Condições de trabalho e saúde do enfermeiro residente no hospital geral: riscos psicossociais

Objetivou-se nesse estudo identificar os fatores de risco psicossocial que o enfermeiro residente encontra-se exposto em unidades especializadas; descrever as repercussões dos fatores de risco psicossocial para a saúde do enfermeiro residente em unidades especializadas e analisar as formas de enfrentamento adotadas pelo enfermeiro residente diante dos riscos psicossociais em unidades especializadas. Pesquisa qualitativa do tipo exploratória descritiva, cujo campo foi um hospital universitário situado no município do Rio de Janeiro. A partir dos critérios de seleção adotados participaram do estudo 20 enfermeiros residentes do 1 e 2 anos, lotados em unidades especializadas (CTI adulto, UTI neonatal, CTI cardíaco, UI clínica, Unidade Coronariana e Unidade de Doenças Infecto Parasitárias). O estudo obedeceu aos aspectos éticos em conformidade com a Resolução 466/12 sendo aprovado pelo Comitê de Ética em Pesquisa (067/2012). Utilizou-se a técnica de entrevista semiestruturada mediante um instrumento contendo em sua primeira parte as características dos sujeitos e na segunda um roteiro com questões abertas que possibilitaram ao residente falar sobre os riscos no ambiente laboral, o modo como era afetado e os mecanismos de enfrentamento adotados. Ao término das entrevistas, realizadas no segundo semestre de 2012 e registradas em meio digital, aplicou-se a técnica de análise de conteúdo, sendo os resultados discutidos a luz da Psicodinâmica do Trabalho. Os resultados evidenciaram que o enfermeiro residente de unidades especializadas encontra-se exposto a inúmeros fatores de risco psicossocial e entre eles: a sobrecarga física e psíquica do trabalho, a ambiguidade de papéis, o relacionamento interpessoal conflituoso, a pouca autonomia, o baixo controle em relação ao processo de trabalho e a precariedade das condições de trabalho. Tais fatores, além de afetarem o processo de formação do residente, acarretam prejuízos a sua saúde física e mental; identificados a partir de queixas como: cansaço, estresse, desgaste, padrão de sono ruim, problemas gastrintestinais, dermatológicos e osteomusculares. Diante do sofrimento no trabalho, o enfermeiro residente elabora estratégias de manejo centradas na emoção (autocontrole, aceitação das responsabilidades, fuga, confronto e resignação) e no problema (negociação, tentativa de solução, suporte social, reavaliação positiva). Concluiu-se que o enfermeiro residente encontra-se exposto a inúmeros fatores de risco psicossocial em unidades especializadas que afetam a sua saúde física e mental. No intuito de concluir a residência e preservar a saúde, o residente elabora estratégias de manejo, que apesar de essenciais não eliminam o sofrimento no trabalho e os problemas vivenciados no dia a dia. Cabe ao órgão formador identificar, monitorar e combater os riscos referidos pelo residente no intuito de promover a capacitação, a satisfação e o bem estar no trabalho, ao se considerar a responsabilidade social pela formação, saúde e inserção do futuro profissional no mercado de trabalho.

First Annual Report for the year ended 31st March, 1966

This is the first Annual report of the Cumberland River Authority on information of its activities and responsibilities on river management in its area between the beginning of April 1965, to the end of March 1966. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, which includes periodical surveys, hydrometric schemes, acceptable flows, conservation works and a review of rainfall and river flow. The section on land drainage looks at work on improvement schemes, floods, charges and information on maintenance work carried out on rivers including Wampool, Waver, Marron, Irt, Esk, Eden, Caldew, Petteril, Eamont and Annas. The fisheries section covers 5 districts of the River Eden, Esk, Ellen, Derwent, and South West Cumberland. It includes angling information and a general report for salmon and sea trout, brown trout and freshwater fish. It also looks at fish hatchery, fisheries protection and byelaws including licence numbers issued for the different districts. The fourth section on pollution deals with water quality of the rivers and their tributaries from the same 5 areas mentioned above. It also covers information on sewage and trade effluents. The River Authorities preceded the Environment Agency which came into existence in 1996.

Second Annual Report for the year ended 31st March, 1967

This is the second Annual report of the Cumberland River Authority on information of its activities and responsibilities on river management in its area between the beginning of April 1966, to the end of March 1967. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, which includes periodical surveys, hydrometric schemes, acceptable flows, conservation works and a review of rainfall and river flow. The section on land drainage looks at work on improvement schemes, floods, charges and information on maintenance work carried out on rivers including Wampool, Waver, Marron, Ellen, Derwent, Esk, Eden, Caldew, Petteril, Eamont, Gelt and Annas. The fisheries section covers 5 districts of the River Eden, Esk, Ellen, Derwent and South West Cumberland. It includes angling information and a general report for salmon and sea trout, Brown trout and freshwater fish. Fish disease and fish hatchery are also included as well as fisheries protection and byelaws. The fourth section on pollution deals with water quality and the results of samples taken from rivers Eden, Eamont, Caldew, Calder, Derwent, Ehen, Ellen, Wampool and Waver are also given. It also covers information on sewage and trade effluents. The River Authorities preceded the Environment Agency which came into existence in 1996.

Third Annual Report for the year ended 31st March, 1968

This is the third Annual report of the Cumberland River Authority on information of its activities and responsibilities on river management in its area between the beginning of April 1967, to the end of March 1968. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, which includes periodical surveys, hydrometric schemes, acceptable flows, conservation works and a review of rainfall and river flow. The section on land drainage looks at work on improvement schemes, floods, charges and information on maintenance work carried out on rivers including Wampool, Waver, Glenderamackin, Marron, Eden, Caldew, and Lyvennet. The fisheries section covers 5 districts of the River Eden, Esk, Ellen, Derwent and South West Cumberland. It includes angling information and a general report for salmon and sea trout, brown trout and freshwater fish. Fish disease and fish hatchery are also covered as well as fisheries protection and licence duties. The fourth section on pollution deals with water quality, and the results of samples taken from rivers Eden, Eamont, Petteril, Caldew, Calder, Derwent, Ehen, Ellen, Wampool and Waver are also given. It also covers information on sewage and trade effluents. The River Authorities preceded the Environment Agency which came into existence in 1996.

Fourth Annual Report for the year ended 31st March, 1969

This is the fourth Annual report of the Cumberland River Authority on information of its activities and responsibilities on river management in its area between the beginning of April 1968, to the end of March 1969. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, which includes periodical surveys, hydrometric schemes, acceptable flows, conservation works and a review of rainfall and river flow. The section on land drainage looks at work on improvement schemes, floods, charges and information on maintenance work carried out on rivers including Wampool, Waver, Marron, Ellen, Eden, Caldew, Esk, Annas, Irt and Glenderamackin. The fisheries section covers 5 districts of the River Eden, Esk, Ellen, Derwent and South West Cumberland. It includes angling information and a general report for salmon and sea trout, Brown trout and freshwater fish. Fish disease and fish hatchery are also covered as well as fisheries protection and licence duties. The fourth section on pollution covers water quality, and the results of samples taken from rivers Eden, Eamont, Petteril, Caldew, Calder, Derwent, Ehen, Ellen, Wampool and Waver are also given. It also covers information on sewage and trade effluents. The River Authorities preceded the Environment Agency which came into existence in 1996.

Fifth Annual Report for the year ended 31st March, 1970

This is the fifth Annual report of the Cumberland River Authority on information of its activities and responsibilities on river management in its area between the beginning of April 1969, to the end of March 1970. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, wich includes periodical surveys, hydrometric schemes, acceptable flows, conservation works and a review of rainfall and river flow. The section on land drainage looks at work on improvement schemes, floods, charges and information on maintenance work carried out on rivers including Wampool, Waver, Derwent, Ellen, Mite, Bleng, Eden, Caldew and Petteril. The fisheries section covers 5 districts of the River Eden, Esk, Ellen, Derwent and South West Cumberland. It includes angling information and a general report for salmon and sea trout, brown trout and freshwater fish. Fish disease and fish hatchery are also covered as well as fisheries protection and licence duties. The fourth section on pollution deals with water quality, and the results of samples taken from rivers Eden, Eamont, Petteril, Caldew, Calder, Bleng, Derwent, Ehen, Ellen, Wampool and Waver are also given. It also covers information on sewage and trade effluents. The River Authorities preceded the Environment Agency which came into existence in 1996.

Sixth Annual Report for the year ended 31st March, 1971

This is the sixth Annual report of the Cumberland River Authority on information of its activities and responsibilities on river management in its area between the beginning of April 1970, to the end of March 1971. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, which includes periodical surveys, hydrometric schemes, acceptable flows, conservation works and a review of rainfall and river flow. The section on land drainage looks at work on improvement schemes, floods, charges and information on maintenance work carried out on rivers including Wampool, Waver, Derwent, Eden, Mite, Bleng, Annas and Irt. The fisheries section covers 5 districts of the River Eden, Esk, Ellen, Derwent and South West Cumberland. It includes angling information and a general report for salmon and sea trout, brown trout and freshwater fish. Fish disease and fish hatchery are also covered as well as fisheries protection and licence duties. The fourth section on pollution deals with water quality, and the results of samples taken from rivers Eden, Eamont, Petteril, Caldew, Calder, Irt, Derwent, Ehen, Ellen, Wampool and Waver are also given. It also covers information on sewage and trade effluents. The River Authorities preceded the Environment Agency which came into existence in 1996.

Seventh Annual Report for year ended 31st March, 1972

This is the seventh Annual report of the Cumberland River Authority on information of its activities and responsibilities on river management in its area between the beginning of April 1971, to the end of March 1972. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, which includes periodical surveys, hydrometric schemes, acceptable flows, conservation works and a review of rainfall and river flow. The section on land drainage looks at work on improvement schemes, floods, charges and information on maintenance work carried out on rivers including Wampool, Waver, Derwent and Eden. The fisheries section covers 5 districts of the River Eden, Esk, Ellen, Derwent and South West Cumberland. It includes angling information and a general report for salmon and sea trout, brown trout and freshwater fish. Fish disease and fish hatchery are also covered as well as fisheries protection and licence duties. The fourth section on pollution deals with water quality, and the results of samples taken for chemical analysis from rivers Eden, Eamont, Petteril, Caldew, Calder, Irthing, Esk, Irt, Mite, Derwent, Ehen, Wampool and Waver are also given. It also covers information on sewage and trade effluents. The River Authorities preceded the Environment Agency which came into existence in 1996.

Eighth Annual Report for year ended 31st March, 1973

This is the eighth Annual report of the Cumberland River Authority on information of its activities and responsibilities on river management in its area between the beginning of April 1972, to the end of March 1973. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, including periodical surveys, hydrometric schemes, acceptable flows, conservation works and a review of rainfall and river flow. The section on land drainage looks at work on improvement schemes, floods, charges and information on maintenance work carried out on rivers including Wampool, Waver, Derwent, Eden and Caldew. The fisheries section covers 5 districts of the River Eden, Esk, Ellen, Derwent and South West Cumberland. It includes angling information and a general report for salmon and sea trout, brown trout and freshwater fish. Fish disease and fish hatchery are also covered as well as fisheries protection and licence duties. The fourth section on pollution deals with water quality, and the results of samples taken for chemical analysis from rivers Eden, Eamont, Leith, Lowther, Lyne, Petteril, Caldew, Calder, Irthing, Esk, Irt, Mite, Derwent, Ehen, Ellen, Annas, Wampool and Waver are also given. It also covers information on sewage and trade effluents. The River Authorities preceded the Environment Agency which came into existence in 1996.

Ninth Annual Report for year ended 31st March, 1974

This is the ninth Annual report of the Cumberland River Authority on information of its activities and responsibilities on river management in its area between the beginning of April 1973, to the end of March 1974. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, which includes periodical surveys, hydrometric schemes, acceptable flows, conservation works and a review of rainfall and river flow. The section on land drainage looks at work on improvement schemes, floods, charges and information on maintenance work carried out on rivers including Wampool, Waver, Glenderamackin and Lyvennet. The fisheries section covers 5 districts of the River Eden, Esk, Ellen, Derwent and South West Cumberland. It includes angling information and a general report for salmon and sea trout, brown trout and freshwater fish. Fish disease and fish hatchery are also covered as well as fisheries protection and licence duties. The fourth section on pollution deals with water quality, and the results of samples taken for chemical analysis from rivers Eden, Eamont, Leith, Lowther, Lyne, Petteril, Caldew, Calder, Marron, Irthing, Esk, Irt, Mite, Derwent, Ehen, Ellen, Annas, Wampool and Waver are also given. It also covers information on sewage and trade effluents. The River Authorities preceded the Environment Agency which came into existence in 1996.

Ninth Annual Report for the year ended 31st March, 1960

This is the ninth Annual report of the Cumberland River Board on information of its activities and responsibilities on river management in its area between the beginning of April 1959, to the end of March 1960. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, which includes information on the completion of a gauging station on the River Eden, and an approval for a similar station on the River Derwent. It also gives information on rainfall and river flow. The section on land drainage looks at work on improvement schemes and information on maintenance work carried out on rivers including Wampool, Waver, Wiza, Ellen, Cocker, Irt, Esk, Annas, Marron, Eden, Eamont, Caldew and Petteril. The fisheries section covers 4 districts of the River Eden, Esk, Derwent and South West Cumberland. It includes angling information and a general report for salmon and sea trout, brown trout and freshwater fish. Fish disease and fish hatchery are also covered as well as re-stocking and fisheries protection. The fourth section on pollution deals with water quality and information on sewage and trade effluents. The River Boards preceded the Environment Agency which came into existence in 1996.

Tenth Annual Report for the year ended the 31st March, 1961

This is the tenth Annual report of the Cumberland River Board on information of its activities and responsibilities on river management in its area between the beginning of April 1960, to the end of March 1961. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, which includes information on the completion of gauging stations on the River Derwent and Eamont, and the building of a similar station on the River Esk. It also gives information on rainfall and river flow. The section on land drainage looks at work on improvement schemes and information on maintenance work carried out on rivers including Wampool, Waver, Wiza, Ellen, Cocker, Irt, Annas, Mite, Ehen, Marron, Eden, Caldew and Petteril. The fisheries section covers 5 districts of the River Eden, Esk, Derwent, Ellen and South West Cumberland. It includes angling information and a general report for salmon and sea trout, brown trout and freshwater fish. Fish disease and fish hatchery are also covered as well as re-stocking and fisheries protection. The fourth section on pollution deals with water quality and information on sewage and trade effluents. The River Boards preceded the Environment Agency which came into existence in 1996.

Eleventh Annual Report for the year ended 31st March, 1962

This is the eleventh Annual report of the Cumberland River Board on information of its activities and responsibilities on river management in its area between the beginning of April 1961, to the end of March 1962. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, which includes information on the building of gauging stations, abstraction of water, and rainfall and river flow. The section on land drainage looks at work on improvement schemes and information on maintenance work carried out on rivers including Wampool, Waver, Wiza, Ellen, Cocker, Irt, Mite, Keekle, Eden, Esk, Caldew and Petteril. The fisheries section covers 5 districts of the River Eden, Esk, Derwent, Ellen and South West Cumberland. It includes angling information and a general report for salmon and sea trout, Brown trout and freshwater fish. Fish disease and fish hatchery are also covered as well as Byelaws and fisheries protection. The fourth section on pollution deals with water quality and information on sewage and trade effluents. The River Boards preceded the Environment Agency which came into existence in 1996.

Twelfth Annual Report for the year ended the 31st March, 1963

This is the twelfth Annual report of the Cumberland River Board on information of its activities and responsibilities on river management in its area between the beginning of April 1962, to the end of March 1963. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, which includes information on the completion of gauging stations, abstraction of water and rainfall. The section on land drainage looks at work on improvement schemes, floods and information on maintenance work carried out on rivers including Wampool, Waver, Wiza, Ellen, Cocker, Greta, Marron, Ehen, Keekle, Esk, Bleng, Mite, Annas, Eden, Caldew and Petteril. The fisheries section covers 5 districts of the River Eden, Esk, Derwent, Ellen and South West Cumberland. It includes angling information and a general report for salmon and sea trout, brown trout and freshwater fish. Fish disease and fish hatchery are also covered as well as Byelaws and fisheries protection. The fourth section on pollution covers water quality and information on sewage and trade effluents. The River Boards preceded the Environment Agency which came into existence in 1996.

Thirteenth Annual Report for the year ended 31st March, 1964

This is the thirteenth Annual report of the Cumberland River Board on information of its activities and responsibilities on river management in its area between the beginning of April 1963, to the end of March 1964. The report contains 5 main sections on water resources, land drainage, fisheries, pollution, and finally the expenditure and income for the 12 month period. The first area that the report deals with is water resources, which includes information on the completion of gauging stations, abstraction of water and rainfall and river flow. The section on land drainage looks at work on improvement schemes, floods and information on maintenance work carried out on rivers including Wampool, Waver, Wiza, Derwent, Cocker, Keekle, Marron, Ehen, Irt, Esk, Mite, Lowther, Eden, Caldew and Petteril. The fisheries section covers 5 districts of the River Eden, Esk, Derwent, Ellen and South West Cumberland. It includes angling information and a general report for salmon and sea trout, brown trout and freshwater fish. Fish disease and fish hatchery are also covered as well as Byelaws and fisheries protection. The fourth section on pollution deals with water quality and information on sewage and trade effluents. The River Boards preceded the Environment Agency which came into existence in 1996.