Presenteísmo na enfermagem: repercussões para a saúde do trabalhador e a organização hospitalar

• Ano de defesa: 2014
• Autor(a) principal: Vieira, Manoel Luís Cardoso
• Orientador(a): Oliveira, Elias Barbosa de
• Banca de defesa: Souza, Norma Valéria Dantas de Oliveira , Lisboa, Marcia Tereza Luz
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Enfermagem
• Departamento: Centro Biomédico::Faculdade de Enfermagem
• País: BR
• Palavras-chave em Português: Enfermagem; Saúde do trabalhador; Presenteísmo
• Palavras-chave em Inglês: Nursing; Worker health; Presentism
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: http://www.bdtd.uerj.br/handle/1/11360

The present study aimed at the presentism in nursing workers and its repercussions in worker s health and in the work organization. Considering the matter nature and its guiding questions, the following aims have been formulated: Identifying a general hospital nursing workers point of view about presentism in nursing; describing the factors which contribute for a general hospital nursing workers presentism; and analyzing presentism repercussions in nursing workers health and in hospital work process. This study has been approved by The Committee of Ethics in Research and registered under no. 419,673. Qualitative descriptive and exploratory type method has been chosen. The field was a universitary hospital located at a Rio de Janeiro district. 39 nursing workers (twenty-five nursing technicians and fourteen nurses) from clinical inpatient units have taken part in this study. Data collection has been worked out with semi-structured type interview upon a script technique, and these data were acquired in December, 2013. A self-applied tool has been used for participant characterization. For speech treatment, a thematic type content analysis has been used which pointed at the following outcomes: the study participants have identified presentism in work environment, for several workers have attended to work with acute and chronic health problems that affect the offered service quality and dynamics. Before this work reality, state for group cohesion and sheltering the worker. However, there is such group dissatisfaction for they feel overloaded by patients demands and other activities and the service quality is affected. About the factors that contribute to presentism, work strength precariousness and professional commitment with their institution and the psychosocial aspects - that is out work aspects have been identified. As for presentism repercussions in worker health and work process it has been pointed out that presentism is the factor that worsens workers health status, needing temporary absence from their workstation and searching for medical care during their shift. As there is no replacement of staff, the team must reorganize to answer the technical and assistance demands which create group conflicts. It has been concluded that, under workers point of view, presentism besides contributing for worker health status worsening, it negatively affects interpersonal relationship among workers and the offered service quality. There is the need of diagnosing and monitoring of workers health conditions by the Occupational Health Service through admission and periodical exams so that adequate treatment and attendance for health status be granted. It is affirmed the adequate work conditions relevance and that it should not expose workers to the present risks in the work environment even more. It is recommended studies continuity on presentism as for the current neoliberal model and the work strength precariousness process in the health sector.