Differences between quality of life and occupational coping of tenured and outsourced nurses

Sampaio, Cynthia Lima; Almeida, Paulo César de; Souza, Ângela Maria Alves e; Neri, Maria Fabiana de Sena; Silva, Leonardo Alexandrino da; Caetano, Joselany Áfio

doi:10.1590/0034-7167-2019-0462

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Brasil

Revista Brasileira de Enfermagem

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ARTIGO ORIGINAL • Rev. Bras. Enferm. 73 (Suppl 1) • 2020 • https://doi.org/10.1590/0034-7167-2019-0462 copy

Differences between quality of life and occupational coping of tenured and outsourced nurses

Diferencias entre calidad de vida y Coping Ocupacional de Enfermeros concursados y subcontratados

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

To compare the relation of quality of life to occupational coping and verify the association of these indicators with sociodemographic variables of tenured and outsourced nurses.

Methods:

Cross-sectional study, carried out from June to November 2014, with 145 outsourced nurses and 45 tenured nurses. We applied an identification instrument (WHOQOL-bref) and Occupational Coping Scale. Student’s t-tests and Pearson’s correlation coefficient were used.

Results:

Tenured nurses had better quality of life (p=0.011) and a mean in the Avoidance factor with a strong correlation (p=0.001). Female public servants (p=0.006; p<0.0001), between 40 and 66 years old (p=0.005; p=0.031), specialists (p=0.028; p=0.005), with a family income from 2.5 to 6.8 minimum wages (p=0.021; p=0.006) and working in the morning or afternoon (p=0.043; p=0.020) and morning and afternoon (p=0.038; p=0.007) showed a difference in quality of life and in Avoidance factor, respectively.

Conclusion:

Tenured nurses demonstrated better quality of life, and some variables trigger differences in the groups, demonstrating the need to promote occupational health.

Descriptors:
Quality of Life; Adaptation, Psychological; Occupational Health; Outsourced Services; Nursing

	Tenured Mean ± SD^* Note:	Outsourced Mean ± SD^* Note:	p value^§ § Student's t-test.
WHOQOL-bref^† † World Health Organization Quality of Life Bref,
Quality of life	67.18 ±11.00	62.18 ±11.47	0.011
Physical health Domain	70.08 ± 15.50	64.58 ± 13.91	0.025
Psychological Domain	68.52 ± 15.30	66.12 ± 13.95	0.326
Social Relationships Domain	70.56 ± 12.51	66.49 ± 17.22	0.144
Environment Domain	63.36 ± 11.92	55.40 ± 12.61	0.001
OCS^‡ ‡ Occupational Coping Scale,
Control Factor	73.88 ±9.64	72.41 ±12.19	0.491
Avoidance Factor	65.92 ±13.59	58.74 ±12.71	0.001
Symptoms management Factor	38.39 ±16.35	38.83 ±18.02	0.885

	Occupational Coping Scale
	Control Factor		Avoidance Factor		Symptoms Management Factor
	r^† † Pearson's correlation coefficient	p value	r^† † Pearson's correlation coefficient	p value	r^† † Pearson's correlation coefficient	p value
QOL^* * World Health Organization Quality of Life Bref,	0.181	0.013	0.916	0.0001	0.284	0.0001
Physical health Domain	0.174	0.017	0.838	0.0001	0.234	0.001
Psychological Domain	0.160	0.027	0.752	0.0001	0.269	0.0001
Social Relationships Domain	0.084	0.249	0.622	0.0001	0.118	0.105
Environment Domain	0.143	0.049	0.726	0.0001	0.256	0.0001

	QOL* tenured Mean ± SD^† † Standard deviation,	QOL* outsourced Mean ± SD^† † Standard deviation,	p value^§ § Student t-test.
Gender
Female	67.41 ± 11.21	62.10 ± 11.40	0.006
Male	63.89 ± 8.36	62.83 ± 12.35	0.958
Age group
23-39	59.72 ± 12.16	62.32 ± 11.89	0.528
40-66	69.04 ± 10.03	61.25 ± 8.57	0.005
Time (years) of work experience in hospital care
1-10	63.19 ± 12.12	61.95 ± 11.61	0.798
11-38	67.79 ± 10.86	64.67 ± 9.83	0.379
Academic Titles
Undergraduate	67.45 ± 8.22	61.48 ± 11.84	0.329
Specialization	67.04 ± 10.64	61.93 ± 11.32	0.028
Master's Degree	67.58 ± 14.63	66.84 ± 10.70	0.898
Family Income^‡ ‡ Family income is presented in minimum wages, corresponding to R$ 724.00 in 2014, Brazil,
2.5-6.8	68.34 ± 9.15	60.32 ± 11.42	0.021
6.9-12.3	63.69 ± 14.22	62.59 ± 12.99	0.781
12.4-38.5	67.52 ± 8.90	63.72 ± 9.49	0.165
Shift
Morning or afternoon	70.10 ± 9.77	61.20 ± 12.70	0.043
Morning and Afternoon	69.51 ± 6.03	63.57 ± 10.21	0.038
Night	62.88 ± 12.09	62.93 ± 11.04	0.991
Morning or Afternoon or Night	65.28 ± 16.19	59.31 ± 12.37	0.311
Workload
20-39	68.42 ± 8.71	63.05 ± 11.80	0.089
40-59	68.16 ± 12.00	64.41 ± 10.97	0.230
60-96	63.23 ± 13.34	57.95 ± 11.06	0.196
Unit
Critical	67.22 ± 8.86	61.06 ± 10.92	0.032
Non-critical	67.15 ± 12.28	63.59 ± 12.07	0.199

	Avoidance factor for tenured nurses Mean ± SD^* * Standard deviation,	Avoidance factor for outsourced nurses Mean ± SD^* * Standard deviation,	p value^‡
Gender
Female	66.80 ± 13.57	58.94 ± 12.81	< 0.0001
Male	53.70 ± 6.99	57.12 ± 12.13	0.487
Age group
23-39	55.25 ± 15.30	58.27 ± 13.08	0.509
40-66	68.59 ± 11.91	61.67 ± 9.90	0.031
Length (years) of work experience in hospital care
1-10	57.87 ± 13.31	58.33 ± 12.83	0.931
11-38	67.16 ± 13.36	63.19 ± 10.80	0.353
Academic Titles
Undergraduate	66.67 ± 9.35	58.06 ± 12.82	0.196
Specialization	65.66 ± 12.78	58.30 ± 12.43	0.005
Master's Degree	66.67 ± 19.36	64.58 ± 13.82	0.781
Family Income‡
2.5-6.8	68.29 ± 11.14	57.36 ± 11.80	0.006
6.9-12.3	60.71 ± 17.53	59.11 ± 14.04	0.717
12.4-38.5	66.83 ± 10.41	60.07 ± 12.01	0.048
Shift
Morning or afternoon	68.61 ± 11.19	57.28 ± 13.94	0.020
Morning and Afternoon	69.26 ± 7.00	61.24 ± 10.14	0.007
Night	61.11 ± 13.26	59.13 ± 13.30	0.661
Morning or Afternoon or Night	63.27 ± 22.34	55.21 ± 13.37	0.268
Workload
20-39	67.40± 9.53	60.78± 14.09	0.074
40-59	67.36 ± 16.12	60.78 ± 11.84	0.067
60-96	60.83 ± 15.85	53.87 ± 11.83	0.123
Unit
Critical	63.89 ± 10.76	57.65 ± 12.27	0.440
Non-critical	67.16 ± 15.10	60.11 ± 13.22	0.280

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[1] Corresponding author: Joselany Áfio Caetano E-mail: joselany@ufc.br