Avaliação da qualidade de vida e contexto de trabalho da equipe de enfermagem da ESF de Uberaba- MG

Abstract

The nursing professionals stand out in the reorientation of the health assistant model proposed by FHS, from MS. They play their role along with the FH staff aiming essentially health promotion. In these professionals working context, it has been possible to notice various exhaustion situations, which may compromise their quality of life (QOL). The capacity to visualize the labor dynamics of nursing workers is essential to the planning of social and public policies which aim healthier organizational atmospheres. This study aimed to analyze the relation between the working context and QOL of the nursing staff of FHS in Uberaba (MG). It is a quantitative and sectional study carried out with 92 nursing professionals between May and August of 2012. The project has been approved by the Committee on the Ethics of Research on Human Beings from UFTM, protocol number 2278. The participants answered an instrument containing sociodemographic, economic and work variables; one for working context assessment (ECORT); and another one for the QOL assessment (WHOQOL- bref). The data have been double typed on Microsoft Excel®, and imported to SPSS, version 20.0, for analysis. Descriptive analyses of all quantitative variables were carried out. In order to verify possible associations among the variables, the Pearson correlation coefficient (r) was used for quantitative (bivariate) variables, the Spearman correlation coefficient for the ordinal qualitative variables, the Student s t-test for independent samples and, when necessary, the Mann-Whitney test, as a non-parametric alternative. Two multiple linear regressions were also carried out and had the environmental and the psychological of QOL domain as a conclusion and the predictor variables; sex, age, professional category, presence of occupational disease and the ECORT working conditions domain. Most participants were females (94.6%), aged between 25 and 35 (41.3%) and had a partner (51.1%). Regarding the professional profile, 90.2% had been in the field for 5 or more years; 93.5% affirmed they do not have occupational disease, 76.1% declared they had not skipped work or gotten leave of absence and 69.6% declared they had not had occupational accident in the past year. The most affected ECORT domain was working conditions, and the most negatively impacting items were the ones referring to employee welfare, noise and the absence of the functional progression policy. The WHOQOL- bref domain with the lowest score was the environmental (58.25 points). The nurses presented higher QOL scores when compared with the nurse technicians, for the physical and environmental domains. Men showed higher averages in all QOL domains, which was statistically significant for the environmental domain. The group with occupational disease presented the worst QOL in relation to the physical, psychological and environmental domains, when compared to the group without occupational disease. The conclusion after the results of the multiple linear regression was that, being a woman, presenting occupational disease and worse working conditions, impacted negatively in the QOL environmental domain; and, having worse working conditions and the presence of occupational disease impacted the QOL psychological domain.