Nursing is a stressful occupation with various physical and psychosocial stressors inherent in its practice. While the physical stressors of nursing are generally understood, less understood are the psychological and social stressors of the profession. With the many changes in healthcare facilities and structures that are occurring today and, in turn, affecting nurses, it is increasingly important to better understand the psychosocial stress experiences of nurses. Grounded in the Job Demand-Control-Support Framework, the objectives of this study were to: 1) examine factors associated with quality of work life (QWL) of Registered Nurses working in four small urban hospital-based obstetric programs, 2) determine if nursing occupational stress, QWL, and various factors (e.g., demographic, locations with and without cross-training) are associated with nurses’ work ability, where work ability is the worker’s capacity to perform their work, as was measured by the work ability index, and 3) review and evaluate some workplace interventions targeting occupational stress management and burnout for nurses.

Made available in DSpace on 2014-07-29T15:04:32Z (GMT). No. of bitstreams: 1 Dissertacao Lorena de Almeida Ribeiro Prudente.pdf: 339298 bytes, checksum: 85271945cc6981d1e0a7a1803021dcad (MD5) Previous issue date: 2008-08-08 / Pregnancy, birth, and postpartum bring alterations to women s body. In such periods, there is a redefinition of their identity, with altered relationship between the couple, within the family as well as with other members in the social context (MINISTÉRIO DA SAÚDE, 2002). The reproductive process was not idealized to end up in maternal death, since this is such a tragic episode which should never occur to women. Aims: to investigate maternal mortality in Goiás from 1999 to 2005; to describe epidemiological characteristics of women who died due to before and after birth complications; to identify the frequency distribution of maternal mortality rates by macroregional of health in Goiás and present the reason for maternal mortality in Goiás State. Method: this is an ecological descriptive epidemiologic study. For the description of maternal death occurring from 1999 to 2005, we identified the epidemiologic characteristics and causes related to this phenomenon, having as variables the place of occurrence, the year, the age, the educational status, race, marital status, causa mortis, and pregnancy-puerperal period in which death has occurred. The born alive rate of was obtained from the SINASC database. Data about the reason for maternal mortality in Goiás and in Brazil was obtained from DATASUS. Outcomes: 348 deaths were found in the sum of respective years. In Goiás, this study made clear the reality concerning maternal deaths. Dark-skinned and white women with 4 and 7 years of school completion, in reproductive age (20-29 years), and living in the Midwestern macroregion mainly due to direct obstetric causes, which are preventable. Conclusion: in sum, evidences shown in this study make it visible the importance to implement the birth humanization care program, provides to care managers and to healthcare workers both the knowledge and reflection upon obstetric practices and therapeutic management adopted in the assistance to pregnant women during and after birth. / A gravidez, o parto e puerpério apresentam alterações no organismo da mulher e ocorre uma redefinição da sua identidade. No Brasil a mortalidade materna é considerada um grave problema de saúde pública, uma vez que ocorre na plenitude da vida da mulher e provoca orfandade e a dissolução familiar (MINISTÉRIO DA SAÚDE, 2002). Objetivos: Investigar a mortalidade materna em Goiás no período de 1999 a 2005; descrever as características epidemiológicas das mulheres que obituaram em decorrência dos agravos relacionados ao período gravídico-puerperal; identificar a distribuição de freqüência dos índices de mortalidade materna por macrorregional de saúde em Goiás e apresentar a razão da mortalidade materna no estado de Goiás. Metodologia: estudo epidemiológico retrospectivo e descritivo, do tipo ecológico, dos óbitos maternos ocorridos no período de 1999 a 2005. Para identificar as causas relacionadas com o fenômeno se utilizou como variáveis o local de ocorrência, o ano, a faixa etária, a escolaridade, a raça, o estado civil, a causa da morte e o período gravídico-puerperal no qual ocorreu o óbito. A população do estudo foram os registros das mortes maternas cadastrados no DATASUS, e o número de nascidos vivos a partir da base de dados do SINASC. Resultados: No estudo constatou-se que Goiás nos anos de 1999 a 2005 ocorreram 348 óbitos maternos. Morreram mulheres de cor parda e branca, com escolaridade entre quatro e sete anos de estudo, em plena idade reprodutiva (20-29 anos), residente na macrorregional Centro-Oeste, principalmente, óbitos por causas obstétricas diretas, que são preveníveis. Propicia aos gestores e profissionais de saúde o conhecimento das características epidemiológicas das mulheres que obtuaram em decorrência da gravidez, parto e puerpéiro, identifica a distribuição de freqüência dos óbitos conforme a macrorregional de ocorrência e apresenta a razão da mortalidade materna no Estado de Goiás, o que nos permite refletir acerca das práticas obstétricas e condutas terapêuticas adotadas na assistência à mulher no período gravídico-puerperal.