Universidade Estadual do Ceará, Programa de Pós-Graduação Mestrado Profissional em Saúde da Criança e do Adolescente, Fortaleza, CE, Brazil.
Universidade Federal do Ceará, Faculdade de Farmácia, Odontologia e Enfermagem, Departamento de Enfermagem, Fortaleza, CE, Brazil.
Rev Esc Enferm USP. 2021 Sep 15;55:e20200539. doi: 10.1590/1980-220X-REEUSP-2020-0539. eCollection 2021.
To assess the nurse professional practice environment of neonatal units and its relationship with the levels and main sources of occupational stress.
Cross-sectional descriptive, exploratory, correlational study performed with nursing professionals of neonatal units of four public hospitals. A sociodemographic/professional questionnaire, the Brazilian version of Practice Environment Scale, and the Work Stress Scale were applied. In the analysis, mean, standard deviation, and Pearson chi-squared, Likelihood Ratio, and Mann Whitney U tests were adopted for association among variables.
Participating professionals amounted to 269. The practice environment was evaluated as favorable by more than half of the sample (63.6%), showing a significant statistical association which was inversely proportional with occupational stress (p < 0.001). The insufficient number of professionals for quality care was the major source of stress for nursing technicians, whereas teamwork with doctors was the predominant factor for the evaluation of environment quality and high stress levels of nurses.
Unfavorable practice environments increase the stress levels of nursing professionals in neonatal units and may compromise patient safety.
评估新生儿病房护士的职业实践环境及其与职业压力水平和主要来源的关系。
横断面描述性、探索性、相关性研究，对象为四家公立医院新生儿病房的护理专业人员。采用了社会人口学/职业问卷、巴西版实践环境量表和工作压力量表。在分析中，采用了均值、标准差、皮尔逊卡方检验、似然比检验和曼-惠特尼 U 检验来关联变量。
参与研究的专业人员共计 269 人。超过一半的样本（63.6%）评估实践环境良好，表明与职业压力呈显著负相关（p<0.001）。护理技师的主要压力源是提供高质量护理的专业人员数量不足，而与医生的团队合作则是评估环境质量和护士高压力水平的主要因素。
不理想的实践环境会增加新生儿病房护理专业人员的压力水平，可能会危及患者安全。
