Sofrimento moral e satisfação profissional:qual a sua relação na atuação do enfermeiro?
Ano de defesa: | 2017 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Santa Maria
Centro de Ciências da Saúde |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Enfermagem
|
Departamento: |
Enfermagem
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.ufsm.br/handle/1/20532 |
Resumo: | The accomplishment of nursing work involves the complexity of multiprofessional relations and the usual precarious working conditions offered in the institution, including lack of material and human resources. These difficulties may compromise the development and engagement of the professional regarding work and compromise the quality of care provided, which may leave these workers more susceptible to conflicts and moral dilemmas. Due to these aspects, professionals may experience moral distress at work, which, in turn, causing implications for professional satisfaction, which is understood as a subjective evaluation of the worker on how labor aspects may be harmful or beneficial to the worker’s well-being. Thus, a guiding question was presented: "What is the relation between moral distress and professional satisfaction of Nurses?" As a general objective of the research: to verify relations between moral distress and professional satisfaction in nurses' work in the hospital context. And as specific objectives: To characterize the sample according to sociodemographic and labor data; To identify the level of professional satisfaction of nurses in the hospital context; and, Identify the intensity and frequency of the moral distress of nurses in the hospital context. This is a cross-sectional study, developed at the University Hospital of Santa Maria (HUSM), located in the city of Santa Maria, RS. The participants were 141 nurses who have worked for at least three months in the service during the data collection period from January to March 2015. Two instruments were used, one to investigate professional satisfaction called the Index of Work Satisfaction (IWS), and another to investigate moral distress, called Moral Distress Scale-Brazilian Version. Descriptive statistics, factorial analysis and Spearman correlation were used for data analysis. The ethical aspects were respected, in accordance to Resolution 466/2012. The results were presented by means of scientific article entitled "Moral distress and professional satisfaction of nurses: is there a relation between these phenomena?" In which a professional satisfaction index of 10.81 was found, and that the autonomy and interaction components are among the ones that most influence satisfaction. The greatest intensity of moral suffering was the lack of competence in the team, and the greatest frequency of moral distress linked to insufficient working conditions. There were no significant correlations between the evaluation instruments. It is concluded that further studies are needed to identify this possible relation, and the development of strategies that contribute to a healthier working environment in which the occurrence of moral distress is minimized and professional satisfaction is promoted. |
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2021-04-12T11:47:57Z2021-04-12T11:47:57Z2017-08-30http://repositorio.ufsm.br/handle/1/20532The accomplishment of nursing work involves the complexity of multiprofessional relations and the usual precarious working conditions offered in the institution, including lack of material and human resources. These difficulties may compromise the development and engagement of the professional regarding work and compromise the quality of care provided, which may leave these workers more susceptible to conflicts and moral dilemmas. Due to these aspects, professionals may experience moral distress at work, which, in turn, causing implications for professional satisfaction, which is understood as a subjective evaluation of the worker on how labor aspects may be harmful or beneficial to the worker’s well-being. Thus, a guiding question was presented: "What is the relation between moral distress and professional satisfaction of Nurses?" As a general objective of the research: to verify relations between moral distress and professional satisfaction in nurses' work in the hospital context. And as specific objectives: To characterize the sample according to sociodemographic and labor data; To identify the level of professional satisfaction of nurses in the hospital context; and, Identify the intensity and frequency of the moral distress of nurses in the hospital context. This is a cross-sectional study, developed at the University Hospital of Santa Maria (HUSM), located in the city of Santa Maria, RS. The participants were 141 nurses who have worked for at least three months in the service during the data collection period from January to March 2015. Two instruments were used, one to investigate professional satisfaction called the Index of Work Satisfaction (IWS), and another to investigate moral distress, called Moral Distress Scale-Brazilian Version. Descriptive statistics, factorial analysis and Spearman correlation were used for data analysis. The ethical aspects were respected, in accordance to Resolution 466/2012. The results were presented by means of scientific article entitled "Moral distress and professional satisfaction of nurses: is there a relation between these phenomena?" In which a professional satisfaction index of 10.81 was found, and that the autonomy and interaction components are among the ones that most influence satisfaction. The greatest intensity of moral suffering was the lack of competence in the team, and the greatest frequency of moral distress linked to insufficient working conditions. There were no significant correlations between the evaluation instruments. It is concluded that further studies are needed to identify this possible relation, and the development of strategies that contribute to a healthier working environment in which the occurrence of moral distress is minimized and professional satisfaction is promoted.A realização do trabalho da enfermagem envolve a complexidade das relações multiprofissionais, e as condições de trabalho muitas vezes precárias oferecidas na instituição, o que inclui carência de recursos materiais e de pessoal de enfermagem. Essas dificuldades podem comprometer o desenvolvimento e o engajamento do profissional em relação ao trabalho e comprometer a qualidade do cuidado prestado, podendo deixar esses trabalhadores mais susceptíveis a conflitos e dilemas morais. Em face desses aspectos os profissionais podem vivenciar sofrimento moral no trabalho, o que, por sua vez, pode apresentar implicações para a satisfação profissional, que é entendida como uma avaliação subjetiva do trabalhador sobre o quanto os aspectos laborais podem ser prejudiciais ou benéficos ao seu bem-estar. Assim apresentou-se como questão norteadora: “Qual a relação do sofrimento moral e satisfação profissional na atuação de enfermeiros no contexto hospitalar?” e, como objetivo verificar relações entre Sofrimento Moral e Satisfação profissional no Trabalho de Enfermeiros no contexto hospitalar. Trata-se de um estudo transversal, desenvolvido no Hospital Universitário de Santa Maria (HUSM), localizado na cidade de Santa Maria, RS. Os participantes foram 141 enfermeiros que atuavam há no mínimo três meses no serviço no período de coleta de dados, que foi de Janeiro a Março de 2015. Foram utilizados dois instrumentos, um para investigar a satisfação profissional denominado Índice de Satisfação Profissional (ISP), e outro para investigar o sofrimento moral, denominado Moral Distress Scale-Versão Brasileira. Para análise dos dados foi utilizada a estatística descritiva, análise fatorial e correlação de Spearman. Foram respeitados os aspectos éticos, de acordo com a Resolução 466/2012. Conforme resultados se constatou um índice de satisfação profissional de 10,81, o qual pode ser compreendido como baixo, e que os componentes autonomia e interação estão entre os que mais influenciaram na satisfação dos enfermeiros. A maior intensidade de sofrimento moral se deu pelo fator falta de competência na equipe, e a maior frequência pelo fator condições de trabalho insuficientes. Não foram observadas correlações significativas entre os componentes de satisfação profissional e fatores de sofrimento moral, embora tenha se identificado correlação forte entre falta de competência na equipe e negação do papel da enfermeira como advogada do paciente, e moderada entre autonomia e normas organizacionais. Conclui-se que são necessários novos estudos que possam identificar essa possível relação, e o desenvolvimento de estratégias que contribuam para um ambiente de trabalho mais saudável, em que a ocorrência de sofrimento moral seja minimizada e a satisfação profissional promovida.porUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em EnfermagemUFSMBrasilEnfermagemAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessEnfermagemMoralÉtica em enfermagemSatisfação no trabalhoNursingEthics in nursingJob satisfactionCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMSofrimento moral e satisfação profissional:qual a sua relação na atuação do enfermeiro?Moral distress and professional satisfaction of nurses: is there a relation between these phenomena?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisDalmolin, Graziele de Limahttp://lattes.cnpq.br/7268927320407160Silva, Augusto Maciel daBarlem, Edison Luiz DevosAndolhe, Rafaelahttp://lattes.cnpq.br/1661578026748845Wachholz, Aline400400000000600a089c052-df21-46a2-9a0e-262db1f053814079ad56-3725-49df-84a4-e337b99acc01138d6fee-0da9-4992-a21a-428821c9d2ec59954cd5-8748-42a9-b73a-175ccde76c12e28a2670-d178-4a92-80d6-5e079f2129efreponame:Biblioteca Digital de Teses e Dissertações do UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALDIS_PPGENFERMAGEM_2017_WACHHOLZ_ALINE.pdfDIS_PPGENFERMAGEM_2017_WACHHOLZ_ALINE.pdfDissertação de Mestradoapplication/pdf1142141http://repositorio.ufsm.br/bitstream/1/20532/1/DIS_PPGENFERMAGEM_2017_WACHHOLZ_ALINE.pdf26fbaf0a8dd246067a63d55ecadaef5fMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Sofrimento moral e satisfação profissional:qual a sua relação na atuação do enfermeiro? |
dc.title.alternative.eng.fl_str_mv |
Moral distress and professional satisfaction of nurses: is there a relation between these phenomena? |
title |
Sofrimento moral e satisfação profissional:qual a sua relação na atuação do enfermeiro? |
spellingShingle |
Sofrimento moral e satisfação profissional:qual a sua relação na atuação do enfermeiro? Wachholz, Aline Enfermagem Moral Ética em enfermagem Satisfação no trabalho Nursing Ethics in nursing Job satisfaction CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Sofrimento moral e satisfação profissional:qual a sua relação na atuação do enfermeiro? |
title_full |
Sofrimento moral e satisfação profissional:qual a sua relação na atuação do enfermeiro? |
title_fullStr |
Sofrimento moral e satisfação profissional:qual a sua relação na atuação do enfermeiro? |
title_full_unstemmed |
Sofrimento moral e satisfação profissional:qual a sua relação na atuação do enfermeiro? |
title_sort |
Sofrimento moral e satisfação profissional:qual a sua relação na atuação do enfermeiro? |
author |
Wachholz, Aline |
author_facet |
Wachholz, Aline |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Dalmolin, Graziele de Lima |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7268927320407160 |
dc.contributor.advisor-co1.fl_str_mv |
Silva, Augusto Maciel da |
dc.contributor.referee1.fl_str_mv |
Barlem, Edison Luiz Devos |
dc.contributor.referee2.fl_str_mv |
Andolhe, Rafaela |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/1661578026748845 |
dc.contributor.author.fl_str_mv |
Wachholz, Aline |
contributor_str_mv |
Dalmolin, Graziele de Lima Silva, Augusto Maciel da Barlem, Edison Luiz Devos Andolhe, Rafaela |
dc.subject.por.fl_str_mv |
Enfermagem Moral Ética em enfermagem Satisfação no trabalho |
topic |
Enfermagem Moral Ética em enfermagem Satisfação no trabalho Nursing Ethics in nursing Job satisfaction CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Nursing Ethics in nursing Job satisfaction |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
The accomplishment of nursing work involves the complexity of multiprofessional relations and the usual precarious working conditions offered in the institution, including lack of material and human resources. These difficulties may compromise the development and engagement of the professional regarding work and compromise the quality of care provided, which may leave these workers more susceptible to conflicts and moral dilemmas. Due to these aspects, professionals may experience moral distress at work, which, in turn, causing implications for professional satisfaction, which is understood as a subjective evaluation of the worker on how labor aspects may be harmful or beneficial to the worker’s well-being. Thus, a guiding question was presented: "What is the relation between moral distress and professional satisfaction of Nurses?" As a general objective of the research: to verify relations between moral distress and professional satisfaction in nurses' work in the hospital context. And as specific objectives: To characterize the sample according to sociodemographic and labor data; To identify the level of professional satisfaction of nurses in the hospital context; and, Identify the intensity and frequency of the moral distress of nurses in the hospital context. This is a cross-sectional study, developed at the University Hospital of Santa Maria (HUSM), located in the city of Santa Maria, RS. The participants were 141 nurses who have worked for at least three months in the service during the data collection period from January to March 2015. Two instruments were used, one to investigate professional satisfaction called the Index of Work Satisfaction (IWS), and another to investigate moral distress, called Moral Distress Scale-Brazilian Version. Descriptive statistics, factorial analysis and Spearman correlation were used for data analysis. The ethical aspects were respected, in accordance to Resolution 466/2012. The results were presented by means of scientific article entitled "Moral distress and professional satisfaction of nurses: is there a relation between these phenomena?" In which a professional satisfaction index of 10.81 was found, and that the autonomy and interaction components are among the ones that most influence satisfaction. The greatest intensity of moral suffering was the lack of competence in the team, and the greatest frequency of moral distress linked to insufficient working conditions. There were no significant correlations between the evaluation instruments. It is concluded that further studies are needed to identify this possible relation, and the development of strategies that contribute to a healthier working environment in which the occurrence of moral distress is minimized and professional satisfaction is promoted. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017-08-30 |
dc.date.accessioned.fl_str_mv |
2021-04-12T11:47:57Z |
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2021-04-12T11:47:57Z |
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Universidade Federal de Santa Maria Centro de Ciências da Saúde |
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Programa de Pós-Graduação em Enfermagem |
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UFSM |
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Brasil |
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Universidade Federal de Santa Maria Centro de Ciências da Saúde |
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