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      Risk of illness and human cost at work in a psychiatric hospital Translated title: Riesgo de enfermedad y el costo humano en el trabajo en un hospital psiquiátrico Translated title: Risco de adoecimento e custo humano no trabalho em um hospital psiquiátrico

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          Abstract

          Abstract Objective: To investigate the risk of illness and to the human cost at work from the point of view of the nursing team of a psychiatric hospital. Method: A cross-sectional study performed in a psychiatric hospital with 74 nursing workers. The Human Cost of Labor Scale was applied. Results: In the evaluation of the human cost at work, the cognitive cost factor was evaluated as a critical risk for the sickness of the nursing worker, while the factors affective cost and physical cost demonstrated a satisfactory evaluation. The items considered critical for illness referred to: having control of emotions, dealing with the aggressiveness of others, use of vision and memory, and repeated and repeated use of the legs and hands. Conclusion: The evaluated items reveal conditions critical to the health of the nursing worker in mental health, revealing risk of illness.

          Translated abstract

          Resumen Objetivo: Investigar los riesgo de enfermedad y el costo humano en el trabajo desde el punto de vista del equipo de enfermería de un hospital psiquiátrico. Método: Estúdio transversal, realizado en un hospital psiquiátrico, con 74 trabajadores de enfermería. Se aplicó la Escala de Costo Humano en el Trabajo. Resultados: En la evaluación del costo humano en el trabajo, el factor costo cognitivo fue evaluado como riesgo crítico para la enfermedad del trabajador de enfermería, mientras que los factores costo afectivo y costo físico demostraron una evaluación satisfactoria. Los elementos considerados críticos para la enfermedad se refirieron a: tener control de las emociones, tratar con la agresividad de los demás, el uso de la visión y la memoria y el uso continuo y repetido de las piernas y las manos. Conclusión: Los ítems evaluados revelan condiciones críticas para la salud del trabajador de enfermería en salud mental, revelando riesgo de enfermedad.

          Translated abstract

          Resumo Objetivo: Investigar o risco de adoecimento e o custo humano no trabalho sob o ponto de vista da equipe de enfermagem de um hospital psiquiátrico. Método: Estudo transversal, realizado em um hospital psiquiátrico, com 74 trabalhadores de enfermagem. Foi aplicada a Escala de Custo Humano no Trabalho. Resultados: Na avaliação do custo humano no trabalho, o fator custo cognitivo foi avaliado como risco crítico para adoecimento do trabalhador de enfermagem, enquanto os fatores custo afetivo e custo físico demonstraram avaliação satisfatória. Os itens considerados críticos para adoecimento referiram-se a: ter controle das emoções, lidar com a agressividade dos outros, uso da visão e memória, uso contínuo e repetido das pernas e mãos. Conclusão: Os itens avaliados indicaram condições críticas para a saúde mental do trabalhador de enfermagem, revelando risco de adoecimento.

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          Psicodinâmica do Trabalho: teoria, método e pesquisas

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            Patient Aggression and the Wellbeing of Nurses: A Cross-Sectional Survey Study in Psychiatric and Non-Psychiatric Settings

            Wellbeing of nurses is associated with patient aggression. Little is known about the differences in these associations between nurses working in different specialties. We aimed to estimate and compare the prevalence of patient aggression and the associations between patient aggression and the wellbeing of nurses in psychiatric and non-psychiatric specialties (medical and surgical, and emergency medicine). A sample of 5288 nurses (923 psychiatric nurses, 4070 medical and surgical nurses, 295 emergency nurses) participated in the study. Subjective measures were used to assess both the occurrence of patient aggression and the wellbeing of nurses (self-rated health, sleep disturbances, psychological distress and perceived work ability). Binary logistic regression with interaction terms was used to compare the associations between patient aggression and the wellbeing of nurses. Psychiatric nurses reported all types of patient aggression more frequently than medical and surgical nurses, whereas nurses working in emergency settings reported physical violence and verbal aggression more frequently than psychiatric nurses. Psychiatric nurses reported poor self-rated health and reduced work ability more frequently than both of the non-psychiatric nursing groups, whereas medical and surgical nurses reported psychological distress and sleep disturbances more often. Psychiatric nurses who had experienced at least one type of patient aggression or mental abuse in the previous year, were less likely to suffer from psychological distress and sleep disturbances compared to medical and surgical nurses. Psychiatric nurses who had experienced physical assaults and armed threats were less likely to suffer from sleep disturbances compared to nurses working in emergency settings. Compared to medical and surgical nurses, psychiatric nurses face patient aggression more often, but certain types of aggression are more common in emergency settings. Psychiatric nurses have worse subjective health and work ability than both of the non-psychiatric nursing groups, while their psychiatric wellbeing is better and they have less sleep problems compared to medical and surgical nurses. Psychiatric nurses maintain better psychiatric wellbeing and experience fewer sleep problems than non-psychiatric nurses after events of exposure to patient aggression. This suggest that more attention should be given to non-psychiatric settings for maintaining the wellbeing of nurses after exposure to patient aggression.
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              Violence, Burnout and Minor Psychiatric Disorders in Hospital Work

              OBJECTIVE Identifying the violence suffered by the health team workers and their association with Burnout and minor psychiatric disorders. METHODS Cross-sectional study with 269 health team professionals of a public hospital in southern Brazil. Data were collected through the use of the Survey Questionnaire: Workplace Violence in the Health Sector, Maslach Inventory Burnout and Self-Report Questionnaire. RESULTS Workplace violence struck 63.2% of workers, prevailing mostly in women (p = 0.001), among nursing auxiliaries/technicians (p=0.014) and was associated with minor psychiatric disorders (p<0.05), as exposure to different forms of violence increased the chances of these disorders by 60% (CI 95%: 1.2-2.1). The three Burnout dimensions were also associated to violence at work (p<0.05). CONCLUSION Health workers experience violence in the workplace and this exposure is associated with Burnout symptoms and minor psychiatric disorders.
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                Author and article information

                Journal
                ean
                Escola Anna Nery
                Esc. Anna Nery
                Universidade Federal do Rio de Janeiro (, RJ, Brazil )
                1414-8145
                2177-9465
                2018
                : 22
                : 2
                : e20170288
                Affiliations
                [1] Rio de Janeiro Rio de Janeiro orgnameUniversidade Federal do Rio de Janeiro Brazil
                [2] Belo Horizonte MG orgnameFundação Hospitalar do Estado de Minas Gerais Brasil
                [3] Rio de Janeiro RJ orgnameInstituto Nacional de Câncer Brasil
                Article
                S1414-81452018000200212 S1414-8145(18)02200200212
                10.1590/2177-9465-ean-2017-0288
                f397281e-4ba2-4db7-bc18-88a1ffda302e

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 23 September 2017
                : 19 April 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 47, Pages: 0
                Product

                SciELO Revista de Enfermagem

                Categories
                Research

                Mental Health,Enfermería,Salud Laboral,Salud Mental,Nursing,Occupational Health,Enfermagem,Saúde do Trabalhador,Saúde Mental

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