Management and work environments in primary health care:

scope review

Authors

DOI:

https://doi.org/10.35699/2316-9389.2022.40472

Keywords:

Workplace, Primary Health Care, Nursing, Focus Groups

Abstract

Objective: to identify theoretical and empirical subsidies on work environments in primary health care (PHC) in relation to workers' health (preliminary question) that indicate elements related to management (specific question). Methods: six-step Scoping Review with consultation with the subjects, literature search from 2010 to 2019 in six databases and virtual libraries with selection of 21 articles. The complementary stage, consultation, operated a focus group with 14 PHC workers in a municipality in southern Brazil. Results: they were organized into three thematic categories: i) Administrative aspects in the work environment: difficulties related to management; ii) Perceptions about labor relations: barriers between staff and management; and iii) Conflicts in the workplace: coping strategies. Final considerations: bureaucratic and routine PHC issues influence interpersonal relationships and the results achieved, being fundamental for achieving healthy work environments for the actors on the scene. Institutional support, dialogue and the possibility of carrying out work full of meaning and value are workers' rights, reaffirming the promotion of healthy work environments in PHC as an ethical-political priority.

Downloads

Download data is not yet available.

Author Biography

  • Maria Jose Menezes Brito, Universidade Federal de Minas Gerais - UFMG, Departamento de Enfermagem. Belo Horizonte, MG -Brasil.

    nta Catarina (2011).

References

1. Giovanella L, Mendonça MHM, Buss PM, Fleury S, Gadelha CAG, Galvão LAC, et al. From Alma-Ata to Astana. Primary health care and universal health systems: an inseparable commitment and a fundamental human right. Cad Saúde Pública [Internet]. 2019[citado 2020 ago. 19];35(3):e00012219. Disponível em: https://doi.org/10.1590/0102-311X00012219

2. Ferreira L, Barbosa JSA, Esposti CDD, Cruz MM. Permanent Health Education in primary care: an integrative review of literature. Saúde Debate [Internet]. 2019[citado em 2020 ago. 19];43(120):223-39. Disponível em: https://doi.org/10.1590/0103-1104201912017

3. Marziale MHP. Universal access to health and universal health coverage: nursing contributions. Rev Latino-Am Enferm [Internet]. 2016[citado em 2020 set. 7];24:e2667. Disponível em: https://doi.org/10.1590/1518-8345.0000.2667

4. Menezes ELC, Verdi MIM, Scherer MDA, Finkler M. Modes of care production and universal access – an analysis of federal guidance on the work of Primary Healthcare teams in Brazil. Ciênc Saúde Colet [Internet]. 2020[citado em 2021 dez. 10];25(5):1751-64. Disponível em: https://doi.org/10.1590/1413-81232020255.33462019

5. Cunha MLS, Freire JM, Repullo JR, Hortale VA. Bureaucratic state and health management training from a historical perspective: similarities and differences between Brazil and Spain. Saúde Soc [Internet]. 2019[citado em 2020 ago. 19];28(2):80-94. Disponível em: https://doi.org/10.1590/S0104-12902019180616

6. Pires DEP, Vandresen L, Forte ECN, Machado RR, Melo TAP. Management in primary health care: implications on managers workloads. Rev Gaúch Enferm [Internet]. 2019[citado em 2020 ago. 19];40:e20180216. Disponível em: https://doi.org/10.1590/1983-1447.2019.20180216

7. Pires DEP, Vandresen L, Machado F, Machado RR, Amadigi FR. Primary healthcare management: what is discussed in the literature. Texto & Contexto Enferm [Internet]. 2019[citado em 2020 ago. 19];28:e20160426. Disponível em: https://doi.org/10.1590/1980-265X-TCE-2016-0426

8. World Health Organization. Healthy workplaces: a model for action. Geneva: WHO; 2010.

9. Lima DKS, Schoeller SD, Knihs NDS, Vargas CP, Tholl AD, Lopes SGR, et al. Protocol for a scoping review of skin self-care of people with spinal cord injury. BMJ Open [Internet]. 2017[citado em 2019 jun. 7];7:e017860. Disponível em: http://dx.doi.org/10.1136/bmjopen-2017-017860

10. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol [Internet]. 2005[citado em 2019 fev. 22];19-32. Disponível em: https://doi.org/10.1080/1364557032000119616

11. Teare G, Taks M. Extending the scoping review framework: a guide for interdisciplinary researchers. Int J Soc Res Methodol [Internet]. 2019[citado em 2020 ago. 19];23(3):311-5. Disponível em: https://doi.org/10.1080/13645579.2019.1696092

12. Moher D, Liberati A, Tetzlaff J, Altman DG. The PRISMA Group Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Int J Surg [Internet]. 2010[citado em 2020 ago. 19];6(7):e1000097. Disponível em: https://doi.org/10.1016/j.ijsu.2010.02.007

13. Carvalho DB, Araújo TM, Bernardes KO. Common mental disorders in primary health care workers. Rev Bras Saude Ocup [Internet]. 2016[citado em 2019 nov. 25];41:e17. Disponível em: https://doi.org/10.1590/2317-6369000115915

14. Silva RNA, Lima AKM, Carvalho-Filha FSS, Vilanova JM, Silva FL. Conhecimento e entendimento de enfermeiros sobre as ações gerenciais na atenção primária à saúde. Ciênc Saúde [Internet]. 2016[citado em 2019 nov. 25];9(1):21-9. Disponível em: https://doi.org/10.15448/1983-652X.2016.1.21028

15. Silva CN, Potra TS. Uma revisão scoping. Pensar Enferm [Internet]. 2016[citado em 2019 nov. 25];20(2):33-50. Disponível em: http://comum.rcaap.pt/handle/10400.26/23709

16. Moreira DA, Horta NC, Brito MJM, Pereira LD, Montenegro LC. Estratégias de organização e fortalecimento do trabalho na equipe de saúde da família. Rev Enferm Centro-Oeste Min [Internet]. 2016[citado em 2019 nov. 25];6(1):2106-18. Disponível em: https://doi.org/10.19175/recom.v0i0.637

17. Kinalski DDF, Lampert AN, Machado BP, Lima SBS. Conflitos gerenciais: dificuldades para o enfermeiro gerente. REAS [Internet]. 2013[citado em 2019 nov. 25];2(3):96-105. Disponível em: https://doi.org/10.18554/

18. Oliveira FEL, Fernandes SCA, Oliveira LLO, Queiroz JC, Azevedo VRC. A gestão do enfermeiro na estratégia saúde da família. Rev Rene [Internet]. 2012[citado em 2019 nov. 25];13(4):834-44. Disponível em: http://www.periodicos.ufc.br/index.php/rene/article/view/4044

19. Santos, IER, Vargas MM, Reis FP. Labor stressors in community health agents. Rev Psicol Organ Trab [Internet]. 2014[citado em 2019 nov. 25];14(3):324-35. Disponível em: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1984-66572014000300008&lng=pt&nrm=iso

20. Silva GS, Diniz BG, Rosa VG. Administração de conflitos: análise de percepções de enfermeiros gerentes. Rev Enferm Centro-Oeste Min [Internet]. 2012[citado em 2019 nov. 25];2(3):358-68. Disponível em: http://www.seer.ufsj.edu.br/index.php/recom/article/view/227

21. Chaves LDP, Tanaka OY. Nurses and the assessment in health system management. Rev Esc Enferm USP [Internet]. 2012[citado em 2019 nov. 25];46(5):1274-8. Disponível em: https://doi.org/10.1590/S0080-62342012000500033

22. Oliveira HM, Pires TO, Parente RCP. As relações de poder na Estratégia de Saúde da Família sob o enfoque da teoria de Hannah Arendt. Sau & Transf Soc [Internet]. 2011[citado em 2019 nov. 25];1(2):17-26. Disponível em: https://www.redalyc.org/pdf/2653/265319571004.pdf

23. Fernandes HN, Thofehrn MB, Porto AR, Amestoy SC, Jacondino MB, Soares MR. Interpersonal relationships in work of multiprofessional team of family health unit. Rev Pesq Cuid Fundam online [Internet]. 2015[citado em 2019 nov. 25];7(1):1915-26. Disponível em: https://doi.org/10.9789/2175-5361.2015.v7i1.1915-1926

24. Maun A, Nilsson K, Furåker C, Thorn J. Primary health care in transition - a qualitative study of how managers perceived a system change. BMC Health Serv Res [Internet]. 2013[citado em 2019 nov. 25];13(1):382-9. Disponível em: https://doi.org/10.1186/1472-6963-13-382

25. Shimizu HE, Carvalho DAJ. The working process in the Family Health Strategy and its repercussions on the health-disease process. Ciênc Saúde Colet [Internet]. 2012[citado em 2019 nov. 25];17(9):2405-14. Disponível em: https://doi.org/10.1590/S1413-81232012000900021

26. Thofehrn MB, Amestoy SC, Porto AR, Arrieiral CO, Dal Pai D. A dimensão da subjetividade no processo de trabalho da Enfermagem. J Nurs Health [Internet]. 2011[citado em 2019 nov. 25];1(1):190-8. Disponível em: https://periodicos.ufpel.edu.br/ojs2/index.php/enfermagem/article/view/3423

27. Campos PC, Chaves AN, Pereira CM, Fontaine JDL, Santos LJ, Cardoso LMF, et al. Equipes do programa saúde da família: estresse profissional e dinâmica de trabalho. Rev APS [Internet]. 2010[citado em 2019 nov. 25];13(1):46-54. Disponível em: https://periodicos.ufjf.br/index.php/aps/article/view/14293/7734

28. Grando MK, Dall'agnol CM. [Challenges of the group process in team meetings on family health strategy]. Esc Anna Nery Rev Enferm [Internet]. 2010[citado em 2019 nov. 25];14(3):504-10. Disponível em: https://doi.org/10.1590/S1414-81452010000300011

29. Pegoraro PBB, Schaefer R, Zoboli ELCPD. Psychic and moral exhaustion in primary care workers. Rev Esc Enferm USP [Internet]. 2017[citado em 2019 nov. 25];51:e03257. Disponível em: https://doi.org/10.1590/S1980-220X2016035203257

30. Hirdes A. The perspective of professionals in primary health care on matrix support in mental health. Ciênc Saúde Colet [Internet]. 2015[citado em 2019 nov. 25];20(2):371-82. Disponível em: https://doi.org/10.1590/1413-81232015202.11122014

31. Becchi AC, Albiero ALM, Pavão FO, Pinto IS, Godoi AV, Dias BC, et al. Current perspectives of co-management in healthcare: experiences of the Humanization Working group on primary healthcare. Saúde Soc [Internet]. 2013[citado em 2019 nov. 25];22:653-60. Disponível em: https://doi.org/10.1590/S0104-12902013000200032

32. SPagnol CA, L´abbate S. Conflito organizacional: considerações teóricas para subsidiar o gerenciamento em Enfermagem. Ciênc Cuid Saúde [Internet]. 2010[citado em 2019 nov. 25];9(4):822-7. Disponível em: https://doi.org/10.4025/cienccuidsaude.v9i4.7721

33. Vilela RAGV, Silva RCS, Jackson Filho JM. Poder de agir e sofrimento: estudo de caso sobre Agentes Comunitários de Saúde. Rev Bras Saude Ocup [Internet]. 2019[citado em 2019 nov. 25];35(122):289-302. Disponível em: https://doi.org/10.1590/S0303-76572010000200011

34. Lucas PRMB, Nunes EMGT. Nursing practice environment in Primary Health Care: a scoping review. Rev Bras Enferm [Internet]. 2020[citado em 2020 jun. 30];73(6):e20190479. Disponível em: https://doi.org/10.1590/0034-7167-2019-0479

35. Harvey C, Thompson S, Otis E, Willis E. Nurses’ views on workload, care rationing and work environments. J Nurs Manag [Internet]. 2020[citado em 2020 dez. 2];28:912-8. Disponível em: https://doi.org/10.1111/jonm.13019

36. Koskenvuori J, Numminen O, Suhonen R. Ethical climate in nursing environment: a scoping review. Nursing Ethics [Internet]. 2019[citado em 2020 dez. 3];26(2):327-45. Disponível em: https://doi.org/10.1177%2F0969733017712081

37. Sanderson K, Dawe J. Perspectives: getting to the heart of workforce wellbeing in health and social care: from personal practice to organisational change. J Res Nurs [Internet]. 2019[citado em 2020 dez. 3];24(8):729-33. Disponível em: https://doi.org/10.1177%2F1744987119890922

38. Jean E, Perroux M, Pepin J, Duhoux A. How to measure the collective intelligence of primary healthcare teams? Learn Health Sys [Internet]. 2020[citado em 2020 dez. 3];4:e10213. Disponível em: https://doi.org/10.1002/lrh2.10213

Additional Files

Published

2022-11-21

Issue

Vol. 26 (2022)

Section

Review

License

Copyright (c) 2022 REME-Revista Mineira de Enfermagem

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

1.
Management and work environments in primary health care:: scope review. REME Rev Min Enferm. [Internet]. 2022 Nov. 21 [cited 2026 Apr. 4];26. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/40472

Most read articles by the same author(s)