A influência da anomia e do comprometimento organizacional sobre a intenção de rotatividade em organizações

O contexto atual das organizações é de grande competição em um mercado cada vez mais marcado por mudanças. Para as empresas se manterem competitivas em tal cenário, devem investir em ações de recrutamento, seleção e treinamento e, principalmente, criar estratégias para reter seus talentos. No presente estudo pretendeu-se testar um modelo explicativo da intenção de rotatividade a partir dos preditores anomia organizacional e comprometimento organizacional. Participaram 325 trabalhadores de diferentes organizações. Os participantes responderam a instrumentos validados para mensurar as variáveis do estudo. As respostas foram submetidas a técnica de Modelagem de Equações Estruturais. Os resultados demonstraram que a anomia exerce influência negativa sobre o comprometimento e positiva sobre a intenção de sair da empresa

Propriedades psicométricas da escala de Anomia Social de Srole em trabalhadores brasileiros

A anomia social é um estado em que o indivíduo não percebe nas normas um objeto capaz de orientar e regular de forma eficiente a sociedade. O elevado índice de anomia na sociedade está relacionado com a incidência de problemas no grupo social. No presente estudo, pretendeu-se investigar as propriedades psicométricas da Escala de Anomia Social de Srole em trabalhadores brasileiros. Esse instrumento é um indicador que auxilia a diagnosticar esse fenômeno em um grupo de trabalhadores. Para isso foram coletados dados com 635 trabalhadores com idade variando entre 18 e 73 anos e média de 45,79 anos. Foi realizado um procedimento de análise fatorial exploratória que demonstrou índices satisfatórios (Alfa = 0,79; Confiabilidade Composta = 0,80; Variância Média Extraída = 0,55) e apontou o instrumento com um único fator que explica 34,06% da variância, sendo um item retirado da escala. O procedimento de análise fatorial confirmatória apontou índices satisfatórios de adequação do modelo. Os resultados reforçam a solução unifatorial do instrumento, que demonstrou propriedades psicométricas satisfatórias

Verificação da Estrutura Fatorial da Escala de Autoconceito Profissional em Funcionários de Diferentes Empresas Brasileiras

Os estudos sobre o autoconceito profissional ganham cada vez mais expressão e importância, despertando o interesse de novos pesquisadores, sobretudo no contexto organizacional, dado que a compreensão do autoconceito profissional pode facilitar a promoção de outras dimensões da personalidade, tais como o relacionamento interpessoal e a satisfação do indivíduo consigo mesmo. No presente estudo, verificou-se a estrutura fatorial da escala de autoconceito profissional tanto em funcionários de empresas privadas como em servidores públicos. O estudo foi composto por uma amostra de 490 trabalhadores de diferentes empresas brasileiras, de 16 a 68 anos, dos quais 169 pertenciam a empresas públicas e 321 a empresas privadas. Os resultados apontam que o modelo original trifatorial da escala apresentou indicadores estatísticos que justificam a sua fidedignidade e consistência estrutural. Destaca-se a confirmação do modelo proposto pelos autores da escala, não somente na amostra geral de trabalhadores, mas, também, em sujeitos de empresa publica e privada, podendo assim, observar que, nas três amostras, os indicadores estiveram de acordo com o exigido na literatura estatística

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

A influência da anomia e do comprometimento organizacional sobre a intenção de rotatividade em organizações

The current context of organizations is of great competition in a market increasingly marked by change. For companies to remain competitive in such a scenario, they must invest in recruitment, selection, and training; as well as create strategies to retain their talents. The present study attempts to test an explanatory model of turnover intention with organizational anomia and organizational commitment as predictors. A total of 325 workers from different organizations participated in the study. Participants responded to validated instruments to measure study variables. The answers were subjected to Structural Equation Modeling. The results showed that anomie exerts a negative influence on commitment and a positive one on intention to leave the company.O contexto atual das organizações é de grande competição em um mercado cada vez mais marcado por mudanças. Para as empresas se manterem competitivas em tal cenário, devem investir em ações de recrutamento, seleção e treinamento e, principalmente, criar estratégias para reter seus talentos. No presente estudo pretendeu-se testar um modelo explicativo da intenção de rotatividade a partir dos preditores anomia organizacional e comprometimento organizacional. Participaram 325 trabalhadores de diferentes organizações. Os participantes responderam a instrumentos validados para mensurar as variáveis do estudo. As respostas foram submetidas a técnica de Modelagem de Equações Estruturais. Os resultados demonstraram que a anomia exerce influência negativa sobre o comprometimento e positiva sobre a intenção de sair da empresa

Validity evidences of the SOPOS for employees of public and private companies

Regarded as one of the constructs of greater influence on human behavior in organizations, perceived organizational support is defined as the perception by the employee that the organization values and cares for their well-being. Despite the finding of different instruments for measuring organizational support, in general Brazilian studies have used the scale of perceived organizational support - EPSO, in terms of their psychometric qualities and its small size, with only nine items that measure the construct so unidimensional. Despite the recognized usefulness of the instrument, were not found in the literature indicating its structural validity, reason that justified the main objective of the present study. Participants were 490 employees of different businesses in the city of Rio de Janeiro, aged 16-68 years (mean 39.82 years and standard deviation of 11.68 years), of which 169 were from public companies and 321 private companies, 59% were female and 54% were single. The results of the confirmatory factor analysis procedures ratified the psychometric qualities of EPSO, with indicators psychometric indicators that ensure their use in contexts of public and private organizations