Human resources: critical factor for primary health networks

Gonçalves, Caroline Reis; Cruz, Márcia Teixeira da; Oliveira, Michelle Pimenta; Morais, Ariadna Janice Drumond; Moreira, Kênia Souto; Rodrigues, Carlos Alberto Quintão; Leite, Maísa Tavares de Souza

doi:10.5935/0103-104.20140012

Cited by 15 publications

(24 citation statements)

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“…Human resources are a fundamental part of the organization and efficient performance of health care networks. It is known that a precarious employment relationship may negatively affect operationalization of networks . However, in the present study, there was no difference in the health network of oral health coordinators hired through a public application process and those with individual employment contracts.…”

Section: Discussioncontrasting

confidence: 75%

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Analysis of the oral health care network development in Minas Gerais state, Brazil

Leal

Martins

Carneiro

et al. 2019

J Public Health Dent

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Objectives This study aimed to analyze the development stage of the oral health care network of the Brazilian Unified Health System in the state of Minas Gerais, Brazil. Methods A cross‐sectional descriptive and analytical study was conducted with 205 municipal oral health coordinators from the state. Data collection was carried out through a validated questionnaire to analyze the state of development of the oral health care network. Descriptive and cluster analysis were performed, and two clusters were generated. Results The total median score of the questionnaires classified Minas Gerais as a state with incipient oral health care networks and a minimal capacity to operate such networks, reflected in the predominance of cluster 1 in the sample. There was no statistical association between age, time since graduation, and time spent working as a coordinator and the clusters (Mann–Whitney test). The coordinators’ gender and educational level were also not statistically associated with the clusters (Pearson's chi‐square and Fisher's exact, respectively). Conclusion There is a great need to improve the organization of services of the oral health care network in Minas Gerais. This can be done through improvements in its operational structure, as well as investment in management training.

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Section: Discussioncontrasting

confidence: 75%

“…According to Gonçalves et al . , there are no strategies within the scope of public health aimed at structuring a career plan in the Brazilian integrated health service, the Brazilian Unified Health System, which could help to avoid the high turnover of professionals, guaranteeing continuous and integral care for the population.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the oral health care network development in Minas Gerais state, Brazil

Leal

Martins

Carneiro

et al. 2019

J Public Health Dent

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“…The recent literature indicated a profile of high‐level professionals working in PHC services similar to the profile of nurses evaluated in this study (Gonçalves et al, ; Martins, Laport, Menezes, Medeiros, & Ronzani, ; Lourenção, ; Rotta et al, ; Lourenção et al, ).…”

Section: Discussionsupporting

confidence: 73%

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

Silva

Cabrera

Gazetta

et al. 2019

Public Health Nursing

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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.

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“…This diversity is also observed in studies undertaken with professionals who work in the PHS in the other regions of Brazil 9 - 11 .…”

Section: Discussionmentioning

confidence: 64%

“…This type of system favors staff turnover, a characteristic which is not compatible with the principles of this model of care. In small municipalities, the proportion of contracts in the PHS can reach 96.7% 9 , which entails the need to assess the process of selection and recruitment of personnel undertaken. …”

Section: Discussionmentioning

confidence: 99%

Support for learning in the perspective of patient safety in primary health care

Paranaguá

Bezerra

Tobias

et al. 2016

Rev. Latino-Am. Enfermagem

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Objective: to analyze the support for learning, in the perspective of patient safety, offered in the work environment, according to health professionals working in primary care. Method: a transversal study, held with 86 health professionals working in primary care. A validated instrument was used, applied via the Internet. Descriptive statistical analysis was undertaken with a presentation of median, mean, standard deviation and coefficient of variation. Results: points which are favorable to supporting learning were evidenced, such as mutual respect, autonomy for organizing the work and valorization of new ideas, which obtained means above 7.0. The variables which hinder the process of learning in the work environment, perceived by the professionals, were: resistance to changes, and excess of work impeding reflection on how to improve the work, with means above 6.0. Conclusion: the study found evidence of indicators related to the process of staff development in the area of health and indicates the influence of support for learning for the improvement of the work processes and of patient safety. It is necessary that a culture involving the systematic assessment of educational interventions in health should be established, the aim being to diagnose actions which are more incisive for changing health professionals' attitude and, therefore, clinical practice.

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Human resources: critical factor for primary health networks

Cited by 15 publications

References 0 publications

Analysis of the oral health care network development in Minas Gerais state, Brazil

Analysis of the oral health care network development in Minas Gerais state, Brazil

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

Support for learning in the perspective of patient safety in primary health care

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