PREVALENCE AND ASSOCIATION BETWEEN STRESS AND ANXIETY IN PERIOPERATIVE NURSING PROFESSIONALS: MIXED METHODS RESEARCH

Munhoz, Oclaris Lopes; Morais, Bruna Xavier; Luz, Emanuelli Mancio Ferreira da; Bitencourt Toscani Greco, Patrícia; Ilha, Silomar; Bosi de Souza Magnago, Tânia Solange

doi:10.1590/1980-265X-TCE-2023-0347en

Oclaris Lopes Munhoz

Study design

Data collection

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal do Rio Grande, Programa de Pós-Graduação em Enfermagem. Rio Grande, Rio Grande do Sul, Brasil.

Universidade Federal do Rio Grande, Escola de Enfermagem. Rio Grande, Rio Grande do Sul, Brasil.

https://orcid.org/0000-0001-8901-7148

Bruna Xavier Morais

Study design

Data collection

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Hospital da Brigada Militar de Santa Maria. Santa Maria, Rio Grande do Sul, Brasil.

https://orcid.org/0000-0002-0446-9231

Emanuelli Mancio Ferreira da Luz

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal do Rio Grande, Escola de Enfermagem. Rio Grande, Rio Grande do Sul, Brasil.

https://orcid.org/0000-0002-7799-5232

Patrícia Bitencourt Toscani Greco

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal do Rio Grande, Programa de Pós-Graduação em Enfermagem. Rio Grande, Rio Grande do Sul, Brasil.

Universidade Federal do Rio Grande, Escola de Enfermagem. Rio Grande, Rio Grande do Sul, Brasil.

https://orcid.org/0000-0001-6999-5470

Silomar Ilha

Data collection

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Santa Maria, Departamento de Ciências da Saúde. Palmeira das Missões, Rio Grande do Sul, Brasil.

https://orcid.org/0000-0002-2132-9505

Tânia Solange Bosi de Souza Magnago

Study design

Data collection

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Santa Maria, Programa de Pós-Graduação em Enfermagem. Santa Maria, Rio Grande do Sul, Brasil.

https://orcid.org/0000-0002-5308-1604

CORRESPONDING AUTHOR
Oclaris Lopes Munhoz. oclaris_munhoz@hotmail.com

CONFLICT OF INTEREST

There is no conflict of interest.

EDITORS

Associated Editors: José Luís Guedes dos Santos, Ana Izabel Jatobá de Souza.

Editor-in-chief: Elisiane Lorenzini.

Complications		n	%
Anxiety	Minimal	14	24.6
	Mild	15	26.3
	Moderate	21	36.8
	Severe	7	12.3
Stress	No stress	4	7.0
	Low	4	7.0
	Moderate	22	38.6
	High	24	42.1
	Very high	3	5.3

Variables	Stress	Anxiety	Age	Time since graduation	Operating time	Job tenure
1. Stress	1
2. Anxiety	0.827*	1
3. Age	-0.200	-0.149	1
4. Time since graduation	-0.244	-0.188	0.519*	1
5. Operating time	0.167	0.026	0.465*	0.209	1
6. Job tenure	0.090	0.046	0.305^†	0.061	0.330*	1

*QUAN results**	Qual^† results	Metainferences
80.7% of perioperative nursing professionals with moderate to high stress.	Base unit: “Exposure to stressors in daily professional life and symptoms of generalized anxiety”.	In the perception of those investigated, moderate and high stressors include the deficit of human resources and the lack of mutual support between co-workers, which causes work overload.
49.1% of perioperative nursing professionals with generalized anxiety present: 36.8% with moderate anxiety and 12.3% with severe anxiety.	Base unit: “Exposure to stressors in daily professional life and symptoms of generalized anxiety”.	A significant portion of the professionals investigated had moderate anxiety. This outcome can lead to psychosomatic symptoms such as skin lesions and also an increase in food intake.
Strong and direct correlation between high level of stress and generalized anxiety disorder (r=0.827; p^‡=0.001).	Central category: “Everyday professional life as a generator of anxiety and stress”. Base unit: “Exposure to stressors in daily professional life and symptoms of generalized anxiety”. Three categories of analysis: “Sometimes we cannot handle it: Work overload”; “Weaknesses in teamwork” and “Symptoms of anxiety and stress: environment and work routine repercussions”.	In the statements, daily professional life was considered a severe/high stressor for the outcome of anxiety symptoms. Work overload was highlighted as a possible key factor related to stress and anxiety. There is a work scenario with factors that contribute to this overload, such as deficits in staffing, high demands for agility or performance and lack of standardization. Professionals find themselves stressed and anxious in the face of adversities and self-reported weaknesses in the perioperative work environment. These include little interprofessional collaboration and governance over work routines, and dichotomy between management and care practice. These weaknesses directly influence the work practice carried out by them. Nursing professionals working in perioperative units, stressed and anxious, can have an impact on patient safety, with occurrence of incidents. There is negative feedback between working conditions and patient safety. The lack of human resources for a high demand for work in the investigated units is a stressor that causes anxiety.
Professionals with very high (n=3; 100%) and high (n=17; 70.8%) stress had anxiety (p<0.001).

[1] CORRESPONDING AUTHOR
Oclaris Lopes Munhoz. oclaris_munhoz@hotmail.com

Brasil

Brasil

PREVALENCE AND ASSOCIATION BETWEEN STRESS AND ANXIETY IN PERIOPERATIVE NURSING PROFESSIONALS: MIXED METHODS RESEARCH

PREVALENCIA Y ASOCIACIÓN ENTRE ESTRÉS Y ANSIEDAD EN PROFESIONALES DE ENFERMERÍA PERIOPERATORIA: ESTUDIO MIXTO

ABSTRACT

Objective:

Method:

Results:

Conclusion: