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Cilj. Radno mesto medicinske sestre zaposlene u jedinici intenzivne nege podrazumeva izloženost različitim vrstama radnih opterećenja koji predstavljaju faktore rizika za nastanak štetne fizičke i emocionalne reakcije tj. profesionalnog stresa. Zbog toga, cilj ovog rada je bio utvrđivanje najčešćih uzroka stresa i psihosomatskih manifestacija kod medicinskih sestara na Odeljenju neonatalne intenzivne nege. Metode. Istraživanje je sprovedeno po tipu studije preseka. Studija je obuhvatila uzorak od (N) 42 medicinske sestretehničara zaposlenih na Odeljenju neonatalne intenzivne nege. U istraživanju je korišćen anketni list strukturisane forme, posebno dizajniran za potrebe ove studije. Rezultati. Distribucija višestrukih odgovora ispitanika ukazala je na činjenicu da su: sprovođenje reanimacije, nedostatak sestrinskog kadra, obimna administracija, prijem i smrt vitalno ugroženog novorođenčeta izrazito snažni stresori u radu sestara. Kao nepovoljne uslove radne sredine svi ispitanici navode negativan uticaj buke i povremenu izloženost jonizujućem zračenju. Gotovo 67% ispitanika oseća iscpljenost, a 38,1% prijavljuje bolove u mišićima. Slučajno povređivanje na radnom mestu prijavilo je 4,8% anketiranih. Subjektivnom procenom ispitanika svakodnevni stres doživljava njih 52.4%. Zaključak. Medicinske sestre zaposlene na Odeljenju neonatalne intenzivne nege percipiraju različite situacije kao izrazito snažne stresore u radu. Najintenzivniji stresori su ujedno i najčešće zastupljeni: sprovođenje reanimacije, nedostatak sestrinskog kadra, obimna administracija, prijem i smrt vitalno ugroženog novorođenčeta. Ovi specifični psihološki faktori radnog opterećenja jesu determinante koje imaju prediktivnu vrednost pri subjektivnoj proceni doživljenog stresa kod više od polovine naših ispitanika. Psihosomatske manifestacije stresa koje dominiraju kod medicinskih sestara su: osećaj iscrpljenosti i bolovi u mišićima. Ključne reči: medicinske sestre; radno opterećenje; jedinica intenzivnog lečenja, neonatalna; stres, psihološki; izgaranje, profesionalno. ABSTRACT Objective. Nursing staff employed in intensive care units implies exposure to different types of workloads that pose risk factors for the occurrence of harmful physical and emotional reactions, i.e. professional stress. Therefore, the aim of this study was to identify the most common causes of stress and psychosomatic manifestations among nurses at the Department of Neonatal Intensive Care. Methods. The research was carried out by the type of crosssectional study. The study included a sample of (N) 42 nursestechnicians employed at the Department of Neonatal Intensive Care. The survey used a structured questionnaire form, specially designed for the purposes of this study. Results. The distribution of multiple responses pointed to the fact that: resuscitation, lack of nursing staff, extensive administration, admission and death of the highly endangered newborn are extremely strong stressors in the nurses’ job. All respondents stated the negative impact of noise and occasional exposure to ionizing radiation as adverse working conditions. Almost 67% of the subjects feel exhaustion, and 38.1% report muscle aches. Accidental workplace injuries were reported by 4.8% of respondents. According to the subjective assessment of respondents, daily stress is experienced by 52.4%. Conclusion. Nurses working at the Department of Neonatal Intensive Care perceive different situations as extremely strong work stressors. The most intense stressors are also the most common: resuscitation, lack of nursing staff, extensive administration, admission and death of a vitally endangered newborn. These specific psychological factors of the workload are determinants that have a predictive value in a subjective assessment of experienced stress in more than half of our respondents. The psychosomatic manifestations of stress that dominate among nurses are: feeling of exhaustion and muscle aches.

The most common causes of stress and psychosomatic manifestation among nurses at the Department of Neonatal Intensive Care