{"title":"Work overload and associated factors in healthcare professionals during the COVID-19 pandemic","authors":"","doi":"10.1016/j.jhqr.2024.05.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 pandemic changed the work routine of professionals at the family healthcare center (<em>Núcleo de Atenção à Saúde da Família</em> – <em>NASF-AB</em>), providing new conditions and work overload.</p></div><div><h3>Objective</h3><p>The purpose of this study was to explore factors associated with work overload in <em>NASF-AB</em> professionals during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>A cross-sectional study was carried out with <em>NASF-AB</em> workers in the city of Salvador, Bahia, Brazil, from May to August 2021. Working conditions and overload were assessed using the National Program for Improving Access and the Quality of Primary Care questionnaire (<em>Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica</em> – <em>PMAQ</em>) and the scale measuring burden of professionals in mental health services (Escala de Avaliação da Sobrecarga de Profissionais em Serviços de Saúde Mental – IMPACTO-BR), respectively. A multivariate linear regression model was used. A total of 68 health professionals participated in the study, including 19 physiotherapists, 13 occupational therapists, 10 social workers, 10 nutritionists, 9 psychologists and 7 physical education professionals.</p></div><div><h3>Results</h3><p>There was a significant association between overall overload and being female (<em>p</em> <!-->=<!--> <!--><0.005), having spaces for reflection on the work process (<em>p</em> <!-->=<!--> <!-->0.027), and having difficulty moving around to conduct activities in the territory (<em>p</em> <!-->=<!--> <!-->0.002) for increasing the chance of work overload.</p></div><div><h3>Conclusions</h3><p>Our findings encourage workers’ health policies and closer ties and negotiation with local management, as well as the return of the institutional support figure for the effectiveness and resolution of actions in primary healthcare units.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Healthcare Quality Research","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2603647924000411","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction
The COVID-19 pandemic changed the work routine of professionals at the family healthcare center (Núcleo de Atenção à Saúde da Família – NASF-AB), providing new conditions and work overload.
Objective
The purpose of this study was to explore factors associated with work overload in NASF-AB professionals during the COVID-19 pandemic.
Methods
A cross-sectional study was carried out with NASF-AB workers in the city of Salvador, Bahia, Brazil, from May to August 2021. Working conditions and overload were assessed using the National Program for Improving Access and the Quality of Primary Care questionnaire (Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica – PMAQ) and the scale measuring burden of professionals in mental health services (Escala de Avaliação da Sobrecarga de Profissionais em Serviços de Saúde Mental – IMPACTO-BR), respectively. A multivariate linear regression model was used. A total of 68 health professionals participated in the study, including 19 physiotherapists, 13 occupational therapists, 10 social workers, 10 nutritionists, 9 psychologists and 7 physical education professionals.
Results
There was a significant association between overall overload and being female (p = <0.005), having spaces for reflection on the work process (p = 0.027), and having difficulty moving around to conduct activities in the territory (p = 0.002) for increasing the chance of work overload.
Conclusions
Our findings encourage workers’ health policies and closer ties and negotiation with local management, as well as the return of the institutional support figure for the effectiveness and resolution of actions in primary healthcare units.
简介COVID-19 大流行改变了家庭医疗保健中心（Núcleo de Atenção à Saúde da Família - NASF-AB）专业人员的日常工作，为他们提供了新的工作条件和超负荷工作：本研究旨在探讨 COVID-19 大流行期间与 NASF-AB 专业人员工作超负荷有关的因素：方法：2021年5月至8月，对巴西巴伊亚州萨尔瓦多市的NASF-AB工作人员进行了一项横断面研究。工作条件和超负荷分别采用国家改善初级医疗服务普及和质量计划问卷（Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica-PMAQ）和精神卫生服务专业人员负担量表（Escala de Avaliação da Sobrecarga de Profissionais em Serviços de Saúde Mental-IMPACTO-BR）进行评估。采用的是多变量线性回归模型。共有68名医疗专业人员参与了研究，包括19名物理治疗师、13名职业治疗师、10名社会工作者、10名营养师、9名心理学家和7名体育教育专业人员：结果：总体超负荷与女性之间存在明显关联（p=结论：我们的研究结果鼓励制定工人健康政策，加强与地方管理部门的联系和协商，并鼓励机构支持人员重返基层医疗单位，以提高行动的有效性和解决能力。
期刊介绍：
Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)
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