Abstract
Objective:to associate and correlate musculoskeletal pain, stress and resilience of nurses in the maintenance of Hospital Accreditation Certification.Method:longitudinal study in two moments, before and after the Accreditation maintenance visit, March and June 2019, with 53 nurses from a hospital institution. The data collected was: sociodemographic, clinical and occupational variables, stress, osteomuscular pain and resilience. Descriptive variables, Chi-square test, t test, Fisher’s exact test, Pearson’s correlation and Spearman’s correlation coefficient were used.Results:most of the study participants had average stress levels before and after the evaluation. Most of those who reported pain were at medium stress levels at both times. The resilience capacity increased after the evaluation, which demonstrates that the experienced stressors were adequately addressed. There was no significant association between the cortisol levels and the perceived stress.Conclusion:occupational stress and musculoskeletal pain were experienced by nurses during the Accreditation processes. It was evident that individuality permeated the perception of stress and resilience allowed to overcome the tensions experienced. The study identified that there is a need for planning and implementation of actions to collaborate with the nurses in the best confrontation, aiming to promote resilience.
Highlights
The Hospital Accreditation is a modality of evaluation based on the quality and safety of the assistance in health institutions, according to established standards, with focus on permanent education and opportunities for improvement(1)
Fifty-three nurses participated in this survey, the majority (75.5%) female and 58.5% with an average age between 31 and 40 years old, 83% said they lived with a partner and 66% of them had children
It is understood that the fact that there was no significant relationship between stress perceived by professionals, according to the total stress levels of Bianchi Stress Scale (BSS) and resilience, does not mean that they are less important results, as well as the resilience of nurses has increased after the evaluation process for maintaining Hospital Accreditation Certification. These results demonstrate that the stressors experienced by nurses before the evaluation were adequately addressed, i.e., concomitantly there was an increase in resilience capacity after the evaluation, another positive factor for the proper facing of the process to which they were subjected
Summary
The Hospital Accreditation is a modality of evaluation based on the quality and safety of the assistance in health institutions, according to established standards, with focus on permanent education and opportunities for improvement(1). Nurses play an important role in the success of institutions seeking Accreditation Certifications, because the characteristics of the profession allow them to empower themselves in the work processes and in the construction of evidence that supports this methodology. This possibility, requires an attentive look at the health of these professionals due to the demands inherent to this process, tension and overload(3). In this sense, occupational stress is a process in which the professional interprets the demands/work requirements as stressors, which exceed their ability to overcome them; compromising their health(4)
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