Federal University of Santa Catarina, Brazil Nursing Department

Postgraduate Program in Nursing

Jacks Soratto, Phd candidate

Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a

dissertation in construction

Responsible professor Denise Elvira Pires de Pires, Phd

The Family Health Strategy (FHS) was created in 1994.

Principles of Primary Health Care (PHC).

Reorganization of the health care model in Brazil.

Family Health Strategy results

Distribution of medications and examinations.

Vaccination coverage.

Infant mortality.

Indicators of hospitalization for heart problems.

INTRODUCTION

(BRASIL, 2008; 2012; 2015; MENDES, 2012).

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

Family Health Strategy Numbers 39.000 family health care teams.

97% of Brazilian cities.

66% of the population.

14% of all health care facilities in Brazil.

(BRASIL, 2008; 2012a,2015; MENDES, 2012).

INTRODUCTON Professionals and Actions

• It is composed of a multidisciplinary team.

• Health promotion, disease prevention, cure and

health rehabilitation inside and outside of the

Health Care Centers.

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

AIM OF THE STUDY

To analyze the elements that contribute to job

satisfaction and dissatisfaction of

professionals in the Family Health Strategy in

Brazil.

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

(MORSE, 2003; DEJOURS, 2004, 2009; MINAYO, 2010; POLIT, BECK, 2011; BRASIL, 2012; MARX, 2012).

TYPE OF STUDY

Qualitative

Brazilian guidelines on PHC.

Christhophe Dejours. Karl Marx

METHOD

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

LOCAL AND RESEARCH PARTICIPANTS Participants

76 Health Care professionals.

Nurses, nursing assistants. Dentists, oral health assistants. Doctors. Psychologist. Pharmacist.

Local 11 Health Care Centers.

27 health teams.

Distributed in all regions of Brazil.

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

METHOD

DATA ANALYSIS

Thematic Content Analysis

Laurence Bardin’s (2011)

METHOD

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

Stages of the thematic analysis Atlas.ti Software

1st phase: pre-analysis. The hermeneutic unit was created and all primary

documents were also inserted.

2nd phase: data exploration.

Quotations were selected

Codes and memos were set, and the codes were

grouped into families.

The analysis tools were also used, mainly the

codes-primary documents table and codings

analyzer.

3rd phase: interpretation.

Quotations, codes, families and memos were

articulated.

Networks were generated and finally the outputs

were extracted.

DATA ANALYSIS METHODS

All national and international ethical principles for research involving human beings were respected.

METHODS

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

Table 1 – Distribution of the prevalence of primary documents [n = 81], quotations [n = 2372] and codes [n = 525], according to the geographical region of Brazil.

Geografic region Primary documents Quotations Codes

n % n % n %

Midwest 20 24,7 631 26,6 106 21,2

Northeast 21 25,9 619 26,1 114 22,3

North 11 13,6 236 9,9 91 15,4

Southest 17 21,0 500 21,1 113 21,4

Soulth 12 14,8 386 16,3 101 19,6

Total 81 100,0 2372 100,0 525 100,0

PRELIMINARY RESULTS OF THE STUDY

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

PRELIMINARY RESULTS OF THE STUDY

JOB SATISFACTION IN FAMILY HEALTH STRATEGY

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

JOB DISSATISFACTION IN FAMILY HEALTH STRATEGY

PRELIMINARY RESULTS OF THE STUDY

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

BENEFITS OF THE ATLAS.TI SOFTWARE

1- Software X methods

Laurence Bardin’s

2- Organization of texts and documents

BENEFITS OF THE ATLAS.TI SOFTWARE

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

3- Organization the participants’ profiles

BENEFITS OF THE ATLAS.TI SOFTWARE

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

4- Organization the study categories

BENEFITS OF THE ATLAS.TI SOFTWARE

Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

BENEFITS OF THE ATLAS.TI SOFTWARE

Data security.

Time reduction for analysis.

Trustful research.

Jacks Soratto – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction

Happiness researcher

BARDIN, Laurence. Análise de conteúdo. Tradução Luís Antero Reto e Augusto Pinheiro. São Paulo: Edições 70, 2011.

BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Política Nacional de Atenção Básica (PNAB). 2012b. Disponível em: <http://dab.saude.gov.br/portaldab/pnab.php>. Acesso em: 29 out. 2013. BRASIL. Ministério da Saúde. Departamento da Atenção Básica. Histórico de Cobertura da Atenção Básica e Saúde da Família. 2013a. Disponível em: <http://dab.saude.gov.br/dab/historico_cobertura_sf/historico_cobertura_sf_relatorio.php>. Acesso em: 05 mar. 2013 BRASIL. Ministério da Saúde. Secretaria de Assistência à Saúde. Departamento de Atenção Básica.Teto, credenciamento e implantação das estratégias de Agentes Comunitários de Saúde, Saúde da Família e Saúde Bucal. Unidade Geográfica: Brasil. Competência: Janeiro de 2015. Disponível em: http://dab.saude.gov.br/dab/historico_cobertura_sf/historico_cobertura_sf_relatorio.php Acesso 29 abril2015. DEJOURS, Christhophe. Subjetividade, trabalho e ação. Revista Produção, São Paulo, v. 14, n.3, p. 27-34, 2004. DEJOURS, Christhophe. Entre o desespero e a esperança: como reencantar o trabalho? CULT, São Paulo, n. 139, p. 49-53, set. 2009. Disponível em: <http://revistacult.uol.com.br/home/2010/03/reencantar-o-trabalho/>. Acesso em: 20 jul. 2013. MARX, Karl. O capital: crítica da economia política. Livro I. Tradução de Reginaldo Sant’Anna. 30. ed. Rio de Janeiro: Civilização Brasileira, 2012. MINAYO, Maria Cecília de Souza. Desafio do conhecimento: pesquisa qualitativa em saúde. 12. ed. São Paulo: Hucitec, 2010. MENDES, Eugênio Vilaça. O cuidado das condições crônicas na atenção primária à saúde: o imperativo da consolidação da estratégia da saúde da família. Brasília: OPAS, 2012. MORSE, Janice. Assuntos críticos en los métodos de investigación cualitativa. Medellín: Universidad de Antioquia, 2003. POLIT, Denise F.; BECK, Cheryl Tatano. Fundamentos de pesquisa em enfermagem. Avaliação de evidências para a prática da enfermagem. Tradução de Denise Regina de Sales. 7. ed. Porto Alegre: Artmed, 2011.

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