Psychosocial risks of family health strategy nurses

Lázaro Clarindo Celestino, Laura Andrian Leal, Beatriz Maria dos Santos Santiago Ribeiro, Rita de Cássia de Marchi Barcellos Dalri, Silvia Helena Henriques

Abstract


Objective: to analyze psychosocial risks related to the load, pace and work hours of nurses in the Family Health Strategy. Method: this is a qualitative, descriptive, exploratory study, in which 18 nurses from the Family Health Strategy teams participated. Data were collected through semi-structured interviews and, subsequently, thematic inductive analysis was performed. Results: the misuse of function, the accumulation of activities, long working hours and an accelerated work rhythm were identified as psychosocial risks, leading to the physical and mental exhaustion of the professionals. Conclusion: it is necessary to promote the exercise of reflection by health managers on the workloads and hours imposed on nurses in the Family Health Strategy, rethinking participatory management models that assist them in facing this problem, encouraging compliance with current labor laws, in addition to suggesting possible personal and institutional strategies to eliminate or minimize the negative effects of risks. Descriptors: Occupational Risks; Work Load; Family Health Strategy; Nurses; Primary Health Care; Work.

Resumo

Objetivo: analisar riscos psicossociais relacionados à carga, ao ritmo e à jornada de trabalho dos enfermeiros da Estratégia Saúde da Família. Método: trata-se de um estudo qualitativo, descritivo, exploratório, no qual participaram 18 enfermeiros das equipes da Estratégia Saúde da Família. Coletaram-se os dados por meio de entrevistas semiestruturadas e, posteriormente, foi realizada análise temática indutiva. Resultados: identificaram-se como riscos psicossociais o desvio de função, o acúmulo de atividades, longas jornadas de trabalho e ritmo de trabalho acelerado, acarretando a exaustão física e mental dos profissionais. Conclusão: deve-se promover o exercício da reflexão de gestores de saúde sobre as cargas e jornadas de trabalho impostas aos enfermeiros da Estratégia Saúde da Família, repensando modelos de gestão participativa que os auxiliem no enfrentamento deste problema, incentivando o cumprimento das leis trabalhistas vigentes, além de sugerir possíveis estratégias pessoais e institucionais para eliminar ou minimizar os efeitos negativos dos riscos. Descritores: Riscos Ocupacionais; Carga de Trabalho; Estratégia Saúde da Família; Enfermeiros; Atenção Primária à Saúde; Trabalho.

Resumen

Objetivo: analizar los riesgos psicosociales relacionados con la carga, el ritmo y las horas de trabajo de los enfermeros en la Estrategia de Salud Familiar. Método: este es un estudio cualitativo, descriptivo, exploratorio, en el que participaron 18 enfermeros de los equipos de la Estrategia de Salud Familiar. Los datos se recopilaron a través de entrevistas semiestructuradas y, posteriormente, se realizó un análisis inductivo temático. Resultados: el mal uso de la función, la acumulación de actividades, las largas horas de trabajo y un ritmo de trabajo acelerado se identificaron como riesgos psicosociales, lo que llevó al agotamiento físico y mental de los profesionales. Conclusión: es necesario promover el ejercicio de reflexión por parte de los gerentes de salud sobre las cargas de trabajo y las horas impuestas a los enfermeros en la Estrategia de Salud Familiar, repensar los modelos de gestión participativa que les ayuden a enfrentar este problema, alentando el cumplimiento de las leyes laborales vigentes, además de sugerir posibles estrategias personales e institucionales para eliminar o minimizar los efectos negativos de los riesgos. Descriptores: Riesgos Laborales; Carga de Trabajo; Estrategia de Salud Familiar; Enfermeros; Atención Primaria de Salud; Laboral.


Keywords


Occupational Risks; Work Load; Family Health Strategy; Nurses; Primary Health Care; Work.

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DOI: https://doi.org/10.5205/1981-8963.2020.244985



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