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      Intervenções em saúde do trabalhador - contexto, desafios e possibilidades de desenvolvimento: uma revisão de escopo Translated title: Occupational health interventions - context, challenges and possibilities for development: a scoping review

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          Abstract

          Resumo Objetivo: analisar a estrutura, o funcionamento das intervenções para prevenção de agravos e a promoção da saúde do trabalhador no Brasil, segundo os critérios de sistematicidade, agência transformativa e transformação. Métodos: foi realizada uma revisão de escopo de estudos empíricos publicados entre 2010 e 2019. Para avaliar e interpretar os achados e discutir suas possibilidades e tendências de desenvolvimento, utilizaram-se os três critérios mencionados. Resultados: foram incluídos 147 estudos; observou-se que o objeto da intervenção é mais comum em elementos isolados do sistema de atividade produtiva do que sobre o conjunto completo; a agência transformativa dos atores envolvidos é pouco estimulada; a transformação efetiva das condições que deram origem às intervenções aparece com mais frequência nas situações em que se pretendia mudar apenas aspectos proximais aos agravos de saúde. Conclusão: embora parte dos estudos reporte mudanças implementadas, a maioria deles não refere intervenções sobre os determinantes de saúde e não envolve os trabalhadores como protagonistas das mudanças. Os achados permitiram discutir possibilidades de desenvolvimento e desafios para intervenções.

          Translated abstract

          Abstract Objective: to analyze the structure and functioning of interventions for diseases prevention and workers’ health promotion in Brazil according to the criteria of systematicity, transformative agency and transformation. Methods: we carried out a scope review of empirical studies published between 2010 and 2019. To evaluate and interpret the findings and discuss their possibilities and development trends, the three mentioned criteria were used. Results: 147 articles were included. Isolated elements of the productive system are more often subject to intervention than the entire system. Workers’ transformative agency is little stimulated, and the effective transformation of the conditions targeted appears more frequently in situations focused on changing only proximal aspects to health issues. Conclusion: although some studies report implemented changes, most of them do not refer to interventions on health determinants and do not involve the workers as protagonists of changes. The findings allowed to discuss development possibilities and challenges for interventions.

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          PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

          Scoping reviews, a type of knowledge synthesis, follow a systematic approach to map evidence on a topic and identify main concepts, theories, sources, and knowledge gaps. Although more scoping reviews are being done, their methodological and reporting quality need improvement. This document presents the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist and explanation. The checklist was developed by a 24-member expert panel and 2 research leads following published guidance from the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network. The final checklist contains 20 essential reporting items and 2 optional items. The authors provide a rationale and an example of good reporting for each item. The intent of the PRISMA-ScR is to help readers (including researchers, publishers, commissioners, policymakers, health care providers, guideline developers, and patients or consumers) develop a greater understanding of relevant terminology, core concepts, and key items to report for scoping reviews.
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            Scoping studies: towards a methodological framework

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              Scoping reviews: time for clarity in definition, methods, and reporting.

              The scoping review has become increasingly popular as a form of knowledge synthesis. However, a lack of consensus on scoping review terminology, definition, methodology, and reporting limits the potential of this form of synthesis. In this article, we propose recommendations to further advance the field of scoping review methodology.
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                Author and article information

                Journal
                rbso
                Revista Brasileira de Saúde Ocupacional
                Rev. bras. saúde ocup.
                Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho - FUNDACENTRO (São Paulo, SP, Brazil )
                0303-7657
                2317-6369
                2022
                : 47
                : e15
                Affiliations
                [4] Teresina Piauí orgnameUniversidade Federal do Piauí orgdiv1Departamento de Medicina Comunitária Brazil
                [2] São Paulo SP orgnameAssociação de Saúde Ambiental e Sustentabilidade Brasil
                [1] São Paulo São Paulo orgnameUniversidade de São Paulo orgdiv1Faculdade de Saúde Pública Brazil
                [3] São Cristóvão orgnameUniversidade Federal de Sergipe orgdiv1Departamento de Engenharia Agronômica Brazil
                Article
                S0303-76572022000100302 S0303-7657(22)04700000302
                10.1590/2317-6369/21120pt2022v47e15
                fb031bf4-5449-4981-886a-1b0401b673c1

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

                History
                : 16 March 2021
                : 15 July 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 190, Pages: 0
                Product

                SciELO Brazil

                Categories
                Artigo de revisão

                prevenção de acidentes,prevenção de doenças,vigilância em saúde do trabalhador,saúde do trabalhador,review,disease prevention,accident prevention,surveillance of the workers health,occupational health,revisão

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