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Archivos de Medicina (Manizales)

2022, Number 2

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Arch Med 2022; 22 (2)

Occupational stress and coping strategies among primary health care physicians

Rosa MMS, Garcia LL, Guimaraes XNFR, Aparecida SSR, Alcalá PD, Gazetta CE

Language: English
References: 38
Page: 242-252
PDF size: 254.26 Kb.


ABSTRACT

Objective: this study aimed to examine the levels of occupational stress and coping strategies among primary health care physicians. Materials and Methods: a crosssectional study was conducted with primary health care physicians who worked in a large city in the state of São Paulo, Brazil. Data were collected using an instrument that measured sociodemographic and professional variables, the Problem Coping Modes Scale, and the Work Stress Scale, of which the latter two were validated for the Brazilian population. The data were analyzed according to the calculation of the scores appropriate to the scales, with appropriate statistical treatment and a significance of 5% (p≤0.05). Results: the primary care physicians were predominantly women (59.4%), who worked approximately 40 hours per week (59.4%) and had a median of 7 years of experience in primary care. Eight professionals (25.0%) presented scores compatible with major stress (›2.5). Low perspectives of career growth (2.9; ±1.3), form of task distribution (2.7; ±1.0), deficient professional training (2.7; ±1.2), and insufficient time to perform the work (2.6; ±1.2) were reported to be the greatest stressors. The coping mode with the highest score was the one focused on the problem (3.75), followed by the search for social support (3.17). Conclusion: the pressures of the work environment promote the development of stress among primary care physicians. In this group, emotional imbalance affects the choice of coping strategy, and therefore, it is crucial to create a welcoming work environment, with cohesive, integrated, and well-managed teams that feel comfortable sharing their emotions and actively provide social support.


REFERENCES

  1. Silva SCPS, Nunes MAP, Santana VR, Reis FP, Machado Neto J, Lima SO. Burnout syndrome in professionalsof the primary healthcare network in Aracaju, Brazil. Ciênc. saúde coletiva. 2015; 20(10):3011-20.https://doi.org/10.1590/1413-812320152010.19912014

  2. Yilmaz A. Burnout, job satisfaction, and anxiety-depression among family physicians: A cross-sectionalstudy. J Family Med Prim Care. 2018; 7(5):952-956. https://doi.org/10.4103/jfmpc.jfmpc_59_18

  3. Rotta DS, Pinto MH, Lourenção LG, Teixeira PR, Gonsalez EG, Gazetta CE. Anxiety and depression levelsamong multidisciplinary health residents. Rev Rene. 2016; 17(3):372-7.https://doi.org/10.15253/2175-6783.2016000300010

  4. Santos SCR, Viegas AIF, Morgado CIMO, Ramos CSV, Soares CND, Roxo HMCJ, et al. Prevalência de burnoutem médicos residentes de Medicina Geral e Familiar em Portugal. Rev Bras Med Fam Comunidade. 2017;12(39):1-9. https://doi.org/10.5712/rbmfc12(39)1430

  5. Castro MC, Massuda A, Almeida G, Menezes-Filho NA, Andrade MV, Noronha KVMS, et al. Brazil’s unifiedhealth system: the first 30 years and prospects for the future. Lancet. 2019; 394(10195):345-356.https://doi.org/10.1016/S0140-6736(19)31243-7

  6. Giovanella L, Franco CM, Almeida PF. National Primary Health Care Policy: where are we headed to?. Ciênc.saúde coletiva. 2020; 25(4):1475-82. https://doi.org/10.1590/1413-81232020254.01842020

  7. Andrade LR, Pinto ICM, Soares CLM, Silva VO. Hiring and retaining physicians to work in primary healthcare in the state of Bahia. Rev. Adm. Pública. 2019; 53(3):505-519. https://doi.org/10.1590/0034-761220170316x

  8. Maissiat GS, Lautert L, Pai DD, Tavares JP. Work context, job satisfaction and suffering in primary healthcare. Rev. Gaúcha Enferm. 2015; 36(2):42-9. https://doi.org/10.1590/1983-1447.2015.02.51128

  9. Tomasina F. Los problemas en el mundo del trabajo y su impacto en salud. Crisis financiera actual. Rev.salud pública. 2012; 14(Suppl 1):56-67.

  10. Fogaça MC, Carvalho WB, Cítero VA, Nogueira-Martins LA. Factors that cause stress in physicians and nursesworking in a pediatric and neonatal intensive care unit: bibliographic review. Rev. bras. ter. intensiva.2008; 20(3):261-6.

  11. Lourenção LG, Rigino BM, Sasaki NSGMS, Pinto MJC, Ximenes Neto FRG, Borges FA et al. Analysis of theCoping Strategies of Primary Health Care Professionals: Cross-Sectional Study in a Large Brazilian Municipality.Int. J. Environ. Res. Public Health. 2022; 19:3332. https://doi.org/10.3390/ijerph19063332

  12. Pereira TB, Branco VLR. As estratégias de coping na promoção à saúde mental de pacientes oncológicos:uma revisão bibliográfica. Rev. Psicol. Saúde. 2016; 8(1):24-31. https://doi.org/10.20435/2177093X2016104

  13. Benetti ERR, Stumm EMF, Weiller TH, Batista KM, Lopes LFD, Guido LA. Estratégias de Coping e característicasde trabalhadores de enfermagem de hospital privado. Rev Rene. 2015; 16(1):3-10.https://doi.org/10.15253/2175-6783.2015000100002

  14. Melo LP, Carlotto MS, Rodriguez SYS, Diehl L. Estratégias de enfrentamento (coping) em trabalhadores:revisão sistemática da literatura nacional. Arq. bras. psicol. 2016; 68(3):125-44.

  15. Silva DP, Silva MNRMO. O trabalhador com estresse e intervenções para o cuidado em saúde. Trab. educ.saúde. 2015; 13(Supl.1):201-214. https://doi.org/10.1590/1981-7746-sip00032

  16. Ribeiro RM, Pompeo DA, Pinto MH, Ribeiro RCHM. Coping strategies of nurses in hospital emergency careservices. Acta Paul Enferm. 2015; 28(3):216-23. https://doi.org/10.1590/1982-0194201500037

  17. Cordioli DFC, Cordioli Junior JR, Gazzeta CE, Silva AG, Lourenção LG. Occupational stress and work engagementin primary health care workers. Rev Bras Enferm. 2019; 72(6):1580-7.https://doi.org/10.1590/0034-7167-2018-0681

  18. Faria FRC, Lourenção LG, Silva AG, Sodré PC, Castro JR, Borges MA et al. Occupational stress, work engagementand coping strategies in community health workers. Rev Rene. 2021; 22:e70815.https://doi.org/10.15253/2175-6783.20212270815

  19. Instituto Brasileiro de Geografia e Estatística (BR). População de São José do Rio Preto. 2017 [citado 2021Jul 20]. Disponível em: https://cidades.ibge.gov.br/brasil/sp/sao-jose-do-rio-preto/panorama.

  20. Paschoal TE, Tamayo A. Validação da escala de estresse no trabalho. Estud psicol. 2004; 9(1):45-52.https://doi.org/10.1590/S1413-294X2004000100006

  21. Seidl EMF, Tróccoli BT, Zannon CMLC. Análise fatorial de uma medida de estratégias de enfrentamento.Psic.: Teor. e Pesq. 2001; 17(3):225-34. https://doi.org/10.1590/S0102-37722001000300004

  22. Cordioli Junior JR, Cordioli DCF, Gazetta CE, Silva AG, Lourenção LG. Quality of life and osteomuscularsymptoms in workers of primary health care. Rev. Bras. Enferm. 2020; 73(5):e20190054.https://doi.org/10.1590/0034-7167-2019-0054

  23. Lourenção LG, Silva AG, Borges MA. Levels of engagement in primary health care professionals: a comparativestudy in two Brazilian municipalities. Esc. Anna Nery. 2019; 23(3):e20190005.https://doi.org/10.1590/2177-9465-EAN-2019-0005

  24. Bawakid K, Abdulrashid O, Mandoura N, Shah H, Ibrahim A, Akkad NM et al. Burnout of Physicians Workingin Primary Health Care Centers under Ministry of Health Jeddah, Saudi Arabia. Cureus. 2017; 9(11):e1877.https://doi.org/10.7759/cureus.1877

  25. Soares FJP, Leite JA, Melo MC, Lima PS, Silva TS. Tendência Histórica de Feminização em Curso MédicoBrasileiro. Atas CIAIQ - Investigação Qualitativa em Saúde. 2019; 2:206-13.

  26. Ministério da Saúde (BR). Portaria nº 2.436, de 21 de setembro de 2017. Aprova a Política Nacional de AtençãoBásica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do SistemaÚnico de Saúde (SUS). Brasília, DF: Ministério da Saúde, 2017 [citado 2021 Jul 20]. Disponível em:https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html.

  27. Marin AH, Silva CT, Bellé AH, Wagner Bernardes J. Estratégias de enfrentamento e autoeficácia em mulherescom sobrepeso e obesidade em tratamento nutricional. Psicogente. 2019; 23(43):1-18.https://doi.org/10.17081/psico.23.43.3573

  28. Lima GKM, Gomes LMX, Barbosa TLA. Qualidade de Vida no Trabalho e nível de estresse dos profissionaisda atenção primária. Saúde debate. 2020; 44(126):774-89. https://doi.org/10.1590/0103-1104202012614

  29. Guimarães-Ximenes-Neto FR, Carneiro-Flor SM, Carvalho-da-Silva RC, Alves-Dorneles J, Ferreira-Serafim T,Dourado-Júnior FW, et al. Descriptive study of the initial cases of Covid-19 in a city in the interior of Ceará,Brazil. Arch Med (Manizales). 2021; 21(2):536-547. https://doi.org/10.30554/archmed.21.2.3989.2021

  30. Dantas ESO. Saúde mental dos profissionais de saúde no Brasil no contexto da pandemia por COVID-19.Interface (Botucatu). 2021; 25(Suppl1):e200203. https://doi.org/10.1590/Interface.200203

  31. Zhang M, Zhang P, Liu Y, Wang H, Hu K, Du M. Influence of perceived stress and workload on work engagementin frontline nurses during COVID-19 pandemic. J Clin Nurs. 2021; 30(11-12):1584-95.https://doi.org/10.1111/jocn.15707

  32. Lourenção LG, Sodré PC, Gazetta CE, Silva AG, Castro JR, Maniglia JV. Occupational stress and work engagementamong primary healthcare physicians: a cross-sectional study. São Paulo Med. J. 2022; 140(6):747-754. ahead of print. https://doi.org/10.1590/1516-3180.2021.0644.R1.10012022

  33. Costa ACO, Moimaz SAS, Garbin AJI, Garbin CAS. Plano de carreira, cargos e salários: ferramenta favorávelà valorização dos recursos humanos em saúde pública. Odontol. Clín.-Cient. (Online). 2010; 9(2):119-23.

  34. Ney MS, Rodrigues PHA. Fatores críticos para a fixação do médico na Estratégia Saúde da Família. Physis.2012; 22(4):1293-1311. https://doi.org/10.1590/S0103-73312012000400003

  35. Lourenção LG, Oliveira JF, Ximenes Neto FR, Cunha CLF, Valenzuela-Suazo SV, Borges MA, et al. Careercommitment and career entrenchment among Primary Health Care workers. Rev Bras Enferm. 2022;75(1):e20210144. https://doi.org/10.1590/0034-7167-2021-0144

  36. Dogenski N. Estratégias de enfrentamento ao estresse em profissionais na área da saúde: revisão sistemáticada literature [Trabalho de Conclusão de Curso]. Passo Fundo (RS): Faculdade Meridional; 2018.

  37. Magnago C, Pierantoni CR. Dificuldades e estratégias de enfrentamento referentes à gestão do trabalhona Estratégia Saúde da Família, na perspectiva dos gestores locais: a experiência dos municípios do Riode Janeiro (RJ) e Duque de Caxias (RJ). Saúde debate. 2015; 39(104):9-17.https://doi.org/10.1590/0103-110420151040194

  38. Nepomuceno LH. Profissionais de gestão de pessoas: precarização do trabalho e as estratégias de copingocupacional [dissertação]. Fortaleza (CE): Universidade Federal do Ceará; 2020.




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