Occupational stress and work engagement among primary healthcare physicians: a cross-sectional study

Abstract BACKGROUND: Brazil’s Family Health Strategy is based on a primary healthcare model, which is considered to have case resolution capacity, with physicians at its center. OBJECTIVES: To evaluate the levels of occupational stress and work engagement among primary healthcare physicians. DESI...

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Main Authors: Luciano Garcia Lourenção, Paula Canova Sodré, Cláudia Eli Gazetta, Albertina Gomes da Silva, Jussara Rossi Castro, José Victor Maniglia
Format: Article
Language:English
Published: Associação Paulista de Medicina 2022-09-01
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005023202&tlng=en
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author Luciano Garcia Lourenção
Paula Canova Sodré
Cláudia Eli Gazetta
Albertina Gomes da Silva
Jussara Rossi Castro
José Victor Maniglia
author_facet Luciano Garcia Lourenção
Paula Canova Sodré
Cláudia Eli Gazetta
Albertina Gomes da Silva
Jussara Rossi Castro
José Victor Maniglia
author_sort Luciano Garcia Lourenção
collection DOAJ
description Abstract BACKGROUND: Brazil’s Family Health Strategy is based on a primary healthcare model, which is considered to have case resolution capacity, with physicians at its center. OBJECTIVES: To evaluate the levels of occupational stress and work engagement among primary healthcare physicians. DESIGN AND SETTING: Cross-sectional study conducted in 2017, in São José do Rio Preto, São Paulo, Brazil. METHODS: A non-probability sample including 32 physicians from family health teams was used. Three self-applied instruments were used: a scale developed by the researchers seeking sociodemographic and professional variables, the Work Stress Scale and the Utrecht Work Engagement Scale. RESULTS: Female professionals (59.4%), permanent employees (56.3%), workload of 40 hours per week (59.4%) and 3-10 years of acting in primary care (68.8%) were more prevalent. Six professionals (19.4%) exhibited significant stress (score ≥ 2.5). The main stressors were lack of prospects for career growth (2.9 ± 1.3), form of task distribution (2.7 ± 1.0), poor training (2.7 ± 1.2) and insufficient time to perform the job (2.6 ± 1.2). Levels of work engagement ranged from 4.3 to 4.6 and were rated as high in all dimensions. Physicians with occupational stress had average levels of work engagement, whereas those without occupational stress had high levels of work commitment. CONCLUSIONS: A notable percentage of the physicians were experiencing occupational stress. The physicians had high levels of work engagement. Occupational stress was negatively correlated with work engagement, and it significantly compromised physicians’ levels of work engagement and interfered with their positive relationship with the work environment.
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spelling doaj.art-6794600de88f4ba18914c038758e20db2022-12-22T04:25:47ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602022-09-0110.1590/1516-3180.2021.0644.r1.10012022Occupational stress and work engagement among primary healthcare physicians: a cross-sectional studyLuciano Garcia Lourençãohttps://orcid.org/0000-0002-1240-4702Paula Canova Sodréhttps://orcid.org/0000-0001-7549-9000Cláudia Eli Gazettahttps://orcid.org/0000-0002-2603-8803Albertina Gomes da Silvahttps://orcid.org/0000-0002-4813-7845Jussara Rossi Castrohttps://orcid.org/0000-0002-2972-6687José Victor Manigliahttps://orcid.org/0000-0002-9765-2659Abstract BACKGROUND: Brazil’s Family Health Strategy is based on a primary healthcare model, which is considered to have case resolution capacity, with physicians at its center. OBJECTIVES: To evaluate the levels of occupational stress and work engagement among primary healthcare physicians. DESIGN AND SETTING: Cross-sectional study conducted in 2017, in São José do Rio Preto, São Paulo, Brazil. METHODS: A non-probability sample including 32 physicians from family health teams was used. Three self-applied instruments were used: a scale developed by the researchers seeking sociodemographic and professional variables, the Work Stress Scale and the Utrecht Work Engagement Scale. RESULTS: Female professionals (59.4%), permanent employees (56.3%), workload of 40 hours per week (59.4%) and 3-10 years of acting in primary care (68.8%) were more prevalent. Six professionals (19.4%) exhibited significant stress (score ≥ 2.5). The main stressors were lack of prospects for career growth (2.9 ± 1.3), form of task distribution (2.7 ± 1.0), poor training (2.7 ± 1.2) and insufficient time to perform the job (2.6 ± 1.2). Levels of work engagement ranged from 4.3 to 4.6 and were rated as high in all dimensions. Physicians with occupational stress had average levels of work engagement, whereas those without occupational stress had high levels of work commitment. CONCLUSIONS: A notable percentage of the physicians were experiencing occupational stress. The physicians had high levels of work engagement. Occupational stress was negatively correlated with work engagement, and it significantly compromised physicians’ levels of work engagement and interfered with their positive relationship with the work environment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005023202&tlng=enPrimary health carePhysiciansOccupational stressWork engagementOccupational healthFamily health strategyWork environmentUnified health system
spellingShingle Luciano Garcia Lourenção
Paula Canova Sodré
Cláudia Eli Gazetta
Albertina Gomes da Silva
Jussara Rossi Castro
José Victor Maniglia
Occupational stress and work engagement among primary healthcare physicians: a cross-sectional study
São Paulo Medical Journal
Primary health care
Physicians
Occupational stress
Work engagement
Occupational health
Family health strategy
Work environment
Unified health system
title Occupational stress and work engagement among primary healthcare physicians: a cross-sectional study
title_full Occupational stress and work engagement among primary healthcare physicians: a cross-sectional study
title_fullStr Occupational stress and work engagement among primary healthcare physicians: a cross-sectional study
title_full_unstemmed Occupational stress and work engagement among primary healthcare physicians: a cross-sectional study
title_short Occupational stress and work engagement among primary healthcare physicians: a cross-sectional study
title_sort occupational stress and work engagement among primary healthcare physicians a cross sectional study
topic Primary health care
Physicians
Occupational stress
Work engagement
Occupational health
Family health strategy
Work environment
Unified health system
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005023202&tlng=en
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