• Sao Paulo Med J · Nov 2022

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

    • Luciano Garcia Lourenção, Paula Canova Sodré, Cláudia Eli Gazetta, Albertina Gomes da Silva, Jussara Rossi Castro, and José Victor Maniglia.
    • PhD. Nurse and Titular Professor, Postgraduate Nursing Program, Universidade Federal do Rio Grande (FURG), Rio Grande (RS), Brazil.
    • Sao Paulo Med J. 2022 Nov 1; 140 (6): 747754747-754.

    BackgroundBrazil's Family Health Strategy is based on a primary healthcare model, which is considered to have case resolution capacity, with physicians at its center.ObjectivesTo evaluate the levels of occupational stress and work engagement among primary healthcare physicians.Design And SettingCross-sectional study conducted in 2017, in São José do Rio Preto, São Paulo, Brazil.MethodsA 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.ResultsFemale 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.ConclusionsA 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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