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Psychological loads
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Excessive scheduled and spontaneous demands. |
The demand is very high, because we don’t have enough professionals in the network. We have nine thousand inhabitants in my area, it is very far from what is recommended (NUS3). The psychological pressure related to the number of people to be attended, waiting for care, can be noticed by the anxiety presented by the professionals at the time of the interview (OBS SOUTHEAST). |
| Deficit of employees, with insufficient numbers to serve users; sick leaves and/or absences. |
I think it can improve, but for that you need material resources, human resources too, because we work with very few professionals and there are absences (...) there is always a lack of professionals and one professional has to cover another and gets overloaded (NUCO5). |
| User dissatisfaction. |
We have a lot of paperwork that makes you waste time (...) Sometimes the person stays in the hallway and I only hear complaints (...) they do not know that it is a bureaucratic issue, it is a lot to write down, it makes the service take longer (NANE1). |
| Overload of activities. |
So, the technician has many duties (NTSE3). We, technicians, are not only technicians, we are porters, telephone operators, typists, pharmacists (NTN6). |
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Physiological Loads
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Excessive scheduled and spontaneous demands. |
Having to carry out 98 home visits, for a technician, I have to be in the dressing room, in the medication room, in medication dispensing, in patient triage, scheduling appointments, making medication, so, the professional who knows he does a well done job, like me, leaves work very tired, so I don’t think about having another job, I can’t do other activities, when I get home I’m already tired (NTCO5). There is a large number of people here, it is unusual for me to be here talking to you because I don’t even have time to go to the bathroom (...) (NTS2). |
| Overload of activities. |
Work overload is very harmful to our health, I have seen many people getting sick, the doctor herself. And there is also injuries, one of these days, I couldn’t even raise my arms. I couldn’t move my hand (...) work overload has hurt me a lot, sometimes I’m deprived of drinking water, going to the bathroom, sitting for a few minutes to rest (NTCO5). |
| Deficit of employees, with insufficient numbers to serve users; sick leaves and/or absences. |
I think the work overload is due to the lack of professionals. We stress a lot (NTCO1). We are just two nursing technicians in our team (...). One employee just for the pharmacy [would reduce] this overload (...), then I could be helping the community more, I could be making more visits (NTCO3). |
| Excessive working hours. |
(...) we don’t even have the right of having lunch here (...) we buy lunch, there is no rest, nothing. If it was at least 30 hours, as we are trying to, maybe it would improve (NTNE1). |
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Biological loads
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Exposure to biological agents, such as bacteria and viruses, by handling immunobiological products and carrying out procedures involving contamination; contact with infectious diseases; and presence of yeasts (mold) due to inadequate physical structure. |
I know a nurse who got Hepatitis A, two CHAs who got tuberculosis and a technician who had an accident with sharp material (NUN2). There is a room without minimum standards, there is no sink inside that room, there is no descarpack for proper dispensing of sharp material. A can of “powdered milk” is being used for the disposal of needles (OBS CENTER-WEST). |
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Physical loads
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Exposure to intense heat or cold and humidity is closely linked to the environmental conditions and physical structure of the UBS. |
This is a rented house, adapted (...) we had a very serious problem with a lot of infiltration, a lot of mold, a lot of leaks and when it rained we couldn’t stay at the Unit (NUNE6). (...) no air conditioning, no window, no ventilation, so we end up feeling bad (...) my blood pressure drops, I get irritated (NTSE3). |
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Mechanical loads
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Equipment inappropriate for use in the service (without maintenance), lack of and/or inappropriate furniture. |
The infiltrations, it gets wet when it rains, we can slip and fall, we have no safety. There are also the stairs, because we keep going up and down, we may even fall, and the entrance of the unit is difficult, because the ditch is open and we do not have a sewer pipe (NUN2). There is no equipment in good shape for health care. Instruments and equipment essential for assistance in terrible conditions, such as: cabinets supported by rocks, rusty iron chairs that do not meet ergonomic standards (OBS NORTHEAST). |
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Chemical loads
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Exposure to dust and smoke |
In this region of the UBS], the air is very heavy, due to the cement factories that are installed here, this affects the respiratory health of some colleagues (NUCO9). |
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