Trabalho em enfermagem durante a pandemia da Covid-19: uma análise à luz da teoria da complexidade

Abstract

Introduction the pandemic caused by Covid-19 was not only due to the movement of people and objects, but encompassed a whole lifestyle, culture, philosophy and art, political organization and economic dynamics at a global and regional level. It became clear that the pandemic period was not experienced equally by everyone, especially for frontline workers in the direct care of patients with suspected or confirmed diagnosis of Covid-19. The pandemic accentuated problems that already existed in the field of health, highlighting characteristics inherent to the life and work of workers in the field of nursing. Objective Evaluate how the elements of the work context contributed to the exposure of workers in the field of nursing in the State Unified Health System (SUS) network in Bahia to the Coronavirus. Method This research is a part of the macro study “Working conditions, illness due to Covid-19 and life habits of workers in the field of Nursing of the State Department of Health of Bahia” research carried out by the Federal University of Bahia (UFBA) in partnership with the State Department of Health of Bahia (SESAB). This is a cross-sectional, retrospective, analytical research with a quantitative approach. Data collection was carried out from the extraction of information, from the Bank of Psychosocial Risks of SESAB, composed of two categories. 1 - result of the adaptation of the Work Context Assessment Scale (EACT); It is. 2-questions adapted from the Negative Acts Questionnaire Revised (NAQ-R) scale. Association analysis was performed between labor variables through network analysis using the JASP statistical program. Results were divided into two articles “Article 1 - Nursing work in the Covid-19 pandemic: network analysis” and “Article 2 - Occupational violence in the field of nursing during the pandemic: network analysis”. Final considerations The problems identified are not new in the work scenario of these workers, however the way in which the data were analyzed highlights the key points (knots) to be considered in mitigation strategies for complex and multifactorial factors that collaborate in the illness of workers : organizational and structural problems (excessive work pace, lack of support from superiors, precarious working conditions and inadequate job position/station to carry out 8 tasks), as well as subjective problems concerning the relationship within the institutions (Harassment Related to Work, Personal Harassment and Physical Intimidation).