Percepções dos enfermeiros da estratégia de saúde da família sobre seu processo de trabalho e sua qualidade de vida
Souza, Taiana Lemos de
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Family Health Strategy (FHS), which has the objective to reorient the assistance health model, redefined both work organization and nurse´s professional practice. This health professional has an important role to the consolidation of the FHS, because it must perform managerial, assistance and educational actions. Thus, it is important to understand the organization of working process on Family Health Unit (FHI) and how it affects nurses life quality (LQ). Thereby, this research aims to: identifying the constructive elements of working process which are perceived by nurses; analyzing the nurses perceptions regarding the influence of work process in their LQ; identifying the actions which have been realized to health promotion ofthe health of the workers.Twelve nurses who worked in the FHS in Ilhéus BA participated in this study as volunteers. This study had a quanti-qualitative approach, and it is classified as analytic descriptive type. Two different methods were utilized to data collection: semistructure interview and the WHOQOL -brief questionnaire instrument administered to evaluate the LQ. The data from WHOQOL-brief were tabulated by Microsoft EXCEL®, where were calculated the averages and SD of the WHOQOL-brief domains. Inferential statistical analysis were performed by BioEstat® 5.3. The interviews were transcribed, and the lexical analysis were performed by ALCESTE® software 4.10 version. Four classes were identified from ALCESTE s analysis:Service demand, for both nurses and entire health team, as well as its organization on working process; 2) Educational Dimension in the nurses working process;3) Management as negative point of the working process and as stress factor to the nurses; and 4) Elements of the working process and the worker´s health. Scores from WHOQOL-brief showed that the social relations domain presented the greatest value (4,1), followed by physical domain (3,9), psychological domain (3,8) and, at last, environment domain (3,4).There was significant difference from environment domain (p<0.05) to both physical and social relations domains. There wasno significant correlation between the independent variables (age, working time and children) and the WHOQOL-brief domains (p>0.05).The results showed that,even though the nurses recognized that some elements of the health working process affectsnegatively in their LQ, they evaluated their LQ as satisfactory. Understanding of nurses perceptions concerning the working process, and its influence on their LQ, enabled an approach to the reality experienced by these health professionals. Most important contributions of this study were to provide better knowledge regarding working process of the nurses on FHS, and how that working process can affect their LQ. Furthermore, immersion into nurses life work brought up some interesting elements that might be useful to construct new strategies to improve the healthcare on FHS and the LQ of the health professionals there.