QUALITY OF WORK LIFE AMONG NURSING WORKERS WHO WORK IN HOSPITALS

this is a cross-sectional study, carried out at a public hospital in Cuiabá-MT. The sample included 486 nursing workers, 103 nurses and 383 nursing technicians and assistants. The sociodemographic, professional and health and the Total Quality of Work Life (TQWL-42) questionnaires were used. Descriptive and inferential statistical analysis was carried out.

Results:

in the general classification of quality of work life, 33% of nurses and 29.2% of high school-level workers were dissatisfied. A higher quality of work life was associated with aspects of physical and mental disposition, ability to work, care from health/social assistance services, rest time and aspects of freedom of expression, interpersonal relationships, autonomy and leisure time. The lowest means were related to nursing professionals who work 40 hours per week.

Conclusion:

the results revealed that several factors are linked to a reduced perceived quality of work life among nursing professionals. Among these factors, the nature of occupational responsibilities, the weekly working hours and the remuneration received stand out. These elements were identified as significant influences on the quality of work life of these professionals.

DESCRIPTORS:
Quality of life; Work; Nursing team; Occupational health; Nursing staff hospital; Working conditions

Variables	Nurses			High school level			Total
Variables	N	%	p- value†	N	%	p- value†	N	%	p- value†
Professional category
Nurses	34	33.01	*	*	*	*	34	33.0	0.459
High school level	*	*	*	112	29.2	*	112	29.2
Sex
Male	6	33.3	0.974	13	25.0	0.469	19	27.1	0.568
Female	28	33.0		99	30.0		127	30.5
Age (years)
25 to 39	24	40.6	0.115	32	36.3	0.072	56	38.1	0.015
40-49	8	26.6		43	31.1		51	30.3
50-59	2	14.2		31	26.7		33	25.4
60-71	0	0.0		6	14.6		6	14.6
Place of birth
North	2	50.0	0.530	0	0.00	0.548	2	22.2	0.954
North East	0	0.00		5	31.2		5	26.3
Midwest	28	32.9		95	30.1		123	30.7
Southeast	3	50.0		5	20.8		8	26.7
South	1	20.0		7	30.4		8	28.5
Marital status
Single	16	35.5	0.852	37	28.4	0.249	53	30.2	0.257
Married or stable union	15	32.0		56	33.0		71	32.7
Widowed or separated	3	27.2		19	23.0		22	23.4
Children
Yes	21	29.1	0.206	96	29.0	0.720	177	28.9	0.249
No	13	42.0		16	31.1		29	35.3
Number of children
Without children	13	42.0	0.442	16	32.6	0.967	29	36.2	0.689
1	10	33.3		21	30.0		31	31.0
2	9	30.0		43	28.6		52	28.9
3	2	16.6		25	29.0		27	27.5
4 or more	0	0.0		7	25.0		7	25.0
Head of the family
Husband or partner	7	24.1	0.278	30	29.7	0.882	37	28.4	0.812
Father or mother	1	14.2		7	35.0		8	29.6
You	26	39.3		75	28.8		101	30.9
Children	0	0.0		0	0.0		0	0.0
Others	0	0.0		0	0.0		0	0.0
Economic classification (ABEP 2018)
A	2	20.0	0.464	7	41.1	0.634	9	33.3	0.798
B1	5	20.8		9	30.0		14	25.9
B2	17	39.5		38	26.2		55	29.2
C1	9	39.1		40	31.0		49	32.2
C2	1	33.3		15	26.7		16	27.1
D-E	0	0.0		3	50.0		3	50.0
Health insurance
Yes	26	42.0	0.018	49	30.0	0.762	75	33.3	0.142
No	8	19.5		63	28.6		71	27.2

Variables	Nurses			High school level			Total
Variables	n	%	p- value	n	%	p- value	n	%	p- value ¹
Higher degree
High school	0	0.0	0.765	41	32.8	0.353	41	32.8	0.566
Incomplete higher education	0	0.0		17	36.1		17	35.4
Complete higher education	5	31.2		20	24.6		25	25.7
Graduate degree	29	33.7		34	26.1		63	29.1
Length of training in the area (years)
1 to 9	18	34.6	0.339	15	36.5	0.026	33	35.4	0.007
10 to 19	15	37.5		71	33.6		86	34.2
20 to 29	1	11.1		21	21.6		22	20.7
30 or more	0	0.0		5	14.7		5	13.9
Nature of relationship
Statutory	19	39.5	0.185	70	29.0	0.912	89	30.8	0.660
Service provider	15	27.2		42	29.5		57	28.9
Job tenure (years)
<5	15	30.0	0.184	30	33.3	0.251	45	32.1	0.102
5 to 9	12	37.5		33	32.3		45	33.5
10 to 14	4	44.4		22	35.4		26	36.6
15 to 19	2	100		7	29.1		9	34.6
20 to 24	1	11.1		9	20.0		10	18.5
25 to 29	0	0.0		6	20.0		6	20.7
>30	0	0.0		5	16.1		5	15.6
Capacity unit
Emergency	5	18.0	0.039	19	27.1	0.790	24	24.4	0.421
Infectology (isolation)	4	66.6		4	30.7		8	45.1
Blood bank or materials and sterilization center	3	50.0		9	25.7		12	29.2
Burn treatment center	‡	‡		2	16.6		2	16.6
Medical clinic	5	38.4		18	35.2		23	35.9
Adult Intensive Care Unit	6	37.5		30	34.8		36	35
Surgical center	4	80.0		5	18.5		9	28.1
Pediatrics	3	50.0		5	22.7		8	28.5
Pediatric Intensive Care Unit	1	20.0		7	29.1		8	27.5
Surgical clinic and orthopedic clinic	3	33.3		13	30.2		16	30.7
Nursing management and coordination	0	0.0		†	†		0	0.0
Nature of the function
Care	34	36.1	0.027	112	29.2	‡	146	30.6	0.047
Management or coordination	0	0.0		‡	‡		0	0.0
Weekly working hours (hours)
30	3	23.0	0.415	24	19.0	0.002	27	19.2	<0.001
40	31	34.4		88	34.3		119	34.3
Work shift
Morning and duties	1	7.6	0.066	18	37.5	0.242	19	31.1	0.343
Afternoons and duties	5	27.7		13	28.2		18	28.1
Day 12/60	4	44.4		11	18.6		15	22.0
Day 12/36	7	54.0		12	23.0		19	29.2
Night 12/60	14	35.9		54	32.5		68	33.1
Night 12/36	3	60.0		4	33.3		7	41.1
Full time/8 hours	0	0.0		0	0.0		0	0.0
Has other employment relationships
Yes	17	32.6	0.945	50	35.4	0.041	67	34.7	0.068
No	17	33.3		62	25.6		79	26.9
Number of other jobs -
1	16	32.6	0.981	49	35.2	0.665	65	34.5	0.801
2	1	33.3		1	50.0		2	40.0
Nature of the 2^nd relationship institution - a
Public	9	32.1	0.927	23	34.3	0.789	32	33.6	0.767
Private	8	33.3		27	36.4		35	35.7
Working hours in the 2^nd job (hours) - a
<20	0	0.0	0.626	2	50.0	0.399	2	40.0	0.407
20	0	0.0		0	0.0		0	0.0
30	2	25.0		9	47.3		11	40.7
36	1	33.3		5	45.4		6	42.8
40	14	37.8		33	31.4		47	33.1
44	0	0.0		1	100		1	100
Nature of the 3^rd relationship institution - b
Public	1	100	0.083	0	0.0		1	100	0.171
Private	0	0.0		1	50.0		1	100
Working hours in the 3^rd job (hours) - b
<20	0	0.0	0.223	0	0.0	0.157	0	0.0	0.287
20	0	0.0		0	0.0		0	0.0
30	1	100		0	0.0		1	100
36	0	0.0		0	0.0		0	0.0
40	0	0.0		1	100		1	100

Spheres	Nurses (n=103)	High school level (n=383)	Total (n=486)	p- value¹
Spheres	Mean (*)	Mean (*)	Mean (*)	p- value¹
Biological and physiological	54.4 (13.1)	58.1 (11.8)	57.3 (12.1)	0.007
Psychological and behavioral	63.1 (12.7)	64.1 (12.8)	63.9 (12.8)	0.461
Sociological and relational	58.0 (12.3)	54.0 (13.1)	54.8 (13.0)	0.005
Economic and political	45.7 (14.5)	45.6 (14.2)	45.6 (14.2)	0.929
Environmental and organizational	53.5 (13.9)	55.1 (13.8)	54.8 (13.8)	0.289
General	54.8 (10.7)	55.4 (10.3)	55.3 (10.3)	0.574

Spheres	Weekly work day	Nurses			High school level		Total
Spheres	Weekly work day	Mean (*)	p- value	Mean (*)	p- value	Mean (*)	p- value
Biological and physiological	30h	58.4 (11.3)	0.250	58.9 (11.0)	0.357	58.8 (11.0)	0.081
Biological and physiological	40h	53.9 (13.3)	0.250	57.7 (12.1)	0.357	56.7 (12.1)	0.081
Psychological and behavioral	30h	65.3 (11.5)	0.492	64.8 (12.5)	0.449	64.9 (12.3)	0.285
Psychological and behavioral	40h	62.7 (12.8)	0.492	63.8 (13.0)	0.449	63.5 (12.9)	0.285
Sociological and relational	30h	58.1 (13.7)	0.967	55.9 (11.8)	0.039	56.1 (12.0)	0.158
Sociological and relational	40h	58.0 (12.2)	0.967	53.0 (13.6)	0.039	54.8 (13.4)	0.158
Economic and political	30h	50.7 (20.0)	0.190	50.2 (12.9)	<0.001	50.3 (13.6)	<0.001
Economic and political	40h	45.0 (13.6)	0.190	43.2 (14.2)	<0.001	43.7 (14.1)	<0.001
Environmental and organizational	30h	53.6 (18.1)	0.987	56.8 (13.6)	0.098	56.5 (14.0)	0.084
Environmental and organizational	40h	53.5 (13.3)	0.987	54.3 (13.8)	0.098	54.1(13.7)	0.084
General	30h	56.9 (12.8)	0.449	57.5 (8.7)	0.006	57.4 (9.1)	0.004
General	40h	54.5 (10.4)	0.449	54.4 (10.8)	0.006	54.5 (10.7)	0.004

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDING AUTHOR
Thaís Pedroso Martins Souza tys_martins@hotmail.com