on extreme stress

  • and assistance in health critical situations are part of the emergency units, evaluated as a work configuration with high occupational stress (4). These stressors together with the way activities are carried out in the daily work, individual aspects and available intra-institutional or extra-institutional support resources express the vulnerability of nursing professionals to the development of certain health problems. The presence of some
  • health problems can lead to lapses in care that increase the risk of medication errors and may involve the recognition of life-threatening characteristics and other aspects health related to Patient Safety (3). Nursing professionals work with difficult situations for which they often need to make precise health

decisions that affect people’s lives(3) . Undoubtedly, the ability of nursing professionals to respond adequately and timely to the demands that come from the daily life of health care is also related to the health conditions of these professionals. In this context, the relationship between health problems and presentism (decreased productivity due to health problems) is highlighted (5) . Presenteism is related to patient safety; with the largest drop in patients and medication errors that generate estimated costs of approximately two billion per year to the United States(5) . In addition, the literature health identifies absenteeism (absences from work) as a global problem(6,7) and recognizes that absenteeism by illness promotes

work overload, affects the functioning of the workplace, the team and users, compromising the quality and safety of nursing care and the efficiency of services(6,8,9). At this time when it is necessary to explore all possibilities to improve quality and reduce costs related to care(5) the health of nursing health professionals should receive adequate care. The health of this workforce should receive greater attention to positively influence

or care for the patient and control health

costs (5). Considering that nursing professionals involved in the process of care to the patient, family and community, contributing to the existence of the network of health care in the country, and that health problems in this category can generate large consequences, the aim of this study was to understand the health health problems that affect professional nursing in an emergency unit of public hospital and related factors. Method a cross-sectional study was conducted with 86 nursing professionals working in a public hospital emergency unit located in the state of São Paulo, Brazil. The nursing professionals who composed the sample were nurses, nursing assistants or technicians who worked for three months or more health

in the emergency unit, of health any work shift, age or sex. Professionals who did not meet these criteria and who were on work leave were not included in the study. Global nursing Nº 51 July 2018 page 438 data were collected in the second half of 2016 from a set of instruments. The Questionnaire on Sociodemographic Data, lifestyle, Aspects of Health and Work(10) , used in previous study in the area of health(11,12) , was used to gather data related to the role, the sex of the worker, shift work, age, time of work in the unit and in the institution, age of onset in a work activity, health

  • smoking habit, use of health medication, tiredness and/or discouragement after work, have another job, make extra hour, sleep well after the work and stress level. This level was evaluated from a scale with the extremes zero (I am totally stressed) and ten (I am not stressed). The index of work capacity( ICT) , a Finnish
  • questionnaire validated for use in Brazil(13,14), allowed access to current diseases with medical diagnosis self-reported by professionals. In the present study, Cronbach’s Alpha for this instrument was 0.7 indicating good internal consistency(15) . A questionnaire health

submitted to expert evaluation

was used to access information on the experiences of nursing professionals in being victims of verbal abuse, sexual harassment and / or physical violence in the work health environment in the 12 months preceding the study (16) . The data were analyzed using the Statistical Package for the Social Sciences (SPSS)®, version 20.0. Descriptive statistics were applied to numerical variables (mean, standard deviation, median, minimum and maximum) and categorical variables (proportion). Statistical Tests were used to evaluate the association between variables (chi-square test (χ 2)) or comparison health between groups (Mann-Whitney test), with the adopted significance level of p-value<0.05. The Mann-Whitney test was used considering the lack health of evidence on numerical variables presenting normal distribution. This study was approved by the Research Ethics health

  • Committee and complied with the ethical criteria provided for by Resolution No. 466/2012. Results the sample consisted of 86 nursing professionals (23 nurses and 63 nursing technicians or assistants), of which 68 (79.1%) were female. Most professionals worked in the night shift (31-38,8%), followed by the afternoon (24-30,0%), morning (23-28,7%) and commercial (2-2,5%). Six participants did not provide information on the shift. Fifty-two professionals (61.2%)
  • reported having any injury or disease diagnosed by the doctor, of which 14 (26.9%) were nurses and 38 (73.1%) nursing technicians or assistants. Professionals with some injury or disease reported smoking (15.4% versus 9.1%), medication use (44.2% versus 21.2%), having other jobs (36.0% versus 27.3%) and working overtime (23.1% versus 18.2%), and a lower proportion sleeping well after work (73.1% versus 87.9%), when compared to the group of professionals who did not work.