scholarly journals Proposta de metodologia para ações de qualidade de vida no trabalho em serviços de saúde

2019 ◽  
Vol 19 (74) ◽  
Author(s):  
Milton M. Osaki ◽  
Marcelo Pustglione

Introdução: A gestão de pessoas deve desenvolver ações que possibilitem às organizações a plena consecução de suas missões, neste caminho, a promoção do bem-estar e a busca da satisfação dos profissionais, através de práticas que contemplem a diversidade de suas necessidades, devem ser consideradas como fundamentais. Aceita-se que a valorização humana e consequente qualidade de vida no trabalho permitam a obtenção de resultados significativos para a organização. Qualidade de vida no trabalho: Em um conceito estrito, envolve a manutenção e preservação da saúde física, incluindo a garantia de condições saudáveis e seguras de trabalho, mas em um conceito mais amplo (qualidade final de um serviço prestado) envolve outros fatores relacionados aos recursos da organização e a inserção social do profissional. Equação da qualidade final: A gestão da qualidade do produto final pode ser representada por uma equação onde a qualidade final dependerá dos fatores: 1) qualidade dos recursos disponíveis para prestadores e usuários; 2) qualidade técnico-operacional, isto é, a forma mais adequada de executar o processo de trabalho; 3) qualidade de vida no trabalho, ou seja, a disponibilização ao trabalhador de condições saudáveis e seguras de trabalho; e 4) qualidade de vida geral, aquela ofertada ao conjunto da população da qual o trabalhador também faz parte. Propostas de ações: 1) qualificação do ambiente de trabalho (conforto, instalações e equipamentos ergonômicos); 2) evitar situações estressoras ocupacionais relacionadas à jornada, repressão à iniciativa profissional, má comunicação entre níveis hierárquicos, falta de perspectiva de ascensão pessoal, etc.; 3) controle dos riscos ocupacionais conforme e aderente as normas regulamentadoras oficiais da área; 4) promoção, prevenção e proteção às doenças e anomalias clínicas comuns como obesidade, tabagismo, alcoolismo, diabetes e hipertensão arterial, junto a promoção de hábitos saudáveis como atividade física, lazer, alimentação correta; 5) oferta de programas de educação financeira, preparação para aposentadoria, envelhecimento saudável, apoio à mãe trabalhadora, etc. Discussão e Conclusão: Cabe ao serviço de saúde ocupacional da organização desenvolver os programas de qualidade de vida no trabalho e qualidade de vida geral, monitorar indicadores de resultados como índice de absenteísmo e taxa de acidente de trabalho, promover a melhoria contínua utilizando-se de ferramentas como o ciclo PDCA, e promover parcerias com as comissões de trabalhadores e de infecção hospitalar. A conscientização tanto do trabalhador como do gestor para o desenvolvimento da cultura prevencionista é fundamental para a satisfação do profissional e melhoria da qualidade no atendimento do usuário do serviço de saúde. Palavras-chave: Qualidade de Vida; Gestão de Pessoas; Saúde Ocupacional; Serviços de Saúde ABSTRACTIntroduction: People management must develop actions that enable organizations to fully achieve their missions, in this way, promoting well-being and seeking the satisfaction of professionals, through practices that contemplate the diversity of their needs, should be considered as fundamental. It is accepted that human valorization and consequent quality of life at work allow the achievement of significant results for the organization. Quality of life at work: In a strict concept, it involves the maintenance and preservation of physical health, including the guarantee of healthy and safe working conditions, but in a broader concept (final quality of a service provided) involves other factors related to resources of the organization and the social insertion of the professional. Final quality equation: Quality management of the final product can be represented by an equation where the final quality will depend on the factors: 1) quality of the resources available to suppliers and users; 2) technical-operational quality, that is, the most adequate way of performing the work process; 3) quality of life at work, that is, the availability to the worker of healthy and safe working conditions; and 4) general quality of life, that offered to the whole population of which the worker is also a part. Proposals for actions: 1) qualification of the working environment (comfort, facilities and ergonomic equipment); 2) avoiding occupational stressors related to the journey, repression of professional initiative, poor communication between hierarchical levels, lack of perspective of personal ascension, etc.; 3) control of occupational risks according to and adhering to the official regulatory standards of the area; 4) promotion, prevention and protection of diseases and common clinical abnormalities such as obesity, smoking, alcoholism, diabetes and hypertension, along with the promotion of healthy habits such as physical activity, leisure, proper nutrition; 5) offer financial education programs, preparation for retirement, healthy aging, support to the working mother, etc. Discussion and conclusion: It is up to the organization's occupational health service to develop quality of life programs at work and general quality of life, monitor outcome indicators such as absenteeism index and work accident rate, promote continuous improvement using tools such as the cycle PDCA, and promote partnerships with employee committees and hospital infection. The awareness of both the worker and the manager for the development of the prevention culture is fundamental for the satisfaction of the professional and improvement of the quality in the care of the user of the health service.Keywords: Quality of Life; People management; Occupational Health; Health services.

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4337
Author(s):  
Neri Maria Cristina ◽  
d’Alba Lucia

Nutritional well-being is a fundamental aspect for the health, autonomy and, therefore, the quality of life of all people, but especially of the elderly. It is estimated that at least half of non-institutionalized elderly people need nutritional intervention to improve their health and that 85% have one or more chronic diseases that could improve with correct nutrition. Although prevalence estimates are highly variable, depending on the population considered and the tool used for its assessment, malnutrition in the elderly has been reported up to 50%. Older patients are particularly at risk of malnutrition, due to multiple etiopathogenetic factors which can lead to a reduction or utilization in the intake of nutrients, a progressive loss of functional autonomy with dependence on food, and psychological problems related to economic or social isolation, e.g., linked to poverty or loneliness. Changes in the aging gut involve the mechanical disintegration of food, gastrointestinal motor function, food transit, intestinal wall function, and chemical digestion of food. These alterations progressively lead to the reduced ability to supply the body with adequate levels of nutrients, with the consequent development of malnutrition. Furthermore, studies have shown that the quality of life is impaired both in gastrointestinal diseases, but especially in malnutrition. A better understanding of the pathophysiology of malnutrition in elderly people is necessary to promote the knowledge of age-related changes in appetite, food intake, homeostasis, and body composition in order to better develop effective prevention and intervention strategies to achieve healthy aging.


Author(s):  
Amanda D. SILVA ◽  
Thaylany C. AMORIM ◽  
Ádeny M. ARAGÃO ◽  
Maria J. IBAÑEZ ◽  
José A. FILHO ◽  
...  

Objectives: To evaluate the quality of life of patients coinfected with HIV/tuberculosis and to understand their perception of their health. Methods: A cross-sectional study was carried out in a hospital in the state of Pernambuco, Brazil. Data were collected between November 2017 and April 2018 through interviews. The WHOQOL-HIV Bref instrument was used, obtaining the total score and performance in the domains: physical, psychological, level of independence, social relationships, environment, spirituality. Sociodemographic and clinical data from the Logistic Control System of Medicines (SICLOM®) were also collected through a questionnaire. Results: Twenty-six patients were interviewed, 76.9% were male, mostly heterosexual, single, 43.1% presented an advanced state of immune system compromise. 73.1% considered their health "good" or "very good" and 69.2% did not consider themselves sick. The general quality of life, score from zero (worst quality of life) to one hundred (best quality of life) obtained an average of 69.6 ± 9.1. In the domains, the worst average was obtained at the independence level (11.1 ± 2.6) and the highest scores were in the spirituality (15.5 ± 3.8) and psychological (15.3 ± 2.2) domains. Conclusions: The low level of independence and the unfavorable socioeconomic conditions were important aspects influencing in the quality of life of the studied population. Knowledge about the most affected domains in the quality of life allows the elaboration of clinical guidelines and public assistance policies that contribute to the well-being of these patients.


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Christine DeBaz ◽  
Jenna Hahn ◽  
Lisa Lang ◽  
Leena Palomo

Introduction. The aim of this study is to compare the quality of life (QoL) in partially edentulous osteoporotic women who have missing teeth restored with dental implant retained restorations with those who do not and, secondarily, to report the rate of osteonecrosis in this sample.Methods. 237 participants completed the Utian QoL survey, a 23-question document measuring across psychosocial domains of well-being including occupational, health, emotional, and sexual domains which together contribute to an overall score. The subset of participants having dental implant supported prosthesis (64) was compared to the subset having nonimplant supported fixed restorations (47), the subset having nonimplant supported removable restorations (60), and the subset having no restoration of missing teeth (66).Results. ANOVA showed significant difference in all QoL domains between the four subsets(p<0.05). Although 134 reported oral bisphosphonate and 51 reported IV bisphosphonate use, no signs of ONJ were identified in any participants.Conclusion. These findings show implant retained oral rehabilitation has a statistically significant impact over nonimplant and traditional fixed restorations, removable restorations, and no restoration of missing teeth in far reaching areas including occupational, health, emotional, sexual, and overall QoL. These findings also support future examination of psychosocial outcomes associated with oral rehabilitation and the incorporation of oral health into women’s health promotion.


2017 ◽  
Vol 29 (4) ◽  
pp. 315-327 ◽  
Author(s):  
Marzuki Isahak ◽  
May Young Loh ◽  
Indri Hapsari Susilowati ◽  
Orawan Kaewboonchoo ◽  
Kitiphong Harncharoen ◽  
...  

Quality of life is associated with several factors, including personal living styles and working conditions. This article aims to investigate the factors associated with quality of life among small and medium enterprises (SME) workers in 4 countries of the Association of Southeast Asian Nations (ASEAN), namely Malaysia, Indonesia, Thailand, and Vietnam. A total of 2014 workers from food and textile industries were asked to answer a questionnaire about their sociodemographic characteristics, working environment and conditions, and quality of life. Results from showed that lifestyle (ie, alcohol intake and exercising), working characteristics (ie, shift work, working hours, and working days) and workplace conditions were associated with SME workers’ quality of life (ie, physical, psychological, social, and environmental domain). Among the 16 types of workplace conditions, “sitting on the chair” and “slippery floor” most affect their quality of life . It is important for these variables to be taken into account in promoting workers’ well-being and quality of life.


Author(s):  
Daniela Ponciano ◽  
Fernanda Bogarim Borin Chiacchio ◽  
Gisele Alves Rodrigues ◽  
Daniely de Sousa Prado ◽  
Deusimar Noleto Soares ◽  
...  

Universities for the elderly are places focused on learning, well-being, and quality of life of the elderly which ensures healthier aging. Objective: To describe the contributions of universities of  the elderly to the healthy aging of their participants. Methodology: The work is characterized as bibliographic research. Regarding inclusion criteria, the bibliographic study included national journals on the theme, of the free access databases SCIELO and LILACS from 2008 to 2018. Results: Social experiences in universities promote the elderly a pleasurable old age, with socialization, the maintenance of friendships, self-knowledge, self-esteem, learning, the satisfaction of living. All this helps in coping with crises and losses of this phase and enables successful aging. Final considerations: given what was raised, it is concluded that the participation of the elderly in a university for the elderly contributes positively to a better quality of life in the aging process. This is because these sites offer the elderly the opportunity to live in a pleasurable and healthier way, as well as favors in maintaining biopsychosocial well-being.


Author(s):  
Visweswara Rao Guthi ◽  
Tirupati Venkata Devi Prathyusha ◽  
Nagaraj Kondagunta ◽  
Nakkala Kavyasree ◽  
Chimmata Kavitha ◽  
...  

Background: Healthy aging is a process of developing and maintaining the functional ability that enables well- being in older age. Objective of the present study is to assess the quality of life among elderly population using WHOQOL-BREF scale and to determine the association between socio demographic factors and quality of life.Methods: Community based cross- sectional study was conducted in the urban field practice areas of SVIMS-Sri Padmavathi Medical College for women, Tirupati for a period of one month (February 2019 to March 2019). Study population were Elderly of age 60 years and above. Total 60 elderly were included in the study. Quality of life was assessed using WHOQOL-BREF questionnaire.Results: Most of the study population was in the age group of 60-64 years, Most of them were females (71.7%). More than one third were illiterates (36.7%), 30% were studied up to primary school. 93.3% of study population were suffered from some form of illness. Mean total transformed score was high among ≥70 years compared to <70 years, Males were showing high mean total transformed score compared to females, literates were showing high score and persons with illness were showing high scores and persons without illness.Conclusions: It is concluded from this study that most of the elderly population are suffered from some form of illness. Overall quality of life is good among elderly within 70 years of age, males, literates and who are in living as married compared to their counter parts.


2021 ◽  
pp. 1-2
Author(s):  
S. Boucher ◽  
G. Duval ◽  
C. Annweiler

«Healthy aging», defined by the World Health Organization (WHO) as « the process of developing and maintaining the functional ability that enables well-being » (1), needs the involvement of various physicians. The WHO-ICOPE (Integrated Care for Older People) approach was developed to early identify, diagnose and treat older adults’ frailties defined as impairments of at least one of the six intrinsic capacities (i.e., hearing, vision, mood, cognition, mobility and nutrition), which could precipitate functional loss and alter the quality of life (2). Among these intrinsic abilities, hearing is the sense of communication and socialization, and may influence the quality and accuracy of the medical examination and interview. Hearing impairment usually develop insidiously and is unrecognized or insufficiently self-reported by older patients. However, by 2050, the number of people with hearing loss will increase to over 900 million worldwide, mainly due to aging population.


2019 ◽  
Vol 98 (11) ◽  
pp. 1257-1261
Author(s):  
V. R. Kuchma ◽  
Evgeniya I. Shubochkina ◽  
O. I. Yanushanets ◽  
V. V. Cheprasov

Introduction. At the prenosological level, the impact of vocational training conditions on the indices of health and the quality of life of college students who master groups of occupations that are different in nature and working conditions was assessed. Material and methods. A survey of 1- and 3-year students engaged in vocational secondary education with conditionally “light” (woodworking and restoration) and “difficult” (welders and car mechanics) conditions of work practice was conducted. The questionnaire of quality of life (MOS SF-36) was used, medical and social status was assessed (complaints, the presence of chronic diseases, assessment of well-being, the severity of fatigue, ARVI morbidity rate). The results are processed according to the standard software package using evidence-based medicine. Results. There were obtained marked differences in the nature of the influence of learning conditions on the health and quality of life of students undergoing industrial training in different hygienic conditions. The impact of training and production load during the development of conditionally “light” professions was accompanied by an increase in the health index of graduates, a decrease in the frequency of complaints of headaches and pain associated with ARVI, an increase in undifferentiated complaints. Indices of the quality of life were characterized by an increase in role-based physical functioning (RPF) and a decrease in mental health (MH), which was correlated with increased fatigue. When teaching “hard” occupations in 3-year students, there was an increase in the total number of complaints, complaints of weakness, complaints related to the gastrointestinal tract (GIT), musculoskeletal system and other (undifferentiated) complaints. Indicators of quality of life decreased according to two parameters of physical health (RPF and GIT) and two parameters of mental health (role emotional functioning and MH). conclusion. The significant contribution of occupational training to the deterioration of functional capabilities and the quality of life associated with health is shown for college graduates who learn occupations a profession with “hard” working conditions. Attention is drawn to new forms of the implementation of vocational training in the dual (practice-oriented) training system with an increase in production training time at the workplaces of enterprises, as well as issues of improving the medical support system for students in vocational colleges.


Author(s):  
Kateryna Rassudina

Bioethics is an interdisciplinary science that deals with the moral aspects of medicine, biotechnology and the value of life in general. Quality of life concept is the basis for one of the models of bioethics. Its supporters understand the value of human life by relying on the categories of its qualitative characteristics. They argue that the value of life is relative and depends on certain criteria, and prove the permissibility to terminate it in some cases. Quality of life conception is criticized, above all, by those scholars who rely on religious ideas of the equal value and inviolability of all people’s lives. This article reveals several examples of such criticism in the works of Polish and American authors: T. Biesaga, H. Ciach, G. Hołub, P. Kieniewicz, R. P. George and P. Lee. Citing the arguments of that Christian thinkers, the author forms her own attitude to the problem. The ethical and ontological sources of quality of life concept, namely utilitarianism and naturalism, become the main object of criticism. It is significant that in the utilitarian appeal to maximize happiness as pleasure and calculate the gain or loss they see an attempt to establish the primacy of the overall well-being over an individual’s life as well as a reason for killing those individuals whose lives do not meet quality criteria and impair overall well-being. They also criticize such a consequence of the naturalistic view as reduction of the personality to its manifestations. The absence of such manifestations becomes for the supporters of the quality of life concept the basis for conclusion about a low quality of life of some individuals. One more critical remark towards the quality of life concept concern erasing of differences between humans and animals and their interests. The technocratic attitude that permits any manipulations of a human life if only they can be performed is criticized too. The author demonstrates that the fundamental fault of the quality of life concept which is criticized by all its opponents is a limited understanding of human nature and human life.


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