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Navegando por Palavras-chave "Physicians"

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Avaliação do conhecimento de médicos não radiologistas sobre aspectos relacionados à radiação ionizante em exames de imagem
(Colégio Brasileiro de Radiologia e Diagnóstico por Imagem, 2014-07-01) Madrigano, Renata Rodrigues; Abrão, Karen Cristine; Puchnick, Andrea [UNIFESP]; Regacini, Rodrigo; Hospital Santa Helena; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
Objective: To assess the non-radiologist physicians' knowledge on the use of ionizing radiation in imaging. Materials and Methods: Cross-sectional study utilizing an anonymous questionnaire responded by physicians in clinical and surgical specialties, divided into two parts as follows: one including questions about the physicians' characteristics, frequency of imaging studies requests and participation in professional updating events, and another part including multiple choice questions approaching general knowledge about radiation, optimization principles and radioprotection. Results: From a total of 309 questionnaires, 120 (38.8%) were responded, 50% by physicians in surgical specialties and 50% in clinical specialties; respectively 45% and 2.5% of physicians responded that magnetic resonance imaging and ultrasonography use ionizing radiation. Overall, the average grade was higher for surgical specialists with no significant difference, except for the question about exposure in pregnant women (p = 0.047). Physicians who are professionally updated, particularly those attending clinical meetings (p = 0.050) and participating in teaching activities (p = 0.047), showed statistically superior knowledge about ionizing radiation as compared with others. Conclusion: The non-radiologist physicians' knowledge is heterogeneous and in some points needs to be improved. Multidisciplinary clinical meetings and teaching activities are important ways to disseminate information on the subject.
Acesso aberto (Open Access)
Condições e organização do trabalho no SUS em dois hospitais públicos sob diferentes formas de gestão na perspectiva de médicos e enfermeiros
(Universidade Federal de São Paulo (UNIFESP), 2017-10-06) Costa, Sheila Araujo [UNIFESP]; Lacaz, Francisco Antonio de Castro [UNIFESP]; Junqueira, Virginia [UNIFESP]; http://lattes.cnpq.br/5029984524343235; http://lattes.cnpq.br/7579223130627761; http://lattes.cnpq.br/2375524119698644; Universidade Federal de São Paulo (UNIFESP)
This study aims to capture and analyze, from the perspective of physicians and nurses, the working organization and conditions in two hospitals under different management forms -- direct administration- Adm and social organization – OS- both components of the public health system of a large municipality of greater São Paulo. As a major methodological step, the Questionnaire on Working Conditions (qCT) was validated in its quantitative dimension as an instrument for evaluating the working organization and conditions. In a second moment, in a quantitative study, the qCT was applied, objectifying to identify and discuss the working organization and conditions of nurses and physicians in two hospitals under different management forms. The sample of the first phase consisted of 689 health professionals working in the public health system under the Health Secretary management. The analysis of the main components has shown the existence of six factors, grouped by pairs in three sets, all of which have shown high internal consistence, with Cronbach's alpha of 0.96 and Confirmatory Factor Analysis ≥ 90 (values above 90 being accepted). The data indicates that the Working Conditions Questionnaire reliably reproduces the structure of the assumed theoretical model and combines the necessary technical properties that allow working conditions in health services to be properly reviewed. In the second phase, 181 questionnaires were answered, distributed as follows: 88 in the Adm hospital and 93 in the OS hospital. At the Adm hospital, 54 were doctors and 39 were nurses. At the OS hospital 57 were doctors and 31 were nurses. The categorical data were presented by frequencies and proportions, while the numerical data were described by means and standard deviations. Analyzing the answers obtained, a tendency is drawn, notably among physicians, of acceptance of private employment bonds, and even valuation of the private sector. Among the nurses, it is noted the ambiguity in relation to working conditions and answers marked by acquiescent attitudes towards the rules of the organization. These positionings are analyzed through a theoretical referential which places hospital assistance under OS management as an enterprise turned advantageous in a context of appropriation of public funds by failing medical businesses, with an imposition of instability of employment bonds and colonization of the public sphere by neoliberal values, such as entrepreneurship, massively propragandized by mass media and accepted by the middle classes, to which most of the physicians and nurses which took part in this research belong to.
Acesso aberto (Open Access)
Conhecimento e prática de médicos e nutricionistas sobre a prevenção da alergia alimentar
(Universidade Federal de São Paulo (UNIFESP), 2011-01-31) Ribeiro, Camila Cury [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Objective: To evaluate the knowledge and practice of pediatricians, gastroenterologists pediatricians, allergists and nutritionists regarding the primary prevention of food allergy. Methods: A descriptive cross-sectional study that enrolled pediatricians (n = 80), gastro-pediatricians (n = 120), allergists (n = 100) and nutritionists (n = 220), an amount of 520 professionals. The instrument collects used was a self-administered questionnaire prepared by the authors based on current recommendations of the major committees and societies related to prevention of food allergy. Results: The average age of professionals was 29.1 ± 5.8 years. The vast majority of the professionals was female, constituting a total 90.4% (n = 470) of respondents. The average time of graduation of professionals was 7.2 ± 5.8 years. Regarding the recommendation of exclusion diet on pregnancy, 89 (17.1%) professionals agreed with such practice, being the most indication by nutritionists. The gastro-pediatricians statistically differ from the others professionals by submitting the lowest rate of recommendation (p < 0.001). The recommendation of maternal exclusion diet on lactation was indicated by more number of professionals, constituting 40.8% (n = 212) of the sample, with the highest recommendation by nutritionists and pediatricians compared to pediatricians and allergists (p < 0.001). The duration of exclusive breastfeeding considered ideal was the period of 4 to 5.9 months indicated by 52.9% (n = 275) of professionals, according with the choices of most nutritionists, pediatricians and pediatricians. However, most allergists (65%; n = 65) indicated the range of 6 to 7.9 months. Regarding the time of introduction of complementary feeding, 218 (41.9%) professionals recommended modify the age of introduction to prevent the development of food allergy. The main period indicated was aged 6 to 7.9 months, indicated by 118 (54.1%) of respondents. Comparing the indication of the time of introduction of complementary feeding among professionals, 70 (70%) of allergists affirmed modify the time of introduction of complementary feeding (p < 0.001). The majority of special infant formulas indicated in case of impossibility of breastfeeding to prevent the development of food allergies were: Alfare® (70.6%), Neocate® (66.2%), Pregomin® (57.5%) and Nan HA® (42.1%). Conclusions: This study revealed there are misconceptions regarding the prevention of food allergy among all the categories of professionals. Our results confirm that the evaluation of knowledge and professional practice contributes to the definition of content that should be part of continuing education programs in the area of food allergy.
Acesso aberto (Open Access)
Conhecimentos e atitudes de cirurgiões frente aos conceitos de terapia nutricional
(Colégio Brasileiro de Cirurgiões, 2013-10-01) Paulo, Danilo Andriatti [UNIFESP]; Oliveira, Bruno Mauricio Rodrigues de [UNIFESP]; Wang, Davi Wei Ming [UNIFESP]; Guimarães, Maysa Penteado [UNIFESP]; Cukier, Celso [UNIFESP]; Lopes Filho, Gaspar de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
OBJECTIVE: To compare the knowledge of nutritional therapy (NT) of surgery residents and surgeons. METHODS: We applied two standardized questionnaires on knowledge, attitude and behavior regarding NT to 50 physicians (35 residents and 15 surgeons) of 12 different surgical areas. We compared the proportions of hits according to the perception on the subject of each group using the Fisher exact test, with 5% significance and p < 0.05. RESULTS: More than 80% did not feel safe regarding NT and 46% denied knowledge of the NT multidisciplinary team (NTMT). There was a higher percentage of correct answers among residents in the items: surgical trauma and its nutritional influence on the patient (p = 0.047); normal BMI (p = 0.036); preoperative NT (p = 0.007); and indication of preoperative NT in the group that referred that to interact with the NTMT (p = 0.02). Among surgeons: complications of NT and NT in previously malnourished patients (p = 0.044); and methods for assessing preoperative nutritional status in the group that referred to interact with the NTMT (p =0.01). CONCLUSION: there are gaps in medical education. Only 13.3% were confident about NT, and their knowledge did not justify such confidence. There were no differences between the successes of confident and non-confident about NT in most subjects. The best results came from the group that claimed to be assisted by any NTMT. Better medical educational programs should be goal for this university.
Acesso aberto (Open Access)
Demandas do trabalho e controle: implicações em unidades de terapia intensiva pediátrica e neonatal
(Associação Brasileira de Enfermagem, 2010-08-01) Fogaça, Monalisa de Cássia [UNIFESP]; Carvalho, Werther Brunow de [UNIFESP]; Nogueira-Martins, Luiz Antonio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
To compare the demand and control over work of physicians and nurses working in pediatric and neonatal critical care units. Cross-sectional study with 37 doctors and 20 nurses. We used the Job Content Questionnarie. Physicians from the ICU Neonatal differ in social support received from the supervisor (p= 0.01) compared to the ICU Pediatric. ICU nurses of the Neonatal present job insecurity (p= 0.05). Physicians and nurses from the ICU Pediatric differ in control over the work, psychological demands of work, physical effort and support of the supervisor (p <0.05). Physicians and nurses from the ICU Neonatal show statistical differences in control over the work, physical effort and support of the supervisor (p<0.05). The work environment in the ICU'S presents high demand and low control over the work.
Somente Metadadados
Doctors' awareness concerning primary immunodeficiencies in Brazil
(Elsevier B.V., 2015-05-01) Dantas, Ellen de Oliveira [UNIFESP]; Aranda, Carolina Sanchez. [UNIFESP]; Silva, A. M. Rego; Tavares, F. S.; Ferreira, Janaira Fernandes Severo; Coelho, M. A. de Quadros; Kovalhuk, L. C. de Siqueira; Roxo Júnior, Pérsio; Toledo, E. C.; Neto, A. C. Porto; Vieira, H. M. C. de Sousa; Takano, O. A.; Nobre, Fernanda Aimée [UNIFESP]; Sano, Flavio; Nudelman, Victor; Sales, V. S. de Farias; Segundo, G. R. Silva; Guedes, H. T. Villar; Félix, Erika [UNIFESP]; Marques, S. M. B.; Mazzucchelli, Juliana Themudo Lessa [UNIFESP]; Wandalsen, Neusa Falbo; Pinto, J. A.; Barreto, I. C. D. Paes; Silva, M. R.; Rullo, V. E. V.; Franco, J. M.; Damasceno, Eaine [UNIFESP]; Fahl, Kristine; Moraes-Pinto, M. I. de [UNIFESP]; Del Nero, D L; Moraes, L. S. L.; Condino-Neto, Antonio; Vilela, M. M.; Goes, H.; Schisler, Long Schisler; Miranda, E.; Goudouris, Ekaterini Simoes; Costa-Carvalho, Beatriz Tavares [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal de Pernambuco (UFPE); Univ Hosp; Childrens Hosp; Albert Sabin Childrens Hosp; Univ Estadual Montes Claros; Univ Fed Parana; Universidade de São Paulo (USP); Univ Hosp Sao Vicente Paulo; Joana Gusmao Childrens Hosp; Univ Hosp Muller; Univ Fed Mato Grosso; Nipo Brasileiro Hosp; Hosp lsraelita Albert Einstein; Univ Fed Rio Grande do Norte; Universidade Federal de Uberlândia (UFU); Universidade Federal da Bahia (UFBA); Univ Estadual Piaui; Universidade Federal do ABC (UFABC); Universidade Federal de Minas Gerais (UFMG); Univ Ctr Para; Univ Fed Sergipe; Hosp Servidor Publ Municipal; Private Off; Hosp Ministro Costa Cavalcanti; Childrens Hosp Cosme & Damitio; Universidade Federal do Rio de Janeiro (UFRJ)
Background: PIDs are a heterogeneous group of genetic illnesses, and delay in their diagnosis is thought to be caused by a lack of awareness among physicians concerning PIDs. the latter is what we aimed to evaluate in Brazil.Methods: Physicians working at general hospitals all over the country were asked to complete a 14-item questionnaire. One of the questions described 25 clinical situations that could be associated with PIDs and a score was created based on percentages of appropriate answers.Results: A total of 4026 physicians participated in the study: 1628 paediatricians (40.4%), 1436 clinicians (35.7%), and 962 surgeons (23.9%). About 67% of the physicians had learned about PIDs in medical school or residency training, 84.6% evaluated patients who frequently took antibiotics, but only 40.3% of them participated in the immunological evaluation of these patients. Seventy-seven percent of the participating physicians were not familiar with the warning signs for PIDs. the mean score of correct answers for the 25 clinical situations was 48.08% (+/- 16.06). Only 18.3% of the paediatricians, 7.4% of the clinicians, and 5.8% of the surgeons answered at least 2/3 of these situations appropriately.Conclusions: There is a lack of medical awareness concerning PIDs, even among paediatricians, who have been targeted with PID educational programmes in recent years in Brazil. An increase in awareness with regard to these disorders within the medical community is an important step towards improving recognition and treatment of PIDs. (C) 2014 SEICAP. Published by Elsevier Espana, S.L.U. All rights reserved.
Acesso aberto (Open Access)
Estudo da mortalidade dos médicos no Estado de São Paulo, Brasil, no período 2000-2009
(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2013-07-01) Sanchez, Zila van der Meer [UNIFESP]; Alves, Hamer N. Palhares [UNIFESP]; Nogueira-Martins, Luiz Antonio [UNIFESP]; Prado, Mariangela C. Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
This study presents the distribution of causes of death among physicians in the State of São Paulo, Brazil, from 2000 to 2009. The study used the database of the Mortality Information System, Secretariat of Health Surveillance, Brazilian Ministry of Health, limited to death certificates in which the item on occupation was reported as physician. Underlying causes of death were classified according to ICD-10 chapters. The study showed that cardiovascular diseases were the leading cause of death among physicians, followed by cancer and respiratory diseases. Under age 40, doctors of both genders died mainly from external causes. Among cancer deaths, breast cancer was the leading cause in women and lung cancer the first cause in men. The results show the need to promote adequate health habits and disease prevention among physicians, seeking to raise awareness in this group of professionals.
Acesso aberto (Open Access)
Estudo preliminar sobre a qualidade de vida de médicos e enfermeiros intensivistas pediátricos e neonatais
(Universidade de São Paulo, Escola de Enfermagem, 2010-09-01) Fogaça, Monalisa de Cássia [UNIFESP]; Carvalho, Werther Brunow de [UNIFESP]; Nogueira-Martins, Luiz Antonio [UNIFESP]; Universidade de São Paulo (USP); Hospital Santa Catarina; Universidade Federal de São Paulo (UNIFESP)
Compare the Quality of Life (QL) of doctors and nurses who work in Pediatric (PED) and Neonatal (NEO) Intensive Care Units, and to evaluate whether there are differences between the QL in the same job category, but differing according to the work unit. This descriptive study was performed with 37 physicians and 20 nurses. The WHOQOL100 was used. Physicians from the PED differ statistically in the field VI (p=0.003) compared with physicians from the NEO. Physicians and nurses from the PED showed a statistically significant difference in field V (p<0.01), while physicians and nurses from the NEO showed a statistically significant difference in field VI (p=0.05). The QL assessment of physicians and nurses working in pediatric and neonatal intensive care units was below the scores found in scientific literature, compared to studies that evaluated patients with chronic pain and mental health disorders, indicating the occurrence of occupational stress.
Acesso aberto (Open Access)
The experience of infectologists faced with death and dying among their patients over the course of the AIDS epidemic in the city of São Paulo: qualitative study
(Associação Paulista de Medicina - APM, 2010-01-01) Shimma, Emi [UNIFESP]; Nogueira-Martins, Maria Cezira Fantini; Nogueira-Martins, Luiz Antonio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Sexually-Transmitted Diseases-AIDS (STD-AIDS) Reference and Training Center; State Health Department of São Paulo Institute of Health
CONTEXT AND OBJECTIVE: With the emergence of the acquired immunodeficiency syndrome (AIDS) in 1981, infectologists' care practices went through great changes. The objective of this study was to describe and analyze the experiences of infectologists in dealing with death and dying among their patients, over the course of the AIDS epidemic in the city of São Paulo. DESIGN AND SETTING: A qualitative approach was used. Twenty infectologists from five hospitals that treat human immunodeficiency virus (HIV)/AIDS patients in the municipality of São Paulo were interviewed. METHODS: The sample was formed through the snowball process. The sample size was determined using the saturation criterion. To analyze the material obtained from the interviews, the procedure of thematic analysis was used. This consisted of finding the core meaning relating to the study objective, within the set of materials obtained. RESULTS: Analysis of the material obtained from the interviews led to three main themes: 1. The initial context of AIDS and its impact on infectologists; 2. Modifications to the infectologists' attachments to patients after the introduction of highly active antiretroviral therapy (HAART); 3. Coping with death and dying. CONCLUSIONS: This study shows the importance of considering the distress, emotional overload and adaptive mechanisms relating to death and dying among patients, both in training and in professional practice.
Acesso aberto (Open Access)
Fatores que tornam estressante o trabalho de médicos e enfermeiros em terapia intensiva pediátrica e neonatal: estudo de revisão bibliográfica
(Associação de Medicina Intensiva Brasileira - AMIB, 2008-09-01) Fogaça, Monalisa de Cássia [UNIFESP]; Carvalho, Werther Brunow de [UNIFESP]; Citero, Vanessa de Albuquerque [UNIFESP]; Nogueira-Martins, Luiz Antonio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
OBJECTIVES: Bibliographic review on occupational stress and burnout presence in physicians and nurses that work in pediatric and neonatal intensive care units. METHODS: The articles were selected from the MedLine, LILACS and SciElo data base using the key words: stress, burnout, physicians, nursing, intensive care unit, pediatric intensive care unit and neonatal intensive care unit. The studied period ranged from 1990 to 2007. RESULTS: Health professionals who work in pediatric and neonatal intensive care units are strong candidates for developing stress, psychological alterations and burnout syndrome. Researches on this subject identified important alterations suffered by these physicians and nurses, such as: work overload, burnout, desires of giving up their jobs, high levels of cortisol, among other alterations. CONCLUSIONS: Professionals, who work in pediatric and neonatal intensive care units, due to the specificity of their job, are liable to develop occupational stress, and consequently burnout. These results suggest the need for further research with the objective of developing preventive measures and intervention models.
Somente Metadadados
Initiation of resuscitation in the delivery room for extremely preterm infants: a profile of neonatal resuscitation instructors
(Hospital clinicas, univ sao paulo, 2016) Ambrosio, Cristiane Ribeiro; Sanudo, Adriana [UNIFESP]; Branco de Almeida, Maria Fernanda [UNIFESP]; Guinsburg, Ruth [UNIFESP]
OBJECTIVE: The goal of the present study was to examine the decisions of pediatricians who teach neonatal resuscitation in Brazil, particularly those who start resuscitation in the delivery room for newborns born at 23-26 gestational weeks. METHODS: The present study was a cross-sectional study that used electronic questionnaires (Dec/11-Sep/13) sent to instructors of the Neonatal Resuscitation Program of the Brazilian Society of Pediatrics. The primary outcome was the gestational age at which the respondent said that he/she would initiate positive pressure ventilation in the delivery room. Latent class analysis was used to identify the major profiles of these instructors, and logistic regression was used to identify variables associated with belonging to one of the derived classes. RESULTS: Of 685 instructors, 82% agreed to participate. Two latent classes were identified: 'pro-resuscitation' (instructors with a high probability of performing ventilation on infants born at 23-26 weeks) and 'prolimitation' (instructors with a high probability of starting ventilation only for infants born at 25-26 weeks). In the multivariate model, compared with the 'pro-limitation' class, 'pro-resuscitation' pediatricians were more likely to be board-certified neonatologists and less likely to base their decision on the probability of the infant's death or on moral/religious considerations. CONCLUSION: The pediatricians in the most aggressive group were more likely to be specialists in neonatology and to use less subjective criteria to make delivery room decisions.
Acesso aberto (Open Access)
Physical activity counseling in primary health care in Brazil: a national study on prevalence and associated factors
(Biomed Central Ltd, 2013-08-31) Florindo, Alex Antonio; Mielke, Gregore Iven; Gomes, Grace Angelica de Oliveira; Ramos, Luiz Roberto [UNIFESP]; Bracco, Mario Maia; Parra, Diana C.; Simoes, Eduardo J.; Lobelo, Felipe; Hallal, Pedro Curi; Universidade de São Paulo (USP); Univ Fed Pelotas; Universidade Federal de São Carlos (UFSCar); Universidade Federal de São Paulo (UNIFESP); Hosp Israelita Albert Einstein; Washington Univ; Univ Missouri; Ctr Dis Control & Prevent
Background: the aim of this study was to determine the prevalence and correlates of physical activity counseling among physicians and nurses working in primary health care in Brazil.Methods: A phone survey was carried out in 2011 with professionals working in primary health care in Brazil. the target sample consisted of 1,600 randomly selected primary care units covering all regions of the country. We successfully interviewed 529 professionals within the sampled units; 182 physicians and 347 nurses. the overall response rate was 49.6%. Multivariable logistic regression was used to estimate correlates of counseling in the whole sample and separately for physicians and nurses.Results: the prevalence of regular physical activity counseling for at least six months was 68.9% (95% CI 64.9; 72.8) and was significantly higher among physicians compared to nurses (p < 0.05). Most professionals (93.2%) interviewed were unfamiliar with current physical activity recommendations for health. in the adjusted analysis, physical activity counseling was more frequent among those who report assessing patient's physical activity (OR = 2.16; 95% CI 1.41; 3.29), those reporting that lack of time was not a barrier for counseling (OR = 0.62 95% CI 0.42-0.93), those who felt prepared to provide physical activity counseling (OR = 2.34; 95% CI 1.50-3.66), and those working at primary care units offering physical activity programs for patients (OR = 2.06; 95% CI 1.33-3.20). in the stratified analysis, only assessing patient's physical activity was a significant correlate among physicians whereas assessing patient's physical activity, feeling prepared to provide counseling and working in units with physical activity interventions were significant correlates among nurses.Conclusions: Physicians and nurses deemed physical activity counseling of great importance in primary health care in Brazil. However, in order to increase the quality of counseling and the number of professionals engaging in this activity, these health teams require greater knowledge about physical activity (global recommendations for health) as well as training on the application of instruments for assessing physical activity. Moreover, sufficient time must be allowed during consultations for the counseling process, and physical activity promotion programs should be implemented within the primary health care units.
Acesso aberto (Open Access)
A pioneering experience in Brazil: the creation of a support network for alcohol and drug dependent physicians. A preliminary report
(Associação Brasileira de Psiquiatria - ABP, 2007-09-01) Palhares-Alves, Hamer Nastasy [UNIFESP]; Laranjeira, Ronaldo [UNIFESP]; Nogueira-Martins, Luiz Antonio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
OBJECTIVE: The objectives of this study are to present the creation and operation of a support network to help physicians in Brazil, describe the socio-demographic profile, and investigate the prevalence of mental disorders and chemical dependence among physicians seeking treatment. METHOD: Semi-structured interviews using ICD-10 criteria were conducted to obtain data regarding alcohol/drug dependence, and psychiatric comorbidity. Socio-demographic and occupational characteristics were obtained. RESULTS: 247 patients made contact and 192 attended the first evaluation visit. Of those, 158 were male, and most (55%) were married. The mean age was 42.4 ± 11.1 years. The reasons for seeking treatment were: comorbidity between mental disorders and chemical dependence (67.7%); chemical dependence (20.8%); mental disorders (7.8%); and burnout (4.2%). The mean interval between the detection of the problem and seeking treatment was 7.5 years. Factors associated with the severity of the problem included unemployment (21.6%), difficulties of practicing professional activities (63.5%), problems with the Regional Council of Medicine (13%), psychiatric hospital admission (31.2%), and self-medication (71.8%). In our sample, 9.3% of the physicians had changed their area of specialization. CONCLUSIONS: A high prevalence of psychiatric disorders was found in this sample as well as psychosocial and professional problems. Treatment networks focusing on the physicians' mental health could catalyze cultural changes in treatment-seeking behavior, thereby improving early detection and treatment.
Acesso aberto (Open Access)
Preliminary study about occupational stress of physicians and nurses in pediatric and neonatal intensive care units: the balance between effort and reward
(Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo, 2010-02-01) Fogaça, Monalisa de Cássia [UNIFESP]; Carvalho, Werther Brunow de [UNIFESP]; Citero, Vanessa de Albuquerque [UNIFESP]; Nogueira-Martins, Luiz Antonio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
This study compared the balance between effort (E) and reward (R) among physicians and nurses working in pediatric (PED) and neonatal (NEO) Intensive Care Units. This descriptive cross-sectional study was carried out with 37 physicians and 20 nurses. The Effort-Reward Imbalance Questionnaire was used. Statistically significant differences were not found among physicians (p>0.05) or nurses from PED and NEO in relation to E and R (p>0.05). No statistically significant differences were found between physicians and nurses in PED in the several studied variables. Comparison between the professionals working in NEO revealed that physicians presented more over-commitment than nurses (p=0.01). The organizational setting of NEO proved to be more demanding for physicians, exacting a greater commitment to their work, while demands presented in both units seemed to be the same for nurses.

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