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Publication
Práticas de risco de lesões músculo-esqueléticas nos enfermeiros especialistas em saúde materna e obstétrica
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Advisor(s)
Abstract(s)
Os enfermeiros são considerados um grupo profissional com elevado risco de
contrair lesões músculo-esqueléticas ligadas ao trabalho (LMELT), devido as
características da sua atividade que envolve uma série de atividades físicas, como
movimentar e posicionar pacientes, levantar e transportar equipamentos e trabalhar em
posições desconfortáveis por longos períodos. A comunidade científica tem estudado
esta temática na enfermagem, no entanto existem poucos estudos relativamente ao risco
e prevalência das LMELT na prática diária do Enfermeiro Especialista em Saúde Materna
e Obstétrica (EESMO). A revisão da literatura sobre as LMELT permite afirmar que os
fatores de risco estão identificados e as medidas preventivas estão bem divulgadas. No
entanto, um ponto importante é a consciencialização dos EESMO sobre esses fatores de
risco. A criação de uma escala de avaliação permitirá avaliar as práticas e
comportamentos dos EESMO que contribuem para o risco de LMELT, esta pode ser uma
ferramenta útil para ajudar os especialistas a identificar e avaliar os fatores de risco
associados à sua atividade profissional, conseguindo assim adotar medidas preventivas
e adequadas para reduzir a incidência dessas lesões.
Este estudo tem como questão: quais são os itens que devem integrar uma escala
de avaliação de práticas e comportamentos que configuram para o risco de LMELT nos
EESMO?
Os objetivos são: contribuir para o desenvolvimento do conhecimento em
enfermagem sobre os fatores de risco de LMELT dos EESMO; Concretizar uma revisão
scoping sobre as escalas de avaliação do risco de LMELT nos enfermeiros ao nível da
literatura; e Construir uma escala de avaliação de práticas e comportamentos que
configuram para o risco de LMELT nos EESMO. O estudo é de abordagem quantitativa e
centra-se no protocolo pré-definido por Waltz, Strickland e Lenz. A avaliação da escala foi
realizada por um painel de 10 peritos com conhecimento e competência para ajuizar a
representatividade e adequação dos itens face ao construto, respeitando os
pressupostos da técnica de Delphi. Realizaram se três rounds para se chegar ao consenso
entre peritos. O Content Validity Context foi aplicado para a obtenção de validação do
conteúdo relativamente aos itens, aplicou-se ainda o Interrater agreement para aferir a
concordância interavaliadores. A escala final é constituída por cinco dimensões com um
total de 69 itens.
Nurses are considered a professional group with a high risk of contracting musculoskeletal lesions injuries related to work (MSLRW) due to the characteristics of their activity involving a series of physical activities, such as moving and positioning patients, lifting, and transporting equipment, and working on uncomfortable positions for long periods. The scientific community has studied this subject in nursing, however, there are few studies regarding the risk and prevalence of MSLRW in the daily practice of nurse midwives and obstetric nurses (NMON). The literature about MSLRW indicates that the risk factors and preventive measures are well informed. However, an important point is the awareness of NMON on these risk factors. Creating an evaluation scale will allow for assessing the practices and behaviors of the MON that contribute to the risk of MSLRW. Hence, it can be a valuable tool for helping specialists identify and evaluate the risk factors associated with their professional activity, thus being able to adopt preventive and suitable measures to reduce the incidence of these lesions. The research question guiding this study is: What items should integrate an assessment scale of the practices and behaviors that configure the risk of MSLRW in the NMON? The objectives are: to contribute to developing nursing knowledge about the risk factors of NMON concerning MSLRW; to Produce a scoping review of MSLRW risk assessment scales in NMON; and to build a practices and behaviors assessment scale that is sensitive to assess the risk of MSLRW in the NMON. The study is quantitative and focuses on the protocol predefined by Waltz, Strickland, and Lenz. The content assessment of the scale was performed by a panel of 10 experts with knowledge and competence to fulfill the representativeness and adequacy of items compared to the construct. The process respected the requirements of the Delphi. Three rounds were needed to reach the consensus between experts. Content Validity Context was applied to obtain content validation in compliance with items, the interrater agreement was also applied to gauge the interrater agreement. The final scale consists of five dimensions with a total of 69 items.
Nurses are considered a professional group with a high risk of contracting musculoskeletal lesions injuries related to work (MSLRW) due to the characteristics of their activity involving a series of physical activities, such as moving and positioning patients, lifting, and transporting equipment, and working on uncomfortable positions for long periods. The scientific community has studied this subject in nursing, however, there are few studies regarding the risk and prevalence of MSLRW in the daily practice of nurse midwives and obstetric nurses (NMON). The literature about MSLRW indicates that the risk factors and preventive measures are well informed. However, an important point is the awareness of NMON on these risk factors. Creating an evaluation scale will allow for assessing the practices and behaviors of the MON that contribute to the risk of MSLRW. Hence, it can be a valuable tool for helping specialists identify and evaluate the risk factors associated with their professional activity, thus being able to adopt preventive and suitable measures to reduce the incidence of these lesions. The research question guiding this study is: What items should integrate an assessment scale of the practices and behaviors that configure the risk of MSLRW in the NMON? The objectives are: to contribute to developing nursing knowledge about the risk factors of NMON concerning MSLRW; to Produce a scoping review of MSLRW risk assessment scales in NMON; and to build a practices and behaviors assessment scale that is sensitive to assess the risk of MSLRW in the NMON. The study is quantitative and focuses on the protocol predefined by Waltz, Strickland, and Lenz. The content assessment of the scale was performed by a panel of 10 experts with knowledge and competence to fulfill the representativeness and adequacy of items compared to the construct. The process respected the requirements of the Delphi. Three rounds were needed to reach the consensus between experts. Content Validity Context was applied to obtain content validation in compliance with items, the interrater agreement was also applied to gauge the interrater agreement. The final scale consists of five dimensions with a total of 69 items.
Description
Keywords
Enfermagem obstétrica Transtornos traumáticos cumulativos Medição de risco Pesos e medidas