Thesis (MA (Industrial Psychology))--University of Stellenbosch, 2007. / The aim of this study was to explore the relationship between burnout, occupational stress and emotional intelligence (EI) in the nursing industry and to determine whether emotional intelligence is a moderator in the occupational stress and burnout relationship. The existence of these relationships was explored through a non-experimental controlled inquiry. The constructs were defined as follows: burnout, as a syndrome consisting of three components: Emotional Exhaustion, Depersonalisation and a Reduced sense of Personal Accomplishment (Maslach & Jackson, 1986); EI, as the capacity to effectively perceive, express, understand and manage emotions in a professional and effective manner at work (Palmer & Stough, 2001); and Occupational Stress, as an interaction of variables, which involve the relationship between a person and the environment, which is appraised by the individual as taxing or exceeding coping resources and threatening well-being (Schlebusch, 1998). A sample of 220 individuals was randomly selected from a specialist employment agency (in the medical industry) and consisted of two groups, overtime and contract staff, which included those that are contracted to a private hospital group through the employment agency or alternatively, individuals who are permanently employed by the hospital group, but work additional overtime through the agency (contract workers and overtime workers). Three levels were included (1) Registered Nurses, (2) Enrolled Nurses and (3) Auxiliary Nurses. The Maslach Burnout Inventory – Human Services Survey, the Sources of Work Stress Inventory and Swinburne University Emotional Intelligence Test were administered. A hundred and twenty two (122) respondents completed and returned the questionnaires...

The aim of the study was to test the hypothesis developed by the author which states that most of the variation in nurses' anxiety when dealing with HIV/AIDS patients can be explained by the combination of the variables Knowledge on HIV, Judgement of Risk, Homophobia, Death Anxiety and Perceived Social Support. 72 nurses representing two state hospitals and one private hospital volunteered to participate in the study, and completed questionnaires. Contrary to the findings in the literature study, the nurses in the sample were not found to be reluctant or anxious when caring for HIV/AIDS patients. A multiple regression analysis revealed that the hypothesis is confirmed, that the independent variables explain some variation (R = 0.649) in the dependent variable to a significant degree. There are indications that uninvestigated variables are however also at play, and should be considered for future research. / Psychology / M.A. (Psychology)

Made available in DSpace on 2015-12-10T14:22:19Z (GMT). No. of bitstreams: 0 Previous issue date: 2015-02-26. Added 1 bitstream(s) on 2015-12-10T14:28:23Z : No. of bitstreams: 1 000851792.pdf: 1282972 bytes, checksum: 6801b965347d792aa16caa4236a814fd (MD5) / O ambiente de trabalho é um dos fatores intervenientes da qualidade assistencial ao usuário. Os processos de acreditação hospitalar avaliam a qualidade e contribuem para o alcance da excelência. Correlacionar o ambiente de trabalho com a certificação de qualidade pode contribuir com o conhecimento nessa temática. Dentre as possibilidades de identificar o ambiente de trabalho das organizações de saúde o instrumento Nursing Work Index - Revised (NWI-R) tem sido utilizado em diferentes culturas e ambientes da prática do enfermeiro. O NWI-R foi traduzido, adaptado e validado para a cultura brasileira e denominado Nursing Work Index - Revised - Versão Brasileira (B-NWI-R). Esse estudo tem como objetivo analisar o ambiente de trabalho do enfermeiro de dois hospitais públicos, comparar o ambiente de trabalho desses hospitais e compreender os fatores relacionados ao ambiente de trabalho do enfermeiro que mais interferem no processo de trabalho. Foi realizado estudo na abordagem quantitativa e qualitativa. Na quantitativa foram dois estudos transversais em paralelo, com enfermeiros assistenciais dos hospitais entre janeiro a setembro de 2014. O hospital A não era acreditado e o hospital B acreditado (nível 1). A coleta de dados foi por meio de um questionário com dados sóciodemográficos laborais e o B-NWI-R com 57 itens e quatro domínios: autonomia, controle sobre o ambiente, relacionamento médico e enfermeiro e suporte organizacional. A confiabilidade do instrumento foi medida pelo alpha de Cronbach. Responderam o instrumento 106 enfermeiros, 50 do hospital A e 56 do B. Na qualitativa adotou-se a análise de conteúdo, com oito gerentes de enfermagem. A coleta dos dados utilizou entrevistas audiogravadas e semiestruturadas com a questão norteadora: Segundo sua perspectiva, quais são os fatores relacionados ao ambiente de trabalho do enfermeiro que mais interferem no processo de trabalho deles? As entrevistas duraram... / The working environment is one of the influencing factors of service quality to the user. The hospital accreditation process evaluates the quality and contributes to the achievement of excellence. Correlating the working environment with quality certification can contribute to the knowledge in this subject. Among the possibilities of identifying the working environment of health organizations the source Nursing Work Index - Revised (NWI-R) has been used in different cultures and nursing practice environments. The NWI-R was translated, adapted and validated for the Brazilian culture and called Nursing Work Index - Revised - Brazilian version (B-NWI-R). This study aims to analyze the working environment of nurses from two public hospitals, compare their environment and understand the factors related to nurses' workplace that affect the work process. A study was conducted in quantitative and qualitative approach. The quantitative research covered two cross-sectional studies in parallel, with hospital nurses between January and September 2014. Hospital A was not accredited and Hospital B was accredited (level 1). Data collection was carried through a questionnaire with labor socio-demographic data and the B-NWI-R with 57 items and four areas: autonomy, control over the working environment, doctor and nurse relationship and organizational support. The reliability of such resource was measured by Cronbach's alpha. The test was answered by 106 nurses, 50 from Hospital A and 56 from Hospital B. The qualitative research adopted the content analysis, with eight nursing managers. Data collection used audio recorded and semi-structured interviews with the guiding question: According to your perspective, what are the factors related to the nursing working environment that interfere in the working process? The interviews lasted 30 minutes. The research was approved by the Research Ethics Committee, Platform Brazil No. 23304713.4.0000.5411. The ...

Made available in DSpace on 2014-06-11T19:35:14Z (GMT). No. of bitstreams: 0 Previous issue date: 2013-08-09Bitstream added on 2014-06-13T18:46:44Z : No. of bitstreams: 1 barbosa_vba_dr_botfm.pdf: 741959 bytes, checksum: 25e85fe76264eee97444ad1a4b8c7fd2 (MD5) / Trata-se de pesquisa de abordagem qualitativa para compreender a experiência do enfermeiro no processo de implantação da educação permanente, no Hospital das Clínicas, Unidade Materno Infantil do Complexo Assistencial Famema e, elaborar um modelo teórico que a represente. A saturação teórica se configurou mediante a análise da 11a entrevista do tipo não diretiva, estas foram audiogravadas, transcritas na íntegra e analisadas segundo os passos da Teoria Fundamentada nos Dados. Emergiram dois subprocessos: perseverando-se no papel de agente transformador da práxis, retroalimentado pelo apoio de gestores na concretude de suas experiências com a educação permanente e, reconhecendo a necessidade de investimentos em trabalhadores na área de enfermagem para a educação permanente prosperar. Do realinhamento dos componentes desses subprocessos originou a categoria central, processo que abarca toda a experiência, intitulado: “Relação de confiança com o gestor como componente interveniente para o enfermeiro assumir o papel de agente transformador de sua práxis”. A discussão dos resultados foi subsidiada pelos referenciais da pedagogia libertadora de Paulo Freire, educação permanente e gestão em saúde. O modelo teórico foi validado junto aos atores e sinalizou o restabelecimento das relações de confiança enfermeiros-gestores, como primeiro passo para que houvesse a sensibilização desse profissional a tornar-se agente multiplicador da educação permanente e consequentemente, consciente de seu papel junto à sua equipe. O modelo ainda aponta que, para o enfermeiro estabelecer essas relações é preciso que o mesmo a conceba muito além do oferecimento de um espaço seguro para ocorrer discussões e trocas de experiências. O gestor precisa demonstrar capacidade de empreender movimento de reconhecimento e oferecimento de... / This is research in the qualitative approach to understand the experience of the nurse with the implantation of permanent education at the Hospital das Clínicas Unidade Materno Infantil do Complexo Assistencial Famema and elaborate a theoretical model to represent it. The theoretical saturation was configured by analyzing the 11th interview of the non-directive, which were full audio recorded, transcribed and analyzed according to the steps of Grounded Theory. Which emerged two subprocesses: persevering on the role of change agent of praxis, fed by support managers in the materiality of their experiences with the permanent education and recognizing the need to invest in workers in the nursing area to thrive the permanent education. From realignment of these subprocesses originated the core category, a process that comprise the whole experience, entitled: trusting relationship with the manager as intervening component for nurses to assume the role of transforming agent for their practice. The discussion of the results was supported by the references of liberating pedagogy of Paulo Freire, permanent education and health management. The theoretical model was validated with the actors and signaled the recuperation of trusts among nurses-managers as a first step so that there were awareness of theses professional to become a multiplier of permanent education and consequently conscious of his role in his team. The model also shows that the nurses to establish these relationships is necessary besides offering to the nurse a secure space that occur and exchange experiences. It is necessary that the manager demonstrates capacity to undertake motion recognition and providing working conditions for nurses to feel encouraged to continue to manage the challenges that emerge from the group reflections. Moreover, the manager needs to ensure the continuity ...(Complete abstract click electronic access below)

A substantial amount of international research exists examining the impact of HIV/AIDS on health care workers. However, the impact of HIV/AIDS on nursing staff in South Africa has been relatively neglected. The primary objective of this study was to examine the impact of the AIDS pandemic on the subjective work experiences of peri-urban nurses in South Africa. The study explored the relationship between external changes in the nurses' working environment and their internal psychological responses for negotiating this change. A focus group of eight nurses was conducted, followed by indepth individual interviews with three group members. A grounded theory method was utilised to process and analyse the data. The research showed that nurses experience two forms of change. It was suggested that nurses respond to external changes in a manner designed to maximise their control and sense of meaning in an unpredictable environment. This accommodation involves the restoration of an internal psychological equilibrium through a process of balancing positive and negative experiences. The attainment of such an acceptable equilibrium may allow for diminished stress, increased satisfaction or fulfilment and the validation of personal and professional significance.

Made available in DSpace on 2014-06-11T19:28:20Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-08-26Bitstream added on 2014-06-13T20:17:58Z : No. of bitstreams: 1 higashi_p_me_botfm.pdf: 288507 bytes, checksum: ffb5e370265ebf5fa4087baf056fbd6a (MD5) / Ministério da Saúde / A melhoria da qualidade dos serviços de saúde é uma das metas das instituições, sendo a acreditação hospitalar da Organização Nacional de Acreditação (ONA) uma das possibilidades de certificação e promoção da qualidade. Porém, o estresse envolvido no processo de trabalho pode afetar a qualidade do serviço como um todo. Este estudo é do tipo transversal e teve por objetivo avaliar a percepção de estresse dos enfermeiros, considerando-se a situação de acreditação do hospital em que trabalham. Foi desenvolvido em um hospital acreditado de Bauru/SP e em dois hospitais não acreditados, um de Bauru e outro de Marília/SP. A coleta de dados foi realizada por meio de questionário contendo o Inventário de Estresse para Enfermeiros (IEE), que avalia as situações que podem potencialmente gerar estresse/tensão inseridas em quatro categorias: Fatores Intrínsecos ao Trabalho, Relações no Trabalho, Papéis Estressores na Carreira e Estrutura e Cultura organizacional. A análise estatística foi realizada pelo qui quadrado, teste de proporções e teste t para amostras independentes, considerando-se nível crítico para p<0,05. Ser acreditado, foi proteção contra a percepção de estresse em situações que envolveram estrutura física, material e de recursos humanos, incluídas na categoria Fatores Intrínsecos ao Trabalho. Na categoria do IEE Relações no Trabalho, ser acreditado foi risco para percepção de estresse nas situações começar nova função, conciliar questões profissionais e familiares, prestar assistência a pacientes graves e atender familiares. Na categoria Papéis Estressores da Carreira, não houve diferença estatisticamente significativa e para Estrutura e Cultura Organizacional, ser acreditado foi risco para a percepção de estresse... / The improvement of health services quality is one of the goals of institutions, being the hospital accreditation of the National Accreditation Organization (NAO) one of the possibilities of certification and promotion of quality. However, the stress involved on the work process may affect the quality of the service as a whole. This study is the transversal type, and has had as a goal to evaluate the nurses’ stress perception, considering the accreditation situation of the hospital in which they work. It was developed in an accredited hospital in Bauru/SP and in two non-accredited hospitals, one in Bauru/SP e another in Marília/SP. The data collection was performed through questionnaire containing the Stress Inventory for Nurses (SIN), that evaluates the situations that may potentially generate stress/tension inserted in four categories: intrinsic factors to work, work relations, stressing roles in career and organizational structure and culture. The statistical analysis was performed through the chi-square, proportions test and t test for independent samples, considering critical level for p<0,05. Being accredited was a protection against the stress perception in situations that involved physical, material and human resources structure, included on the Intrinsic Work Factors category. On the category SIN Work Relations, being accredited was a risk for stress perception on the situations of start a new occupation, conciliate professional and family matters, assist serious condition patients and assist families. On the category Stressing Role of the Career there was no statistically significant difference and for Structure and Organizational Culture, being accredited was a risk for the stress perception on the situations to supervise the work of others and to do alternate shifts and protection for the lack of space to discuss... (Complete abstract click electronic access below)

Orientador: Cristina Maria Garcia de Lima Parada / Coorientador: Janete Pessuto Simonetti / Banca: Wilza Carla Spiri / Banca: Marta Maria Melleiro / Resumo: A melhoria da qualidade dos serviços de saúde é uma das metas das instituições, sendo a acreditação hospitalar da Organização Nacional de Acreditação (ONA) uma das possibilidades de certificação e promoção da qualidade. Porém, o estresse envolvido no processo de trabalho pode afetar a qualidade do serviço como um todo. Este estudo é do tipo transversal e teve por objetivo avaliar a percepção de estresse dos enfermeiros, considerando-se a situação de acreditação do hospital em que trabalham. Foi desenvolvido em um hospital acreditado de Bauru/SP e em dois hospitais não acreditados, um de Bauru e outro de Marília/SP. A coleta de dados foi realizada por meio de questionário contendo o Inventário de Estresse para Enfermeiros (IEE), que avalia as situações que podem potencialmente gerar estresse/tensão inseridas em quatro categorias: Fatores Intrínsecos ao Trabalho, Relações no Trabalho, Papéis Estressores na Carreira e Estrutura e Cultura organizacional. A análise estatística foi realizada pelo qui quadrado, teste de proporções e teste t para amostras independentes, considerando-se nível crítico para p<0,05. Ser acreditado, foi proteção contra a percepção de estresse em situações que envolveram estrutura física, material e de recursos humanos, incluídas na categoria Fatores Intrínsecos ao Trabalho. Na categoria do IEE Relações no Trabalho, ser acreditado foi risco para percepção de estresse nas situações começar nova função, conciliar questões profissionais e familiares, prestar assistência a pacientes graves e atender familiares. Na categoria Papéis Estressores da Carreira, não houve diferença estatisticamente significativa e para Estrutura e Cultura Organizacional, ser acreditado foi risco para a percepção de estresse... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The improvement of health services quality is one of the goals of institutions, being the hospital accreditation of the National Accreditation Organization (NAO) one of the possibilities of certification and promotion of quality. However, the stress involved on the work process may affect the quality of the service as a whole. This study is the transversal type, and has had as a goal to evaluate the nurses' stress perception, considering the accreditation situation of the hospital in which they work. It was developed in an accredited hospital in Bauru/SP and in two non-accredited hospitals, one in Bauru/SP e another in Marília/SP. The data collection was performed through questionnaire containing the Stress Inventory for Nurses (SIN), that evaluates the situations that may potentially generate stress/tension inserted in four categories: intrinsic factors to work, work relations, stressing roles in career and organizational structure and culture. The statistical analysis was performed through the chi-square, proportions test and t test for independent samples, considering critical level for p<0,05. Being accredited was a protection against the stress perception in situations that involved physical, material and human resources structure, included on the Intrinsic Work Factors category. On the category SIN Work Relations, being accredited was a risk for stress perception on the situations of start a new occupation, conciliate professional and family matters, assist serious condition patients and assist families. On the category Stressing Role of the Career there was no statistically significant difference and for Structure and Organizational Culture, being accredited was a risk for the stress perception on the situations to supervise the work of others and to do alternate shifts and protection for the lack of space to discuss... (Complete abstract click electronic access below) / Mestre

Orientador: Silvia Cristina Mangini Bocchi / Coorientador: Wilza Carla Spiri / Banca: Carmem Maria Casquel Monti Juliani / Banca: Mariana Peduzzi / Banca: Regina Stella Spagnuolo / Banca: Antonio Carlos Siqueira Junior / Resumo: Trata-se de pesquisa de abordagem qualitativa para compreender a experiência do enfermeiro no processo de implantação da educação permanente, no Hospital das Clínicas, Unidade Materno Infantil do Complexo Assistencial Famema e, elaborar um modelo teórico que a represente. A saturação teórica se configurou mediante a análise da 11a entrevista do tipo não diretiva, estas foram audiogravadas, transcritas na íntegra e analisadas segundo os passos da Teoria Fundamentada nos Dados. Emergiram dois subprocessos: perseverando-se no papel de agente transformador da práxis, retroalimentado pelo apoio de gestores na concretude de suas experiências com a educação permanente e, reconhecendo a necessidade de investimentos em trabalhadores na área de enfermagem para a educação permanente prosperar. Do realinhamento dos componentes desses subprocessos originou a categoria central, processo que abarca toda a experiência, intitulado: "Relação de confiança com o gestor como componente interveniente para o enfermeiro assumir o papel de agente transformador de sua práxis". A discussão dos resultados foi subsidiada pelos referenciais da pedagogia libertadora de Paulo Freire, educação permanente e gestão em saúde. O modelo teórico foi validado junto aos atores e sinalizou o restabelecimento das relações de confiança enfermeiros-gestores, como primeiro passo para que houvesse a sensibilização desse profissional a tornar-se agente multiplicador da educação permanente e consequentemente, consciente de seu papel junto à sua equipe. O modelo ainda aponta que, para o enfermeiro estabelecer essas relações é preciso que o mesmo a conceba muito além do oferecimento de um espaço seguro para ocorrer discussões e trocas de experiências. O gestor precisa demonstrar capacidade de empreender movimento de reconhecimento e oferecimento de... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: This is research in the qualitative approach to understand the experience of the nurse with the implantation of permanent education at the Hospital das Clínicas Unidade Materno Infantil do Complexo Assistencial Famema and elaborate a theoretical model to represent it. The theoretical saturation was configured by analyzing the 11th interview of the non-directive, which were full audio recorded, transcribed and analyzed according to the steps of Grounded Theory. Which emerged two subprocesses: persevering on the role of change agent of praxis, fed by support managers in the materiality of their experiences with the permanent education and recognizing the need to invest in workers in the nursing area to thrive the permanent education. From realignment of these subprocesses originated the core category, a process that comprise the whole experience, entitled: trusting relationship with the manager as intervening component for nurses to assume the role of transforming agent for their practice. The discussion of the results was supported by the references of liberating pedagogy of Paulo Freire, permanent education and health management. The theoretical model was validated with the actors and signaled the recuperation of trusts among nurses-managers as a first step so that there were awareness of theses professional to become a multiplier of permanent education and consequently conscious of his role in his team. The model also shows that the nurses to establish these relationships is necessary besides offering to the nurse a secure space that occur and exchange experiences. It is necessary that the manager demonstrates capacity to undertake motion recognition and providing working conditions for nurses to feel encouraged to continue to manage the challenges that emerge from the group reflections. Moreover, the manager needs to ensure the continuity ...(Complete abstract click electronic access below) / Doutor

A enfermagem é considerada uma profissão que sofre o impacto do stress, que advém do cuidado constante com pessoas doentes e situações imprevisíveis, principalmente na unidade de pronto socorro. A finalidade deste estudo foi de levantar os estressores dos enfermeiros atuantes em unidades de pronto socorro nas cinco regiões brasileiras. A população do estudo constituiu-se de uma amostra de 143 enfermeiros atuantes em unidades de pronto socorro das regiões brasileiras e que estavam inseridos em instituições de alta complexidade de assistência prestada. Os dados foram coletados utilizando-se a Escala Bianchi de Stress, constituída por caracterização sócio-demográfica e por 51 itens, que versavam sobre as atividades desempenhadas pelos enfermeiros. A análise estatística dói descritiva e inferencial, usando análise de variância ANOVA. Com a finalidade de promover a comparação e estudo dos dados, foi realizado o escore de stress, em seis domínios, englobando o relacionamento(A), funcionamento da unidade(B), administração de pessoal(C), assistência de enfermagem(D), coordenação da unidade(E) e condições de trabalho(F). Os níveis obtidos foram classificados em baixo (até 3,0), médio (de 3,1 a 4,0) alerta (de 4,1 a 5,9) e alto (acima de 6,0).A amostra foi eminentemente feminina (90,9%), jovem (71,1% com menos de 40 anos), com 2 a 5 anos de formação, atuantes na unidade de pronto socorro há aproximadamente 36 meses, sendo 82,5% dos enfermeiros com cargos assistenciais, 73,2% com pós-graduação latu sensu, e 46,2% dos enfermeiros atuavam em instituições da região Sudeste. Verificou-se que, os enfermeiros obtiveram escore individual de stress entre 3,1 e 5,9, o que denota médio nível a alerta para alto nível de stress. Considerando-se o escore de stress por região obtive-se que SE > NE > S > CO > N. Na análise dos seis domínios, obteve-se, em ordem decrescente, F > C > E > D > B > A, independentemente da região geográfica a que pertencia o enfermeiro. O cargo de \"gerência\" foi a variável com relação estatisticamente significante (p < 0,05), demonstrando que \"ser gerente\", é estressante e aumenta à medida que aumenta também o tempo de formado. Pode-se inferir que tanto a estrutura organizacional da instituição hospitalar tem responsabilidade no nível de stress dos enfermeiros de pronto socorro como também o próprio enfermeiro, na procura de estratégias para enfrentamento da situação, que pode interferir no âmbito pessoal e profissional. / The nursing is considered as stressed work due to treating sick people and improvable situations as in Emergency Department (ED). The goal of this study is to search stressors among Brazilian nurses who work at ED. The sample was constituted by 143 nurses who work at high complexity hospitals. Data was obtained using a \"Bianchi Stress Inventory\" that enclosed socio-demographic data and 51 activities developed by nurses. Statistical analyses was descriptive and inferential using ANOVA. In order to compare data, there was used a score of stress and classified into six areas: relationship(A), unit functioning(B), staff administration(C), nursing assistance(D), unit coordination(E) and work conditions(F). The stress level was determined as low (under 3,0), medium (from 3,1 to 5,9) and high (above 6,0). The sample was feminine (90,9%); young (71,1% under 40 years old); from 2 to 5 years after finishing of undergraduate course; has worked at ED for 36 months as staff nurse (82,5%), concluded graduate course latu sense (73,2%) and 46,2% work in Southeast States. The individual score of nurses varied from 3,1 to 5,9 considered medium level. The stress score among states, in decrescent order, was: Southeast > Northeast > South > Center-West > North. After analyzing the six areas, the classification was: F > C > E > D > B > A and was independent of geographical localization. The \"management\" nurses were more stressed than the others and the result was statistically significant (p < 0,05) and increased with the period after finished undergraduation. The consequences of those results are that the hospital has the responsibility to offer work conditions for nurses and, on the other hand, nurses must know their stress reaction and stressors and improve the use of coping strategies, to diminish personal and professional interferences.

The problem of this investigation was threefold: ascertaining differences in degrees of burnout as a function of registered nurses' educational tracks in Texas, ascertaining degrees of burnout for registered nurses as a function of job tenure, and examining certain demographic variables and their relationships with registered nurses' educational tracks. Nurses were classified by educational track (diploma, associate degree, baccalaureate degree) and employment (full time, part time, not active). The instrument employed comprised the Pines and Aronson Tedium-Burnout Diagnosis, for which reliability and validity were previously established, and a demographic questionnaire.