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      Riscos psicossociais relacionados ao trabalho do enfermeiro da Saúde da Família e estratégias de gerenciamento Translated title: Work-related psychosocial risks of the Family Health nurse and management strategies Translated title: Riesgos psicosociales relacionados con el trabajo de los enfermeros de la Salud de la Familia y las estrategias de gestión

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          Abstract

          RESUMO Objetivo Analisar os riscos psicossociais relacionados ao trabalho do enfermeiro da Saúde da Família e as estratégias de gerenciamento para minimizá-los. Método Estudo exploratório, qualitativo, com enfermeiros das equipes da Estratégia da Saúde da Família. A coleta de dados ocorreu em julho de 2018 por entrevistas semiestruturadas e posteriormente foi realizada análise temática indutiva. Resultados Participaram 18 enfermeiros. Foram identificados riscos psicossociais relacionados ao contexto de trabalho: capacitação profissional insuficiente, relacionamento interpessoal comprometido, interface trabalho-família e violência psicológica; e relacionados ao conteúdo de trabalho: equipamento de trabalho insuficiente, déficit de recursos humanos e carga de trabalho extensa. Além disso, foram identificadas estratégias de gerenciamento destes riscos, tais como recorrer à família, espiritualidade, música e leitura. Conclusão O estudo deve provocar a reflexão dos enfermeiros acerca dos riscos que podem estar presentes no seu trabalho, além de contribuir para preencher lacunas na produção de conhecimento da área abordada. Pode ainda, fornecer subsídios para que os gestores de saúde conheçam os riscos psicossociais aos quais estão expostos estes profissionais, na perspectiva de adotar providências.

          Translated abstract

          ABSTRACT Objective To analyze the work-related psychosocial risks of Family Health nurses and the management strategies to minimize them. Method Exploratory, qualitative study with nurses from teams of the Family Health Strategy (FHS). Data collection took place in July 2018 through semi-structured interviews and subsequently, an inductive thematic analysis was carried out. Results Participation of 18 nurses. Psychosocial risks related to the work context were identified, namely: insufficient professional training, compromised interpersonal relationships, work-family interface and psychological violence; as well as those related to work content: insufficient work equipment, lack of human resources and heavy workload. In addition, strategies for managing these risks were identified, such as using the family, spirituality, music and reading. Conclusion The study should provoke the reflection of nurses about the eventual presence of risks in their work and contribute to fill knowledge production gaps in the area. It also provides subsidies for health managers’ knowledge of the psychosocial risks to which these professionals are exposed, with a view to adopting measures.

          Translated abstract

          RESUMEN Objetivo Analizar los riesgos psicosociales relacionados con el trabajo de los enfermeros de la Salud de la Familia y las estrategias de gestión para minimizarlos. Método Estudio exploratorio, cualitativo con enfermeros de los equipos de la Estrategia de Salud de la Familia. La recolección de datos fue en julio de 2018 a través de entrevistas semiestructuradas y, posteriormente, se realizó un análisis temático inductivo. Resultados Participaron 18 enfermeros. Se identificaron riesgos psicosociales relacionados con el contexto laboral: capacitación profesional insuficiente, relaciones interpersonales comprometidas, interfaz trabajo-familia y violencia psicológica; y relacionados con el contenido del trabajo: equipo de trabajo insuficiente, falta de recursos humanos y gran carga de trabajo. Además, se identificaron estrategias para manejar estos riesgos, como el uso de la familia, la espiritualidad, la música y la lectura. Conclusión El estudio debería provocar la reflexión de los enfermeros sobre la eventual presencia de riesgos en su trabajo y contribuir a llenar las brechas de producción de conocimiento en el área. También proporciona subsidios para que los administradores de salud conozcan los riesgos psicosociales a los que están expuestos estos profesionales, con miras a adoptar medidas.

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          Using thematic analysis in psychology

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            Saturação em pesquisa qualitativa: estimativa empírica de dimensionamento

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              Work of community health agents in the Family Health Strategy: meta-synthesis

              ABSTRACT OBJECTIVE To systematize and analyze the evidence from qualitative studies that address the perception of Brazilian Community Health Agents about their work. METHODS This is a systematic review of the meta-synthesis type on the work of community health agents, carried out from the Virtual Health Library using the descriptors “Agente Comunitário de Saúde” and “Trabalho”, in Portuguese. The strategy was constructed by crossing descriptors, using the Boolean operator “AND”, and filtering Brazilian articles, published from 2004 to 2014, which resulted in 129 identified articles. We removed quantitative or quanti-qualitative research articles, essays, debates, literature reviews, reports of experiences, and research that did not include Brazilian Community Health Agents as subjects. Using these criteria, we selected and analyzed 33 studies that allowed us to identify common subjects and differences between them, to group the main conclusions, to classify subjects, and to interpret the content. RESULTS The analysis resulted in three thematic units: characteristics of the work of community health agents, problems related to the work of community health agents, and positive aspects of the work of community health agents. On the characteristics, we could see that the work of the community health agents is permeated by the political and social dimensions of the health work with predominant use of light technologies. The main input is the knowledge that this professional obtains with the contact with families, which is developed with home visits. On the problems in the work of community health agents, we could identify the lack of limits in their attributions, poor conditions, obstacles in the relationship with the community and teams, weak professional training, and bureaucracy. The positive aspects we identified were the recognition of the work by families, resolution, bonding, work with peers, and work close to home. CONCLUSIONS This review provided an overview of the difficulties and positive aspects that are present in the daily work of community health agents. Given this, we have raised two challenges. The first one refers to how public policy makers need to appropriation the research results and the second one refers to the need to invest in studies that are designed to generate solutions for the difficulties faced by community health agents in their work.
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                Author and article information

                Journal
                reeusp
                Revista da Escola de Enfermagem da USP
                Rev. esc. enferm. USP
                Universidade de São Paulo, Escola de Enfermagem (São Paulo, SP, Brazil )
                0080-6234
                1980-220X
                2020
                : 54
                : e03602
                Affiliations
                [2] Ribeirão Preto orgnameUniversidade de São Paulo orgdiv1Escola de Enfermagem de Ribeirão Preto orgdiv2Programa Interunidades de Doutoramento em Enfermagem Brazil
                [3] Ribeirão Preto orgnameUniversidade de São Paulo orgdiv1Escola de Enfermagem de Ribeirão Preto orgdiv2Departamento de Enfermagem Geral e Especializada Brazil
                [1] Ribeirão Preto orgnameUniversidade de São Paulo orgdiv1Escola de Enfermagem de Ribeirão Preto orgdiv2Programa de Pós-Graduação Mestrado Profissional em Tecnologia e Inovação em Enfermagem Brazil
                Article
                S0080-62342020000100451 S0080-6234(20)05400000451
                10.1590/s1980-220x2018055603602
                13537d96-8563-4eaf-a73f-9d517bad8727

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

                History
                : 15 January 2019
                : 22 October 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 27, Pages: 0
                Product

                SciELO Brazil


                Saúde do Trabalhador,Enfermagem de Atenção Primária,Riscos Ocupacionais,Estratégia Saúde da Família,Enfermagem Familiar,Salud Laboral,Enfermería de Atención Primaria,Riesgos Laborales,Estrategia de Salud Familiar,Enfermería de la Familia,Occupational Health,Primary Care Nursing,Occupational Risks,Family Health Strategy,Family Nursing

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