The primary health care environment and the impact on motivation and stress in nurses

Jociane Farias De Oliveira,Lilia Aparecida Kanan,Vanessa Valgas Dos Santos,Juliana Cristina Lessmann Reckziegel

doi:10.33448/rsd-v10i9.17756

Jociane Farias De Oliveira, Lilia Aparecida Kanan + Show 2 more

Open Access

https://doi.org/10.33448/rsd-v10i9.17756

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Abstract

Objective: The focus of this study was to investigate the possible occupational stress the nurses perceived that in Basic Health Units (BHUs) and assess the major factors that motivate these employees’ inside these primary healthcare centers. Methodology: Data was collected from 70 nurses working in 61 BHUs distributed in the South of Brazil. The stress was measured with the Nurses' Stress Inventory (NSI), and the determination of motivation was performed using Maslow's Hierarchy of Needs. The research has been taken up with special reference to administrative/assistance nurses. Results: The investigation showed that nurses are predominantly female (89.5%) and 80.0% work equally in assistant care and administrative functions. Moreover, the data showed that 89.4% of nurses present moderate to higher stress scores as a consequence of the intrinsic work factors. Investigating the motivation, the higher level in the Maslow hierarchy was belonging, this could be related to the fact BHUs are inserted in communities with strong social connections and relationships with the population. Conclusion: Knowing the main factors responsible for stress in nurses at the BHUs are essential for future strategies to improve working conditions.

Highlights

Brazil was one of first Latin America’s countries to provide universal health coverage for the population, as a fundamental right of the State (Gragnolati et al, 2013)
The investigation focused on nurses who performed both assistant and management work showed that 80% performed both tasks (n = 48 nurses)
The results revealed that respondents were predominantly female (n = 43, 89.58%), with age varying between 26 to 45 years old, with an average of 31 years old (43.28%), the median time since graduation was seven years (55.55%), and the average time working at the Basic Health Units (BHUs) was three years and five months (37.5%)

Summary

Introduction

Brazil was one of first Latin America’s countries to provide universal health coverage for the population, as a fundamental right of the State (Gragnolati et al, 2013). As a continental country, with over 200 million people distributed in the five different geographic regions, decentralization strategies were necessary to improve the efficacy of health services. The solution came with the creation of small and structured organizations inside the communities, the Basic Health Units (BHUs), to improve the implementation of healthcare based on needs, enhancing equities (Gragnolati et al, 2013). In the last two decades, the number of BHUs has grown, improving access to public health services, collaborating to the reduction of social inequities (Carvalho et al, 2014). Problems emerged, such as limited resources, bureaucracy barriers, insufficient and unqualified personnel (Oliveira et al, 2017)

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