Work well-being : relationships with leadership styles and support for ascension, promotion and salaries

O bem-estar tem sido apontado como fenômeno essencial para o funcionamento adequado e competitivo da organização. Este estudo testou a relação do suporte organizacional para ascensão, promoção e salários, e os estilos gerenciais com o bem-estar no trabalho. Essa variável contemplou o afeto positivo, o afeto negativo e a realização pessoal do trabalhador. O estudo foi conduzido em duas organizações privadas. Um total de 157 trabalhadores respondeu a um questionário composto pela Escala de Avaliação do Estilo Gerencial (Melo, 2004), pela Escala de Suporte Organizacional Percebido (Tamayo, Pinheiro, Tróccoli, & Paz, 2000) e pela Escala de Bem-Estar no Trabalho (Paschoal & Tamayo, 2008), todas validadas no Brasil. Os dados foram analisados por meio de correlações bivariadas e pela regressão múltipla padrão. Os resultados indicaram que tanto os estilos gerenciais quanto o suporte para ascensão, promoção e salários apresentam associações significativas com o bem-estar no trabalho. O suporte, por sua vez, apresentou as associações mais fortes com os fatores de bemestar, e foi seu principal preditor. Assim, quanto mais positiva é a percepção de suporte, maiores são o afeto positivo e a realização do trabalhador, e menor é o afeto negativo. Ações e práticas da organização parecem ser mais importantes para o bem-estar laboral do que comportamentos específicos de gestores.Well-being has been pointed out as an essential phenomenon for the adequate and competitive performance of organizations. This current study tested the relationships managerial styles and organizational support for ascension, promotion, and salaries have with work well-being. This variable includes the positive effects, the negative effects and personal fulfillment at work. The study was conducted in two private organizations. A total of 157 workers answered a survey composed by using the Evaluation Scale of Managerial Styles (Melo, 2004), Organizational Support Scale (Tamayo, Pinheiro, Tróccoli, & Paz, 2000) and Work Well-being Scale (Paschoal & Tamayo, 2008), all of which have been validated in Brazil. The data was analyzed by means of bivariate correlation and standard multiple regression. The results indicate that managerial styles as well as support for ascension, promotion and salary have significant association with work well-being. The variable support presented stronger associations with well-being factors and it was also the most important predictor. The more positive the perception of support is, the greater the positive affect and worker fulfillment is and the lesser the negative affect is. Organizational actions and practices seem to be of utmost importance for work well-being, rather than specific behavior of managers

The impact of rate and rhythm control strategies on quality of life for patients with atrial fibrillation: a protocol for a systematic review

Abstract Background Atrial fibrillation (AF) is the most common heart arrhythmia globally and it adversely affects the quality of life (QoL). Available rate and rhythm control strategies equally reduce mortality but may impact QoL differently. A number of systematic reviews have focused on the impact of specific strategies on QoL, though a 2006 review synthesized the evidence on the effect of all strategies on QoL, allowing for a clinically important comparison between the types of strategies. Many trials have been published since the review undertook the search in 2005; therefore, an update is needed. This systematic review aims to provide an update to the 2006 review on the impact of all rate and rhythm control strategies on QoL in people with AF. Methods The following four databases and three clinical trial registries will be searched for primary studies: CENTRAL, MEDLINE, Embase, CINAHL, WHO International Clinical Trials Registry Platform, ClinicalTrials.gov, and ClinicalTrialsRegister.eu. No language restriction will be applied. The search will be limited to 2004 or later publication year to allow overlap with the search conducted by the 2006 review authors. Any randomized control trial that reports the QoL of adult (≥ 18 years) AF patients following an eligible rate or rhythm control intervention will be eligible for inclusion. Eligible interventions (and comparators) include pacing, atrioventricular node junction and bundle of HIS ablation, pharmacological therapy, radio frequency catheter ablation, cryoablation, pulmonary vein isolation, maze operation, pace maker implantation, and defibrillator implantation. Two reviewers will independently screen for eligible studies, extract the data using a piloted tool, and assess bias by QoL outcome using the RoB 2 tool. The suitability of conducting a meta-analysis will be assessed by the clinical and methodology similarities of included studies. If it is feasible, standardized mean differences will be pooled using a random-effects model and assessed appropriately. Discussion The findings from this review will allow for meaningful comparisons between various rate and rhythm control strategies regarding their impact on QoL. This review will be useful for a wide range of stakeholders and will be crucial for optimizing the overall wellbeing of AF patients. Systematic review registration PROSPERO CRD42021290542 </jats:sec

Cardiovascular Health and Atrial Fibrillation or Flutter: A Cross-Sectional Study from ELSA-Brasil.

BackgroundThe association between ideal cardiovascular health (ICVH) status and atrial fibrillation or flutter (AFF) diagnosis has been less studied compared to other cardiovascular diseases.ObjectiveTo analyze the association between AFF diagnosis and ICVH metrics and scores in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).MethodsThis study analyzed data from 13,141 participants with complete data. Electrocardiographic tracings were coded according to the Minnesota Coding System, in a centralized reading center. ICVH metrics (diet, physical activity, body mass index, smoking, blood pressure, fasting plasma glucose, and total cholesterol) and scores were calculated as proposed by the American Heart Association. Crude and adjusted binary logistic regression models were built to analyze the association of ICVH metrics and scores with AFF diagnosis. Significance level was set at 0.05.ResultsThe sample had a median age of 55 years and 54.4% were women. In adjusted models, ICVH scores were not significantly associated with prevalent AFF diagnosis (odds ratio [OR]:0.96; 95% confidence interval [95% CI]:0.80-1.16; p=0.70). Ideal blood pressure (OR:0.33; 95% CI:0.15-0.74; p=0.007) and total cholesterol (OR:1.88; 95% CI:1.19-2.98; p=0.007) profiles were significantly associated with AFF diagnosis.ConclusionsNo significant associations were identified between global ICVH scores and AFF diagnosis after multivariable adjustment in our analyses, at least partially due to the antagonistic associations of AFF with blood pressure and total cholesterol ICVH metrics. Our results suggest that estimating the prevention of AFF burden using global ICVH scores may not be adequate, and ICVH metrics should be considered in separate

Bem-estar no Trabalho: Relações com Estilos de Liderança e Suporte para Ascensão, Promoção e Salários

Well-being has been pointed out as an essential phenomenon for the adequate and competitive performance of organizations. This current study tested the relationships managerial styles and organizational support for ascension, promotion, and salaries have with work well-being. This variable includes the positive effects, the negative effects and personal fulfillment at work. The study was conducted in two private organizations. A total of 157 workers answered a survey composed by using the Evaluation Scale of Managerial Styles (Melo, 2004), Organizational Support Scale (Tamayo, Pinheiro, Tróccoli, & Paz, 2000) and Work Well-being Scale (Paschoal & Tamayo, 2008), all of which have been validated in Brazil. The data was analyzed by means of bivariate correlation and standard multiple regression. The results indicate that managerial styles as well as support for ascension, promotion and salary have significant association with work well-being. The variable support presented stronger associations with well-being factors and it was also the most important predictor. The more positive the perception of support is, the greater the positive affect and worker fulfillment is and the lesser the negative affect is. Organizational actions and practices seem to be of utmost importance for work well-being, rather than specific behavior of managers

Focus group discussions with people living with atrial fibrillation in Brazil

English transcripts of three focus group discussions conducted in Sao Paulo Brazil with people diagnosed with atrial fibrillation.</p

Health care professionals’ perceptions about atrial fibrillation care in the Brazilian public primary care system: a mixed-methods study

Abstract Background Atrial fibrillation (AF) negatively impacts health systems worldwide. We aimed to capture perceptions of and barriers and facilitators for AF care in Brazilian primary care units (PCUs) from the perspective of healthcare professionals (HCPs). Methods This mixed-methods, cross-sectional study utilised an exploratory sequential design, beginning with the quantitative data collection (up to 18 closed questions) immediately followed by a semi-structured interview. HCPs were recruited from 11 PCUs in the Sao Paulo region and included managers, physicians, pharmacists, nurses and community health agents. Descriptive statistics were used to present findings from the quantitative questionnaire and inductive analysis was used to identify themes from the qualitative data. Results One hundred seven HCPs were interviewed between September 2019 and May 2020. Three main themes were identified that encapsulated barriers and facilitators to AF care: access to care (appointments, equipment/tests and medication), HCP and patient roles (HCP/patient relationship and patient adherence) and the role of the organisation/system (infrastructure, training and protocols/guidelines). Findings from the qualitative analysis reinforced the quantitative findings, including a lack of AF-specific training for HCPs, protocols/guidelines on AF management, INR tests in the PCUs, patient knowledge of AF management and novel oral anticoagulants (NOACs) as key barriers to optimal AF care. Conclusions Development and implementation of AF-specific training for PCU HCPs are needed in Brazil, along with evidence-based protocols and guidelines, educational programmes for patients, better access to INR tests for patients taking warfarin and availability of NOACs. </jats:sec