Career commitment and career entrenchment among Primary Health Care workers.

Luciano Garcia Lourenção,Cláudia Eli Gazetta,Sandra Verónica Valenzuela-Suazo,Jacqueline Flores De Oliveira,Francisco Rosemiro Guimarães Ximenes Neto,Márcio Andrade Borges,Carlos Leonardo Figueiredo Cunha

doi:10.1590/0034-7167-2021-0144

Abstract

Assess levels of career commitment and career entrenchment among Primary Health Care workers. This Cross-sectional study addressed 393 workers using the Brazilian versions of the Career Commitment Measure (CCM) and Career Entrenchment Measure (CEM). Levels of Career commitment [75.5-77.5] were higher (p<0.001) than Career Entrenchment [66.7-69.2]. Identity levels [82.7-85.5] were higher (p<0.001) than Investment levels [60.4-65.0]. Career resilience levels [75.1-79.2] were higher (p<0.001) than Emotional costs [69.0-72.1]. Planning levels [64.2-67.1] were lower (p<0.001) than levels of limitedness of career alternatives [68.1-71.0]. The highest scores were obtained in Career commitment, showing the workers' identification and positive relationship with their careers, that is, these workers remain in Primary Health Care services because they identify themselves with their professions.

Highlights

METHODIn Brazil, the large contingent that makes up the workforce of Primary Health Care (PHC) workers experiences intense social and labor vulnerability
High scores were obtained in most factors for both constructs, except for the Planning factor, in which the workers from city A obtained a moderate score (65.0) and the workers from city B obtained high scores (68.2)
The workers addressed in this study compose the minimum ESF team as recommended by the Política Nacional de Atenção Básica (PNAB)(17) [Primary Health Care National Policy], and their profiles corroborate those profiles reported by studies conducted in different Brazilian regions[3,4,5,18,19,20,21,22]

Summary

Introduction

METHODIn Brazil, the large contingent that makes up the workforce of Primary Health Care (PHC) workers experiences intense social and labor vulnerability. The literature reports the precarious working conditions of these workers, with weak or temporary job contracts, low salaries, not job position or salary plans, increased outsourcing, high turnover, and illnesses All these factors compromise the problem-solving capacity of the Brazilian Unified Health System (SUS)(1-2). The work process of PHC services has growing demand and scope of practices that incorporate new responsibilities every day, causing workers to experience overload and exhaustion This situation may lead to job dissatisfaction, frustration, and apathy, resulting in a conflicting situation among those workers who believed they would develop and feel satisfied and fulfilled with their jobs[3,4,5]. Career commitment and career entrenchment emerge among motivated workers and include divergent behaviors that can cause significant social, organizational, personal, and sanitary impacts . [6,7]

Results

Discussion

Conclusion