Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

Transcrição

1 Federal University of Santa Catarina, Brazil Nursing Department Postgraduate Program in Nursing Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction Jacks Soratto, Phd candidate Responsible professor Denise Elvira Pires de Pires, Phd

2 INTRODUCTION The Family Health Strategy (FHS) was created in Principles of Primary Health Care (PHC). Reorganization of the health care model in Brazil. Family Health Strategy results Distribution of medications and examinations. Vaccination coverage. Infant mortality. Indicators of hospitalization for heart problems. (BRASIL, 2008; 2012; 2015; MENDES, 2012).

3 INTRODUCTON Professionals and Actions It is composed of a multidisciplinary team. Health promotion, disease prevention, cure and health rehabilitation inside and outside of the Health Care Centers. Family Health Strategy Numbers family health care teams. 97% of Brazilian cities. 66% of the population. 14% of all health care facilities in Brazil. (BRASIL, 2008; 2012a,2015; MENDES, 2012).

4 AIM OF THE STUDY To analyze the elements that contribute to job satisfaction and dissatisfaction of professionals in the Family Health Strategy in Brazil.

5 METHOD TYPE OF STUDY Brazilian guidelines on PHC. Karl Marx Qualitative Christhophe Dejours. (MORSE, 2003; DEJOURS, 2004, 2009; MINAYO, 2010; POLIT, BECK, 2011; BRASIL, 2012; MARX, 2012).

6 METHOD LOCAL AND RESEARCH PARTICIPANTS Participants 76 Health Care professionals. Local Nurses, nursing assistants. Dentists, oral health assistants. Doctors. Psychologist. Pharmacist. 11 Health Care Centers. 27 health teams. Distributed in all regions of Brazil.

7 METHOD DATA ANALYSIS Thematic Content Analysis Laurence Bardin s (2011)

8 METHODS DATA ANALYSIS Stages of the thematic analysis 1st phase: pre-analysis. 2nd phase: data exploration. 3rd phase: interpretation. Atlas.ti Software The hermeneutic unit was created and all primary documents were also inserted. Quotations were selected Codes and memos were set, and the codes were grouped into families. The analysis tools were also used, mainly the codes-primary documents table and codings analyzer. Quotations, codes, families and memos were articulated. Networks were generated and finally the outputs were extracted.

9 METHODS All national and international ethical principles for research involving human beings were respected.

10 PRELIMINARY RESULTS OF THE STUDY Table 1 Distribution of the prevalence of primary documents [n = 81], quotations [n = 2372] and codes [n = 525], according to the geographical region of Brazil. Geografic region Primary documents Quotations Codes n % n % n % Midwest 20 24, , ,2 Northeast 21 25, , ,3 North 11 13, , ,4 Southest 17 21, , ,4 Soulth 12 14, , ,6 Total , , ,0

11 PRELIMINARY RESULTS OF THE STUDY JOB SATISFACTION IN FAMILY HEALTH STRATEGY

12 PRELIMINARY RESULTS OF THE STUDY JOB DISSATISFACTION IN FAMILY HEALTH STRATEGY

13 BENEFITS OF THE ATLAS.TI SOFTWARE 1- Software X methods Laurence Bardin s

14 BENEFITS OF THE ATLAS.TI SOFTWARE 2- Organization of texts and documents

15 BENEFITS OF THE ATLAS.TI SOFTWARE 3- Organization the participants profiles

16 BENEFITS OF THE ATLAS.TI SOFTWARE 4- Organization the study categories

17 BENEFITS OF THE ATLAS.TI SOFTWARE Data security. Time reduction for analysis. Trustful research. Happiness researcher Jacks Soratto Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

18 REFERENCES BARDIN, Laurence. Análise de conteúdo. Tradução Luís Antero Reto e Augusto Pinheiro. São Paulo: Edições 70, BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Política Nacional de Atenção Básica (PNAB). 2012b. Disponível em: < Acesso em: 29 out BRASIL. Ministério da Saúde. Departamento da Atenção Básica. Histórico de Cobertura da Atenção Básica e Saúde da Família. 2013a. Disponível em: < Acesso em: 05 mar BRASIL. Ministério da Saúde. Secretaria de Assistência à Saúde. Departamento de Atenção Básica.Teto, credenciamento e implantação das estratégias de Agentes Comunitários de Saúde, Saúde da Família e Saúde Bucal. Unidade Geográfica: Brasil. Competência: Janeiro de Disponível em: Acesso 29 abril2015. DEJOURS, Christhophe. Subjetividade, trabalho e ação. Revista Produção, São Paulo, v. 14, n.3, p , DEJOURS, Christhophe. Entre o desespero e a esperança: como reencantar o trabalho? CULT, São Paulo, n. 139, p , set Disponível em: < Acesso em: 20 jul MARX, Karl. O capital: crítica da economia política. Livro I. Tradução de Reginaldo Sant Anna. 30. ed. Rio de Janeiro: Civilização Brasileira, MINAYO, Maria Cecília de Souza. Desafio do conhecimento: pesquisa qualitativa em saúde. 12. ed. São Paulo: Hucitec, MENDES, Eugênio Vilaça. O cuidado das condições crônicas na atenção primária à saúde: o imperativo da consolidação da estratégia da saúde da família. Brasília: OPAS, MORSE, Janice. Assuntos críticos en los métodos de investigación cualitativa. Medellín: Universidad de Antioquia, POLIT, Denise F.; BECK, Cheryl Tatano. Fundamentos de pesquisa em enfermagem. Avaliação de evidências para a prática da enfermagem. Tradução de Denise Regina de Sales. 7. ed. Porto Alegre: Artmed, 2011.