<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532022000100035</article-id>
<article-id pub-id-type="doi">10.31252/rpso.26.03.2022</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[O STRESS OCUPACIONAL EM PROFISSIONAIS DE SAÚDE DURANTE A PANDEMIA POR COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[THE OCCUPATIONAL STRESS IN HEALTHCARE WORKERS DURING THE COVID-19 PANDEMIC]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ventura]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Enfermeira na ARS Centro Enfermeira do Trabalho Enfermagem pela Escola Superior de Enfermagem de Coimbra (ESEnfC)]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Cuidados Gerais em Centro Hospitalar e Universitário de Coimbra Unidades de Saúde pela ESEnfC Licenciada em Enfermagem pela ESEnfC]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro hospitalar e Universitário de Coimbra Enfermeiro do Trabalho ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,UICISA-E Escola Superior de Enfermagem de Coimbra ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>13</volume>
<fpage>35</fpage>
<lpage>44</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532022000100035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532022000100035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532022000100035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução Atualmente o mundo atravessa um grande desafio no contexto da saúde pública, após o surgimento da pandemia por COVID-19. Esta problemática, além de acarretar transtornos para a população, é descrita como um fator indutor de stress ocupacional para quem necessita de enfrentar o vírus diretamente, como os profissionais de saúde.  Objetivos Este trabalho pretendeu esclarecer as questões a seguir indicadas: Qual o nível de stress ocupacional dos profissionais de saúde durante a pandemia por COVID-19? Quais as estratégias possíveis de serem adotadas pelos serviços de saúde ocupacional, de forma a dar apoio e acompanhamento a estes trabalhadores? Foram objetivos analisar quais as variáveis individuais e organizacionais que predispõem os profissionais de saúde a níveis de stress ocupacional mais elevados durante a pandemia por COVID-19 e identificar quais as estratégias que devem ser adotadas pelos serviços de saúde ocupacional das instituições, de modo a fornecer suporte aos seus trabalhadores.  Metodologia Trata-se de uma revisão integrativa da literatura, iniciada através de uma pesquisa realizada em fevereiro de 2021, nas bases de dados científicas CINAHL plus with full text, Medline with full text, Academic Search Complete, MedicLatina, Psychology and Behavioral Sciences Collection e Repositório Científico do Instituto Nacional da Saúde.  Resultados Foram incluídos sete documentos. Através dos estudos analisados foi possível concluir que a carga laboral dos profissionais de saúde aumentou durante a pandemia. Os hábitos de vida saudável foram descurados e o consumo de álcool, tabaco e açúcar aumentaram. O sexo feminino experiencia maiores níveis de stress, à semelhança dos profissionais com menos anos de experiência, que possuem habilitações literárias mais baixas ou que auferem menores rendimentos.  Conclusões Devido à pandemia por COVID-19 que se instalou a nível mundial, considera-se agora como emergente a abordagem da saúde mental. Um grande número de profissionais exerce as suas funções em postos de trabalho que já são considerados geradores de níveis de stress elevados. Os profissionais de saúde são um exemplo indiscutível. Durante uma pandemia têm frequentemente de trabalhar durante turnos mais longos e contínuos, para além das horas preconizadas. Os profissionais de saúde apresentaram-se como uma população com níveis elevados de stress em contexto pandémico, pelo que a grande maioria menciona a importância de ter à sua disposição apoio psicológico. Através da identificação das variáveis individuais e organizacionais que predispõem os profissionais de saúde a níveis de stress superiores durante a pandemia por COVID-19, é possível planear e desenvolver estratégias que atenuem ou eliminem os efeitos causados, proporcionando uma melhoria da qualidade de vida no trabalho. Destaca-se a articulação entre os serviços de saúde ocupacional e de psicologia das instituições.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction Currently, the world is going through a major challenge in the context of public health, after the emergence of COVID-19 pandemic. This problem, in addition to cause inconvenience to the population, proves to be an inducing factor for occupational stress for those who need to face the virus directly, the healthcare workers.  Objectives What is the level of occupational stress among health care workers during the COVID-19 pandemic? What are the possible strategies to be adopted by the occupational health service in order to provide support and follow-up to health professionals? Based on the questions raised, the aim is to analyze which individual and organizational variables predispose healthcare workers to higher levels of occupational stress during the COVID-19 pandemic and identify which strategies should be adopted by occupational health services, to provide support to their workers.  Methodology This is an integrative literature review, initiated through research carried out in February 2021, in the scientific databases CINAHL plus with full text, Medline with full text, Academic Search Complete, MedicLatina, Psychology and Behavioral Sciences Collection and Repositório Científico do Instituto Nacional de Saúde.  Results Seven articles were included. Through the studies analyzed, it was possible to conclude that the workload of healthcare workers increased during the pandemic. Healthy lifestyle habits were neglected by those professionals and the consumption of alcohol, tobacco and sugar increased. Females and professionals with fewer years of experience, lower educational qualifications or with less income earnings experienced higher levels of stress.  Conclusions Due to the COVID-19 pandemic that has spread around the world, a mental health emergency is now considered. A large number of professionals work in jobs that are already considered to generate high levels of stress. Healthcare workers are an indisputable example. During a pandemic, they often have to work longer and stay for continuous shifts, in addition to the recommended hours. Health professionals presented themselves as a population with high levels of stress in a pandemic context, so the great majority of them mention the importance of having psychological support available. Through the identification of which individual and organizational variables predispose healthcare workers to higher levels of occupational stress during the COVID-19 pandemic, it is possible to plan and develop strategies that mitigate or eliminate the effects caused, providing an improvement in the quality of work life. The articulation between the occupational health and psychology services of the institutions is highlighted.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[Sars-Cov-2]]></kwd>
<kwd lng="pt"><![CDATA[Coronavírus]]></kwd>
<kwd lng="pt"><![CDATA[Stress Ocupacional]]></kwd>
<kwd lng="pt"><![CDATA[Profissionais de Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Enfermagem do Trabalho.]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Sars-Cov-2]]></kwd>
<kwd lng="en"><![CDATA[Coronavirus]]></kwd>
<kwd lng="en"><![CDATA[Occupational stress]]></kwd>
<kwd lng="en"><![CDATA[Healthcare Workers]]></kwd>
<kwd lng="en"><![CDATA[Occupational Health Nursing.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<collab>Organização Mundial de Saúde</collab>
<article-title xml:lang=""><![CDATA[Relatório Mundial da Saúde]]></article-title>
<source><![CDATA[Saúde Mental: Nova conceção, nova esperança]]></source>
<year>2001</year>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<collab>European Agency for Health and Consumers</collab>
<source><![CDATA[Joint Action for Mental Health and Wellbeing]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="">
<collab>Agência Europeia para a saúde e Segurança no Trabalho</collab>
<source><![CDATA[Riscos psicossociais e stresse no trabalho]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<collab>Organização Internacional do Trabalho</collab>
<source><![CDATA[Garantir a Segurança e Saúde no Trabalho Durante a pandemia]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="">
<collab>Serviço Nacional de Saúde</collab>
<source><![CDATA[Notícias de saúde: stress profissional]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<source><![CDATA[Burnout, estratégias de coping e qualidade de vida nos profissionais de saúde (Dissertação de mestrado)]]></source>
<year>2011</year>
<publisher-loc><![CDATA[Portugal ]]></publisher-loc>
<publisher-name><![CDATA[Universidade Católica Portuguesa]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El síndrome de burnout]]></article-title>
<source><![CDATA[International classification of diseases for mortality and morbidity statistics (11th revision)]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[UNED FUE World Health Organization]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Marshall]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Occupational sources of stress. A review of the literature relating to coronary heart disease and mental ill health]]></article-title>
<source><![CDATA[Journal of Occupational Psychology]]></source>
<year>1976</year>
<volume>49</volume>
<page-range>11-28</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hespanhol]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout e stress ocupacional]]></article-title>
<source><![CDATA[Revista Portuguesa Psicossomática]]></source>
<year>2005</year>
<volume>7</volume>
<numero>1/2</numero>
<issue>1/2</issue>
<page-range>153-62</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maslach]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Schaufelli]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Historical and conceptual development of burnout]]></article-title>
<source><![CDATA[Professional burnout: Recent developments in theory and research]]></source>
<year>1993</year>
<page-range>1-18</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<collab>The Lancet</collab>
<article-title xml:lang=""><![CDATA[COVID-19: protecting health-care workers]]></article-title>
<source><![CDATA[The Lancet]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Heitor]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Virgolino]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rasga]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Relatório final: SM-COVID19 - Saúde mental em tempos de pandemia]]></article-title>
<source><![CDATA[Instituto Nacional de Saúde Doutor Ricardo Jorge, IP;]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maduke]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Dorroh]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bhat]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Krvavac]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Regunath]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Are We Coping Well with COVID-19? A Study on Its Psycho-Social Impact on Front-line Healthcare Workers]]></article-title>
<source><![CDATA[Missouri Medicine]]></source>
<year>2021</year>
<volume>118</volume>
<page-range>55-62</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Urzal]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Donas- Boto]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Moreira]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Nogueira]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Vian]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalência e Fatores associados a sintomas de Ansiedade, Depressão e Perturbação Pós- Stress Traumático em Profissionais de Saúde durante a Pandemia por COVID-19]]></article-title>
<source><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></source>
<year>2021</year>
<volume>11</volume>
<page-range>1-23</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Martín-Garcia]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Lueto]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez-Martinez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Lucama]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bernardo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Burnout em Profissionais de Saúde Angolanos durante a Pandemia da Covid-19]]></article-title>
<source><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></source>
<year>2021</year>
<volume>12</volume>
<page-range>1-20</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Halcomb]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[McInnes]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ashley]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[James]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Experiences of Primary Healthcare Nurses During the COVID-19 Pandemic in Australia]]></article-title>
<source><![CDATA[Journal of Nursing Scholarship]]></source>
<year>2020</year>
<volume>52</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>553-63</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fitzpatrick]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Patterson]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Morley]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Stoltzfus]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Stankewicz]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Physician wellness during a pandemic]]></article-title>
<source><![CDATA[Western Journal of Emergency Medicine]]></source>
<year>2020</year>
<volume>21</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>83-8</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hennein]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Lowe]]></surname>
<given-names><![CDATA[S. A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[hybrid inductive-abductive analysis of health workers&#8217; experiences and wellbeing during the COVID-19 pandemic in the United States]]></article-title>
<source><![CDATA[PLoS One]]></source>
<year>2020</year>
<volume>15</volume>
<numero>10 October</numero>
<issue>10 October</issue>
<page-range>1-22</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blake]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Yildirim]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Wood]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Knowles]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mancini]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Coyne]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Covid-well: Evaluation of the implementation of supported wellbeing centres for hospital employees during the COVID-19 pandemic]]></article-title>
<source><![CDATA[International Journal of Environmental Research and Public Health]]></source>
<year>2020</year>
<volume>17</volume>
<numero>24</numero>
<issue>24</issue>
<page-range>1-22</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torricelli]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Poletti]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Raballo]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Managing COVID-19-related psychological distress in health workers: Field experience in northern Italy]]></article-title>
<source><![CDATA[Psychiatry and Clinical Neurosciences]]></source>
<year>2021</year>
<volume>75</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>23-4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
