Job satisfaction and dissatisfaction among family health strategy professionals in a small city of Southern Brazil

Abstract

Objective: to identify aspects that generate satisfaction and dissatisfaction among Family Health Strategy professionals working in the city of Cocal do Sul, SC. Methods: a qualitative study, conducted with 15 health professionals of three Family Health Strategy agencies. Data analysis was performed based on content analysis, supported by Atlas.ti software. Results: the results were structured from two macro categories, composed of five subcategories, which added 194 excerpts from 23 codes. The aspects related to satisfaction of the Family Health Strategy professionals were grouped into three subcategories, namely: satisfaction in the identification with the staff and work; satisfaction based on relationships with patients; and, structural work conditions and satisfaction. Within health professional dissatisfaction, two subcategories were created: dissatisfaction related to aspects of health management and the relationship between staff and patients, as promoters of dissatisfaction. Conclusion: the factors contributing to satisfaction and dissatisfaction are associated with working conditions and the work relationships established in professional practice.

Atuação cotidiana no Sistema Único de Saúde em sua terceira década

“…25 However, even with the advances achieved in PHC after the implantation and expansion of the FHS, it is recognized that its principles and praxis still do not reflect the reality in the daily routine of services, especially in relation to comprehensive care; there are great challenges with regard to the profile of professionals and teamwork, with a view to resolving health demands. 1,6,26 Thus, the System is unable to ensure continuity of care, leading to increased work, expenses and difficulties for users, being essential for the realization of access to services, the creation of a care network prepared to meet the demands of the population. 24 Professionals are faced with a reality where access to other levels of care does not occur adequately and human and material resources are lacking, causing work overload and damage to the safety and quality of care provided, revealing the lack of these resources and the multiple tasks as negative aspects that influence the services provided.…”

“…Studies corroborate this finding by showing that work overload and inappropriate working conditions can have major consequences for the professional. These factors cause a high level of emotional and physical stress, can affect health and influence professional practice and collaborate to a greater probability of making mistakes, compromising the care provided, causing damage to the people assisted 5,6,28,29 and professional insecurity. Moreover, low remuneration associated with overwork due to all the responsibility that professionals have contributes to dissatisfaction.…”

“…Moreover, low remuneration associated with overwork due to all the responsibility that professionals have contributes to dissatisfaction. 6 Participants report not feeling valued, providing demotivation and, consequently, worsening the quality of care and reinforcing the need for salary improvements. Thus, the performance of the professional deserves greater attention from management, in order to enhance the worker, the recognition, appreciation and encouragement of the professionals, not only as a workforce, but as people responsible for a meaningful task.…”

“…11,12 Difficulties encountered by professionals to work at SUS are an impacting factor in the daily life of health services, since they compromise the implementation of SUS principles and guidelines, making it impossible to provide comprehensive care to the population. 6,13 Therefore, the proposal of this study is justified by the relevance of understanding the daily life of SUS, in its third decade, from the perspective of PHC health professionals in three cities of Minas Gerais and questioned: how is the daily practice in the SUS, in three cities of the state of Minas Gerais, Brazil, from the perspective of PHC health professionals?…”

“…4:1760 The daily work of health professionals is characterized by several factors that compromise care, including work overload, lack of infrastructure, (de)valuation and (de)motivation of professionals and difficulties concerning relationships with users. 5,6 Studies conducted in Brazil (São Paulo) and Chile showed that health professionals feel overwhelmed and frustrated because they are unable to perform all the functions proposed for their work. 7,8 It is known that health work, as a field of knowledge and practices, is essential for assistance and care.…”