Outpatient work organization as perceived by nursing professionals with presenteeism behavior
DOI:
https://doi.org/10.12957/reuerj.2025.87088Keywords:
Occupational Health, Nursing, Presenteeism, Occupational Risks, Hospital AdministrationAbstract
Objective: to analyze the perception of Nursing professionals with presenteeism behavior regarding outpatient work organization in university hospitals from Rio de Janeiro, Brazil. Method: a cross-sectional study with Nursing workers from university outpatient clinics in the city of Rio de Janeiro, with presenteeism behavior as determined by the Stanford Presenteeism Scale and who answered the Work Organization Scale. Results: among all 198 participants, inadequate physical space, insufficient work resources and lack of professionals stood out as presenting the highest psychosocial risk for the “Division of Tasks” factor; in turn, participation in decisions about work, evaluation of work in relation to production and autonomy in carrying out tasks prevailed in “Social Division of Labor”. Conclusion: work organization was perceived as with medium risk for the “Division of Tasks” and “Social Division of Labor” factors, suggesting possible direct implications for Nursing professionals' health and possibly increasing the presenteeism behavior risk among them.
References
1. Machado MH, Filho WA, Lacerda WF, Oliveira E, Lemos W, Wermelinger M, et al. General characteristics of nursing: the sociodemographic profile. Enferm. Foco. 2016 [cited 2020 Sep 10]; 7:9-14. Available from: http://revista.cofen.gov.br/index.php/enfermagem/article/view/686/296.
2. Santos KM, Tracera GMP, Sousa KHJF, Moreira JPL, Castro MR, Zeitoune RCG. Psychosocial risks related to the organization of outpatient nursing work. Texto contexto - enferm. 2022 [cited 2023 Oct 10]; 31:e20210312. DOI: https://doi.org/10.1590/1980-265X-TCE-2021-0312.
3. Souza NVDO, Cunha LS, Pires AS, Gonçalves FGA, Ribeiro LV, Silva SSLF. Perfil Socioeconômico e de saúde dos trabalhadores de enfermagem da Policlínica Piquet Carneiro. Rev. Min. Enferm. 2012 [cited 2022 Sep 15]; 16:232. Available from: https://www.revenf.bvs.br/pdf/reme/v16n2/12.pdf.
4. Aronsson G, Gustafsson K, Dallner M. Sick but yet at work. An empirical study of sickness presenteeism. J. @Epidemiol. Community Health. 2000 [cited 2022 Sep 15]; 54:502–9. DOI: https://doi.org/10.1136/jech.54.7.502.
5. Hemp P. Presenteeism: At work — but out of It. Boston: Harvard Business Review, 2004 [cited 2022 Sep 15]. Available from: https://hbr.org/2004/10/presenteeism-at-work-but-out-of-it
6. Johns G. Presenteeism in the workplace: a review and research agenda. J Organiz Behav. 2010 [cited 2022 Sep 17]; 31:519. DOI: https://doi.org/10.1002/job.630.
7. Tracera G, Santos K, Nascimento F, Sousa KH, Portela L, Zeitoune RC. Factors associated with absenteeism of nursing professionals in university outpatient clinics in Brazil. J Nurs. Manag. 2020 [cited 2023 Sep 11]; 6:1259. DOI: https://doi.org/10.1111/jonm.13073.
8. Araujo LKR, Oliveira SS. Mapeamento dos Riscos Psicossociais no SAMU/DF. Psicol., Ciênc. Prof. 2019 [cited 2022 Sep 17]; 39:e184126. DOI: https://doi.org/10.1590/1982-3703003184126.
9. Araujo VSC, Pereira RMO, Souza LO, Almeida LS, Cordeiro PM, Silva SJL, et al. Avaliação dos fatores associados ao nível de estresse ocupacional das equipes de enfermagem que atuam nos serviços de urgência e emergência. REAS. 2020 [cited 2022 Sep 16]; 52:e3586. DOI: https://doi.org/10.25248/reas.e3586.2020.
10. Braga DS, Paula MAB. Síndrome de Burnout em profissionais de enfermagem. magistro. 2018 [cited 2022 Sep 17]; 17:1. Available from: http://publicacoes.unigranrio.edu.br/index.php/magistro/article/view/4409.
11. Moisés MS, Medeiros SM, Freitas JAC. Influência do contexto de trabalho na saúde dos profissionais de enfermagem de uma unidade de terapia intensiva em um hospital universitário. Enfermería Global. 2013 [cited 2022 Sep 18]; 32:198. Available from: http://scielo.isciii.es/pdf/eg/v12n32/pt_administracion2.pdf.
12. Dejours C. A loucura do trabalho: estudo de psicopatologia do trabalho. 5ª ed. São Paulo: Cortez/Oboré; 1992.
13. Sousa KHJF, Gonçalves TS, Silva MB, Soares ECF, Nogueira MLF, Zeitoune RCG. Risks of illness in the work of the nursing team in a psychiatric hospital. Rev. Latino-Am. Enfermagem. 2018 [cited 2022 Sep 20]; 26:e3032. DOI: http://dx.doi.org/10.1590/1518-8345.2458.3032.
14. Melo MB de, Barbosa MA, Souza PR. Job satisfaction of nursing staff: integrative review. Rev. Latino-Am. Enfermagem. 2011 [cited 2022 Sep 12]; 19:1047. DOI: https://doi.org/10.1590/S0104-11692011000400026.
15. Magnago TSBS, Lisboa MTL, Griep RH, Zeitoune RCG, Tavares JP. Working conditions of nurses: evaluation based on the demand-control model. Acta Paul Enferm. 2010 [cited 2022 Sep 12]; 6:23. DOI: https://doi.org/10.1590/S0103-21002010000600015.
16. Hansen CD, Andersen JH. Sick at work: a risk factor for long-term sickness absence at a later date? J Epidemiol Community Health. 2009 [cited 2022 Sep 12]; 5:63. DOI: https://doi.org/10.1136/jech.2008.078238.
17. Zanelli JC. Presenteísmo: um fenômeno psicossocial em ascendência nas organizações. In: Saúde do Trabalhador: saberes e fazeres possíveis da Psicologia do Trabalho e das Organizações. Belo Horizonte: Conselho Regional de Psicologia, 2016.
18. Facas EP, Duarte FS, Mendes AM, Araújo LKR. Sofrimento ético e (in)dignidade no trabalho bancário: Análise clínica e dos riscos psicossociais. In: Monteiro JK, Vieira FO, Mendes AM. Trabalho e prazer: Teoria, pesquisas e práticas, Curitiba: Juruá; 2015.
19. Pacheco TP, Silva RMP. Risco psicossocial para servidores de universidade pública na região norte do Brasil. Revista Psicologia. 2018 [cited 2022 Sep 12]; 18:10. Available from: https://pepsic.bvsalud.org/pdf/rpot/v18n1/v18n1a08.pdf.
20. Vasconcelos EF, Palmiere JAF, Araújo KA. Fatores de risco, proteção psicossocial e trabalho: Organizações que emancipam ou que matam. Psicologia - Teoria e Prática. 2019 [cited 2023 Sep 15]; 21:1. Available from: http://pepsic.bvsalud.org/pdf/ptp/v21n1/pt_v21n1a10.pdf.
21. Zanelli JC, Kanan LA. Fatores de Risco, proteção psicossocial e trabalho: organizações que emancipam ou que matam. Lages: Ed. Uniplac, 2018.
22. Hasan AA, Elsayed S, Tumah H. Occupational stress, coping strategies, and psychological-related outcomes of nurses working in psychiatric hospitals. Perspect Psychiatr Care. 2018 [cited 2022 Sep 12]; 54(4):514-22. DOI: https://doi.org/10.1111/ppc.12262.
23. Sousa KHJF, Zeitoune RCG, Portela LF, Tracera GMP, Moraes KG, Figueiró RFS. Factors related to the risk of illness of nursing staff at work in a psychiatric institution. Rev. Latino-Am. Enfermagem. 2020 [cited 2023 Sep 17]; 28:e3235. DOI: https://doi.org/10.1590/1518-8345.3454.3235.
24. Silveira RCP, Ribeiro IKS, Mininel VA. Well Being at work and quality of life: the reality of the hospital nursing team. Rev enferm UFPE on line. 2023 [cited 2024 Jan 17]; 17:e252898. DOI: https://doi.org/10.5205/1981-8963.2023.252898.
25. Pereira ACL, Souza HA, Lucca SR, Iguti AM. Fatores de riscos psicossociais no trabalho: limitações para uma abordagem integral da saúde mental relacionada ao trabalho. Rev. bras. saúde ocup. 2020 [cited 2024 Jan 17]; 45:e18. DOI: https://doi.org/10.1590/2317-6369000035118.
26. Dong L, Bouey J. Public Mental Crisis during COVID-19 Pandemic. Emerg. Infect. Dis. 2020 [cited 2024 Jan 17]; 26(7):1616-18. DOI: https://dx.doi.org/10.3201/eid2607.200407.
27. Fontinhas JE, Cardoso JM. O Estresse no Trabalho do Enfermeiro. Revista Uningá 2017 [cited 2022 Sep 17]; 51(1):78-86. DOI: https://doi.org/10.1590/S0080-62342003000300008.
28. Organização Pan-Americana da Saúde (OPAS). A situação da enfermagem na região das Américas. Pan American Health Organization / World Health Organization 2021 [cited 2024 Jan 18]. Available from: https://iris.paho.org/handle/10665.2/54504.
29. Fiorini LA, Houdmont J, Griffiths A. Nurses’ illness perceptions during presenteeism and absenteeism. Occup Med. 2020 [cited 2024 Jan 17]; 70(2):101-6. DOI: https://doi.org/10.1093/occmed/kqaa012.
30. Carvalho LA, Thofehrn MB, Barlem ELD, Nunes NJS. Ressignificating theory of professional links in nursing work. Esc Anna Nery. 2020 [cited 2024 Jan 17]; 24(1):e20190138. DOI: https://doi.org/10.1590/2177-9465-EAN-2019-0138.
31. Baruki LV. Riscos Psicossociais e saúde mental do trabalhador: por um regime jurídico preventivo. 2ª ed. São Paulo: Editora LTR, 2018.
32. Silva-Costa A, Ferreira PCS, Griep RH, Rotenberg L. Association between presenteeism, psychosocial aspects of work and common mental disorders among nursing personnel. Int J Environ Res Public Health. 2020 [cited 2025 Apr 21]; 17(18):6758. DOI: https://doi.org/10.3390/ijerph17186758.
33. Rainbow JG. Presenteeism: Nurse perceptions and consequences. J Nurs Manag. 2019 [cited 2025 Apr 21]; 27(7):1530–7. DOI: https://doi.org/10.1111/jonm.12839.
34. Homrich PHP, Dantas-Filho FF, Martins LL, Marcon ER. Presenteeism among health care workers: literature review. Rev Bras Med Trab. 2020 [cited 2025 Apr 21]; 18(1):97–102. DOI: https://doi.org/10.5327/Z1679443520200478.
35. Zhang Y, Fu Y, Zheng X, Shi X, Liu J, Chen C. The impact of nursing work environment, emotional intelligence, and empathy fatigue on nurses’ presenteeism: a structural equation model. BMC Nurs. 2025 [cited 2025 Apr 21]; 24(1):291. DOI: https://doi.org/10.1186/s12912-025-02905-4.
36. Gerlach M, Hahn S, Rossier C, Geese F, Hamers J, Backhaus R. Presenteeism among nurses: An integrative review. Int J Nurs Stud Adv. 2024 [cited 2025 Apr 21]; 7:100261. https://doi.org/10.1016/j.ijnsa.2024.100261.
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