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- Systematization Of Occupational Health Care: A Person-Centred ProposalPublication . Viterbo, Lilian Monteiro Ferrari; Costa, André Santana; Vidal, Diogo Guedes; Dinis, Maria Alzira PimentaThe Systematization of Occupational Health Care (SOHC) is based on the approach of “Person Centered Healthcare”, using the management tool of “Plan, do, check and act”, the model “Systematization of Nursing Care”, the “Interdisciplinary Worker's Health Approach Instrument”, the “Worker’s Health Risk Index”, and health taxonomies, as theoretical references. The SOHC aims at the articulated, intersectoral and interdisciplinary systematization [1] in occupational health from an adequate methodology to integral and integrated care. SOHC is understood as the organization of the conditions necessary to carry out the person-centered care process with regard to method, staff and instruments. The “Process” term makes it possible to identify, understand, describe, explain and/or predict the needs of the human person, family or community at a given time, in the context of health and disease process.
- Development and Validation of an Interdisciplinary Worker’s Health Approach Instrument (IWHAI)Publication . Viterbo, Lilian Monteiro Ferrari; Dinis, Maria Alzira Pimenta; Costa, André Santana; Vidal, Diogo GuedesThe present study aimed to develop and validate an Interdisciplinary Worker’s Health Approach Instrument (IWHAI). The development stage comprised a group of 10 professionals, including physicians, nurses, nutritionists, dentists and physical educators, as well as a judges’ committee, composed by 19 recognized experts in the area of worker’s health (WH). For the validation of the IWHAI, the Spearman’s correlation coefficient (rs) was calculated, the factor analysis to the instrument was applied, and the Cronbach’s alpha (α) and the Intraclass correlation coefficient (ICC) were calculated. The IWHAI was structured in five dimensions, integrating 43 health indicators, on a scale of 0–4, totalling 215 sub-indices with closed response coding. The instrument was validated with a Kappa coefficient (KAPPA) (k), with excellent agreement for all attributes, i.e., k = 0.88 for applicability, k = 0.80 for clarity and k = 0.82 for relevance. p > 0.05 results reveal moderate to strong positive correlations between some variables, i.e., pests, vectors and air quality/drinking water quality (rs = 0.69). A total of 14 components of the factor analysis, explaining 62.6% of the data variance, were extracted. α value is considered moderate to high, α = 0.61, the ICC value also being considered moderate to high, with ICC = 0.61. The IWHAI is considered validated, constituting a technological innovation for an interdisciplinary approach in the field of WH, enabling the prevention and integral promotion of health.