The effects of professional factors on the quality of life of family health team nurses

The objective of this study was to identify the professional factors affecting the quality of life of nurses working in the family health teams in the Macro Health Region, referred to as the South Triangle, in the State of Minas Gerais. This is a descriptive, cross-sectional study. The participants were 90 nurses, who answered a questionnaire containing the professional variables and the Quality of Life assessment instrument - WHOQOL-100. The results showed a negative impact regarding the number of jobs, unstable jobs, excessive workload and job dissatisfaction in the nurses' Quality of Life domains. There is a need to (re)define the public policies that control the working conditions of these professionals. Actions that contribute towards improving nurses' Quality of Life are important, considering their strong influence on the quality of the healthcare that is delivered.

Satisfação profissional dos enfermeiros em unidades de cuidados continuados integrados

A Satisfação no trabalho, definida como reações individuais, cognitivas, afetivas e avaliativas perante o trabalho (Locke, 1983), tem sido amplamente estudada no âmbito das organizações. A sua medição na área da saúde contribui para incrementar um bom ambiente na prática e bem-estar dos profissionais e para aumentar a qualidade dos cuidados. Em 2006 surge um novo contexto de trabalho através da criação da RNCCI, que pretende fazer face ao crescente aumento de população em situação de dependência ou incapacidade, mas também aliviar a sobrecarga e custos associados aos cuidados hospitalares. A reorganização do trabalho nas unidades de cuidados continuados acenta nos princípios da interdisciplinariedade e cooperação entre a equipa, requerendo mudança e adaptação à prática. Sendo os enfermeiros a classe profissional com maior tempo de contacto nos cuidados, importa verificar se estão satisfeitos com a mudança induzida. Assim, este estudo de natureza quantitativa pretende medir e analisar a satisfação profissional ddos enfermeiros que trabalham no serviço de longa duração e manutenção nas unidades de cuidados continuados do distrito de Braga, e verificar se esta variável é influenciada por fatores sociodemográficos e laborais. Para a recolha de dados utiliza-se a Escala de Avaliação da Satisfação no Trabalho para Enfermeiros - EASPE© (α=0,814) e um questionário sociodemográfico e profissional. A análise dos dados é efetuada com recurso à estatística descritiva e inferencial com utilização dos testes de Mann-Whitney e de Kruskal-Wallis. Os resultados obtidos evidenciam que os enfermeiros apresentam um nível de satisfação global no trabalho positivo, mas negativo nas dimensões satisfação com benefícios e recompensas e satisfação com promoção. Conclui-se, ainda, que a satisfação com promoção é influenciada pelas habilitações literárias, que a satisfação com a comunicação é influenciada pela remuneração, que a satisfação com benefícios e recompensas é influenciada pelo horário semanal e que a unidade de cuidados é determinante na satisfação global no trabalho.

La détresse psychologique et les problèmes cardiovasculaires chez les travailleurs: une étude transversale de la comorbidité

L’objectif principal de ce mémoire consiste à déterminer s’il existe une association entre la détresse psychologique et les problèmes cardiovasculaires chez les travailleurs, suite à l’influence de certains facteurs professionnels. Les données proviennent de l’Enquête sur la santé dans les communautés canadiennes (cycle 3.1 de l’ESCC), menée par Statistique Canada en 2005. Notre échantillon est composé de 15 394 canadiens et canadiennes en emploi de 15 ans et plus, représentatif sur le plan de l’âge, du genre et de la distribution géographique du lieu de résidence. Les analyses de régressions logistiques montrent que quatre facteurs professionnels présentent une association significative avec la détresse psychologique : les demandes psychologiques, la menace de perdre son emploi, le soutien social au travail, la satisfaction au travail. Puis, trois facteurs s’avèrent être reliés au développement de problèmes cardiovasculaires, soit l’utilisation des compétences, la satisfaction au travail ainsi que le nombre d’heures travaillées. Les analyses de variances multiples (MANOVA) révèlent que la détresse psychologique est associée aux problèmes cardiovasculaires et que ces deux problèmes de santé peuvent se retrouver en situation de comorbidité. Selon les résultats, on observe que cinq facteurs sont significativement corrélés à la présence de détresse psychologique en même qu’un problème cardiovasculaire : les demandes psychologiques, la menace de perdre son emploi, le soutien social au travail, la satisfaction au travail ainsi que le nombre d’heures travaillées. Par ailleurs, l’utilisation des compétences, l’autonomie décisionnelle et les exigences physiques de travail ne sont pas significativement associés à la détresse psychologique et à la présence de problèmes cardiovasculaires.

L'influence des facteurs professionnels sur la détresse psychologique et les problèmes musculosquelettiques

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

A relação dos aspectos profissionais na qualidade de vida dos enfermeiros das equipes Saúde da Família

Este estudo teve como objetivo conhecer os aspectos profissionais relacionados à Qualidade de Vida dos enfermeiros das equipes saúde da família da Macrorregião de Saúde do Triângulo Sul. Trata-se de um estudo descritivo e transversal. Os 90 enfermeiros sujeitos da pesquisa responderam a um questionário contendo as variáveis profissionais e o instrumento para avaliação da Qualidade de Vida WHOQOL-100. Os resultados mostram o impacto negativo do número de vínculos, do vínculo empregatício inseguro, da excessiva carga horária de trabalho e da insatisfação com o trabalho nos domínios da Qualidade de Vida dos enfermeiros. Considera-se necessária a (re)definição de políticas públicas voltadas para as condições de trabalho desses profissionais. Ações que contribuam no desenvolvimento da Qualidade de Vida dos enfermeiros são importantes considerando sua forte influência na qualidade da assistência prestada.

Patient satisfaction and nursing staff work satisfaction in an urban public teaching hospital

This study examined the level of patient satisfaction and nursing staff work satisfaction at an urban public hospital in the Southwestern United States. The primary objectives of this study were to determine: (1) the level of overall patient satisfaction and satisfaction with specific dimensions of hospital care; (2) the differences in patient satisfaction according to demographic characteristics (age, gender, ethnicity, and education completed) and predispositional factors (perceived health status, perceived level of pain, prior contact with the hospital, and hospital image) and the relative importance of each variable on patient satisfaction; (3) the level of overall work satisfaction and satisfaction with specific dimensions of work experienced by the medical/surgical nursing staff; (4) the differences in work satisfaction experienced by the nursing staff based on demographic variables (age, gender, ethnicity, and marital status) and professional factors (education completed, staff position, the number of years employed with the hospital, and number of years employed in nursing) and the relative importance of each variable on work satisfaction; and (5) to determine the effect of the nursing work milieu on patient and staff satisfaction.^ The study findings showed that patients experienced a moderate to low level of satisfaction with the dimensions of hospital care (admission process, daily care, information, nursing care, physician care, other hospital staff, living arrangements, and overall care). Of the eight dimensions of care, patients reported a relatively positive level of satisfaction (75 percent or better) with only one dimension: physician care. Ethnicity, perceived health status, and hospital image were significantly related to patient satisfaction. Hispanic patients, those who were in good health, and those who felt the hospital had a good image in their community were most satisfied with hospital care. Patients also reported areas of hospital care that needed the most improvement. Responses included: rude staff, better nursing care, and better communication.^ Findings from the nursing satisfaction survey indicated a low level of satisfaction with the dimensions of work (autonomy, pay, professional status, interaction, task requirements, and organizational policies). Only one dimension of work, professional status, received a mean satisfaction score in the positive range. Additionally, staff members were unanimously dissatisfied with their salaries. Frequently mentioned work-related problems reported by the staff included: staffing shortages, heavy patient loads. and excessive paperwork.^ The nursing milieu appeared to have had a significant effect on the satisfaction levels of patients nursing staff employees. The nursing staff were often short staffed, which increased the patient-to-nurse ratio. Consequently, patients did not receive the amount of attention and care they expected from the nursing staff. Crowded patient rooms allowed for little personal space and privacy. Dissatisfaction with living conditions served to influence patients' attitudes and satisfaction levels. These frustrations were often directed toward their primary caregivers, the nursing staff. Consequently, the nursing milieu appeared to directly affect and influence the satisfaction levels of both patients and staff. (Abstract shortened by UMI). ^

Étude des relations entre le développement professionnel des enseignants du postsecondaire et leur bien-être psychologique au travail

Réalisé en milieu collégial (cégep)

Étude des relations entre le développement professionnel des enseignants du postsecondaire et leur bien-être psychologique au travail

Réalisé en milieu collégial (cégep)

Ansiedade em face da morte em Agentes Funerários

Ao pensar na morte há um reconhecimento da vulnerabilidade humana e da própria fragilidade da vida. A morte é universal, mas experienciada de uma forma individualizada por cada um de nós, a partir da personalidade, experiências de vida, variáveis pessoais, idade, sexo, religião. Vivenciar a morte e o morrer poderá conduzir a sensações de medo e ansiedade. Os agentes funerários que lidam diariamente com a morte e com o “luto” (do corpo morto e dos familiares em relação ao ente querido que perderam) poderão estar expostos a sentimentos de ansiedade depressiva pela ativação diária do confronto com a própria morte, ou com a morte de pessoas a quem estão intimamente ligados. É objetivo deste estudo avaliar os níveis de ansiedade em face da morte em agentes funerários, e ainda explorar a eventual associação entre fatores sociodemográficos e profissionais selecionados e esta variável. A amostra é composta por 60 sujeitos de uma empresa funerária em Portugal. Os instrumentos psicométricos utilizados foram a Escala de Ansiedade face à Morte (DAQ), e um questionário sociodemográfico desenhado para o presente estudo. Os resultados globais mostram que os Agentes Funerários apresentam níveis de ansiedade face à morte estatisticamente significativos (M = 35,88; DP = 9,02). O género, a idade, religião, anos de experiência, estado civil, terem filhos, ter morrido alguém próximo ou significativo, especificidade de trabalho: ser comercial ou operacional o número de contatos, não marcam significativamente a forma como os sujeitos em estudo percecionam a sua ansiedade em face da morte. Os níveis de ansiedade aumentam entre aqueles que não tiveram formação específica para lidar com estas situações. / When thinking about death there is recognition of human vulnerability and fragility of life itself. Death is universal but experienced individually by each of us, through personality, life experiences, personal variables, age, sex, religion. Experiencing death and dying can lead to feelings of fear and anxiety. Funeral Agents who daily deal with death and with the "mourning" (the dead body and the family of the deceased) may be exposed to feelings of depressive anxiety activated by the daily confrontation with death itself or death of people who are close to them. The aim of this study is to assess the levels of anxiety in Funeral Agents when facing death, and also explore the eventual association of social-demographic and professional factors with this variable. The sample consisted of 60 subjects of a Portuguese Funeral company. The instruments used were the Death Anxiety Questionnaire (DAQ) and a socialdemographic questionnaire designed for the present study. The overall results show that Funeral Agents present anxiety levels statistically significant when facing death (M = 35.88, SD = 9.02). Gender, age, religion, years of experience, marital status, having children, the death of someone close or important, and the specificity of the job (commercial or operational agent), the number of contacts, show no statistically significant association with anxiety when facing death. However, the levels of anxiety increase among those who had had no specific formation to deal with these situations.

Risk factors associated with the professional performance of civil servants with impairment

Apresentação realizada na "8th Conference of European Academy of Occupational Health Psychology", que decorreu em Valência, Espanha, de 12 a 14 novembro de 2008

Professional sports and gambling regulation in Finland - Examining the institutional factors of gambling affecting professional sport clubs in Finland

This study examines how to institutional environment of gambling is currently in motion both in Europe and Finland. Furthermore, it examines the criticism by Finnish professional sport clubs directed towards the national gambling monopolies, especially Veikkaus Oy. This criticism addresses the acclaimed issue of low or non-existing sponsorship funds coming to the clubs despite the clubs’ duties to promote Veikkaus Oy in their stadiums etc. In essence the main research objective was to examine the interaction and institutional environments of both Finnish professional sport clubs and gambling regulation. This was done through three sub-objectives: 1) to analyze professional sport as business and its institutional environment 2) to analyze the institutions of gambling in their current state and their potential future 3) to evaluate the potential impact of an institutional change in gambling legislation to the professional sport clubs The findings from Finland were then compared to those of Denmark where an institutional change had occurred in gambling regulation. Empirical data was collected through multiple interviews. Interviewees represented sport clubs (7), sport association (1), sport league (1), Finnish monopoly representatives (2), commercial gambling providers (1), Danish monopoly system representatives (1), Danish sport club (1). In addition a vast amount of secondary data (e.g. Green and white books by EU, court decisions, a variety of studies etc.). Theoretically this study combines the aspects of institutional theory with the theory of professional sports as business. This proved to be a rather new approach and no published literature was found to have done specifically this. The findings of this study are twofold, on the European level it is clear that the momentum if towards a more liberated gambling market while Finland is at the moment trying to go the opposite direction and uphold its monopoly. From the sport club’s level the findings suggest that currently sport clubs do not directly benefit from the funds originated from Veikkaus Oy as these funds are more or less used on the association/league levels. However, the clubs themselves are also lacking in self-criticism as they are lacking in clear sponsorship packages/programs which Veikkaus Oy might be interested in participating. If liberation of the gambling market would occur it is highly possible that that the largest clubs in football and ice-hockey would be the main beneficiaries while smaller clubs and sports could possibly be worse off than currently. These interpretations were well supported by the findings from Denmark.

Factors and work conditions shaping the development of professional identity of it teachers in Polaland

Monogr??fico con el t??tulo: "La investigaci??n sobre la identidad profesional del profesorado en Europa???

Understanding the Combined Role of Internal and External Factors in New Service Development Process within the Professional Knowledge Intensive Business Service Firms

Our research asked the following main questions: how the characteristics of professionals service firms allow them to successfully innovate in exploiting through exploring by combining internal and external factors of innovation and how these ambidextrous organisations perceive these factors; and how do successful innovators in professional service firms use corporate entrepreneurship models in their new service development processes? With a goal to shed light on innovation in professional knowledge intensive business service firms’ (PKIBS), we concluded a qualitative analysis of ten globally acting law firms, providing business legal services. We analyse the internal and factors of innovation that are critical for PKIBS’ innovation. We suggest how these firms become ambidextrous in changing environment. Our findings show that this kind of firms has particular type of ambidexterity due to their specific characteristics. As PKIBS are very dependant on its human capital, governance structure, and the high expectations of their clients, their ambidexterity is structural, but also contextual at the same time. In addition, we suggest 3 types of corporate entrepreneurship models that international PKIBS use to enhance innovation in turbulent environments. We looked at how law firms going through turbulent environments were using corporate entrepreneurship activities as a part of their strategies to be more innovative. Using visual mapping methodology, we developed three types of innovation patterns in the law firms. We suggest that corporate entrepreneurship models depend on successful application of mainly three elements: who participates in corporate entrepreneurship initiatives; what are the formal processes that enhances these initiatives; and what are the policies applied to this type of behaviour.

The Use Of Medication And Associated Factors Among Adults Living In Campinas, São Paulo, Brazil: Differences Between Men And Women.

The objective of this study was to verify factors associated with the use of medication by adults, with emphasis on the differences between men and women. It was a population-based, cross-sectional study with cluster sampling conducted in two stages in Campinas in the state of São Paulo in 2008. Among the 2,413 individuals aged 20 or older, the prevalence of use of at least one drug in the three days before the research was 45.4% (95% CI: 41.3 - 49.4) in men and 64.6% (95% CI: 59.8 - 69.2) in women. For adult men over 40 years old who were not working, former smokers, with one or more chronic diseases, with two or more health problems and who sought health care or a health professional in the two weeks preceding the research showed higher prevalence of medication use. Among women, a higher prevalence of use was observed in females over 40, obese, former smokers, who reported a short sleep pattern, with one or more chronic diseases and two or more health problems, and who reported seeking a health care service or professional in the past 15 days. The findings showed some differences in the determinants of drug use in relation to gender, revealing the greater importance of health-related behavior among women.