Engagement in primary health care nurses: A cross‐sectional study in a Brazilian city

Abstract

Objective Professional engagement is an indicator of the relationship between a nurse and the work environment and is an important factor in performance and productivity. The goal of this study was to evaluate levels of engagement among nurses in primary health care units. Methods Cross‐sectional study in a city of São Paulo state, Brazil, in 2017, using an instrument containing sociodemographic variables and the Utrecht Work Engagement Scale (UWES). Results In the sample of 75 nurses, the majority were female (94.7%), aged between 29 and 39 (52.0%), specialists (81.3%), married (57.3%), permanent employees (68.0%), working 40 hr per week (98.7%), and working in primary health care for 3–10 years (42.7%). Engagement levels were classified as high in all dimensions. Nurses who worked as managers presented a very high level of dedication; professionals aged 40 years or older presented very high levels in all dimensions (Dedication: 5.2; Absorption: 5.0; Vigor: 5.3; and Overall score: 5.1); and professionals with more than 10 years of experience in primary health care had very high levels in all dimensions (Dedication: 5.0; Absorption: 5.0; Vigor: 5.0; and Overall score: 5.0). Conclusions Nurses working in Brazil's primary health care system have high engagement and ability to act; they enhance team performance and quality and effectiveness of care provided.

Professional Quality of Life, Engagement, and Self-Care in Healthcare Professionals in Ecuador during the COVID-19 Pandemic

“…In Ecuador, the disease’s incidence may have generated a labor force that is very engaged with their work, since very high levels of the three dimensions of engagement have been obtained: vigor, dedication, and absorption. These are similar to a study with Dutch intensivists and another one with Brazilian nurses who attended during the pandemic; both found high levels of engagement as well as its dimensions [ 54 ], especially in people over 40 years of age [ 55 ]. In addition, the positive work engagement that Ecuadorian health personnel shows as providers of care, and their high level of CS, may be related to the value of social networks and the promotion of social support as protective factors of psychological wellbeing [ 56 ].…”

Relationship Between Work Engagement, Psychosocial Risks, and Mental Health Among Spanish Nurses: A Cross-Sectional Study

“…As other authors indicate, the type of service appears to influence the three dimensions of the UWES scale. It has been observed how more (34,35). According to data from the present study, it is observed that four out of ten health professionals may have their mental health impaired (GHQ > 3).…”

“…This phenomenon could be explained by the long history that women have had in this profession, assuming the role of caregiver (21). Internationally, it has been observed, in a study (35) conducted in the city of Sao José do Rio Preto (São Paulo, Brazil) on 75 PC nurses, that vigor levels were slightly above the dedication levels, 5.2 vs. 5.3, respectively. At the national level, something similar happens with the study (31) carried out in the northeast of Spain on a sample of 373 nurses from the hospital field, where higher mean scores were observed for the vigor subscale 4.68 (SD = 1.07) than dedication 4.61 (SD = 1.37) and absorption scores 4.34 (SD = 1.24).…”

“…Regarding the EC nurses and the group that includes the rest of professionals, these percentages are below those found in the PC group. This was the case in the study by Medeiros-Maio et al (36), on Portuguese PC nurses who carried out their care work in Las Azores (Portugal), and in the studies by Loureno et al(37) and da Silva et al(35) on PC healthcare professionals in the state of São Paulo (Brazil). While true, it is striking that a considerable number of healthcare professionals scored high in the Engagement dimension, while few reported feelings of engagement, as was the case in the study by Aboshaiqah et al(21).…”

Engajamento no Trabalho: Conceitos, Teorias e Agenda de Pesquisa para o Setor Público.

“…A despeito dessas especificidades, os estudos trazem algumas evidências sobre variáveis preditivas testadas em trabalhadores brasileiros. Entre os preditores positivos estão a articulação entre valores pessoais e valores organizacionais (Andrade, 2019), práticas gerenciais e liderança (Novaes, Ferreira, & Garbado-Martins, 2019;Andrade, 2019;Silva, Ferreira, & Valentini, 2019;Oliveira & Rocha, 2017), participação na tomada de decisão (Chinelato, Ferreira, & Valentini, 2019), percepção de justiça no trabalho -distributiva e interpessoal (Andrade, 2019;Oliveira & Ferreira, 2016) -, resiliência (Oliveira & Ferreira, 2016), avaliação autorreferente, percepção de práticas de recursos humanos (Oliveira & Rocha, 2017;Chambel & Farina, 2015), boas relações no ambiente de trabalho (Santos, Castanheira, Chambel, Amarante, & Costa, 2017), autenticidade (Reis, Trullen, & Story, 2016), idade e experiência (Silva et al, 2020) e redesenho do trabalho (Chinelato, Ferreira, & Valentini, 2015).…”