hospital were included in the study, and their working conditions were investigated and analyzed via self-designed questionnaire. 73.8% of all respondents think their work is significantly important to the brand building of the hospital, and 67.9% of them think they are closely related to a harmonious doctor–patient relationship. The compliant rate is higher in security personnel when compared with other personnel and the difference was statistically significant ([Formula: see text]). 94% of the logistics personnel indicate a higher intensity in their work, 39.3% of them constantly face the working pressure and 57.1% come from the risk of infection which accounts for the largest. The largest demand comes for the protective equipment, which is from 69 workers. It would be better for us to pay attention to the hospital culture training and strengthen the sense of identity among logistics personnel of the hospital continuously. Meanwhile we need to enrich the connotation of professional style construction in hospital and promote the efficiency of logistics service. Targeted training is necessary to improve the service capabilities of the security personnel since they receive more complaints. Diversified and personalized support to the logistics personnel based on the grasp of their special demand is also important.

scholarly journals Risk stratification for the safety of patients and hospital health workers during Covid-19 emergency

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Zilli ◽  
A Madia ◽  
P Giuriato ◽  
D Bonaldo ◽  
R C Napolitano ◽  
...  
Keyword(s):  
Risk Stratification ◽  
Health Workers ◽  
Protective Equipment ◽  
Flexible Tool ◽  
Organizational Challenges ◽  
Hospital Units ◽  
Four Levels ◽  
Definition Of ◽  
The Impact

Abstract Covid-19 emergency has forced hospitals to face enormous organizational challenges in order to implement solutions to minimize the impact of the infection and guarantee at the same time the quality of health services provided and the safety of patients and health workers. ULSS 6 Euganea - Health Trust (District of Padua) has defined four levels of risk for Hospital Units (from the highest to the lowest risk: Red, Yellow, Green and White) based on the following parameters: type of patients hospitalized (SARS-CoV-2 positive, Covid-like, negative), type of health services provided, time of assistance and care for hospitalized patient. This risk stratification in the Hospital of Cittadella - ULSS 6 Euganea has been applied to different contexts, such as distribution of personal protective equipment, health surveillance, frequency of cleaning and sanitation. Since February 21 (first confirmed case in Veneto Region), in the Hospital of Cittadella personal protective equipment has been delivered daily to health workers; the quantity and quality of devices provided have been carefully monitored, with particular regard to high-risk settings (Red Areas: Intensive Care Unit, Emergency Room, Covid Wards, Operating Room, Radiology, swab samples Area, Morgue). The performance of nasopharyngeal swabs has been periodically organized for every health worker, according to the level of risk of their Unit: every 10 days for Red Areas, every 20 days for Yellow and Green Areas, every 30 days for White Areas. The frequency of cleaning and sanitation has been intensified in Red and Yellow Areas, following the guidelines released by the World Health Organization. The definition of four levels of risk for Hospital Units is proving to be a useful and flexible tool in the management of Covid-19 emergency; further research in the next months needs to be made to assess the impact of risk stratification on the different aspects covered (ex. number of health workers infected). Key messages Covid-19 emergency has forced hospital to face enormous organizational challenges to minimize the impact of the infection and guarantee the safety of patients and health workers. The definition of four levels of risk for Hospital Units is proving to be a useful and flexible tool in the management of Covid-19 emergency.

scholarly journals Factors Associated With Contraceptive Use In Reproductive Age Couples

2019 ◽  
Vol 7 (1) ◽  
pp. 47
Author(s):  
Desak Nyoman Suryaningrat ◽  
Ni Wayan Suniyadewi ◽  
Ni Luh Putu Dewi Puspawati
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Health Workers ◽  
Reproductive Age ◽  
P Value ◽  
Family Planning Services ◽  
Cross Sectional ◽  
Factors Associated ◽  
Spearman Test

<em>Mothers are family members who play an important role in family life. Maternal deaths that occur in every minute at every day are mostly caused by complications related to pregnancy, childbirth, and puerperal. Contraceptive use in reproductive age couples is one of the strategies of the family planning to reduce maternal mortality. This study aimed to investigate the factors associated with contraceptive use in reproductive age couples. This study used a correlational design with a cross-sectional approach. The samples were 56 people selected using a non-probability sampling technique, i.e., purposive sampling.  Data were analyzed using Rank Spearman test and contingency coefficient test. The results showed that there was a correlation between contraceptive use and factors of age, education, employment, customs / culture and quality of family planning services with a p-value of &lt;0.05. This study recommends that Mengwi Public Health Center I provide a counseling room for family planning acceptors and increase the schedule of family planning services as well as improve the quality of health workers especially in giving counseling about contraceptive use.</em>

scholarly journals PEMANFAATAN PELAYANAN JAMINAN PERSALINAN (JAMPERSAL) OLEH IBU BERSALIN DI PUSKESMAS X TAHUN 2013

2020 ◽  
Vol 3 (1) ◽  
pp. 25-36
Author(s):  
Renny Listiawaty
Keyword(s):  
Quantitative Research ◽  
Health Workers ◽  
Sampling Technique ◽  
Qualitative Approach ◽  
Cross Sectional ◽  
Factors Associated ◽  
Document Review ◽  
Depth Interviews

One of the government's policy to reduce the maternal mortality rate (MMR) is to launch Jampersal Program. This study purpose to describe the factors associated with utilization Maternity Insurance service (Jampersal) by maternal in Public Health Center X, Muaro Jambi Regency in 2013. The research method used a cross sectional sampling technique with proportional random sampling, after that followed by a qualitative approach through in-depth interviews and document review 9 informants. Quantitative research results showed that 31.1% Jampersal utilize. There is a significant relationship between the variables of age, education, knowledge, attitudes, beliefs, income, accessibility, the role of health workers and the need to use Jampersal. The most dominant variable is income after controlled by education, knowledge, income and accessibility. This study recommended   midwives to give more intensive information, clear and complete to the community and always working to improve the quality of service Jampersal.

Desafios da gestão de enfermagem na pandemia da COVID-19

2021 ◽  
Vol 11 (34) ◽  
pp. 364-372
Author(s):  
Danielle Portella Ferreira ◽  
Mariana Gomes Cardim ◽  
Monique De Sales Norte Azevedo
Keyword(s):  
Health Management ◽  
Quality Care ◽  
Lessons Learned ◽  
Protective Equipment ◽  
Nursing Management ◽  
Digital Devices ◽  
Nursing Team ◽  
Cross Transmission ◽  
Control And Management ◽  
Nursing Professionals

Relatar as trajetórias percorridas, os aprendizados e as dificuldades da gestão de enfermagem durante a pandemia da COVID-19. Relato de experiência realizado através de estudos e discussões entre profissionais de enfermagem durante o período de março a outubro de 2020. Verificamos que o desenvolvimento e a aplicabilidade de protocolos para fluxo de atendimento foram fundamentais para que não houvesse transmissão cruzada, além de otimizar o atendimento dos casos suspeitos ou confirmados de COVID-19, o controle e gerenciamento dos equipamentos de proteção individual se fez necessário para que não houvesse falta. O apoio da equipe de enfermagem e o suporte psicológico oferecido aos profissionais foram fundamentais para uma assistência segura e de qualidade. O uso de dispositivos digitais deve ser incorporado na rotina administrativa.Descritores: Covid-19, Gestão em Saúde, Enfermagem, Criança. Challenges of nursing management in the COVID-19 pandemicAbstract: To report the trajectories followed, the lessons learned and the difficulties of nursing management during the COVID-19 pandemic. Report of experience carried out through studies and discussions among nursing professionals during the period from March to October 2020. We found that the development and applicability of protocols for the flow of care were fundamental so that there was no cross-transmission, in addition to optimizing care for suspected or confirmed cases of COVID – 19, the control and management of personal protective equipment was necessary so that there was no lack. The support of the nursing team and the psychological support offered to professionals were essential for safe and quality care. The use of digital devices must be incorporated into the administrative routine.Descriptors: Covid-19, Health Management, Nursing, Child. Desafíos de la gestión de enfermería en la pandemia de COVID-19Resumen: Reportar las trayectorias seguidas, las lecciones aprendidas y las dificultades de la gestión de enfermería durante la pandemia de COVID-19. Relato de experiencia realizada a través de estudios y discusiones entre profesionales de enfermería durante el período de marzo a octubre de 2020. Encontramos que el desarrollo y aplicabilidad de protocolos para el flujo de atención fue fundamental para que no existiera transmisión cruzada, además de optimizar la atención de los casos sospechosos o confirmados de COVID-19, era necesario el control y manejo de los equipos de protección personal para que no faltasen. El apoyo del equipo de enfermería y el apoyo psicológico brindado a los profesionales fueron fundamentales para una atención segura y de calidad. El uso de dispositivos digitales debe incorporarse a la rutina administrativa.Descriptores: Covid-19, Gestión en Salud, Enfermería, Niño.

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