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PESQUISA01/01/2018
Impact of anxiety and depression on morbidity and mortality of patients with coronary syndrome
Revista Brasileira de Enfermagem. 2018;71(6):3048-3053
Resumen
PESQUISAImpact of anxiety and depression on morbidity and mortality of patients with coronary syndrome
Revista Brasileira de Enfermagem. 2018;71(6):3048-3053
DOI 10.1590/0034-7167-2017-0709
Visualizações0Ver maisABSTRACT
Objective:
Evaluate the impact of anxiety and depression on morbidity and mortality of patients with acute coronary syndrome.
Method:
Retrospective cohort study, with follow-up of two years, conducted with 94 patients. The morbidity and mortality (readmission, myocardial revascularization, and death) was evaluated immediately after discharge and after one and two years. Anxiety and depression were evaluated by the State-Trait Anxiety Inventory and by Beck’s Depression Inventory. The Kaplan-Meier estimator and the Logrank test were used. The significance level adopted was 0.05.
Results:
We observed that 76.6% of the patients did not present symptoms of depression or had mild signs, while 78.8% had low to moderate anxiety. The symptoms of depression and anxiety were not related to morbidity (need for MR p=0.098 and 0.56, respectively; readmission p=0.962 and 0.369, respectively) and mortality (p=0.434 and 0.077, respectively).
Conclusion:
No relationship was found between levels of anxiety and depression with the morbidity and mortality of patients.
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PESQUISA01/01/2018
Degree of risk for foot ulcer due to diabetes: nursing assessment
Revista Brasileira de Enfermagem. 2018;71(6):3041-3047
Resumen
PESQUISADegree of risk for foot ulcer due to diabetes: nursing assessment
Revista Brasileira de Enfermagem. 2018;71(6):3041-3047
DOI 10.1590/0034-7167-2017-0189
Visualizações0Ver maisABSTRACT
Objective:
To classify the level of risk for foot ulcers in people with diabetes mellitus and identify their main predictive risk factors.
Method:
Exploratory, descriptive study, in which patients were assessed in a municipal ambulatory of São Paulo through nursing consultation, following the guidelines of the International Consensus on the Diabetic Foot. Data were descriptively analyzed.
Results:
The analyzed population was composed of 50 longevous and retired people, with household income of up to two minimum wages, with dermato-neurofunctional risk factors and unfavorable clinical indicators, and 66% had Risk 1; 16% Risk 2; 6% Risk 3 and 12% Risk 4. Of this analyzed total, 96% never had their feet examined with the Semmes-Weinstein monofilament.
Conclusion:
The data found indicate the importance of careful feet examination in people with diabetes by the nursing staff to identify future risks of ulcers and, thus, prevent them.
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PESQUISA01/01/2018
Alarm fatigue and the implications for patient safety
Revista Brasileira de Enfermagem. 2018;71(6):3035-3040
Resumen
PESQUISAAlarm fatigue and the implications for patient safety
Revista Brasileira de Enfermagem. 2018;71(6):3035-3040
DOI 10.1590/0034-7167-2017-0481
Visualizações0Ver maisABSTRACT
Objective:
To measure the response time of health professionals before sound alarm activation and the implications for patient safety.
Method:
This is a quantitative and observational research conducted in an Adult Intensive Care Unit of a teaching hospital. Three researchers conducted non-participant observations for seven hours. Data collection occurred simultaneously in 20 beds during the morning shift. When listening the alarm activation, the researchers turned on the stopwatches and recorded the motive, the response time and the professional conduct. During collection, the unit had 90% of beds occupied and teams were complete.
Result:
We verified that from the 103 equipment activated, 66.03% of alarms fatigued. Nursing was the professional category that most provided care (31.06%) and the multi-parameter monitor was the device that alarmed the most (66.09%).
Conclusion:
Results corroborate the absence or delay of the response of teams, suggesting that relevant alarms might have been underestimated, compromising patient safety.
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PESQUISA01/01/2018
Pressure Ulcer in Intensive Care Units: a case-control study
Revista Brasileira de Enfermagem. 2018;71(6):3027-3034
Resumen
PESQUISAPressure Ulcer in Intensive Care Units: a case-control study
Revista Brasileira de Enfermagem. 2018;71(6):3027-3034
DOI 10.1590/0034-7167-2017-0950
Visualizações0Ver maisABSTRACT
Objective:
To evaluate the relationship between presence/absence of Pressure Ulcer, socio-demographic factors and hospitalization.
Method:
Case-control study, performed through multiple logistic regression based on information from the adverse event reporting system and the hospital information system, between September/2014 and August/2015.
Results:
Among the risk factors, after adjustment, age greater than or equal to 60 years, hospitalization due to infectious, parasitic and neoplastic diseases, periods of hospitalization longer than seven days and being hospitalized in ICU other than ICU covenant were highlighted. Most of ulcers were reported with mild damage degree and Stage II classification.
Conclusion:
Age and days of hospitalization presented a dose-response effect, the longer the age or the number of days of hospitalization, the greater the chances of Pressure Ulcer. There was a significant association among higher occurrences of death in patients with ulcer.
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PESQUISA01/01/2018
Creation and validation of a checklist for blood transfusion in children
Revista Brasileira de Enfermagem. 2018;71(6):3020-3026
Resumen
PESQUISACreation and validation of a checklist for blood transfusion in children
Revista Brasileira de Enfermagem. 2018;71(6):3020-3026
DOI 10.1590/0034-7167-2018-0098
Visualizações0Ver maisABSTRACT
Objective:
To describe the process for creating and validating a checklist for blood transfusion in children.
Method:
Methodological study, conducted from November 2016 to May 2017, developed in two stages. The content of the items that compose the instrument was based on scientific evidence and submitted to specialized nurses for content validation. We applied the Content Validity index, considering the value ≥ 0.80.
Results:
The content was considered valid with global CVI of 0.87. Suggestions for adjustments, such as deletion, replacement, and addition of terms, were included in the final version, which consisted of 14 items and 56 subitems.
Conclusion:
The checklist for blood transfusion in children was considered a technology with valid content to be used in the transfusion performed by nurses, thus contributing to transfusion safety in children.
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PESQUISA01/01/2018
Influence of socio-demographic, clinical and surgical variables on the Aldrete-Kroulik Scoring System
Revista Brasileira de Enfermagem. 2018;71(6):3013-3019
Resumen
PESQUISAInfluence of socio-demographic, clinical and surgical variables on the Aldrete-Kroulik Scoring System
Revista Brasileira de Enfermagem. 2018;71(6):3013-3019
DOI 10.1590/0034-7167-2017-0813
Visualizações0Ver maisABSTRACT
Objective:
To identify the influence of the variables sex, age, type of anesthesia, occurrence of intraoperative complications, pain and surgical complexity on the Aldrete-Kroulik Scoring System in patients in the immediate postoperative period, in the post-anesthesia care unit.
Method:
Non-experimental, longitudinal study, with a quantitative approach, conducted with 241 surgical patients. Descriptive analysis, Student’s t-test, Pearson and Spearman Correlation Indexes and multiple linear regression were used to analyze the data.
Results:
Correlations between the Aldrete-Kroulik Scoring System and pain (r=-0.13; p=0.05) and surgical complexity (r=-0.12; p=0.05) were statistically significant. The type of anesthesia and pain (p<0.01) influenced the decrease of the Aldrete-Kroulik System’s scores.
Conclusion:
Considering the vulnerability of patients in the immediate postoperative period, it is essential for the nurse to know the factors that can influence the Aldrete-Kroulik Scoring System to provide a safe and optimal post-anesthesia recovery.
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PESQUISA01/01/2018
Association between follow-up in health services and antihypertensive medication adherence
Revista Brasileira de Enfermagem. 2018;71(6):3006-3012
Resumen
PESQUISAAssociation between follow-up in health services and antihypertensive medication adherence
Revista Brasileira de Enfermagem. 2018;71(6):3006-3012
DOI 10.1590/0034-7167-2018-0087
Visualizações0Ver maisABSTRACT
Objective:
To analyze the association between the characteristics of follow-up in health services and adherence to antihypertensive medication in patients with cardiovascular disease.
Method:
Analytical study carried out with 270 patients suffering from hypertension and hospitalized due to cardiovascular complications. Data collection occurred between November 2015 and April 2016, involving sociodemographic variables, presence of self-reported diabetes, accessibility and use of health services, blood pressure levels and medication adherence (analyzed through the Morisky–Green Test).
Results:
The rate of adherence to antihypertensive therapy was 63.0%. Enrollment in the Hiperdia program had no statistical significance to medication adherence. People who attended at least between 4 and 6 nursing consultations throughout the data collection period (p = 0.02) had better adherence.
Conclusion:
The study’s findings provide support for the reorientation of health services and their public policies towards improving adherence to antihypertensive therapeutics.
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PESQUISA01/01/2018
Cross-cultural adaptation of the General Comfort Questionnaire to Brazilian patients with myocardial infarction
Revista Brasileira de Enfermagem. 2018;71(6):2998-3005
Resumen
PESQUISACross-cultural adaptation of the General Comfort Questionnaire to Brazilian patients with myocardial infarction
Revista Brasileira de Enfermagem. 2018;71(6):2998-3005
DOI 10.1590/0034-7167-2017-0557
Visualizações0Ver maisABSTRACT
Objective:
Describe the first stages of the cross-cultural adaptation process of the General Comfort Questionnaire for myocardial infarction patients in intensive care units.
Method:
This is a study of qualitative and quantitative research and analysis techniques. Conceptual, item, semantic and operational equivalence was performed. Fifteen items were added to the original instrument to better represent the comfort experienced by myocardial infarction patients in intensive care units. The content validity index was applied to analyze the answers of the experts; it was considered adequate above 0.78.
Results:
Some changes suggested by the experts for better understanding were adopted. All items were kept, obtaining a scale of sixty-three items. In the pre-test conducted with 30 subjects, the instrument was considered adequate to the target audience.
Conclusion:
The adapted version of the General Comfort Questionnaire for people with myocardial infarction is adequate to the target audience.
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ARTÍCULO ORIGINAL04/12/2020
Lesão por pressão relacionada ao uso de equipamentos de proteção individual na pandemia da COVID-19
- Manuela de Mendonça Figueirêdo Coelho
, - Viviane Mamede Vasconcelos Cavalcante ,
- Juliano Teixeira Moraes ,
- Luciana Catunda Gomes de Menezes ,
- Sarah Vieira Figueirêdo , [ … ],
- Solange Gurgel Alexandre
Resumen
ARTÍCULO ORIGINALLesão por pressão relacionada ao uso de equipamentos de proteção individual na pandemia da COVID-19
Revista Brasileira de Enfermagem. 2020;73:e20200670
DOI 10.1590/0034-7167-2020-0670
- Manuela de Mendonça Figueirêdo Coelho ,
- Viviane Mamede Vasconcelos Cavalcante ,
- Juliano Teixeira Moraes ,
- Luciana Catunda Gomes de Menezes ,
- Sarah Vieira Figueirêdo ,
- Mírian Ferreira Coelho Castelo Branco ,
- Solange Gurgel Alexandre
Visualizações0RESUMO
Objetivo:
Descrever prevalência e fatores associados da lesão por pressão relacionada ao uso de equipamentos de proteção individual durante a pandemia da COVID-19.
Métodos:
Estudo transversal realizado por meio de instrumento disponibilizado em redes sociais com 1.106 profissionais de saúde. Os dados foram analisados por meio de estatística descritiva e comparada, considerando valor de p < 0,05.
Resultados:
Houve prevalência de 69,4% para lesão por pressão relacionada ao uso do equipamento de proteção individual, com uma média de 2,4 lesões por profissional. Os fatores significativos foram: menores de 35 anos de idade, trabalhar e fazer uso de equipamentos de proteção individual por mais de seis horas no dia, em unidades hospitalares e sem o uso de insumos para proteção.
Conclusão:
A lesão por pressão relacionada ao uso de dispositivos médicos apresentou alta prevalência nessa população. O reconhecimento da lesão nesses profissionais possibilita avançar em estratégias de prevenção.
Palavras-chave: CoronavírusEquipamento de Proteção IndividualLesão por PressãoPandemiasPessoal de SaúdeVer mais - Manuela de Mendonça Figueirêdo Coelho
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ARTÍCULO ORIGINAL13/07/2020
Dermatite associada à incontinência em idosos: prevalência e fatores de risco
- Mariana Ferreira ,
- Luciana Abbade ,
- Silvia Cristina Mangini Bocchi ,
- Hélio Amante Miot ,
- Paulo Villas Boas , [ … ],
- Heloísa Quatrini Carvalho Passos Guimaraes
Resumen
ARTÍCULO ORIGINALDermatite associada à incontinência em idosos: prevalência e fatores de risco
Revista Brasileira de Enfermagem. 2020;73:e20180475
DOI 10.1590/0034-7167-2018-0475
- Mariana Ferreira ,
- Luciana Abbade ,
- Silvia Cristina Mangini Bocchi ,
- Hélio Amante Miot ,
- Paulo Villas Boas ,
- Heloísa Quatrini Carvalho Passos Guimaraes
Visualizações0Ver maisRESUMO
Objetivo:
Determinar prevalência e fatores de risco para dermatite associada à incontinência em idosos.
Método:
Estudo transversal exploratório realizado em hospitais públicos. Obtevese prevalência da dermatite e associações pelo cálculo da razão. A dimensão do efeito foi estimada pela razão de chances com intervalo de confiança de 95% e significância estatística p < 0,05.
Resultados:
Incluíram-se 138 idosos, média de idade 77,2 anos (± 9,3); 69 (50%) com incontinência fecal e urinária combinadas. A prevalência de dermatite foi 36,2% (50); 28% (14) apresentavam lesão por pressão; 14% (7), candidose. Foram fatores de risco: maior tempo de internação (Odds Ratio = 5,8 [2,6-12,9]), obesidade (Odds Ratio = 3,6 [1,2-10,4]), alto nível de dependência (Odds Ratio = 2,4 [1,1-5,0]) e alto risco para lesão por pressão (Odds Ratio = 6,1 [1,4-26,9]).
Conclusão:
Houve alta prevalência de dermatite associada à incontinência. O reconhecimento precoce dos fatores de risco favorece ações preventivas efetivas.
- Mariana Ferreira
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ARTÍCULO ORIGINAL21/10/2019
Nursing care systematization: perceptions and knowledge of the Brazilian nursing
- Marcos Renato de Oliveira ,
- Paulo César de Almeida ,
- Thereza Maria Magalhães Moreira ,
- Raimundo Augusto Martins Torres
Resumen
ARTÍCULO ORIGINALNursing care systematization: perceptions and knowledge of the Brazilian nursing
Revista Brasileira de Enfermagem. 2019;72(6):1547-1553
DOI 10.1590/0034-7167-2018-0606
- Marcos Renato de Oliveira ,
- Paulo César de Almeida ,
- Thereza Maria Magalhães Moreira ,
- Raimundo Augusto Martins Torres
Visualizações0Ver maisABSTRACT
Objective:
to present the perception and knowledge of Brazilian nursing nurses and academics regarding Nursing Care Systematization.
Method:
a descriptive study, carried out in the first half of 2018.
Results:
of the 596 respondents, 86% perceived Nursing Care Systematization as very important, but only 60.9% used it in their care practice. Its use was statistically associated with a higher level of training. Non-utilization was associated with the perception that it is irrelevant and with little knowledge on the Nursing Process, even in the face of recognition of its obligation. Among professionals who wish to learn more about the subject, understanding the application of the process, especially the planning step, is perceived as a necessity.
Conclusion:
the relevance perception of systematization and levels of knowledge of the professional/academic are directly related to the use or not of Nursing Care Systematization principles.
- Marcos Renato de Oliveira
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ARTÍCULO DE REVISIÓN05/12/2019
Vulnerability of the elderly: a conceptual analysis
- Keylla Talitha Fernandes Barbosa ,
- Fabiana Maria Rodrigues Lopes de Oliveira ,
- Maria das Graças Melo Fernandes
Resumen
ARTÍCULO DE REVISIÓNVulnerability of the elderly: a conceptual analysis
Revista Brasileira de Enfermagem. 2019;72:337-344
DOI 10.1590/0034-7167-2018-0728
- Keylla Talitha Fernandes Barbosa ,
- Fabiana Maria Rodrigues Lopes de Oliveira ,
- Maria das Graças Melo Fernandes
Visualizações0Ver maisABSTRACT
Objective:
To analyze the concept of vulnerability of the elderly.
Method:
A concept analysis, according to the method proposed by Walker and Avant, operationalized through integrative review through search in scientific data portals using the
Descriptors:
Health vulnerability, aged, health services for the aged, health of the elderly, vulnerable populations and geriatric health services. To compose the literary corpus, 36 studies were selected.
Results:
Concept antecedents, as well as its attributes, were identified in individual, social and programmatic characteristics, which make up the characteristics of “vulnerability of the elderly”, besides consequences of the phenomenon. These characteristics were analyzed with emphasis on aspects that contribute to the process of vulnerability of the elderly.
Conclusion:
The study demonstrated the multidimensionality of the phenomena studied, highlighting the peculiarities of vulnerability during aging. However, there is a need for further studies on the construct.
- Keylla Talitha Fernandes Barbosa
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ARTÍCULO ORIGINAL21/10/2019
Workloads and burnout of nursing workers
- Deciane Pintanela de Carvalho ,
- Laurelize Pereira Rocha ,
- Eliana Cardia de Pinho ,
- Jamila Geri Tomaschewski-Barlem ,
- Edison Luiz Devos Barlem , [ … ],
- Leonardo Salomão Goulart
Resumen
ARTÍCULO ORIGINALWorkloads and burnout of nursing workers
Revista Brasileira de Enfermagem. 2019;72(6):1435-1441
DOI 10.1590/0034-7167-2017-0659
- Deciane Pintanela de Carvalho ,
- Laurelize Pereira Rocha ,
- Eliana Cardia de Pinho ,
- Jamila Geri Tomaschewski-Barlem ,
- Edison Luiz Devos Barlem ,
- Leonardo Salomão Goulart
Visualizações0Ver maisABSTRACT
Objective:
to identify workloads in nursing work and its association with nursing worker burnout.
Method:
a cross-sectional study, including 211 nursing workers from a university hospital, between July and August 2016. For the analysis, the descriptive statistics, Chi-Square Test, Fisher’s Exact Test and Mann Whitney U-Test were used.
Results:
the most evidenced loads were biological. A significant association was found between workloads and workers’ occupation, as well as a significant association between workloads and worker burnout. Burnout caused upper limb pain, neck and lumbar pain, lower limb pain, muscle spasm, lower limb edema, mental fatigue, headache, nervousness, and forgetfulness.
Conclusion:
workloads identification is a subsidy for the promotion of interventions that minimize the burnout generated to the health of the nursing worker.
- Deciane Pintanela de Carvalho
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19/08/2019
La intervención humor en la interacción enfermero-paciente
- Luis Manuel Mota Sousa ,
- Cristina Maria Alves Marques-Vieira ,
- Ana Vanessa Antunes ,
- Maria de Fátima Graça Frade ,
- Sandy Pedro Silva Severino , [ … ],
- Olga Sousa Valentim
Resumen
La intervención humor en la interacción enfermero-paciente
Revista Brasileira de Enfermagem. 2019;72(4):1078-1085
DOI 10.1590/0034-7167-2018-0609
- Luis Manuel Mota Sousa ,
- Cristina Maria Alves Marques-Vieira ,
- Ana Vanessa Antunes ,
- Maria de Fátima Graça Frade ,
- Sandy Pedro Silva Severino ,
- Olga Sousa Valentim
Visualizações0RESUMEN
Objetivo:
Describir los factores que influencian el uso del humor en el cuidado de enfermería, su aplicabilidad y beneficios.
Método:
Revisión de alcance según la metodología de Arksey y O’Mally. Se investigaron artículos publicados entre 2008 y 2018, en las plataformas EBSCO Host, Biblioteca Virtual en Salud y Google Académico.
Resultados:
Se han identificado 465 artículos e incluidos 17 de ellos. Se encontró información sobre la definición de humor; su aplicabilidad como intervención de enfermería; el humor como herramienta para mejorar la comunicación y la relación entre el enfermero y el paciente; factores de influencia; el tipo de intervenciones de humor; beneficios del humor en la atención de salud y; las limitaciones y precauciones de intervención del humor.
Conclusión:
El humor promueve la comunicación, las relaciones y el bienestar; ayuda a manejar situaciones difíciles y desagradables, reduce la tensión, la incomodidad y el estrés; y fortalecer el sistema inmunológico. Esta intervención debe usarse con precaución.
Palavras-chave: ComunicaciónEnfermeríaEvaluación del Resultado de la Atención al PacienteIngenio y Humor como AsuntoRelaciones Enfermera-PacienteVer mais - Luis Manuel Mota Sousa
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29/01/2021
Violência doméstica contra a mulher na pandemia: estratégias de enfrentamento divulgadas pelas mídias digitais
- Lucimara Fabiana Fornari ,
- Rafaela Gessner Lourenço ,
- Rebeca Nunes Guedes de Oliveira ,
- Danyelle Leonette Araújo dos Santos ,
- Mariana Sbeghen Menegatti , [ … ],
- Rosa Maria Godoy Serpa da Fonseca
Resumen
Violência doméstica contra a mulher na pandemia: estratégias de enfrentamento divulgadas pelas mídias digitais
Revista Brasileira de Enfermagem. 2021;74:e20200631
DOI 10.1590/0034-7167-2020-0631
- Lucimara Fabiana Fornari ,
- Rafaela Gessner Lourenço ,
- Rebeca Nunes Guedes de Oliveira ,
- Danyelle Leonette Araújo dos Santos ,
- Mariana Sbeghen Menegatti ,
- Rosa Maria Godoy Serpa da Fonseca
Visualizações0RESUMO
Objetivo:
conhecer as estratégias de enfrentamento da violência doméstica contra a mulher divulgadas pelas mídias digitais no início da pandemia de COVID-19.
Métodos:
estudo documental de abordagem qualitativa. A busca aconteceu de 11 de março a 30 de abril de 2020, em quatro fontes: jornais e portais online, rede social, páginas oficiais governamentais e portais do terceiro setor. Realizou-se análise de conteúdo temática dos achados.
Resultados:
foram identificadas 77 estratégias na imprensa jornalística, 93 na rede social, 45 nos portais governamentais e 40 nas organizações do terceiro setor. Da análise, emergiram três categorias empíricas: Estratégias para comunicação com as mulheres; Estratégias adotadas pelos serviços de atendimento; Estratégias para informar a população.
Considerações finais:
a maior parte das estratégias foram adaptações de serviços já existentes, centradas na denúncia da violência pelas mulheres.
Palavras-chave: Estratégias NacionaisMeios de ComunicaçãoPandemiasViolência Contra a MulherViolência DomésticaVer mais
- Lucimara Fabiana Fornari
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20/01/2021
Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses
- Núbia Samara Caribé de Aragão ,
- Gabriella Bené Barbosa ,
- Cleide Lucilla Carneiro Santos ,
- Deise dos Santos Silva Nascimento ,
- Laís Barbosa Souza Vilas Bôas , [ … ],
- Carlito Lopes Nascimento Sobrinho
Resumen
Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses
Revista Brasileira de Enfermagem. 2021;74:e20190535
DOI 10.1590/0034-7167-2019-0535
- Núbia Samara Caribé de Aragão ,
- Gabriella Bené Barbosa ,
- Cleide Lucilla Carneiro Santos ,
- Deise dos Santos Silva Nascimento ,
- Laís Barbosa Souza Vilas Bôas ,
- Davi Félix Martins Júnior ,
- Carlito Lopes Nascimento Sobrinho
Visualizações0Ver maisABSTRACT
Objective:
to estimate prevalence and factors associated with Burnout Syndrome in intensive care nurses in a city in the state of Bahia.
Methods:
a cross-sectional, population-based study carried out with 65 intensive care nurses through a self-administered questionnaire, from July to November 2016, containing sociodemographic data, lifestyle, work characteristics. To define burnout syndrome, the Maslach Burnout Inventory was used.
Results:
Burnout Syndrome prevalence was 53.6%, an association was observed with age, tobacco consumption, alcohol use, weekly night shift hours, employment relationship, having an intensive care specialist title, number of patients on duty, monthly income and considering active or high-strain job.
Conclusion:
the results of this study can contribute to expanding the discussion on stressful working conditions in Intensive Care Units.
- Núbia Samara Caribé de Aragão
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