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- Prevalence of nursing diagnostics in oil industry workers in Bahia, BrazilPublication . Viterbo, Lilian Monteiro Ferrari; Bonfim Silva, Ingrid; Leite, Jamile Santos Ferreira; Vidal, Diogo Guedes; De Moura, Andreia; Dinis, Maria Alzira PimentaOBJECTIVE: to describe the prevalence of nursing diagnostics and to analyse differences between the groups according to the indicator created from the diagnoses and intervention of the CIPE® relating to job satisfaction. METHOD: 869 workers attending the occupational health assessments of an oil industry with nurse practitioners, using a data collection form to support clinical reasoning in the definition of diagnostics and intervention, with CIPE®. Data collected were grouped into five indicators: food aspects, interpersonal relationships, physical health, health behaviours and working conditions. RESULTS: 13 types of diagnoses and 18 interventions were mapped, being the most prevalent "job satisfaction" (85.0 %) and "promoting healthy relationship and communication techniques" (76.3 %), respectively. The student's t-test was used to compare scores of the five indicators between the groups. The "satisfied at work" revealed better interpersonal relationships (p < 0.001). The group intervened with the initiative "to promote healthy relationships and communication techniques and to encourage healthy relationships" demonstrates better interpersonal relationships (p < 0.01) and better physical health (p < 0.05). The best working conditions (p < 0.01) were identified in the group subject to "other interventions". CONCLUSION: structured performance of the nurse practitioner in the worker healthcare enables the development of strategies aimed at implementing improvements within organizational aspects of the nursing work.
- Health Risk Assessment in Oil Industry in Bahia, Brazil: The Worker’s Health Risk Index (WHRI)Publication . Viterbo, Lilian Monteiro Ferrari; Dinis, Maria Alzira Pimenta; Vidal, Diogo Guedes; Costa, André Santana; Oliveira, Pedro Vinícius Gomes; Nascimento, Jardel Gomes do; Simões, HelderThe objective of this study was to assess the worker’s health (WH) risk, focused on sustainable development in a work context and based on the development and application of the Worker’s Health Risk Index (WHRI) in the oil extraction and production industry in Bahia, Brazil. The sample, obtained by quota sampling, comprised 965 participants. The development stage integrates the Interdisciplinary Workers Health Approach Instrument (IWHAI) application to collect worker’s data, the analysis of the relationships between the indicators, the risk ranges definition, the WHRI formulas elaboration, the WHRI final application and its discriminant validity. Three risk ranges were defined: “Low”, “Moderate” and “High”. WHRI revealed the ability to identify differences between the population studied, according to sex, age group and education level. The results indicate that 74% of the participants are in the “Low”, 21% in the “Moderate” and 5% in the “High” risk ranges. High-risk workers are also those with diabetes mellitus, triglycerides, altered glycemia and hypertension, poor oral hygiene and periodontal condition, smoking, less physically active (all with p < 0.05), and higher levels of abstentionism. WHRI major contribution is to make available a useful tool for the identification of WH risk, contributing to define clearer health promotion, prevention and intervention policies in the context of WH.
- Development and validation of a nursing instrument for triage in occupational health servicesPublication . Caribé, Janaína; Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Sá, Kátia NunesThis study aimed to develop and validate an instrument for nursing triage in occupational health services (ICEST). Exploratory factor-analysis techniques were used to remove redundant or non-endorsed items and identify the factor structure of the ICEST. Validation of the items, content, construct and reliability were also performed. The final ICEST consisted of 14 indicators and 71-graduated indexes. The ICEST showed to be reliable, consistent and satisfactory structure to be applied in occupational health services.
- Communication of Environmental Risks to Potentially Exposed Workers: An Experience in the Oil Industry, Bahia, BrazilPublication . Costa, André Santana; Viterbo, Lilian Monteiro Ferrari; Vidal, Diogo Guedes; Dinis, Maria Alzira Pimenta; Simões, HelderConflicts between workers and health experts and their multiple rationalities must always be considered in the risk communication process. Disagreements are frequent in understanding occupational exposure to environmental agents among stakeholders. The present study aimed to describe the evolution of differences between experts and oil industry workers in Bahia, Brazil. The Tool of Instructions to the Double was applied and the results followed over three annual assessment cycles (2017–2019). In the observed period, a reduction in the share of disagreements between workers and experts was identified: 25.2% (n = 183) to 3.1% (n = 22), representing a percent variation of 98.9% relating the understanding of occupational noise exposure based on normative classification. The relations of conflict between workers and experts and the multiple social and cultural dimensions must always be considered as an important challenge in workers’ health. Thus, the use of models encouraging dialogue and value knowledge from the experience of workers seem to be more appropriate in conflicting contexts, enhancing risk control, protection and health promotion.