Stress and resilience in professionals of basic health units in the context of child abuse
Estresse e resiliência em profissionais de unidades básicas de saúde no contexto dos maus-tratos infantis
Palavras-chave:
Primary health care, Child abuse, Health professional, Occupational stress, Resilience, psychologicalResumo
Child abuse is a challenge for Primary Health Care professionals from perception to management, requiring their direct action and exposing them to critical emotional burdens. The objective was to identify factors of resilience and occupational stress and aspects involved in the management of cases of child abuse. Cross-sectional quantitative exploratory study carried out in a city in greater São Paulo with 119 Primary Health Care professionals working in direct care for families through the application of the identification questionnaire on child violence by Basic Health Units professionals, Connor-Davidson Resilience Scale for Brasil-25BRASIL and Lipp's Inventory of Stress Symptoms for Adults. The results demonstrated the prevalence of feelings and emotions, an inversely proportional relationship between resilience and stress factors, aggravated by a personal history of child abuse. It is concluded that the development of resilience is essential for reducing the harmful factors of occupational stress and developing strategies for welcoming and caring for these professionals.
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Referências
ANDERSEN, S. et al. Building nurse resilience in the workplace. Applied Nursing Research, v. 59, p. 151433, 2021. doi: https://doi.org/10.1016/j.apnr.2021.151433
BANERJEE, D.; VARSHNEY, P.; VAJAWAT, B. “Guarding the gatekeepers”: suicides among mental health professionals and scope of prevention. A Review. Psychiatry Research, v. 294, p. 113501, 2020. doi: https://doi.org/10.1016/j.psychres.2020.113501
BARTUSKA, A. D.; MARQUES, L. Building resilience among frontline health care workers: strategies to consider for implementing evidence-based practices. The Journal of Clinical Psychiatry, v. 82, n. 1, p. 21com136869, 2021 doi: https://doi.org/10.4088/JCP.21com136869
BEHNKE, A. et al. Childhood maltreatment compromises resilience against occupational trauma exposure: A retrospective study among emergency medical service personnel. Child Abuse & Neglect, v. 99, p. 104248, 2020. doi: https://doi.org/10.1016/j.chiabu.2019.104248
DORNELLES, T. M.; MACEDO, A. B. T.; SOUZA, S. B. C. de. Professional quality of life and coping in a reference hospital for victims of sexual violence. Texto & Contexto - Enfermagem, v. 29, o. e2190153, 2020. doi: https://doi.org/10.1590/1980-265X-TCE-2019-0153
DUBALE, B. W. et al. Systematic review of burnout among healthcare providers in sub-Saharan Africa. BMC Public Health, v. 19, n. 1, p. 1247, 2019. doi: https://doi.org/10.1186/s12889-019-7566-7
EGRY, E. Y.; APOSTOLICO, M. R.; MORAIS, T. C. P. Reporting child violence, health care flows and work process of primary health care professionals. Ciência & Saúde Coletiva, v. 23, n. 1, p. 83-92, 2018. doi: https://doi.org/10.1590/1413-81232018231.22062017
FIGLEY, C. R. Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Routledge, 1995.
FÓRUM BRASILEIRO DE SEGURANÇA PÚBLICA. Anuário brasileiro de segurança pública. 2023. Disponível em: https://forumseguranca.org.br/wp-content/uploads/2023/07/anuario-2023.pdf. Acesso em: 22 Nov. 2023.
GÓMEZ-URQUIZA, J. L. et al. Factores de riesgo y niveles de burnout en enfermeras de atención primaria: una revisión sistemática. Atencion Primaria, v. 49, n. 2, p. 77-85, 2017. doi: https://doi.org/10.1016/j.aprim.2016.05.004
KELLY, L. A.; GEE, P. M.; BUTLER, R. J. Impact of nurse burnout on organizational and position turnover. Nursing Outlook, v. 69, n. 1, p. 96-102, 2021. doi: https://doi.org/10.1016/j.outlook.2020.06.008
LAI, J. et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Network Open, v. 3, n. 3, p. e203976, 2020. doi: https://doi.org/10.1001/jamanetworkopen.2020.3976
LIPP, M. E. N. Manual do inventário de sintomas de stress para adultos. 3ª ed. São Paulo: Casa do Psicólogo, 2000.
MANTAS, C. et al. Occupational stress and mental health among healthcare professionals: A nationwide cross-sectional study in Greece. Journal of Clinical Nursing, v. 28, n. 11-12, p. 2164-2172, 2019.
MAUNDER, R. G. et al. Symptoms and responses to critical incidents in paramedics who have experienced childhood abuse and neglect. Emergency Medicine Journal, v. 29, n. 3, p. 222-227, 2012. doi: https://doi.org/10.1136/emj.2010.099838
MINISTÉRIO DA SAÚDE. Linha de Cuidado para a Atenção Integral à Saúde de crianças, adolescentes e suas famílias em situação de violências: orientação aos gestores e profissionais da saúde. Brasília, DF: Ministério da Saúde, 2014.
NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH (NIOSH). Series overview: burnout and public health worker. 2023. Disponível em: https://www.cdc.gov/niosh/learning/publichealthburnoutprevention/module-1/outline.html. Acesso em: 22 nov. 2023.
ODONKOR, S. T.; FRIMPONG, K. Burnout among healthcare professionals in Ghana: A critical assessment. BioMed Research International, p. 1614968, 2020. doi: https://doi.org/10.1155/2020/1614968
OLIVEIRA, E. J. et al. Tópicos em Administração. Volume 49/ Organização. Belo Horizonte: Poisson, 2023. Disponível em: https://www.poisson.com.br/livros/adm/volume49/Topicos_em_Administracao_vol49.pdf. Acesso em: 17 Nov 2023.
ORGANIZAÇÃO INTERNACIONAL DO TRABALHO (OIT). Caring for those who care: guide for the development and implementation of occupational health and safety programmes for health workers. 2022. Disponível em: https://www.ilo.org/wcmsp5/groups/public/---ed_dialogue/---sector/documents/publication/wcms_837585.pdf. Acesso em: 22 Nov. 2023.
ORGANIZAÇÃO INTERNACIONAL DO TRABALHO (OIT). MINISTÉRIO PÚBLICO DO TRABALHO. Observatório de Segurança e Saúde do Trabalho no Brasil. 2023. Disponível em: https://smartlabbr.org/sst/localidade/0?dimensao=perfilCasosAfastamentos#treemap_afast_doencas. Acesso em: 22 Nov. 2023.
ORGANIZAÇÃO MUNDIAL DA SAÚDE (OMS). Relatório mundial de violência e saúde. Genebra: OMS, 2002.
ORGANIZAÇÃO DAS NAÇÕES UNIDAS (ONU). Agenda 2030 para o desenvolvimento sustentável. 2015. Disponível em: https://brasil.un.org/pt-br/91863-agenda-2030-para-o-desenvolvimento-sustent%C3%A1vel. Acesso em: 22 Nov. 2023.
PASSMORE, S. et al. The relationship between hope, meaning in work, secondary traumatic stress, and burnout among child abuse pediatric clinicians. The Permanente Journal, v. 24, n. 1, 2020. doi: https://doi.org/10.7812/TPP/19.087
SCHEK, G.; SILVA, M. R. S. Feelings experienced by professionals who work in services to protect children and adolescents victims of intrafamily violence and its effects in daily practice. Revista de Pesquisa: Cuidado é Fundamental Online, v. 10, n. 3, p. 764-769, 2018. doi: https://doi.org/10.9789/2175-5361.2018.v10i3.764-769
SILVA, P. A. et al. (In)visibility of notifications of violence against children and adolescents registered in a municipality in southern Brazil. Investigacion y Educacion en Enfermeria, v. 37, n. 2, p. e11, 2019. doi: https://doi.org/10.17533/udea.iee.v37n2e11
SOLANO, J. P. et al. Factor structure and psychometric properties of the Connor-Davidson resilience scale among Brazilian adult patients. Sao Paulo Medical Journal, v. 13, S1516-31802016005003104, 2016. doi: https://doi.org/10.1590/1516-3180.2015.02290512
STOLPER, E. et al. How child health care physicians struggle from gut feelings to managing suspicions of child abuse. Acta Paediatrica (Oslo, Norway: 1992), v. 110, n. 6, p. 1847-1854, 2021. doi: https://doi.org/10.1111/apa.15736
WASKSMAN, R. D.; HIRSCHHEIMER, M. R.; PFEIFFER, L. (coords). Manual de Atendimento às Crianças e Adolescentes Vítimas de Violência. São Paulo: Sociedade de Pediatria de São Paulo/Sociedade Brasileira de Pediatria, 2018. Disponível em: https://www.spsp.org.br/downloads/Manual_Atendimento_Crian%C3%A7as_Adolescentes_V%C3%ADtimas_Viol%C3%AAncia_2018.pdf Acesso em: 17 Nov. 2023.
