The work of the nursing team in the operating room and the health-related damages

Madrid, Bruna Pires; Glanzner, Cecília Helena

doi:10.1590/1983-1447.2021.20200087

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Original Article • Rev. Gaúcha Enferm. 42 (spe) • 2021 • https://doi.org/10.1590/1983-1447.2021.20200087 copy

The work of the nursing team in the operating room and the health-related damages

El trabajo del personal de enfermería en el quirófano y los daños relacionados com la salud

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to analyze the work of the nursing team in the operating room and the physical, psychological, and social damage related to occupational health.

Methods:

quantitative study conducted from November 2017 to January 2018 in the operating room of a university hospital. The sample consisted of 160 nursing workers who responded to the Work-Related Damage Assessment Scale. Data were analyzed using the Student’s t test, One-Way analysis of variance (ANOVA) followed by Pearson’s chi-square test.

Results:

psychological and social damage were assessed by workers as low risk by 86.8% (139) and 87.4% (140), respectively. Physical damage was considered a medium risk by 57.9% (93) of the sample.

Conclusions:

the results direct the attention of managers and the occupational medicine service to physical damage, preventing them from getting worse and thus promoting improvements in working conditions and occupational health.

Keywords:
Perioperative nursing; Nursing; Operating room nursing; Occupational health; Occupational health nursing; Nursing, team

Factor	Items	Mean	SD	Risk
Psychological Damage	Bitterness	1.53	0.8	Low
	Feeling of emptiness	1.53	0.8	Low
	Bad mood	1.99	0.9	Low
	Willingness to give up everything	1.48	0.8	Low
	Sadness	1.87	1.0	Low
	Loss of self-confidence	1.55	0.8	Low
	Loneliness	1.43	0.8	Low
Social Damage	Insensitivity towards colleagues	1.76	0.9	Low
	Difficulties in relationships outside work	1.55	0.7	Low
	Willingness to be alone	1.84	0.9	Low
	Conflicts in family relationships	1.74	0.8	Low
	Aggressiveness towards others	1.52	0.7	Low
	Difficulty with friends	1.43	0.6	Low
	Impatience with people in general	1.82	0.8	Low
Physical Damage	Body pain	2.96	1.0	Medium
	Arm pain	2.78	1.2	Medium
	Headache	2.50	1.0	Medium
	Digestive Disorders	2.19	1.1	Low
	Back pain	3.12	1.0	Medium
	Sleep Disorders	2.64	1.3	Medium
	Leg pain	3.04	1.2	Medium
	Circulatory Disorders	2.12	1.2	Low
	Appetite Disorders	2.07	1.2	Low

Factor	ORU	ASC	CSSD	PACU	All	P^*
Psychological Damage						0.718
Low risk	91.5%	89.6%	80.6%	82.1%	86.8%
Medium risk	8.5%	8.3%	16.7%	14.3%	11.3%
High risk	0%	2.1%	2.8%	3.6%	1.9%
Social Damage						0.299
Low risk	89.4%	93.8%	77.8%	85.7%	87.4%
Medium risk	10.6%	6.3%	19.4%	14.3%	11.9%
High risk	0%	0%	2.8%	0%	0.6%
Physical Damage						0.224
Low risk	29.8%	43.8%	36.1%	21.4%	34%
Medium risk	63.8%	47.9%	50%	75%	57.9%
High risk	6.4%	8.3%	13.9%	3.6%	8.2%

Variable		Psychological Damage	Social Damage	Physical Damage
Work shift	Morning	1.56±0.47^‡	1.58±0.47^‡	2.58±0.63^‡
	Afternoon	1.68±0.77^‡	1.76±0.63^‡	2.77±0.97^‡
	Night	1.67±0.66^‡	1.70±0.56^‡	2.59±0.80^‡
	Others	1.39±0.41^‡	1.45±0.36^‡	2.02±0.82^‡
	P^*	0.467	0.241	0.058
Age	<45 years	1.54±0.68^‡	1.55±0.51^‡	2.53±0.82^‡
	=>45	1.64±0.58^‡	1.76±0.56^‡	2.63±0.84^‡
	P^**	0.346	0.027	0.464
Function	Nurse	1.61±0.69^‡	1.65±0.56^‡	2.38±0.90^‡
	Nurse technician	1.60±0.60^‡	1.63±0.53^‡	2.61±0.77^‡
	Others	1.50±0.50^‡	1.72±0.61^‡	2.84±0.94^‡
	P^*	0.815	0.805	0.140
Time of service at the institution	Up to 5 years	1.45±0.63^‡a	1.54±0.63^‡	2.34±0.99^‡
	5 to 10 years	1.60±0.59^‡ab	1.63±0.53^‡	2.67±0.65^‡
	10 to 20 years	1.79±0.70^‡b	1.73±0.49^‡	2.78±0.90^‡
	>20 years	1.48±0.46^‡a	1.63±0.52^‡	2.48±0.65^‡
	P^*	0.042	0.481	0.092
Health problems	No problem	1.44±0.51^‡ª	1.55±0.51^‡ª	2.18±0.68^‡ª
	1 or 2 problems	1.63±0.54^‡ª	1.66±0.54^‡ª^b	2.73±0.67^‡b
	3 or more problems	1.97±0.89^‡b	1.93±0.51^‡b	3.38±1.00^‡c
	P^*	0.004	0.032	0.000
Last medical test	Yes	1.52±0.54^‡	1.60±0.52^‡	2.41±0.81^‡
	No	1.70±0.64^‡	1.69±0.55^‡	2.83±0.72^‡
	P^**	0.217	0.037	0.224
Work leave	No	1.52±0.54^‡	1.60±0.52^‡	2.42±0.81^‡
	Yes	1.74±0.71^‡	1.72±0.56^‡	2.87±0.80^‡
	P^**	0.028	0.206	0.001
Smoking	Não	1.62±0.63^‡	1.66±0.54^‡	2.59±0.84^‡
	Sim	1.35±0.32^‡	1.46±0.49^‡	2.74±0.86^‡
	P^**	0.196	0.277	0.594
Sleep quality	Ruim	1.78±0.75^‡	1.83±0.59^‡	3.05±1.04^‡
	Boa	1.54±0.54^‡	1.57±0.50^‡	2.41±0.65^‡
	P^**	0.030	0.006	0.000

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
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[1] Corresponding author:
Cecília Helena Glanzner E-mail: glanznercecilia@gmail.com