PhD. Nurse and Titular Professor, Postgraduate Nursing Program, Universidade Federal do Rio Grande (FURG), Rio Grande (RS), Brazil.
PhD. Nurse and Municipal Coordinator of Primary Care Services, Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto (SP), Brazil.
Sao Paulo Med J. 2022 Nov-Dec;140(6):747-754. doi: 10.1590/1516-3180.2021.0644.R1.10012022.
Brazil's Family Health Strategy is based on a primary healthcare model, which is considered to have case resolution capacity, with physicians at its center.
To evaluate the levels of occupational stress and work engagement among primary healthcare physicians.
Cross-sectional study conducted in 2017, in São José do Rio Preto, São Paulo, Brazil.
A non-probability sample including 32 physicians from family health teams was used. Three self-applied instruments were used: a scale developed by the researchers seeking sociodemographic and professional variables, the Work Stress Scale and the Utrecht Work Engagement Scale.
Female professionals (59.4%), permanent employees (56.3%), workload of 40 hours per week (59.4%) and 3-10 years of acting in primary care (68.8%) were more prevalent. Six professionals (19.4%) exhibited significant stress (score ≥ 2.5). The main stressors were lack of prospects for career growth (2.9 ± 1.3), form of task distribution (2.7 ± 1.0), poor training (2.7 ± 1.2) and insufficient time to perform the job (2.6 ± 1.2). Levels of work engagement ranged from 4.3 to 4.6 and were rated as high in all dimensions. Physicians with occupational stress had average levels of work engagement, whereas those without occupational stress had high levels of work commitment.
A notable percentage of the physicians were experiencing occupational stress. The physicians had high levels of work engagement. Occupational stress was negatively correlated with work engagement, and it significantly compromised physicians' levels of work engagement and interfered with their positive relationship with the work environment.
巴西的家庭健康战略基于初级医疗保健模式，该模式被认为具有解决病例的能力，以医生为中心。
评估初级保健医生的职业压力和工作投入水平。
2017 年在巴西圣保罗州圣若泽杜里奥普雷托进行的横断面研究。
使用非概率抽样方法，纳入了来自家庭健康团队的 32 名医生。使用了三种自我应用的工具：研究人员开发的用于寻求社会人口统计学和专业变量的量表、工作压力量表和乌得勒支工作投入量表。
女性专业人员（59.4%）、长期雇员（56.3%）、每周工作 40 小时（59.4%）和在初级保健领域工作 3-10 年（68.8%）更为常见。有 6 名专业人员（19.4%）表现出明显的压力（得分≥2.5）。主要的压力源包括职业发展前景不佳（2.9±1.3）、任务分配形式（2.7±1.0）、培训不足（2.7±1.2）和完成工作的时间不足（2.6±1.2）。工作投入水平从 4.3 到 4.6 不等，所有维度均被评为高水平。有职业压力的医生工作投入水平平均，而没有职业压力的医生工作投入水平高。
相当一部分医生正在经历职业压力。医生有很高的工作投入水平。职业压力与工作投入呈负相关，显著降低了医生的工作投入水平，并干扰了他们与工作环境的积极关系。
