Thesis (M.S.)--University of Michigan, 1995.

Objetivo: Este estudo objetivou analisar a associação entre características biossociais e clínicas dos pacientes, carga de trabalho de enfermagem, nível de estresse, coping e burnout da equipe de enfermagem e a ocorrência de Eventos Adversos/Incidentes (EA/I) em Unidades de Terapia Intensiva (UTI). Método: Trata-se de investigação observacional, analítica, transversal, realizada em diferentes UTI, no mês de outubro de 2012. Utilizaram-se informações extraídas dos prontuários dos pacientes para coleta de EA/I. Para a carga de enfermagem, utilizou-se o Nursing Activities Score (NAS). A obtenção das informações da equipe de enfermagem ocorreu pela utilização de: Escala de Estresse no Trabalho (EET), Lista de Sinais e Sintomas de Stress (LSS), Escala de Coping Ocupacional (ECO) e Inventário Maslach de Burnout (IMB). No tratamento estatístico utilizaram-se: Teste Qui-quadrado para associação entre estresse, coping, burnout e variáveis biossociais e do trabalho da equipe de enfermagem para as variáveis qualitativas, Análise de Variância e Teste de Tukey para as quantitativas e regressão logística para identificação dos fatores associados a elas. Utilizou-se a Correlação de Pearson para análise entre variáveis biossociais e clínicas dos pacientes, NAS, estresse, coping, burnout e EA/I. Resultados: Participaram do estudo 111 pacientes, a maior parte eram homens (54,10%), com idade média de 51 anos, procedentes da enfermaria (87,40%), sobreviveram à internação (97,30%), com escore de gravidade de 27,05 e probabilidade de morte de 12,00%. Os 111 pacientes sofreram 1.055 ocorrências durante a internação, 64,83% foram incidentes e 35,17% foram eventos adversos, que envolveram 46,85% e 53,15% pacientes, respectivamente. As principais ocorrências relacionaram-se a: procedimento/processo clínico (48,53%), falhas com documentação (28,06%), administração de medicamentos ou relacionados a fluídos endovenosos (8,63%) e acidentes com paciente (6,26%). A variável EA/I correlacionou-se com gravidade (p=0,00 e r=0,27) e probabilidade de morte (p=0,00 e r=0,27) e o tempo de internação (p=0,00 e r=0,41). Referente à equipe de enfermagem, participaram do estudo 287 sujeitos, sendo 34,84% enfermeiros, 12,89% técnicos e 52,27%, auxiliares de enfermagem. Tratavam-se, de mulheres (83,97%), com companheiro (50,53%) e filhos (63,07%). 74,47% dos sujeitos estavam com médio nível de estresse verificados pela EET e 46,13% dos profissionais apresentou médio nível de estresse verificado pela LSS. O percentual de pessoas com burnout foi de 12,54%. As variáveis relacionadas às características do trabalho tiveram associação com o estresse. A equipe de enfermagem utilizou, predominantemente, o coping controle (79,93%). Houve associação estatisticamente significante entre presença de burnout e avaliação da efetividade das horas de sono dormidas (p=0,03) e intenção de deixar a instituição (p=0,04). A maior média de ocorrências de EA/I foi nas unidades com maior NAS, estresse ou burnout. Houve correlação positiva alta e estatisticamente significativa entre EA/I e tempo de internação (r=0,78 e p=0,02). Não houve correlação estatisticamente significativa entre EA/I, gravidade, NAS, estresse (EET), sinais e sintomas de estresse (LSS) e burnout. Conclusões: Apesar da hipótese deste estudo ter sido refutada, essa pesquisa avança pela elucidação de variáveis relacionadas ao estresse no trabalho, ao coping ocupacional e ao burnout e indica direções sobre a ligação dos EA/I, carga de trabalho de enfermagem, estresse e burnout. / Objective: This study aimed to examine the association between biosocial and clinical characteristics of patients, nursing workload, level of stress, coping and burnout of nursing staff, with the occurrence of Adverse Events/Incidents (AE/I) in Adult Intensive Care Units. Method: Observational analytic cross-sectional study, performed in different ICU during the month of October, 2012. Data of patients was collected from medical records; to measure the workload of nursing, it was used the Nursing Activities Score (NAS); to collect data regarding the nursing staff it were used the following instruments: Stress Scale at Work (SSW), List of Signs and Symptoms of Stress (LSS), Occupational Coping Scale (OCS) and the Maslach Burnout Inventory (MBI). The statistical treatment used were: chi-square test for association between stress, coping, burnout and biosocial and work variables from the nursing staff for qualitative variables; analysis of variance and Tukey\'s test for quantitative variables; logistic regression to identify the associated factors. It was used the Pearson correlation test for analysis of biosocial and clinical variables, NAS, stress, coping, burnout and AE/I. Results: The study included 111 patients; the majority were men (54.10%), mean age 51 years, coming from the hospitalization unit (87.40%), who survived to the hospitalization (97.30%), with severity score of 27.05 and probability of death of 12.00%. The 111 patients had 1,055 occurrences during hospitalization, 64.83% were incidents and 35.17% were adverse events, involving 46.85% and 53.15% patients, respectively. The main occurrences related to procedure/clinical process (48.53%), documentation failures (28.06%), medication administration or related to intravenous fluids (8.63%) and accidents with the patient (6, 26%). The variable AE/I correlated with severity (p = 0.00 and r = 0.27), probability of death (p = 0.00 and r = 0.27) and length of stay (p = 0.00 and r = 0,41). Concerning the nursing staff, 287 individuals participated in the study, 34.84% were nurses, 12.89% were nursing technicians and 52.27% were nursing auxiliaries. Most were women (83.97%), with a partner (50.53%) and children (63.07%), 74.47% scored with medium stress level measured by the SST and 46.13% of the professionals scored medium stress level in the LSS. The percentage of people with burnout was 12.54%. The work variables were associated with stress. The nursing staff used predominantly coping control (79.93%). There was a statistically significant association between the presence of burnout and evaluation of the effectiveness of hours of sleep (p = 0.03) and intention to leave the institution (p = 0.04). The highest average occurrences of AE/I were in units with higher NAS score, stress or burnout. There was a high, positive statistically significant correlation between AE/I and length of stay (r = 0.78 and p = 0.02), but there was not significant correlation between AE/I, gravity, nursing workload, stress (SSW), signs and symptoms of stress (LSS) and burnout. Conclusions: Although the hypothesis of this study has been refuted, this research advances through elucidation of variables associated to stress at work, occupational coping and burnout, also providing some directions for the connection of AE/I, nursing workload, stress and burnout.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Job satisfaction is conceptualized as an individual affective lien with his work (SIQUEIRA, 2008). In the other hand, stress, according to Marras and Veloso (2012) is a process or its result approaches biological and psychological reactions and actions from dealing with someone who causes stress. It is considered a real threat, perceived and socially-constructed. Being a police officer is considered a risky job because they deal constantly with violence, brutality and death (COSTA et al., 2007). Based on these three themes, this work has been developed with the aim of analyzing the relationship between job satisfaction and occupational stress in police officers perspective in Rio Grande do Sul. A descriptive study has been carried out, characterized as a survey with quantitative approach. The study has been made with 519 police officers from armed forces from cities in Rio Grande do Sul. A research protocol with questions related to personal data and occupation, Job Satisfaction Scale (JSE) from Siqueira (2008) and Occupational Stress Scale (OSE) from Paschoal and Tamayo (2004) has been applied. The data has been analyzed by the use of descriptive statistics, standardized scales, chi-square test, Pearson correlation and correspondence analysis. Results about general profile emphasized that the majority of police officers are male (83,43%), are about 31 years old or older (66,47%), married (72,45%), with children (67,63%) most of them with only one child (42,45%), and with secondary school completed (59,15%). In relation to occupational general characteristics in the data collected, police officers with occupation from 21 to 30 years have prevailed (31,98%), soldiers (58,76%), who have external activities (42,58%). Income concentration among police officers is from 1 to 3 salaries (52,41%), and who divide responsibility with another person (35,45%). In general, an average level of job satisfaction (79,38%) was seen. In relation to job satisfaction dimensions, it has been found the higher level of satisfaction in relation to relationship with work (66,02%), followed by the satisfaction with headship (47,88%). On the other hand, the lowest dimensions levels has been found in relation to income (45,75%) and promoting (39,96%). With regard to occupational stress, an average predominance was seen, being the causes of stress: not enough preparation for professional training (3,51), discrimination⁄ favoritism in the work environment (3,40), low perspectives in carrier development (3,37), low valorization from superiors (3,04), and finally, deficiency in communicating information about organizational decisions (3,00). A negative and statistically significant correlation between occupational stress and job satisfaction and its dimensions has been found, classifying them as moderate and negative. It shows that higher the level of occupational stress, lower the job satisfaction, and vice-versa. The dimension related to satisfaction with headship (p= -0,5736) and satisfaction with the occupation nature (p= -0,4827) are the ones that presented the highest negative correlation with occupational stress. Similarly, the association between low satisfaction (18,69%) and high level of stress (16,99%) has been seen, as well as the association between average satisfaction (79,38%) and average level of stress (72,39%). In contrast, the association between high satisfaction (1,93%) and low level of stress (10,62%) was not found. In sum, the relationship between job satisfaction and occupational stress has been indicated, as well as the inverse relationship. / Entende-se por satisfação no trabalho o vínculo afetivo do indivíduo com o seu trabalho (SIQUEIRA, 2008). Já o estresse, segundo Marras e Veloso (2012), é um processo ou o seu resultado, compreendendo desde as reações biológicas e psicológicas e as ações decorrentes para lidar com o estressor. Sendo este uma ameaça real, percebida ou socialmente construída. A profissão de policial militar é de alto risco, pois lidam constantemente com a violência, a brutalidade e a morte (COSTA et al., 2007). Frente a essas três temáticas, este trabalho foi desenvolvido com o propósito de analisar as relações entre satisfação no trabalho e estresse ocupacional na perspectiva dos policiais militares do estado do Rio Grande do Sul. Realizou-se uma pesquisa descritiva, do tipo survey, com abordagem quantitativa. Os participantes do estudo totalizaram 519 policiais militares pertencentes à quarteis de cidades localizadas no estado do Rio Grande do Sul. Aplicou-se um protocolo de pesquisa constituído de questões abrangendo os dados pessoais e ocupacionais, a Escala de Satisfação no Trabalho (EST) de Siqueira (2008) e a Escala de Estresse no Trabalho (EET) de Paschoal e Tamayo (2004). Os dados obtidos foram analisados por meio de estatísticas descritivas, padronização de escalas, teste qui-quadrado, correlação de Pearson e análise de correspondência. Evidenciou-se pela caracterização geral do perfil, a predominância de policiais militares do gênero masculino (83,43%), com idade de 31 anos ou mais (66,47%), casados (72,45%), com filhos (67,63%) e destes a maioria com apenas um filho (42,45%), e quanto a escolaridade com ensino médio completo (59,15%). Quanto a caracterização geral dos dados ocupacionais, prevalecem policiais com 21 a 30 anos de profissão (31,98%), soldados (58,76%), que desempenham atividades externas (42,58%). A concentração da renda encontra-se entre policiais que recebem de 1 a 3 salários mínimos (52,41%), e que dividem igualmente as responsabilidades com outra pessoa (35,45%). No geral, identificou-se nível médio de satisfação no trabalho (79,38%). Dentre as dimensões da satisfação no trabalho, com nível mais alto foi a satisfação com os colegas (66,02%), seguido da dimensão satisfação com a chefia (47,88%). Em contrapartida as dimensões com nível mais baixo de satisfação foram em relação ao salário (45,75%) e com as promoções (39,96%). Em relação ao estresse ocupacional houve predomínio do nível médio, com os seguintes estressores com as maiores médias: deficiência nos treinamentos para capacitação profissional (3,51), discriminação/ favoritismo no ambiente de trabalho (3,40), poucas perspectivas de crescimento na carreira (3,37), pouca valorização por parte dos superiores (3,04), e por fim, deficiência na divulgação de informações sobre as decisões organizacionais (3,00). Identificou-se correlação negativa e estatisticamente significante entre o estresse ocupacional e a satisfação no trabalho e suas dimensões, classificando tais relações como moderadas e negativas. O que demonstra que quanto maior o estresse ocupacional, menor a satisfação no trabalho, e vice-versa. As dimensões satisfação com a chefia (p= -0,5736) e satisfação com a natureza do trabalho (p= -0,4827) são as que apresentam maior correlação negativa com o estresse ocupacional. Houve associação entre a satisfação baixa (18,69%) e o estresse alto (16,99%), e da mesma forma, houve associação entre satisfação média (79,38%) e estresse médio (72,39%). Em contrapartida não houve associação entre a satisfação alta (1,93%) e o estresse baixo (10,62%). Assim, demonstrou-se relação entre a satisfação no trabalho e o estresse ocupacional, influenciando-se inversamente.

Abstract A profile on alcohol consumption among South African dentists – A dentist’s perspective: JH Olivier Background This study investigated alcohol use linked to the stress of a selected sample of South African dentists. The only other related topic in South Africa, that the researcher could find, was done in 1996 at the University of Stellenbosch. The literature suggests that prevalence studies of substance use and abuse rarely include dentists. Methods A dominant quantitative approach with a less dominant qualitative approach was utilized. The quantitative-descriptive design (survey with a questionnaire) was used to obtain data with regard to biographical/background information, stress and coping, quantity and frequency of alcohol use, and dysfunction as a result of alcohol use among a randomly selected sample of 110 South African dentists with a response rate of 70%. The respondents’ perspective on alcohol use linked to the stress of the dental profession with recommendations were also obtained. For the qualitative data collection, the researcher utilized the collective case study. He planned semi-structured interviews with an interview schedule with five dentists that have already had treatment for alcohol abuse or were self-characterized as problem drinkers. Unfortunately, two of the respondents who characterized themselves as heavy alcohol users died before they could be interviewed. Because of ethical reasons and the sensitivity of the topic they could not be replaced. Findings The quantitative study indicated that: (1) the respondents experienced significant amounts of occupational stress (2) the majority of the respondents do physical exercise to reduce their stress (3) a great number of respondents socialize with friends to reduce their stress (4) some respondents actually use alcohol to reduce their stress (5) stress levels of the respondents in private practice and stress levels of the respondents in other sectors are the same (6) alcohol consumption of male and female dentists is the same (7) respondents who reported less areas of stress consumed more alcohol than those who reported more areas of stress (8) a great number of the respondents experience high stress levels but do not use alcohol, or they only use alcohol to socialize (9) less than 3% of the respondents reported that alcohol use has affected their work as a dentist (10) the majority of the respondents believe that some dentists consume alcohol as a coping mechanism concerning social anxiety, occupational stress and personal factors. The qualitative study indicated that: (1) the habit of alcohol use that may lead to alcohol dependency starts at university (2) the respondents, who had treatment for alcohol dependency, experienced high levels of occupational stress (3) the respondents link their dependency directly to the stress and strain of their profession. Conclusions There are more intense and less intense stressors among South African dentists and there are some dentists that consume alcohol to relieve the stress and strain of their profession. However, the majority only use alcohol as a way of socializing. Less than 3% of the respondents reported that alcohol use has affected their work as a dentist. Recommendations Modules on coping mechanisms linked to the stress and strain of the dental profession should be included in the curricula at dental schools. The compulsory CPD programme of the HPCSA should include stress management and healthy coping mechanism courses. / Thesis (PhD)--University of Pretoria, 2009. / Social Work and Criminology / unrestricted

This qualitative study explored the challenges and stressors that are experienced by addiction counsellors in providing substance abuse treatment. In order to tap into rich and descriptive information on occupational stress in the addictions field, a modified grounded theory focused on conceptual ordering (Corbin & Strauss, 1998) was used for the research design. Participant sample consisted of 10 addiction counsellors who were recruited using purposeful selection from addiction treatment centres in Ontario, Canada. Data collection was conducted through face-to-face interviews using semi-structured, open-ended questions. Four major categories emerged from the data analysis using systematic thematic analysis: 1) Sources of Stress, 2) Signs and Consequences of Stress, 3) Stress Management and Intervention, and 4) Resiliency Against Stress. Results from this study contribute to the understanding of occupational stress in addictions counsellors. Implications for addiction organizations, educators, and counsellors are discussed.

Made available in DSpace on 2016-01-26T18:49:34Z (GMT). No. of bitstreams: 1 Dissertacao.pdf: 663816 bytes, checksum: 023a3fc077d6165efce5892fa164737d (MD5) Previous issue date: 2008-12-10 / The occupational stress that if chronify and leads the teacher getting sick and getting the Burnout Syndrome is growing alarmingly among academics. With this study, we investigated the phenomenon of wear to physical and psychic teacher s face as their workplace, which has been stressful, drawing attention to various problems caused to the teacher and the institution. The objectives of this study were to characterize and identify causes and problems caused by the stress leading to the SB. Dentro de uma abordagem de pesquisa quantitativa e qualitativa, foi realizado um estudo de caso. For the lifting of the data were used for Inventory Symptoms of Stress for Adults (ISSA) and a semi-structured questionnaire, used by 45 teachers from an IES in the town of Dracena, State of São Paulo. The data were analyzed, categorized and presented in order to determine the main sources of Burnout syndrome that focuses on teachers, but also the physical and psychological effects on teachers from this condition. For this study it can be said that the working environment of teachers, is causing wear to physical and psychic in high degree, caused by changes in the world capitalist who treat the school as a business, excessive charges and those fleeing the role of educator beyond difficulties in interpersonal relationships in their daily activities with students and administrators. All these factors are causing stress and consequently the Burnout Syndrome. It is also possible to say about necessity for an articulated work between the management team and faculty to prevent and reduce this syndrome in the university environment / O estresse ocupacional que se cronifica e leva o professor a adoecer e contrair a Síndrome de Burnout vem crescendo assustadoramente entre os professores universitários. No presente estudo, foi investigado o fenômeno do desgaste físico e psíquico na forma do professor enfrentar o ambiente de trabalho, o que tem sido estressante, chamando a atenção para diversos problemas causados ao professor e à instituição. Os objetivos deste estudo foram caracterizar e identificar causas e problemas provocados pelo estresse levando à SB. Dentro de uma abordagem de pesquisa quantitativa e qualitativa, foi realizado um estudo de caso. Para o levantamento dos dados foram utilizados o Inventário de Sintomas de Stress para Adultos (ISSL) e um questionário semi-estruturado, aplicados em 45 professores de uma IES na cidade de Dracena, Estado de São Paulo. Os dados foram analisados, categorizados e apresentados com a finalidade de determinar as principais fontes da Síndrome de Burnout que incidem em professores, como também os efeitos físicos e psíquicos nos professores decorrentes dessa patologia. Por esse estudo é possível afirmar que o ambiente de trabalho dos professores, vem provocando desgaste físico e psíquico em alto grau, causado pelas mudanças do mundo capitalista que constitui a escola como empresa, cobranças excessivas e aquelas que fogem do papel do educador além das dificuldades nas relações interpessoais em suas atividades diárias com alunos e gestores. Todos esses fatores vêm provocando o estresse e consequentemente a Síndrome de Burnout. Também é possível afirmar a necessidade de um trabalho articulado entre a equipe gestora e o corpo docente para prevenirem e reduzirem essa Síndrome no ambiente universitário.

Made available in DSpace on 2016-07-18T17:54:09Z (GMT). No. of bitstreams: 1 Dissertacao.pdf: 663816 bytes, checksum: 023a3fc077d6165efce5892fa164737d (MD5) Previous issue date: 2008-12-10 / The occupational stress that if chronify and leads the teacher getting sick and getting the Burnout Syndrome is growing alarmingly among academics. With this study, we investigated the phenomenon of wear to physical and psychic teacher s face as their workplace, which has been stressful, drawing attention to various problems caused to the teacher and the institution. The objectives of this study were to characterize and identify causes and problems caused by the stress leading to the SB. Dentro de uma abordagem de pesquisa quantitativa e qualitativa, foi realizado um estudo de caso. For the lifting of the data were used for Inventory Symptoms of Stress for Adults (ISSA) and a semi-structured questionnaire, used by 45 teachers from an IES in the town of Dracena, State of São Paulo. The data were analyzed, categorized and presented in order to determine the main sources of Burnout syndrome that focuses on teachers, but also the physical and psychological effects on teachers from this condition. For this study it can be said that the working environment of teachers, is causing wear to physical and psychic in high degree, caused by changes in the world capitalist who treat the school as a business, excessive charges and those fleeing the role of educator beyond difficulties in interpersonal relationships in their daily activities with students and administrators. All these factors are causing stress and consequently the Burnout Syndrome. It is also possible to say about necessity for an articulated work between the management team and faculty to prevent and reduce this syndrome in the university environment / O estresse ocupacional que se cronifica e leva o professor a adoecer e contrair a Síndrome de Burnout vem crescendo assustadoramente entre os professores universitários. No presente estudo, foi investigado o fenômeno do desgaste físico e psíquico na forma do professor enfrentar o ambiente de trabalho, o que tem sido estressante, chamando a atenção para diversos problemas causados ao professor e à instituição. Os objetivos deste estudo foram caracterizar e identificar causas e problemas provocados pelo estresse levando à SB. Dentro de uma abordagem de pesquisa quantitativa e qualitativa, foi realizado um estudo de caso. Para o levantamento dos dados foram utilizados o Inventário de Sintomas de Stress para Adultos (ISSL) e um questionário semi-estruturado, aplicados em 45 professores de uma IES na cidade de Dracena, Estado de São Paulo. Os dados foram analisados, categorizados e apresentados com a finalidade de determinar as principais fontes da Síndrome de Burnout que incidem em professores, como também os efeitos físicos e psíquicos nos professores decorrentes dessa patologia. Por esse estudo é possível afirmar que o ambiente de trabalho dos professores, vem provocando desgaste físico e psíquico em alto grau, causado pelas mudanças do mundo capitalista que constitui a escola como empresa, cobranças excessivas e aquelas que fogem do papel do educador além das dificuldades nas relações interpessoais em suas atividades diárias com alunos e gestores. Todos esses fatores vêm provocando o estresse e consequentemente a Síndrome de Burnout. Também é possível afirmar a necessidade de um trabalho articulado entre a equipe gestora e o corpo docente para prevenirem e reduzirem essa Síndrome no ambiente universitário.

Bakgrund: Sjuksköterskor kan drabbas av arbetsrelaterad stress, vilket innebär attindividen inte har tillräckliga resurser att hantera påfrestning som härstammar frånarbetet. Den arbetsrelaterade stressen skulle kunna resultera i bristandepatientsäkerhet. Sjuksköterskan förhåller sig till arbetsrelaterade stressorer genomatt anpassa sig kognitivt och beteendemässigt med emotionsfokuserade ochproblemfokuserade copingstrategier. Syfte: Att genom sammanställning avkvalitativ vetenskaplig litteratur undersöka hur sjuksköterskor uppleveranvändningen av copingstrategier i samband med arbetsrelaterad stress inomsluten vård. Metod: En litteraturstudie med tolv artiklar av kvalitativ ansatsgenomfördes. Sökningarna utfördes i databaserna PubMed, CINAHL ochPsycINFO. Artiklarna analyserades och tematiserades därefter till ett egetkodningssystem. Resultat: Fyra huvudteman sammanställdes: tekniker för atthantera stress, förhållningssätt för att hantera stress, stöd för att hantera stress, ochavslappningsmetoder. Dessa hade tillsammans tolv underteman, vilka innefattadekortsiktiga och långsiktiga copingstrategier som både kunde vara positiva ochnegativa för den psykiska hälsan. Konklusion: Det framkommer attcopingstrategier är viktiga för hanteringen av arbetsrelaterad stress, men att det ärviktigt att veta vilka copingstrategier som skulle kunna leda till negativa utfall förden psykiska hälsan, samt ta reda på vilka som passar för den enskildasjuksköterskan. / Background: Nurses can suffer from occupational stress, which means that theindividual lacks sufficient resources to manage strain arising from work. Theoccupational stress could result in poor patient safety. The nurse responds to thestressors by adapting cognitively and behaviorally with emotion-focused orproblem-focused coping strategies. Aim: To examine how nurses perceive the useof coping strategies in relation to occupational stress in inpatient settings bycompiling qualitative scientific literature. Method: A literature study with twelvearticles of qualitative approach was conducted. The searches were carried out inthe PubMed, CINAHL and PsycINFO databases. The articles were then analyzedand thematized into a coding system designed by the authors. Findings: Fourmain themes were compiled: techniques to handle stress, approaches to handlestress, support to handle stress, and relaxation methods. These together had twelvesub-themes. All themes included short-term and long-term coping strategies thatcould be both positive and negative for mental health. Conclusion: Copingstrategies are important for coping with occupational stress, but it is alsoimportant to know which coping strategies can lead to negative outcomes formental health, and to find out which ones suit the individual nurse.

No description available.

Discuter de la pratique équestre des populations archéologiques occidentales aboutit bien souvent à la question : avec ou sans étriers ? Cette réflexion à propos de l’absence ou de la présence de l’étrier dans les techniques de monte des périodes anciennes est indissociable de la pensée de L. T. White à propos de son introduction en Occident. Ce dernier qualifie le caractère de cet objet équestre comme « révolutionnaire ». Pourtant, ce dernier élément de l’équipement équestre du cheval de monte ne favorise pas une meilleure maîtrise de l’animal de la part du cavalier. On peut être un excellent cavalier sans étriers à l’instar des amérindiens d’Amérique du Nord de la période coloniale. En revanche, l’étrier ou les étriers offrent de nouveaux points d’appuis au cavalier et modifient indéniablement sa posture sur sa monture. La posture du cavalier a fait l’objet de nombreuses attentions comme en témoignent les traités équestres antiques, modernes et actuels. Un large ensemble de marqueurs osseux réunis sous un seul et même terme « le syndrome du cavalier », par les études anthropologiques, permettrait de reconnaitre sur l’os sec des lésions osseuses liées à cette activité équestre. Or le changement de position du cavalier sur son cheval, notamment lors de l’introduction de nouveaux équipements équestres tel que l’étrier, remet en cause l’universalité de ce syndrome et ce quelle que soit la période chronologique étudiée : un cavalier grec ne possède pas le même équipement équestre qu’un cavalier du XVIIIe siècle. Par conséquent, tous deux ne se positionnent pas de la même manière sur leur partenaire équin. La révision de ce syndrome du cavalier a contribué à souligner l’importance de mener une recherche interdisciplinaire (archéologie du cheval, anthropologie biologique et données de la médecine du sport équestre) pour pouvoir discuter de manière rigoureuse de l’impact lésionnel de cette activité sur le corps du cavalier ainsi que de l’influence du type d’équipement utilisé sur ce dernier. La période mérovingienne offre un contexte archéologique idéal d’étude, par la présence d’objets équestres dans les tombes et celle de l’étrier à partir de la fin du VIe siècle, pour définir un ensemble pertinent d’indices d’activité équestre permettant l’identification de la pratique équestre, et de cavaliers, au sein des groupes funéraires mérovingiens. / The topic of the equestrian practice of Western archaeological populations often leads to the question of the use of stirrups or not ? This question on the absence or presence of the stirrup in the ancient times is closely related to L. T. White's thought about his introduction to the West. He qualifies the character of this equestrian object as "revolutionary". This element of the equestrian equipment does not favor a better control of the animal, as you can be an excellent rider without stirrups like North American Indians during the colonial period. The stirrup or the stirrups offer new points of support to the rider and undeniably modify his posture on the horse. The posture of the rider has been the subject of many attentions as shown by the ancient, modern and current equestrian treaties. A large group of occupational stress markers described, by anthropological studies, and known with the term "horse-riding syndrome" would make it possible to recognize bone lesions associated with this equestrian activity. The rider’s change of position on the horse, especially during the introduction of new equestrian equipment such as the stirrup, raises the question of the universality of this syndrome regardless of the chronological period studied : a Greek rider does not have the same equestrian equipment as a rider of the 18th century. Therefore, both do not position themselves in the same way on their equine partner. The new study of this syndrome has helped to emphasizing the importance of conducting interdisciplinary research (using horse archeology, biological anthropology and equestrian sport medicine data) in order to rigorously discuss the injury impact of this activity on the rider's body as well as the influence of the equipment used. The Merovingian period offers an ideal archaeological context for such a study because of the presence of both equestrian artifacts and stirrup from the end of the 6th century in the burials, helping in defining occupational stress markers of this equestrian activity, and identifying riders, within the Merovingian funerary groups.