Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-10T16:23:04Z No. of bitstreams: 1 ClaudiaCristianeFilgueiraMartinsRodrigues_TESE.pdf: 4026956 bytes, checksum: 67d4a6a5e1c27167a5400dc980cb4941 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-02-10T20:33:50Z (GMT) No. of bitstreams: 1 ClaudiaCristianeFilgueiraMartinsRodrigues_TESE.pdf: 4026956 bytes, checksum: 67d4a6a5e1c27167a5400dc980cb4941 (MD5) / Made available in DSpace on 2017-02-10T20:33:50Z (GMT). No. of bitstreams: 1 ClaudiaCristianeFilgueiraMartinsRodrigues_TESE.pdf: 4026956 bytes, checksum: 67d4a6a5e1c27167a5400dc980cb4941 (MD5) Previous issue date: 2016-08-19 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPq) / O estresse ocupacional est? presente em diversos ambientes de trabalho em virtude das constantes mudan?as tecnol?gicas, produtivas e sociais ocorridas nos ?ltimos anos. Assim, pesquisas que fomentam a discuss?o da rela??o do trabalhador e de seu local de atua??o s?o relevantes, pois permitem a identifica??o de aspectos inerentes ao ambiente laboral e possibilitam um diagn?stico das principais necessidades organizacionais que podem levar ao estresse ocupacional. Neste sentido, o estudo em tela teve por objetivo analisar a rela??o entre o clima organizacional e o estresse da equipe de enfermagem de um hospital universit?rio. Esta pesquisa foi dividida em duas etapas, com abordagens metodol?gicas distintas para cada uma delas. A primeira constituiu-se de um estudo transversal com abordagem quantitativa. A coleta de dados foi realizada em fevereiro de 2015. A amostra do estudo contou com 319 profissionais de enfermagem que estavam inseridos em setores de atendimento ao paciente internado, a saber: as Unidades de Cl?nica M?dica e Cl?nica Cir?rgica, Terapia Intensiva, Centro Cir?rgico e Di?lise. Foram aplicados os seguintes instrumentos: um question?rio sociodemogr?fico, o Invent?rio de Sinais e Sintomas de Lipp e a escala de avalia??o do clima organizacional. As an?lises realizadas foram dos tipos univariadas e bivariadas, com n?vel de signific?ncia de 5%. A segunda etapa do estudo foi do tipo coorte. Participaram 69 profissionais de enfermagem que atuavam havia at? tr?s meses nos setores de assist?ncia ao paciente adulto do referido hospital. A coleta de dados foi realizada de fevereiro de 2015 a fevereiro de 2016. A an?lise de dados foi por meio da an?lise de sobrevida. Cabe destacar que o estudo seguiu os princ?pios ?ticos e legais que regem a pesquisa cient?fica em seres humanos do Conselho Nacional de Sa?de, e foi aprovado por Comit? de ?tica em Pesquisa, pelo Parecer 925.477, de 18 de dezembro de 2014, sob o n?mero CAAE: 273.935.146.000.0553-7. Os resultados indicaram que o estresse esteve presente em 22,5% da amostra investigada, em que se destacaram as fases de resist?ncia e de exaust?o. As maiores frequ?ncias foram encontradas nos trabalhadores com at? 30 anos, casados, com filhos e que atuavam nas enfermarias no turno da manh?. Com rela??o ao clima organizacional, foi poss?vel constatar que o fator condi??es de trabalho foi avaliado como o de maior satisfa??o entre os profissionais do estudo; entretanto o fator processo decis?rio foi pontuado como o de maior insatisfa??o. Com rela??o ? an?lise do clima organizacional total, identificou-se que os profissionais de enfermagem que atuavam havia menos de um ano e que trabalhavam nos setores fechados tiveram uma percep??o positiva do clima organizacional dessa institui??o. No que se refere ? rela??o entre o clima organizacional total e o estresse ocupacional da equipe de enfermagem, evidenciou-se diferen?a estatisticamente significativa em que os profissionais que pontuaram menores escores do clima organizacional total apresentaram sintomatologia do estresse ocupacional. Ademais, a an?lise do estresse nos profissionais de enfermagem em seu primeiro ano de atua??o na institui??o demonstrou que 55% dos profissionais n?o desenvolveram estresse ao longo do per?odo de um ano. Entretanto, 45% apresentaram estresse em algum momento no decorrer da coleta de dados. Fato este associado a uma probabilidade de n?o desenvolver estresse de 68% nos primeiros tr?s meses de atua??o. Desse modo, pode-se afirmar que o clima organizacional desse ambiente de trabalho influencia as respostas de estresse nos membros da equipe de enfermagem investigada. Assim, conclui-se que o ambiente hospitalar no contexto estudado conduz a rea??es de tens?o e desgaste nos profissionais de enfermagem, o que reflete em sinais e sintomas de estresse. / Occupational stress is present in several work environments as a result of the constant technological, productive and social changes that occurred over the past few years. Thus, surveys fostering the discussion of the relationship of workers and of their workplaces are relevant as they allow us to identify aspects inherent to the work environment and enable a diagnosis of the main organizational needs that may lead to occupational stress. Accordingly, the study in question was aimed at analyzing the relationship between the organizational climate and the stress of the nursing team of a university hospital. This study was divided into two steps, with different methodological approaches for each of them. The first was made up of a cross-sectional study with quantitative approach. Data collection was performed in February 2015. The study sample had the participation of 319 nursing professionals who were inserted in the sectors of caring for hospitalized patients, namely: Medical Clinic and Surgical Clinic Facilities, Intensive Care, Surgical Center, and Dialysis. We applied the following tools: a sociodemographic questionnaire, the Lipp?s Inventory of Signs and Symptoms and the organizational climate assessment scale. The conducted analyzes were typified as univariate and bivariate, with a significance level of 5%. The second step of this study was typified as a cohort. It had the participation of 69 nursing professionals who worked up to three months in sectors for caring for adult patients of the aforementioned hospital. Data collection was performed from February 2015 to February 2016. Data analysis took place by means of survival analysis. It is worth highlighting that this study has followed the ethical and legal principles governing scientific research with human beings, devised by the National Health Council, and was approved by the Research Ethics Committee, through the Opinion 925.477, from December 18th, 2014, under the CAAE number: 273.935.146.000.0553-7. The results pointed out that stress was present in 22.5% of the investigated sample, where the phases of resistance and exhaustion stood out. The higher frequencies were found in workers aged up to 30, married, with children and who worked in the nursing wards during the morning shift. Regarding the organizational climate, it was possible to find that the factor related to work conditions was assessed as the most satisfactory among the surveyed professionals; however, the factor related to decision process was indicated as the most unsatisfactory. Regarding the analysis of the total organizational climate, we identified that the nursing professionals who worked for less than a year and that worked in closed sectors had a positive perception of the organizational climate of this institution. With respect to the relationship between the total organizational climate and the occupational stress of the nursing team, we found a statistically significant difference in which the professionals who had lower scores of the total organizational climate showed symptomatology of occupational stress. Moreover, the analysis of stress in nursing professionals in its first year of work in the institution demonstrated that 55% of professionals did not develop stress throughout a one-year period. Nevertheless, 45% showed stress at some point over the course of data collection. This fact was associated with a survival rate of 68% of not developing stress in the first three months of activity. Therefore, one can assert that the organizational climate of this work environment has an influence on the stress responses in the members of the investigated nursing team. Thus, we have concluded that the hospital environment in the surveyed context is conducive to reactions of tension and depletion in the nursing professionals, which results in signs and symptoms of stress.