RELIABILITY AND PRACTICABILITY OF MAURO & MAURO MODEL IN THE APPLICABILITY OF THE BRAZILIAN REGULATORY STANDARD 32 (RS 32) IN NURSING

ORP 2019
The objective is to evaluate the psychometric properties of a data collection instrument about the applicability of the RS #32 in accordance with the standard, based on the adequacy of the results of its application as a pilot test. Methodological study, involving investigations of methods of obtaining, organizing and analyzing data through the instrument evaluation and research techniques. The psychometric properties reliability and practicability were evaluated after approval by the Universidade do Estado do Rio de Janeiro (UERJ)’ Research Ethics Committee (REC), according to statement number 2,031,013. It counted with 137 nursing professionals participating. The reliability was estimated through internal consistency and test-retest stability, with satisfactory results of internal consistency (Cronbach alpha= 0.928) and test-retest stability (Intraclass Correlations Coefficient = 0.70) for the instrument as a whole. The practicality indicated that the instrument was considered important in relation to its content, although exhaustive due to its large extension. The instrument was considered reliable for use in health services, however, it is recommended to further study of the psychometric properties of validity verification. It is expected that future uses of the reliable instrument will contribute satisfactorily to health managers to identify health-damaging events’trends and possibilities, in order to maintain favorable work environments, as well as to the accident levels’ reduction and consequent reduction of absenteeism rates and working conditions improvement.
Tema secundario: 
Prevención de riesgos laborales
Autor principal: 
Maria Yvone Chaves
Mauro
FENF/UERJ - Faculdade de Enfermagem UERJ
Brasil
Coautores: 
CARLA CHRISTINA CHAVES
MAURO
M12 ERGONOMIA
Brasil
Nathalia Pey Tournillon
SPER
FENF/UERJ
Brasil
Leonardo Regace
Mauro
Valencia College Fl,EUA
Brasil
Introducción: 

Regulatory Standard 32 appeared in an imperitive context of health workers about legislation that regulate practices in these services, based on the axes of the worker's capacitation, programs that deal with risks, and measueres to protect against risks.  However, its implementation still faces challenges, especially among nursing workers. The objective is to identify the applicability of the RS 32 from organizational aspects recognized by the nursing professional of the hospital  environment.

Metodología: 

The Method is a descriptive, cross-sectional study with a quantitative approach, developed in a large hospital linked to the Sistema Unico de Saude (SUS), located in the northern part of the Rio de Janeiro city, that belongs to the federal public hospital network.  It counted with 137 nursing professionals participating, who answered a questionnaire with 86 questions and 10 domains of knowedge, following the RS 32 proposal.  The data were tabulated and analyzed through simple descriptive statistics, presenting absolute and relative frequencies.  

Resultados: 

The results is was observed that the majority of participants were: female (89,1%), between 11 and 20 (45,3%) years of study, with one employment (52,5%) and with federal statutory contract (65,0%).  About the weekly workload, it was noted that the majority work between 30 and 39 hours, both in the hospital (70,8%) and in another workplace (19,0%), predominanting the day shift (67,9%).  Regarding work-related issues, 88,3% of the workers affirmed that there is no Occupational Health Program at the instituicion and only 21,2% asserted that it is done a risks assessment that arises from working conditions.  A large part affims that it is no control of work accidents and diseases (59,1%), but 19% report that the Work Accidents Communication (Wac) is done, 2,2% affirm that medical evaluation and therapeutic procedures are performed, and 75,9% ensure that both options are  done together.

Conclusiones: 

Is was observed that a significant number of the participants are not awere of programs and actions aimed to the prevention of work-related diseases and accidents, and to their health promotion, demonstrating a great lack of the institution regarding  the well-being of is workers and the feasibility of RS32.

Referencias bibliográficas: 

1. Santos MR, Ribeiro RP, Martins MB, Nascimento LA, Martins JT, Bobroff MCC. Avaliação da implantação da Norma Regulamentadora 32 em um hospital universitário. Cogitare Enferm 2012; 17(3):524-30. doi: http://dx.doi.org/10.5380/ce.v17i3.25754.

2. Cabeças JM. Taxonomy to characterize occupational hazards (risk factors) at the workplace level. Work 2015; 51(4):703–13. Doi: 10.3233/WOR-152023.

3. Santos Junior AG, Santos FR, Furlan MCR, Araújo JC, Arantes MB, Barbosa TS. Norma regulamentadora 32 no Brasil: revisão integrativa da literatura. R. Enferm. Cent. O. Min. 2015; 5(1):1528-34. doi: http://dx.doi.org/10.19175/recom.v0i0.1050.

4. Cunha AC, Mauro MYC. Educação Continuada e a Norma Regulamentadora 32: utopia ou realidade na enfermagem? Rev. bras. saúde ocup. 2010; 35(122):305-13. Doi: http://dx.doi.org/10.1590/S0303-76572010000200013.

5. Cunha AC. Aplicabilidade da Norma Regulamentadora-32: visão dos trabalhadores de enfermagem em um hospital público do RJ. Dissertação de mestrado apresentada à Faculdade de Enfermagem da UERJ, 2009; 156f. Dissertação (Mestrado em Enfermagem) – Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2009.

6. Sper NPT, Mauro MYC, Gomes ICM. Dispositivos de segurança em instrumentos perfurocortantes versus acidentes com exposição a material biológico. Rev enferm UERJ 2015; 23(6):845-51. Doi: http://dx.doi.org/10.12957/reuerj.2015.18027

7. Marziale MHP, Galon T, Cassiolato FL, Girao FB. Implantação da Norma Regulamentadora 32 e o controle dos acidentes de trabalho. Acta Paul Enferm 2012; 25(6): 859-66. Doi: http://dx.doi.org/10.1590/S0103-21002012000600006.

8. Ferreira AP, Grams MT, Erthal RMC, Girianelli VR, Oliveira MHB. Revisão da literatura sobre os riscos do ambiente de trabalho quanto às condições laborais e o impacto na saúde do trabalhador Rev Bras Med Trab 2018; 16(3):360-70. Doi: 10.5327/Z1679443520180267.

9. Felli VEA. Condições de trabalho de enfermagem e adoecimento: motivos para a redução da jornada de trabalho para 30 horas. Enfermagem em Foco 2012; 3(4): 178-81.

10. ZagoNovaretti MC, Vasconcelos Santos E, Quitério LM, MahfuzDaud-Gallotti R. Sobrecarga de trabalho da Enfermagem e incidentes e eventos adversos em pacientes internados em UTI. Rev. Bras. Enferm 2014; 67(5):692-9. Doi: http://dx.doi.org/10.1590/0034-7167.2014670504.

11. Gomes HF, Gonçalves FGA, Pires AS, Jomar RT, Peres EM, Gallasch CH. Reflection of nursing labor precarization in brazil for nursing workforce health status: an integrative review. Enfermagem atual 2016; 77:67-74.

12. Lima GMN, Kawanami GH, Romeiro FG. Perfil das exposições ocupacionais a material biológico entre profissionais de saúde do Hospital de Base de Bauru: medidas preventivas e pós-exposição. Rev Bras Med Trab 2017; 15(3):194-9. Doi: 10.5327/Z1679443520170001

13. Clock D, Batiz EC. Diagnóstico da implantação e implementação da norma regulamentadora 32 nos estabelecimentos de saúde: um estudo de caso em um hospital público de Joinville, SC – Brasil. Ação ergonômica 2017; 11(1):95-117.

14. Cochran WG. Sampling techniques. 3. ed. [S.l.]: John Wiley & Sons, 1967.

15. Sper NPT. Confiabilidade e praticabilidade do Modelo de Mauro & Mauro na aplicabilidade da Norma Regulamentadora NR 32 em enfermagem. Dissertação (Mestrado). Universidade do Estado do Rio de Janeiro: 2017; 81p.

16. Ytriola MF. Introdução à Estatística. 7. ed. Rio de Janeiro: LTC, 1999.

17. Barreto IS, Krempel MC, Humerez DC. O Cofen e a Enfermagem na América Latina. Enfermagem em Foco. 2011; 2(4): 251-254.

18. Montanholi LL, Tavares DMS, Oliveira GR. Estresse: fatores de risco no trabalho do enfermerio hospitalar. Revista Brasileira de Enfermagem 2006; 59(5):661-5. Doi: https://dx.doi.org/10.1590/S0034-71672006000500013.

19. Almeida AO, Araújo IEM, Dalri MCB, Araujo S. Conhecimento teórico dos enfermeiros sobre parada e ressuscitação cardiopulmonar, em unidades não hospitalares de atendimento à urgência e emergência. São Paulo. Rev. Lat. Amer. Enf. 2011; 19(2):[08 telas].

20. Bertoglio VM, Azzolin K, Souza EN, Rabelo ER. Tempo decorrido do treinamento em parada cardiorrespiratória e o impacto no conhecimento teórico de enfermeiros. Rev Gaúcha Enferm 2008; 29(3): 454-60.

21. Silva JLL, Melo ECP. Estresse e implicações para o trabalho de enfermagem. Inf Promoção Saúde [Internet].  2006; 2(2):16-8. Disponível em:  http://www.uff.br/promocaodasaude/estr.trab.pdf

22. Oliveira BRG, Murofuse NT. Acidentes de trabalho e doença ocupacional: estudo sobre o conhecimento do trabalhador hospitalar dos riscos à saúde de seu trabalho. Revista Latino-Americana de Enfermagem 2001; 9(1):109-15. Doi: https://dx.doi.org/10.1590/S0104-11692001000100016