Management of presenteeism. The effects on productivity of a food processing company

Presenteeism consists in going to work without conditions to produce, which can have a much higher impact than absenteeism on the productivity of an organisation. Presenteeism translates in both physical as psychological perturbations. It is a difficult to quantify reality, as is its translation into direct and indirect costs within the organisation. Our goal was to analyse the effects of presenteeism on the productivity of a company in the food-procession sector through a descriptive and transversal study of exploratory nature. The Stanford Presenteeism Scale SPS-6 (validated by Ferreira et al, 2010) and a semi-structured interview were used. Most of the workers referred having already gone to work feeling ill at least two days in the last year, mentioning that their health condition affected their performance, made them feel desperate and lacking pleasure from work. Management mentioned that presenteeism has a direct impact on productivity without, however, being able to quantify the true costs. Presenteeism is a reality in organisational scenarios, exceling in the educational and health sectors. We underline the importance of making organisations aware of the psychosocial risks and the importance of having healthy leaderships, work stress control and the presence of clinical psychologists and professional coaches.

Gestão do stress em enfermeiros perioperatórios

Os enfermeiros não estão isentos das consequências do stress ocupacional, que embora psicológico, afeta a saúde física, constituindo um risco para a segurança e saúde quando persistente, levando ao aparecimento de Burnout. Avaliar o nível de stress e o nível de Burnout na amostra selecionada; Conhecer a relação entre as estratégias de coping e nível de stress vivenciado pelos enfermeiros. Estudo quantitativo, descritivo, correlacional e transversal. Amostra de 81 enfermeiros perioperatórios, maioritariamente do género feminino (74,1%), 66,6% dos inquiridos exercem funções nos Blocos Operatórios do Centro Hospitalar de Trás‐os‐Montes e Alto Douro, média de idades de 43 anos. A opção de trabalhar no Bloco Operatório, foi para 59,3% dos inquiridos imposta pela instituição. A experiência média neste serviço foi de 15 anos. Aplicados três instrumentos de avaliação: Maslach Burnout Inventory, Nurse Stress Index e Inventário de Resolução de Problemas. A amostra exibe um nível considerável de stress (M=81,25; DP=20,7). Observou‐se uma correlação estatisticamente significativa entre o nível de stress e o nível de Burnout (r=0,43; p<0,001); verificou‐se existir uma relação estatisticamente significativa entre o nível de stress e as estratégias de coping (r=‐0,28; p<0,05), contudo, esta relação traduziu uma relação inversa. Valores elevados de Burnout correspondem a valores elevados de stress; valores elevados nas estratégias de coping, corresponderam a níveis baixos de stress. A gestão do stress tem valorizado mais os indivíduos do que as organizações. Contudo, mais importante que prevenir o stress laboral e os riscos psicossociais, é a organização e a gestão do trabalho que deve ser prioritária.

Errors in preparation and medication management in nursing professionals

The preparation and administration of medications is one of the most common and relevant functions of nurses, demanding great responsibility. Incorrect administration of medication, currently constitutes a serious problem in health services, and is considered one of the main adverse effects suffered by hospitalized patients. Objectives: Identify the major errors in the preparation and administration of medication by nurses in hospitals and know what factors lead to the error occurred in the preparation and administration of medication. Methods: A systematic review of the literature. Deined as inclusion criteria: original scientiic papers, complete, published in the period 2011 to May 2016, the SciELO and LILACS databases, performed in a hospital environment, addressing errors in preparation and administration of medication by nurses and in Portuguese language. After application of the inclusion criteria obtained a sample of 7 articles. Results: The main errors identiied in the pr eparation and administration of medication were wrong dose 71.4%, wrong time 71.4%, 57.2% dilution inadequate, incorrect selection of the patient 42.8% and 42.8% via inadequate. The factors that were most commonly reported by the nursing staff, as the cause of the error was the lack of human appeal 57.2%, inappropriate locations for the preparation of medication 57.2%, the presence of noise and low brightness in preparation location 57, 2%, professionals untrained 42.8%, fatigue and stress 42.8% and inattention 42.8%. Conclusions: The literature shows a high error rate in the preparation and administration of medication for various reasons, making it important that preventive measures of this occurrence are implemented.