Critical phase of the COVID-19 pandemic and health and working conditions in nursing

Authors

DOI:

https://doi.org/10.26694/reufpi.v14i1.6209

Keywords:

Covid-19, Occupational Health Nursing, Health, Work, Health Status

Abstract

Objective: to identify changes in the health and work conditions of nursing professionals working in Primary and Tertiary Care during the critical phase of the COVID-19 pandemic. Methods: this was a descriptive, cross-sectional study with retrospective data collection conducted between December 2022 and June 2023. Ninety-six of the 230 eligible professionals who worked for at least three months during the critical phase of the pandemic participated. Data were collected through a self-administered questionnaire and analyzed using frequencies and Fisher's exact test, with a significance level of 5%. This study was approved by the Ethics Committee. Results: there was a significant association between Tertiary Care and the provision of training on the use of Personal Protective Equipment (p < 0.01), while Primary Care professionals were associated with a greater feeling of devaluation and lack of recognition by the user population (p = 0.01). Conclusion: inequalities were identified regarding working and health conditions during the critical phase of the COVID-19 pandemic, highlighting the need for specific strategies to support nursing professionals at different levels of care during health emergencies.

Author Biographies

Ana Cristina Ribeiro La Scaléa, Universidade Federal de São Carlos

Enfermeira. Mestranda do Programa de Pós-graduação em Enfermagem da Universidade Federal de São Carlos. São Carlos, São Paulo, Brasil.

Francine Zentil Boaro, Universidade Federal de São Carlos

Enfermeira pela Universidade Federal de São Carlos. São Carlos, São Paulo, Brasil.

Rafaela Carla Piotto Rodrigues, Universidade Federal de São Carlos

Enfermeira. Doutoranda do Programa de Pós-graduação em Enfermagem da Universidade Federal de São Carlos. São Carlos, São Paulo, Brasil.

Rodrigo das Neves Cano, Universidade Federal de São Carlos

Universidade Federal de São Carlos. Programa de Pós-graduação em Enfermagem. São Carlos, São Paulo, Brasil.

Sílvia Carla da Silva André Uehara, Universidade Federal de São Carlos

Enfermeira, Doutora. Docente do Curso de Graduação em Enfermagem da Universidade Federal de São Carlos. São Carlos, São Paulo, Brasil.

References

Stelnicki AM, Carleton RN, Reichert C. Nurses’ mental health and well-being: COVID-19 impacts. Can J Nurs Res. 2020 [cited 2024 Jan 20]; 52(3):237- 9. DOI: https://doi.org/10.1177/0844562120931623.

Choi KR, Jeffers KS, Longsdon MC. Nursing and the novel coronavirus: Risks and responsibilities in a global outbreak. J Adv Nurs. 2020 [cited 2024 Jan 20];76(7):1486-1487. DOI: https://doi.org/10.1111%2Fjan.14369.

Crowe S, Howard AF, Vanderspank-Wright B, Gillis P, McLeod F, Penner C, et al. The effect of COVID-19 pandemic on the mental health of Canadian critical care nurses providing patient care during the early phase pandemic: A mixed method study. Intensive Crit Care Nurs. 2021 [cited 2024 Jan 17];63:102999. DOI: https://doi.org/10.1016%2Fj.iccn.2020.102999.

Maier MR, Kanunfre CC. Impact on nursing personnel’s mental health and sleep quality during the COVID-19 pandemic. Rev. enferm. UERJ. 2021 [cited 2024 Jan 20];29(1):e61806. DOI: https://doi.org/10.12957/reuerj.2021.61806.

Miranda FMA, Santana LL, Pizzolato AC, Saquis LMM. Working conditions and the impact on the health of the nursing professionals in the context of covid-19. Cogitare enferm. 2020 [cited 2024 Jan 27]; 25. DOI: http://dx.doi.org/10.5380/ce.v25i0.72702.

von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE)statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008 [cited 2025 Mai 21].Apr;61(4):344-9. Available from: https://www.strobe-statement.org/strobe-publications/.

Machado MH. Condições de trabalho dos profissionais de saúde no contexto da Covid-19 no Brasil. Rio de Janeiro: ENSP/CEE-Fiocruz; 2020/2021[cited 2024 Jan 20]. Available from: https://portal.fiocruz.br/noticia/pesquisa-analisa-o-impacto-da-pandemia-entre-profissionais-de-saude.

Marinho GL, Oliveira BLCA, Cunha CLF, Tavares FG, Paz EPA. Nursing in Brazil: socioeconomic analysis with a focus on the racial composition. Rev Bras Enferm. 2021[cited 2024 Jan 23];75(2):e20201370. DOI: https://doi.org/10.1590/0034-7167-2020-1370.

Brasil. Conselho Federal de Enfermagem. Resolução COFEN nº 543/2017 – revogada pela Resolução COFEN nº 743/2024. Atualiza e estabelece parâmetros para o dimensionamento do quadro de profissionais de enfermagem nos serviços/locais em que são realizadas atividades de enfermagem [Internet]. Brasília: COFEN; 2017 [cited 2024 Jan 20]. Available from: https://www.cofen.gov.br/resolucao-cofen-5432017/.

Ministério da Saúde(BR). Portaria nº 2.436, de 21 de setembro de 2017. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS) [Internet]. Brasília: Diário Oficial da União; 2017 [cited 2024 Jan 20]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html

Soares SSS, Souza NVDO, Silva KG, César MP, Souto JSS, Leite JCRAP. Covid-19 pandemic and rational use of personal protective equipment. Rev. enferm. UERJ. 2020[cited 2024 Jan 20];28:e50360. DOI: https://doi.org/10.12957/reuerj.2020.50360.

Teixeira CFS, Soares CM, Souza EA, Lisboa ES, Pinto ICM, Andrade LR, et al. The health of healthcare professionals coping with the Covid-19 pandemic. Cien Saude Colet. 2020[cited 2024 Jan 27];25(9):3465-3474. DOI: https://doi.org/10.1590/1413-81232020259.19562020.

Neuwirth MM, Mattner F, Otchwemah R. Adherence to personal protective equipment use among healthcare workers caring for confirmed COVID-19 and alleged non-COVID-19 patients. Antimicrob Resist Infect Control. 2020[cited 2024 Jan 20];9(1):199. DOI: https://doi.org/10.1186/s13756-020-00864-w.

Abed Alah MTT, Abdeen S, Selim N, Tayar E, Bougmiza I. Occupational Prevention of COVID-19 Among Healthcare Workers in Primary Healthcare Settings: Compliance and Perceived Effectiveness of Personal Protective Equipment. J Patient Saf. 2022[cited 2024 Feb 12];18(8):747-755. DOI: https://doi.org/10.1097/pts.0000000000001004.

Pérez-Raya F, Cobos-Serrano JL, Ayuso-Murillo D, Fernández-Fernández P, Rodríguez-Gómez JA, Almeida Souza A. COVID-19 impact on nurses in Spain: a considered opinion survey. Int Nurs Rev. 2021;68(2):248-255. DOI: https://doi.org/10.1111/inr.12682.

Halcomb E, McInnes S, Williams A, Ashley C, James S, Fernandez R, Stephen C, et al. The Experiences of Primary Healthcare Nurses During the COVID-19 Pandemic in Australia. J Nurs Scholarsh. 2020[cited 2024 Feb 12];52(5):553-563. DOI: https://doi.org/10.1111%2Fjnu.12589.

Magalhães APN, Souza DO, Macêdo FP, Silva Cruz SAF, Pereira-Abagaro C, Rosales-Flores RA. Working conditions in nursing in the face of Covid-19 from the perspective of precariousness. Rev Bras Enferm. 2023[cited 2024 Feb 12];76(Suppl 1):e20220679. DOI: https://doi.org/10.1590/0034-7167-2022-0679pt.

Liu Y, Long Y, Cheng Y, Guo Q, Yang L, Lin Y, et al. Psychological Impact of the COVID-19 Outbreak on Nurses in China: A Nationwide Survey During the Outbreak. Front Psychiatry. 2020[cited 2024 Feb 17];11:598712. DOI: https://doi.org/10.3389%2Ffpsyt.2020.598712.

Dong HS, Gao JJ, Dong YX, Han SX, Sun L. Prevalence of insomnia and anxiety among healthcare workers during the COVID-19 pandemic in Jilin Province. Braz J Med Biol Res. 2021[cited 2024 Feb 17];54(9):e10602. DOI: https://doi.org/10.1590/1414-431x2020e10602.

Silva LS, Passos HR, Oliveira JV, Amaral GG. Contextos de saúde e trabalho de profissionais de enfermagem em tempos de pandemia de COVID-19. Enferm. actual Costa Rica. 2023[cited 2024 Feb 12];44:54263. DOI: http://dx.doi.org/10.15517/enferm.actual.cr.i44.49421.

Pacheco AS, Santos LJ. A importância da prevenção dos riscos ergonômicos no ambiente hospitalar e as estratégias para melhorar o ambiente de trabalho do enfermeiro. Revista FT. 2023[cited 2024 Feb 15];123. DOI: DOI: http://dx.doi.org/10.5281/zenodo.8092546.

Freire NP, Castro DA, Fagundes MCM, Ximenes Neto FRG, Cunha ICKO, Silva MCN. News on Brazilian Nursing in the COVID-19 pandemic. Acta Paul Enferm. 2021[cited 2024 Feb 12];34:eAPE02273. DOI: http://dx.doi.org/10.37689/acta-ape/2021AO02273.

Brasil. Lei nº 14.434, de 4 de agosto de 2022. Altera a Lei nº 7.498, de 25 de junho de 1986, para instituir o piso salarial nacional do Enfermeiro, do Técnico de Enfermagem, do Auxiliar de Enfermagem e da Parteira [Internet]. Brasília: Presidência da República; 2022 [cited 2024 Feb 12]. Available from: https://www.planalto.gov.br/ccivil_03/_ato2019-2022/2022/lei/l14434.htm.

Published

2025-11-19

How to Cite

1.
La Scaléa ACR, Boaro FZ, Rodrigues RCP, Cano R das N, Uehara SC da SA. Critical phase of the COVID-19 pandemic and health and working conditions in nursing. Rev Enferm UFPI [Internet]. 2025 Nov. 19 [cited 2025 Dec. 14];14(1). Available from: https://periodicos.ufpi.br/index.php/reufpi/article/view/6209

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