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

Autores/as

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

Palabras clave:

Enfermagem; Condições de Trabalho; Segurança do Paciente; Serviço Hospitalar de Oncologia; Esgotamento Profissional.

Resumen

Objetivo: avaliar a influência do ambiente de prática no clima de segurança e nos domínios de burnout de profissionais de enfermagem em unidades de tratamento antineoplásico. Métodos: estudo transversal realizado em quatro instituições de saúde com 59 profissionais de enfermagem. Foram aplicados Safety Attitudes Questionnaire, Practice Environment Scale, Inventário de Burnout de Maslach, versões brasileiras; e questionário sociodemográfico. Na análise, adotou-se Análise de Variância, t-Student, Qui-Quadrado e Exato de Fisher, considerando p<0,05. Resultados: o ambiente de prática favorável, no domínio Relações colegiais médicos-enfermeiros, foi preditor de menores níveis de Exaustão (domínio do burnout), associado a categoria profissional (p=0,011), tempo de experiência (p=0,021) e vínculo (p=0,023). O domínio participação dos enfermeiros nos assuntos hospitalares demonstrou influência significativa no clima de segurança. Conclusão: o ambiente de prática de enfermagem, especialmente as relações colegiais médicos-enfermeiros e a participação nos assuntos hospitalares, exerce influência significativa sobre o clima de segurança e os domínios de burnout da enfermagem em unidades de tratamento antineoplásico. Contribuições para a prática: proporcionar ambientes de prática positivos e relações colaborativas entre profissionais de enfermagem e médicos favorece o clima de segurança e previne o burnout, fundamentais para a qualidade da assistência prestada.

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