Cargas de trabalho da enfermagem no cuidado ao paciente crítico
DOI:
https://doi.org/10.12957/reuerj.2025.93800Keywords:
Nursing, Intensive Care Units, WorkloadAbstract
Objetivo: caracterizar o perfil dos profissionais de enfermagem que atuam no cuidado ao paciente crítico, descrever e tipificar suas cargas de trabalho. Método: estudo qualitativo, desenvolvido em duas unidades de terapia intensiva de um hospital público do sul do Brasil, com 30 participantes entre maio e julho de 2024. Utilizou-se o referencial de Laurell e Noriega e a análise de conteúdo de Bardin. Protocolo aprovado pelo Comitê de Ética em Pesquisa. Resultados: predominaram mulheres (70%), técnicas de enfermagem (86,7%) e vínculos temporários (66,7%). As cargas psíquicas foram mais evidentes, seguidas das fisiológicas e mecânicas, refletindo sobrecarga emocional, distúrbios osteomusculares e desgaste físico. As cargas biológicas, químicas e físicas mostraram-se naturalizadas no cotidiano. Considerações finais: as cargas psíquicas configuram o eixo central do sofrimento desses profissionais, revelando o impacto da organização do trabalho e das relações hierárquicas na saúde mental. Evidencia-se a necessidade de políticas institucionais voltadas à promoção da saúde e à sustentabilidade do trabalho em terapia intensiva.
References
1. Christensen M, Liang M. Critical care: a conceptual analysis. Int J Nurs Sci. 2023 [cited 2025 Nov 08]; 10(3):403-13. DOI: https://doi.org/10.1016/j.ijnss.2023.06.020.
2. Vabo IFP, Cruz ICF. Nursing intensive care enabled by digital technology for the patient with risk od fall – systematic literature review. J Spec Nurs Care. 2024 [cited 2025 Nov 06]; 16(1). Available from: https://jsncare.uff.br/index.php/jsncare/article/view/3549/968.
3. Geese F, Schmitt KU. Interprofessional collaboration in complex pacient care transition: a qualitative multi-perspective analysis. Healthcare. 2023 [cited 2025 Nov 06]; 11(3):359. DOI: https://doi.org/10.3390/healthcare11030359.
4. Pires DEP, Trindade LL. Cargas de Trabalho: um referencial para entender a relação entre trabalho e saúde. Porto Alegre: Editora Moriá, 2022.
5. Laurell AC, Noriega M. Processo de produção em saúde: trabalho e desgaste operário. São Paulo: Hucitec, 1989.
6. Quesada-Puga C, Izquierdo-Espín FJ, Membrive-Jiménez MJ, Aquavo-Estremera R, Cañadas de la Fuente GA, Romero-Béjar JL, Gómez-Urquiza JL. Job satisfaction and burnout syndrome among intensive care unit nurses: a systematic review and meta-analysis. Intensive and Critical Care Nursing. 2024 [cited 2025 Nov 08]; 82:103660. DOI: https://doi.org/10.1016/j.iccn.2024.103660.
7. Instituto Brasileiro de Geografia e Estatística. Pesquisa nacional por amostras de domicílios contínua. Instituto Brasileiro de Geografia e Estatística: 2022 [cited 2024 Nov 15]. Available from: https://www.gov.br/fazenda/pt-br/central-de-conteudo/publicacoes/conjuntura-economica/emprego-e-renda/2022/informativo-pnad-jan2022.html.
8. Prosen M, Cekada T. Nursing students’ views on men in nursing: a gender diversity challenge in the healthcare workforce. BMC Nurs. 2025 [cited 2025 Nov 06]; 24(1):820. DOI: https://doi.org/10.1186/s12912-025-03521-y.
9. Hult M, Ring M, Siranko H, Kangasniemi M. Decent and precarious work among nursing and care workers: a mixed-method systematic review. J Adv Nurs. 2024 [cited 2025 Nov 08]; 81(6):2913–28. DOI: https://doi.org/10.1111/jan.16572.
10. Zhang L, Li Q, Guan L, Fan L, Li Y, Zhang Z, Yuan S. Prevalence and influence factor of occupational exposure to blood and body fluids in registered Chinese nurses: a national cross-sectional study. BMC Nursing. 2022 [cited 2025 Nov 07]; 21:298. DOI: https://doi.org/10.1186/s12912-022-01090-y.
11. Adal O, Abede A, Feleke Y. Occupational exposure to blood and body fluids among nurses in the emergency department and intensive care units of publics hospitals in Addis Abada City: cross-sectional study. 2023 [cited 2025 Nov 08];17. DOI: https://doi.org/10.1177/11786302231157223.
12. You Q, Bai D, Wu C, Gao J, Hou C. Status of work alienation among nurses in China: a systematic review. Sec. Front Psychiatry. 2022 [cited 2024 Nov 20]; 13:986139. DOI: https://doi.org/10.3389/fpsyt.2022.986139.
13. Acosta Nuñez JM, Sandoval Balarezo GM, Paredes Garcés MG, Supe Supe FA. Carga laboral en áreas críticas y “TISS 28”. Salud, Ciencia y Tecnologia. 2023 [cited 2024 Nov 25];3(385). DOI: https://doi.org/10.56294/saludcyt2023385.
14. Michaello RS, Tomaschewski-Barlem JG, Carvalho DP, Rocha LP, Bordignon SS, Netzling BR. Perception of nursing workers about the workloads in a neonatal intensive care unit. Rev Pesqui. 2021 [cited 2024 Nov 26];12:54-61. DOI: http://dx..doi.org/10.9789/2175-5361.rpcfo.
15. Detroja S, Mahajan R, Sheth A. Comprehensive investigation of ergonomic challenges and predictors of work-related musculoskeletal disorders among intensive care unit nurses of Western India through convergent mixed methods study. BMC Musculoskelet Disord. 2025 [cited 2025 Npv 07]; 26(1):127. DOI: https://doi.org/10.1186/s12891-025-08379-4.
16. Carvalho DP, Rocha LP, Brum AN, Brum RG, Bordignon SS, Barlem ELD, et al. Relationship between workloads and presenteeism among nursing workers. Rev Bras Enferm. 2021 [cited 2024 Nov 27]; 74(6):e20210044. DOI: https://doi.org/10.1590/0034-7167-2021-0044.
17. Damiani B, Carvalho M. Illness in nursing workers: a literature review. Rev Bras Med Trab. 2021 [cited 2024 Nov 26]; 19(2):214-23. DOI: https://doi.org/10.47626/1679-4435-2020-592.
18. Lu J, Li J, Cheng Z, Wang H, Yuan S. Analysis of poor work postures during morning care operations of intensive care unit nurses: a field research. BMC Nursing. 2024 [cited 2025 Nov 08]; 23:755. DOI: https://doi.org/10.1186/s12912-024-02417-7.
19. Ou YK, Liu Y, Chang YP, Lee BO. Relationship between musculoskeletal disorders and work performance of nursing staff: a comparison of hospital nursing departments. Int J Environ Res Public Health. 2021 [cited 2024 Nov 27]; 18(13):7085. DOI: https://doi.org/10.3390/ijerph18137085.
20. Detroja S, Mahajan R, Sheth A. Comprehensive investigation of ergonomic challenges and predictors of work-related musculoskeletal disorders among intensive care unit nurses of Western India through convergent mixed methods study. BMC Musculoskelet Disord. 2025 [cited 2025 Nov 08]; 26(1):127. DOI: https://doi.org/10.1186/s12891-025-08379-4.
21. Al-Hrinat J, Al-Ansi AM, Hendi A, Adwan G, Hazaimeh M. The impact of night shift stress and sleep disturbance on nurses quality of life: case in Palestine Red Crescent and Al-Ahli Hospital. BMC Nurs. 2024 [cited 2025 Nov 06]; 23(1):24. DOI: https://doi.org/10.1186/s12912-023-01673-3.
22. Xiao Q, Huang X, Yang T, Huang L, Li N, Wang J, et al. Determinants of sleep quality and their impact on health outcomes: a cross-sectional study on night-shift nurses. Front Psychiatry. 2024 [cited 2025 Nov 07]; 24; 15:1506061. DOI: https://doi.org/10.3389/fpsyt.2024.1506061.
23. van der Langenberg D, Vlaanderen J, Berentzen N, Kromhout H, Vermeulen R. Associating night-shift work with lifetime use of sleep medication and sleep quality in a cohort of female nurses. Ann Work Expo Health. 2023 [cited 2025 Nov 07]; 67(9):1056-68. DOI: https://doi.org/10.1093/annweh/wxad058.
24. Zhang X, Huang H, Zhao S, Li D, Du H. Emotional exhaustion and turnover intentions among young ICU nurses: a model based on the job demands-resources theory. BMC Nurs. 2025 [cited 2025 Nov 08]; 24:136. DOI: https://doi.org/10.1186/s12912-025-02765-y.
25. Turunç Ö, Çalışkan A, Akkoç İ, Köroğlu Ö, Gürsel G, Demirci A, et al. The impact of intensive care unit nurses’ burnout levels on turnover intention and the mediating role of psychological resilience. Behav. Sci. 2024 [cited 2025 Nov 08]; 14:782. DOI: https://doi.org/10.3390/bs14090782.
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Francini Barbosa Soares, Elaine Cristina Novatzki Forte, Laura Cavalcanti de Farias Brehmer, João Miguel Almeida Ventura-Silva, Eduardo Janir de Souza

This work is licensed under a Creative Commons Attribution 4.0 International License.
When publishing in Revista Enfermagem UERJ, the authors declare that the work is their exclusive authorship and therefore assume full responsibility for its content.
Authors retain copyright to their article and agree to license their work using a Creative Commons Attribution International Public License (CC BY), thereby accepting the terms and conditions of this license (https://creativecommons.org/licenses/by/4.0/legalcode.en), which allows material created by the author to be distributed, copied and displayed by third parties. The original work must be cited and present a link to the article available on the website of the journal in which it was published.
The Copyright of the articles published in Revista Enfermagem UERJ belongs to their respective author(s), with the rights of first publication assigned to Revista Enfermagem UERJ, with the work simultaneously licensed under a Creative Commons License CC BY, which allows sharing of work with recognition of authorship and initial publication in this journal.
The authors grant Revista Enfermagem UERJ the right of first publication, to identify themselves as the original publisher of the work and grant the magazine a license of non-exclusive rights to use the work in the following ways:
- Sell and/or distribute the work in printed copies and/or electronic format;
- Distribute parts and/or the work as a whole with the aim of promoting the magazine through the internet and other digital and printed media;
- Record and playback work in any format, including digital media.
In line with the journal's policies, each published article will be assigned a Creative Commons Attribution (CC BY) license.



