Occupational Well-Being of Multidisciplinary PHC Teams: Barriers/Facilitators and Negotiations to Improve Working Conditions

Marta Regina Cezar-Vaz (), Daiani Modernel Xavier, Clarice Alves Bonow, Joana Cezar Vaz, Letícia Silveira Cardoso, Cynthia Fontella Sant’Anna, Valdecir Zavarese da Costa, Carlos Henrique Cardona Nery and Helena Maria Almeida Macedo Loureiro
Additional contact information
Marta Regina Cezar-Vaz: School of Nursing, Federal University of Rio Grande, Rio Grande 96203-900, Brazil
Daiani Modernel Xavier: School of Nursing, Federal University of Rio Grande, Rio Grande 96203-900, Brazil
Clarice Alves Bonow: Faculty of Nursing, Federal University of Pelotas, Pelotas 96010-610, Brazil
Joana Cezar Vaz: Fundação Getúlio Vargas, Rio de Janeiro 22231-010, Brazil
Letícia Silveira Cardoso: Department of Nursing, Federal University of Pampa, Uruguaiana 97501-970, Brazil
Cynthia Fontella Sant’Anna: Department of Nursing, Federal University of Pampa, Uruguaiana 97501-970, Brazil
Valdecir Zavarese da Costa: Department of Nursing, Federal University of Santa Maria, Santa Maria 97105-900, Brazil
Carlos Henrique Cardona Nery: Institute of Human and Information Sciences—ICHI, Federal University of Rio Grande—Santa Vitória do Palmar Campus, Santa Vitória do Palmar 96230-000, Brazil
Helena Maria Almeida Macedo Loureiro: School of Health Sciences, Santiago University Campus, University of Aveiro (ESSUA), 3810-193 Aveiro, Portugal

IJERPH, 2022, vol. 19, issue 23, 1-28

Abstract: Well-being at work is one of the factors determining healthy work conditions and is perceived by workers as a positive psychological state. In this study, the concept of well-being at work was used together with occupational functionality (i.e., current health state, current work environment, and barriers/facilitators to implementing well-being at work), occupational risk perception, and proactivity/negotiations held by workers to improve working conditions. In this context, the objectives were to identify the socio-demographic and occupational characteristics independently associated with levels of well-being at work of the multidisciplinary PHC health team; detect barriers or facilitators resulting from the attitudes of colleagues, community members, and managers that influence the well-being at work of the multidisciplinary health team; and identify with whom and what reasons led health workers to become proactive and negotiate improved working conditions. This cross-sectional study addressed 338 health workers from the multidisciplinary teams of PHC outpatient services in the extreme south of Brazil. Multivariate linear regression models were adopted to analyze data. The results show various independent associations with levels of well-being at work. Nursing workers (technicians and nurses) more frequently expressed job commitment and job satisfaction. Difficulties in solving problems and performing work routines, and co-workers’ attitudes directly influence the well-being of the PHC team members. Risk perception (physical and chemical) also influences well-being. Negotiations in which PHC managers engaged to improve working conditions appeared as a significant predictor of job commitment, job satisfaction, and job involvement. The results reveal that well-being at work is an important indicator of the potential of workers’ proactivity in negotiating improved working conditions.

Keywords: well-being at work; job commitment; job satisfaction; job involvement; working conditions; risk perception; negotiations; primary health care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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