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Strategies for coping with work stress used by health professionals in Brazil and Chile

Grant number: 22/09474-4
Support Opportunities:Regular Research Grants
Duration: May 01, 2023 - April 30, 2025
Field of knowledge:Health Sciences - Nursing
Convênio/Acordo: Universidad de la Frontera
Principal Investigator:Silmara Meneguin
Grantee:Silmara Meneguin
Principal researcher abroad: PAULA ROSAISABEL ASTUDILLO DIAZ
Institution abroad: Universidad de La Frontera (UFRO), Chile
Principal researcher abroad: Teresa Margarida Almeida Neves
Institution abroad: Escola Superior de Enfermagem de Coimbra (ESEnfC), Portugal
Principal researcher abroad: Ximena Odette Osorio Spuler
Institution abroad: Universidad de La Frontera (UFRO), Chile
Host Institution: Faculdade de Medicina (FMB). Universidade Estadual Paulista (UNESP). Campus de Botucatu. Botucatu , SP, Brazil
Associated researchers: Sara Barrios Casas
Associated scholarship(s):23/16130-2 - Strategies for coping with work stress used by health professionals: integrative literature review., BP.TT


In Chile and Brazil, health protection actions in work environments are mainly focused on an occupational health and safety policy. There is a debt regarding prevention, containment or mental health policies to health personnel and also regarding policies to protect their work context. More so now, in a context of a Pandemic with over-demanded health personnel.This paper will analyze the validity and reliability of the ENPROS instrument (ENvironmental PRotectors against hospital work Stress) to measure environmental protectors of hospital work stress in the hospital work context of ensino in the interior of São Paulo, Brazil, and in high-complexity hospital contexts in the south of São Paulo. Chili. ENPROS is an instrument that searches for environmental stress protectors used by health personnel in their work. It consists of 40 items and five dimensions: Organization, Job, Headquarters, Physical Environment and Teamwork- Psychosocial Environment. It has been validated for the Araucanía Region, Chile, with a history of acceptable item and dimension reliability, acceptable discriminant validity, acceptable convergent validity, acceptable goodness-of-fit indices, acceptable invariability, and stability over time. The study of protective factors is not only relevant because it constitutes a way of promoting health from a perspective based on the participation of health personnelin its own internal dynamics, but also because it provides a paradigm shift in relation to the conceptions of health care, since it moves the point of view from risk factors to protective factors. The study in Brazil will begin with the cultural adaptation of the instrument, later the validation will be carried out together with Chile, with participating medical and nursing health professionals from the southern zone of Chile, and participating medical and nursing health professionals from Brazil. . Demographic and labor variables will be explored. Probabilistic sampling will be used. Confirmatory factor analysis, convergent validity, discriminant, content, and invariance of the instrument in subsamples defined by demographic and labor variables. The study will provide empirical evidence that will support the validation of the ENPROS instrument and will highlight which of these protectors are considered most important by the health personnel who work in hospital centers in southern Chile and in the interior of São Paulo, Brazil. Having this background of validation of the instrument, we could say that we would have an approximation to what we could identify as environmental protectors of hospital work stress in the south of Chile and in the interior of São Paulo, Brazil. A step for hospital organizations and units to reflect on protectors, to encourage hospital institutions to actively contribute to well-being and quality of working life. The current COVID context confirms the relevance of hospital environmental protectors to face stress. (AU)

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