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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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Nurses' workload: lights and shadows in the Family Health Strategy.

Daiane Biff¹, Denise Elvira Pires de Pires², Elaine Cristina Novatzki Forte³

¹Secretaria Municipal de Saúde de Araranguá. R. Cel. Apolinário Pereira 254, Centro. 88900-000 Araranguá SC Brasil. daibiff@hotmail.com.

Ciencia & Saude Coletiva

|December 21, 2019

Summary

Family Health nurses face increased workloads due to poor work environments and high demand. However, teamwork and user relationships can reduce this burden, highlighting the dynamic nature of nurse workload management.

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Area of Science:

Public Health
Nursing
Healthcare Management

Background:

Workload is a significant factor affecting healthcare professionals.
Understanding factors influencing Family Health nurse workload is crucial for effective primary care delivery.
Previous research has not fully explored the multifaceted elements impacting Brazilian Family Health nurse workloads.

Purpose of the Study:

To identify key elements that increase or decrease the workload of Family Health nurses.
To explore the perceptions of successful Family Health teams in Brazil regarding workload factors.
To provide insights for improving working conditions and reducing burnout among primary care nurses.

Main Methods:

Multicenter qualitative study involving 40 Family Health nurses from 36 successful teams across five Brazilian regions.
Data collection utilized instrument triangulation: semi-structured interviews, observation, and documentary study (2013-2016).
Thematic Content Analysis, aided by Atlas.ti software, was employed for data analysis.

Main Results:

Increased workloads are primarily driven by precarious work environments, material/equipment deficits, workforce shortages, and excessive healthcare demand.
Factors contributing to reduced workloads include effective teamwork, professional recognition, strong user relationships, and positive interpersonal dynamics.
The study highlights a dialectic relationship where work process elements can either increase or decrease workload based on objective conditions and their management.

Conclusions:

Workload for Family Health nurses is significantly influenced by both systemic/environmental factors and interpersonal/team dynamics.
Addressing deficits in the work environment and workforce is essential to mitigate excessive workloads.
Fostering teamwork, recognition, and positive user relationships can effectively reduce nurse workload and potentially improve job satisfaction and retention.