Afastamentos não programáveis dos profissionais da saúde: análise dos impactos e consequências

Abstract

The globalized and technological context increasingly requires professionals to adapt to new routines and work methods, in groups of professionals this pressure for adaptation is further aggravated by the need for human care and treatment with lives, as is the case of health professionals who they must always be prepared for the use of new technologies existing in health units, and still maintain humanistic skills in their work routines. These requirements put these professionals in a condition that requires a lot of mental and physical effort and often simultaneously, this pressure for productivity combined with the risk of not being able to make mistakes in their journey, puts these professionals in vulnerability in terms of their health and well-being. be. Based on this reality, professionals end up needing medical intervention to reestablish their health condition, and sometimes they may have leaves of absence that in the present research were addressed as non-programmable leaves (certificates) that are those that there is no way for managers to predict. or even plan financial and human resources to fill these absences. In this sense, this research seeks to map the causes of absences of the group of health professionals (nursing, hygiene and maintenance), analyze the financial impacts and propose health programs in a hospital unit. This is a quantitative, exploratory, explanatory and descriptive research, using data provided through the institution's internal systems and processed to compose the database analyzed in this study. The results obtained show that the main causes of absences are: Mental and behavioral disorders; Musculoskeletal Systems; Fractures and Sprains respectively in this sequence of the three major causes of sick leave. Regarding the financial impact, the amount was close to R$ 3,500,000.00 in payment of overtime and other consequences guaranteed by law, only with the group of professionals object of this study. In the case of a public hospital with regional service, these impacts cause work overload on the other professionals, since each removal generates the need to replace the workforce to maintain the provision of services and, also generating overtime that consequently impact on the hospital budget.