Ambiente de prática de enfermagem, clima de segurança e burnout em unidades de tratamento antineoplásico

Amanda de Fátima Alves Costa; Ana Fátima Carvalho Fernandes; Roberta Meneses  Oliveira; Manuela de Mendonça Figueirêdo Coelho; Paulo César de Almeida

doi:10.15253/2175-6783.20252694207

Authors

Amanda de Fátima Alves Costa Universidade Federal do Ceará https://orcid.org/0000-0002-3912-9739
Ana Fátima Carvalho Fernandes Universidade Federal do Ceará https://orcid.org/0000-0001-5110-6364
Roberta Meneses Oliveira Universidade Federal do Ceará https://orcid.org/0000-0002-5803-8605
Manuela de Mendonça Figueirêdo Coelho Universidade Federal do Ceará https://orcid.org/0000-0001-6182-9486
Paulo César de Almeida Universidade Estadual do Ceará https://orcid.org/0000-0002-2867-802X

DOI:

https://doi.org/10.15253/2175-6783.20252694207

Keywords:

Nursing; Working Conditions; Patient Safety; Oncology Service, Hospital; Burnout, Professional.

Abstract

Objective: to evaluate the influence of the practice environment on the safety climate and burnout domains of nursing professionals in antineoplastic treatment units. Methods: this is a cross-sectional study conducted in four health institutions with 59 nursing professionals. The Safety Attitudes Questionnaire, Practice Environment Scale, Maslach Burnout Inventory (Brazilian versions), and a sociodemographic questionnaire were applied. Analysis of Variance, Student’s t-test, Chi-Squared and Fisher’s Exact tests were used in the analysis, considering p<0.05. Results: a favorable practice environment in the doctor-nurse collegial relations domain was a predictor of lower exhaustion levels (burnout domain), associated with professional category (p=0.011), experience time (p=0.021) and employment relationship (p=0.023). The nurses’ participation domain in hospital affairs demonstrated a significant influence on the safety climate. Conclusion: the nursing practice environment, especially the doctor-nurse collegial relations and participation in hospital affairs, has a significant influence on the safety climate and burnout domains of nursing in antineoplastic treatment units. Contributions to practice: providing positive practice environments and collaborative relationships between nursing professionals and physicians favors the safety climate and prevents burnout, which are fundamental to the quality of care provided.

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