Abstract
Introduction: By performing and promoting practices that aim to improve health, the nursing team has assumed itself as a protagonist during the COVID-19 pandemic. Therefore, the personal, professional, and family exposure is evident; the lack of personnel and occupational security, in addition to the consequences on the health and work contexts of these professionals.
Objective: To analyze the health and work contexts of nursing professionals during the pandemic of COVID-19.
Methodology: This is a mixed-method study that combines approaches through the concurrent incorporation strategy – QUAN(qual), conducted in Minas Gerais, Brazil, between August and December 2020. A script of questions was applied over the phone to 58 professional nurses, nursing technicians, and nursing assistants. The script included open and closed questions related to sociodemographic issues and health, work, and COVID-19 contexts and conditions. A descriptive quantitative analysis and thematic content analysis were performed.
Results: The majority were women (93.1%) nursing technicians (69%). The 39.7% of the participants worked the night shift; the 58.6% reported experiencing violence at work and the 48.3% was diagnosed with mental disorders. The work contexts during the pandemic showed that there was a need for encouragement and professional evaluation; they also portrayed the relationships with the institutional factors, the work dynamics and the organization, the appropriate working conditions and the favorable interpersonal relationships. On the other hand, health contexts showed the relationship between interests, opportunities, routine, normality, hope and tenacity that would occur at the end of COVID-19. Conclusion: The pandemic of COVID-19 strengthened a critical, fearful, and insecure health and work context of the Brazilian nursing team, exacerbating the need for provisions, actions and policies that consider worker's health crucial for the organization of services.
References
Chen Y, Liu Q, Guo D. Emerging coronaviruses: Genome structure, replication, and pathogenesis. J Med Virol. 2020;92(4):418-423. https://doi.org/10.1002/jmv.25681
Sousa L, Albuquerque JM, Cunha M, Santos EJF. Psychological impact of COVID-19 on healthcare workers: prevalence systematic review. Acta Paul Enferm. 2021;34:eAPE003775. 10.37689/acta-ape/2021AR03775
World Health Organization. WHO Coronavirus (COVID-19) Dashboard [Internet]. Geneva: World Health Organization; 2022 [acesso em 7 nov. 2022]. Disponível em: https://covid19.who.int/
Ministério da Saúde (BR). Painel de casos de doença pelo coronavírus 2019 (COVID-19) no Brasil pelo Ministério da Saúde [Internet]. Brasília: Ministério da saúde; 2021 [acesso em 10 mar. 2021]. Disponível em: https://covid.saude.gov.br/
El País. Brasil responde por um terço das mortes globais entre profissionais de enfermagem por Covid-19 [Internet]. 2021 [acesso em 7 set. 2021]. Disponível em: https://brasil.elpais.com/brasil/2021-01-08/brasil-responde-por-um-terco-das-mortes-globais-entre-profissionais-de-enfermagem-por-covid-19.html
Conselho Federal de Enfermagem (BR). Mortes entre profissionais de enfermagem por Covid-19 cai 71% em abril [Internet]. 2021 [acesso em 06 nov. 2022]. Disponível em: http://www.cofen.gov.br/mortes-entre-profissionais-de-enfermagem-por-covid-19-cai-71-em-abril_86775.htm
The Lancet. 2020: unleashing the full potential of nursing. Lancet. 2019; 394(10212):1879. https://doi.org/10.1016/S0140-6736(19)32794-1
Maia MA, Paiva ACO, Moretão DIC, Batista RCR, Alves M. The daily work in nursing: a reflection on professional practices. Cienc Cuid Saude. 2019;18(4):e43349. https://doi.org/10.4025/cienccuidsaude.v18i4.43349
Huang J, Liu F, Teng Z, Chen J, Zhao J, Wang X et al. Care for the psychological status of frontline medical staff fighting against Coronavirus Disease 2019 (COVID-19). Clin Infect Dis. 2020;71(12):3268-3269. https://doi.org/10.1093/cid/ciaa385
Wachholz A, Dalmolin GL, Silva AM, Andolhe R, Barlem ELD, Cogo SB. Moral distress and work satisfaction: what is their relation in nursing work? Rev Esc Enferm USP. 2019;53:e03510. http://dx.doi.org/10.1590/S1980-220X2018024303510
Galon T, Navarro VL, Gonçalves MS. Nurses’ perception regarding their health and working conditions during the COVID-19 pandemic. Rev Bras Saude Ocup. 2022;47:ecov2. https://doi.org/10.1590/2317-6369/15821PT2022v47ecov2
Miranda FMA, Santana LL, Pizzolato AC, Saquis LMM. Condições de trabalho e o impacto na saúde dos profissionais de enfermagem frente a Covid-19. Cogitare enferm. 2020;25: e72702. dx.doi.org/10.5380/ce.v25i0.72702
Machado MH, Santos MR, Oliveira E, Wermelinger M, Vieira M, Lemos W, et al. Condições de trabalho da enfermagem. Enferm Foco. 2015;6(1/4):79-90. https://doi.org/10.21675/2357-707X.2016.v7.nESP.695
Creswell JW, Clark VLP. Pesquisa de métodos mistos. 2ª ed. Porto Alegre: Penso; 2013.
Santos JLG. Erdmann AL, Meirelles BHS, Lanzoni GMM, Cunha VP, Ross R. Integrating quantitative and qualitative data in mixed methods research. Texto Contexto-Enferm. 2017;26(3):e1590016. http://dx.doi.org/10.1590/0104-07072017001590016
Amaral GG, Silva LS, Oliveira JV, Machado NM, Teixeira JS, Passos HR. Ethical-emotional support for Nursing professionals facing the COVID-19 pandemic: An experience report. Esc Anna Nery Rev Enferm. 2022;26(spe):e20210234. Disponível em: https://doi.org/10.1590/2177-9465-EAN-2021-0234
Conselho Federal de Enfermagem. Pesquisa Perfil da Enfermagem (Cofen/Fiocruz) [Internet]. COFEN; 2016 [acesso em 10 jan. 2021]. Disponível em: http://www.cofen.gov.br/perfilenfermagem/index.html
Vignola RCB, Tucci AM. Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese. J Affect Disord. 2014;155:104-109. http://dx.doi.org/10.1016/j.jad.2013.10.031
Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016.
Pereira MS, Almeida NG, Cunha CT, Figueiredo LG, Spagnol CA, Araújo KLS et al. Coronavírus e a qualidade de vida no trabalho em enfermagem. 2020 [acesso em 11 abr 2021]. Disponível em: https://minasfazciencia.com.br/2020/06/03/coronavirus-e-a-qualidade-de-vida-no-trabalho-em-enfermagem/
Bell SA, Brysiewicz P. 2020 year of the nurse and midwife: Meeting new challenges. Int Emerg Nurs. 2020;49:100848. https://doi.org/10.1016/j.ienj.2020.100848
Kang L, Ma S, Chen M, Yang J, Wang Y, Li R. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain Behav Immun. 2020;87:11-17. https://doi.org/10.1016/j.bbi.2020.03.028
Choi KR, Skrine Jeffers K, Cynthia Logsdon M. Nursing and the novel coronavirus: Risks and responsibilities in a global outbreak. J Adv Nurs. 2020;76(7):1486-1487. https://doi.org/10.1111/jan.14369
Liu Y, Wang H, Chen J, Zhang X, Yue X, Ke J, et al. Emergency man-agement of nursing human resources and supplies to respond to coro-navirus disease 2019 epidemic. Inter J Nur Scie. 2020;7(2):135-138. https://doi.org/10.1016/j.ijnss.2020.03.011
Jiang L, Broomer ME, Ning C. The performance and professionalism of nurses in the fight against the new outbreak of COVID-19 epidem-ic is laudable. Inter J Nurs Stud. 2020;107:103578. https://doi.org/10.1016/j.ijnurstu.2020.103578
Passos HR, Silva LS, Oliveira JV, Amaral GG. Condições de vida, saúde e trabalho de profissionais de enfermagem frente à pandemia de COVID-19. Hu Rev. 2022;48:1-12. https://doi.org/10.34019/1982-8047.2022.v48.37535
Wei XS, Wang XR, Zhang JC, Yang WB, Ma WL, Yang BH, et al. A cluster of health care workers with COVID-19 pneumonia caused by SARS-CoV-2. J Microbiol Immunol Infect. 2021;54(1):54-60. https://doi.org/10.1016/j.jmii.2020.04.013
Lucchini A, Giani M, Elli S, Villa S, Rona R, Foti G. Nursing Activities Score is increased in COVID-19 patients. Intensive Crit Care Nurs. 2020;59:102876. http://dx.doi.org/10.1016/j.iccn.2020.102876
Souza ISA, Pereira MO, Oliveira MAF, Pinho PH, Gonçalves RMDA. Processo de trabalho e seu impacto nos profissionais de enfermagem em serviço de saúde mental. Acta paul. Enferm. 2015;28(5):447-453. https://doi.org/10.1590/1982-0194201500075
Son H, Lee W, Kim H, Lee K, You M. Examination of Hospital Workers’ Emotional Responses to an Infectious Disease Outbreak: Lessons From the 2015 MERS Co-V Outbreak in South Korea. Disaster Med Public Health Prep. 2019;13(3):504-510. https://doi.org/10.1017/dmp.2018.95
Hsiao SJ, Tseng HT. The impact of the moderating effect of psychological health status on nurse healthcare management infor-mation system usage intention. Healthcare. 2020;8(1):1-14. https://doi.org/10.3390/healthcare8010028
Huang H, Liu L, Yang S, Cui X, Zhang J, Wu H. Effects of job conditions, occupational stress, and emotional intelligence on chronic fatigue among Chinese nurses: A cross-sectional study. Psychol Res Behav Manag. 2019;12:351–360. https://doi.org/10.2147/PRBM.S207283
Silva BM, Lima FRF, Farias FSAB, Campos ACS. Jornada de trabalho: fator que interfere na qualidade da assistência de enfermagem. Texto Contexto-Enferm. 2006;15(3):442-448. https://doi.org/10.1590/S0104-07072006000300008
Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J Nurs Manag. 2020;28:1002–1009. https://doi.org/10.1111/jonm.13014
Carlos DM, Wernet M, Okido ACC, Oliveira WA, Silveira AO, Costa LCR. The dialogical experience of being a mother of a child and a nurse in the COVID-19 pandemic. Texto Contexto-Enferm. 2020;29:e20200329. https://doi.org/10.1590/1980-265X-TCE-2020-0329
Women Deliver. Citizens call for a gender-equal world: a roadmap for action [Internet]. 2021 [acesso em 22 abr 2021]. Disponível em: https://womendeliver.org/wp-content/uploads/2021/02/Global_Report_English.pdf
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