Abstract
OBJECTIVE: To describe the prevalence of nursing diagnostics and to analyse differences between the groups according to the indicator created from the diagnoses and intervention of the CIPE® relating to job satisfaction. METHOD: 869 workers attending the occupational health assessments of an oil industry with nurse practitioners, using a data collection form to support clinical reasoning in the definition of diagnostics and intervention, with CIPE®. Data collected were grouped into five indicators: food aspects, interpersonal relationships, physical health, health behaviours and working conditions. RESULTS: 13 types of diagnoses and 18 interventions were mapped, being the most prevalent "job satisfaction" (85.0 %) and "promoting healthy relationship and communication techniques" (76.3 %), respectively. The student's t-test was used to compare scores of the five indicators between the groups. The "satisfied at work" revealed better interpersonal relationships (p < 0.001). The group intervened with the initiative "to promote healthy relationships and communication techniques and to encourage healthy relationships" demonstrates better interpersonal relationships (p < 0.01) and better physical health (p < 0.05). The best working conditions (p < 0.01) were identified in the group subject to "other interventions". CONCLUSION: Structured performance of the nurse practitioner in the worker healthcare enables the development of strategies aimed at implementing improvements within organizational aspects of the nursing work.
Highlights
The world of work has changed in the last century, affecting workers in their multiple dimensions[1]
This study aims to contribute to the development of strategies focused on implementing improvements to the organizational aspects of the nursing work, namely in the job satisfaction field
The 6 nurses of the service prepared a semi-structured interview script, based on the Interdisciplinary Worker’s Health Approach Instrument (IWHAI)[19], already published, which addresses the social characteristics of workers, socioenvironmental components, personal characteristics, level of self-care, environmental components, exposure to risk agents, health surveillance, family relationships and relationships in the workplace Table 1 shows the IWHAI indicator which varies on a scale from 0 to 4, with 0 meaning non-existent or inadequate and 4 an optimal index
Summary
The world of work has changed in the last century, affecting workers in their multiple dimensions[1]. Organizations are increasingly committed to creating a dynamism that facilitates evolution, productivity and economy, in ways that allow optimizing the time and scope of defined goals[2] It is not just about new tasks or functions, involving new competences, different ways of performing and organizing work, which contribute to shape and modify the relationships between the worker and the work environment[1]. Work is one of human being’s ways of positioning as a single individual, and undeniably, one of the components of happiness[5], resulting from the full satisfaction of psychosocial needs, the feeling of pleasure and the sense of contribution in the exercise of professional activity It is one of the organizing axes of social life, acting as a determinant of people's living conditions and health
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