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All Journal Belitung Nursing Journal
Valim, Marília Duarte
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Nursing

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Occurrence of musculoskeletal disorders, burnout, and psychological suffering in Brazilian nursing workers: A cross-sectional study Valim, Marília Duarte; de Sousa, Raymara Melo; Santos, Bruno da Silva; Alvim, André Luiz Silva; Carbogim, Fábio da Costa; de Paula, Vanessa Albuquerque; Pimenta, Fabiana Guerra; Junior, Aires Garcia dos Santos; Batista, Odinea Maria Amorim; de Oliveira, Layze Braz; Andrade, Denise; de Sousa, Álvaro Francisco Lopes
Belitung Nursing Journal Vol. 10 No. 2 (2024): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3054

Abstract

Background: Musculoskeletal disorders (MSDs) pose a pervasive concern among nursing professionals due to the high physical workload. Simultaneously, the complex relationship between MSDs and mental health outcomes in this population remains an area of significant interest and importance. Objective: This study aimed to investigate the occurrence of MSDs and their relationships with burnout and psychological suffering within the nursing workforce. Methods: A cross-sectional study was conducted in 2020 involving 291 nursing professionals in Brazil. Standardized questionnaires were employed to gather information on MSDs, mental health outcomes, and pertinent work-related factors. Robust statistical analyses were conducted to ascertain the prevalence of MSDs, establish associations between MSDs and mental health outcomes, and delineate the influence of work-related factors on these associations. Statistical analysis was performed using the R software. Results: The study revealed a significant prevalence of musculoskeletal injuries (MSIs) among nursing workers, focusing on regions that include the lower back, upper back, neck, and shoulders. Individuals with MSIs in the lower back showed a marked increase in emotional exhaustion (p = 0.02), as did those with MSIs in the upper back (p <0.01) and depersonalization (p = 0.07). On the other hand, nursing professionals who reported MSIs in the neck and shoulders had considerably higher scores in emotional exhaustion (p <0.01 and p = 0.01, respectively) and depersonalization (p = 0.05 and p = 0.05, respectively). However, no significant correlations emerged between MSIs and depression or work-related factors. Conclusions: This study highlights the urgency of implementing proactive measures to prevent and manage MSDs within the nursing profession. Moreover, it emphasizes the critical need to enhance working conditions and provide robust support mechanisms to safeguard the mental health of nursing professionals.
Risk factors and outcomes of healthcare-associated infections in a Brazilian intensive care unit: A cross-sectional study Sousa Moura, Andressa Maria de; Sousa, Álvaro Francisco Lopes de; Carvalho, Herica Emilia Félix de; Madeira, Maria Zélia de Araújo; Freitas, Daniela Reis Joaquim de; Lima, Ana Carolina de Macedo; Carneiro, Liliane Moretti; Valim, Marilia Duarte; Junior, Aires Garcia dos Santos; Batista, Odinéa Maria Amorim
Belitung Nursing Journal Vol. 12 No. 2 (2026): March - April
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4399

Abstract

Background: Healthcare-associated infections (HAIs) in intensive care units (ICUs) are frequent and are associated with sepsis, antimicrobial resistance, and high mortality, reinforcing the need for early risk stratification at admission. Objective: To analyze risk factors and clinical outcomes associated with HAIs in ICU patients. Methods: This cross-sectional study was conducted in the ICU of a public hospital with 141 patients (182 HAI cases). Medical records covered ICU admissions from August 1, 2022, to August 31, 2024, and data collection occurred from November 2024 to February 2025. Data were extracted from medical records and the Hospital Infection Control Committee database. Risk factors were assessed at admission using the Rodríguez-Almeida-Cañon (RAC) Scale, which stratifies HAI risk using intrinsic and extrinsic factors and classifies patients as low, moderate, or high risk. Clinical outcomes monitored during hospitalization included hospital discharge, sepsis, septic shock, and death. Results: By RAC, 53.9% were moderate risk and 45.4% high risk; lower educational level was associated with higher risk (p = 0.016). Ventilator-associated pneumonia predominated (44.4%). Predominant pathogens were Pseudomonas (28.1%), Acinetobacter (19.1%), and Klebsiella (17.4%), with 34.3% showing carbapenem resistance. Sepsis occurred in 18.5% and septic shock in 30.2%; mortality was 62.9%. Compared with the reference group, odds of discharge were higher among patients aged 20–39 years (OR = 12.48; 95% CI: 4.89–102.90; p = 0.002) and 40–59 years (OR = 4.33; 95% CI: 3.89–35.78; p = 0.019). Conclusion: RAC screening revealed a high burden of predisposing factors at ICU admission, particularly among patients with lower educational levels, which was associated with worse outcomes. RAC-guided admission screening can support risk-proportional nursing surveillance and targeted prevention bundles, while institutional policies should reinforce microbiological surveillance and antimicrobial stewardship tailored to social vulnerability.
Co-Authors Alvim, André Luiz Silva Andrade, Denise Batista, Odinea Maria Amorim Carbogim, Fábio da Costa Carneiro, Liliane Moretti Carvalho, Herica Emilia Félix de de Oliveira, Layze Braz de Paula, Vanessa Albuquerque de Sousa, Álvaro Francisco Lopes de Sousa, Raymara Melo Freitas, Daniela Reis Joaquim de Junior, Aires Garcia dos Santos Lima, Ana Carolina de Macedo Madeira, Maria Zélia de Araújo Pimenta, Fabiana Guerra Santos, Bruno da Silva Sousa Moura, Andressa Maria de Sousa, Álvaro Francisco Lopes de