Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil.
Universidade do Estado de Santa Catarina, Universidade Comunitária da Região de Chapecó. Chapecó, Santa Catarina, Brazil.
Rev Bras Enferm. 2022 Oct 21;75(3):e20220071. doi: 10.1590/0034-7167-2022-0071. eCollection 2022.
to understand the relationship between workloads and institutional violence in Family Health Strategy managers' practice.
qualitative research using theoretical triangulation and data from semi-structured interviews. Participants were 35 managers of Basic Health Units in the five Regions of Brazil, who worked in the Family Health Strategy. We used thematic analysis and ATLAS.ti for data analysis.
workloads were analyzed, showing relationships with institutional violence. Thematic categories emerged: "related to the management work itself"; "related to other instances of health system management"; "related to users and community". There was an interrelationship between increased managers' workloads and institutional violence.
the Family Health Strategy is relevant for universal access to health and requires favorable institutional conditions for its effectiveness. Adverse scenarios lead to increased workloads, approaching institutional violence.
了解家庭健康战略管理者工作中的工作量与机构暴力之间的关系。
采用理论三角测量和半结构化访谈的定性研究。参与者是来自巴西五个地区的 35 名基本卫生单位的家庭健康战略经理。我们使用主题分析和 ATLAS.ti 进行数据分析。
分析了工作量,显示与机构暴力之间存在关系。出现了主题类别:“与管理工作本身有关”;“与卫生系统管理的其他实例有关”;“与用户和社区有关”。管理者的工作量增加与机构暴力之间存在相互关系。
家庭健康战略是实现全民健康覆盖的关键,需要有利的机构条件才能发挥其效力。不利的情况会导致工作量增加,接近机构暴力。