Team climate and job satisfaction in a mobile emergency service: a multilevel study

Carmo, Hercules de Oliveira; Peduzzi, Marina; Tronchin, Daisy Maria Rizatto

doi:10.1590/1518-8345.6872.4110

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Revista Latino-Americana de Enfermagem

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Original Article • Rev. Latino-Am. Enfermagem 32 • 2024 • https://doi.org/10.1590/1518-8345.6872.4110 copy

Team climate and job satisfaction in a mobile emergency service: a multilevel study ^* * Paper extracted from doctoral dissertation “Evaluation of the team climate and of the satisfaction at work in a Mobile Emergence Service Care”, presented to Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

to investigate the relationship between team climate and job satisfaction among professionals working in mobile pre-hospital care.

Method:

this is a quantitative, correlational study carried out in a mobile pre-hospital care service in the São Paulo Metropolitan Region. The participants were 95 professionals, allocated to 40 teams, who answered three questionnaires: sociodemographic/labor data, Team Climate Scale and S20/23 Job Satisfaction Scale. Descriptive statistics and multilevel linear models were used for the analysis, including moderation effects. The Backward method was used to ascertain the order of significance.

Results:

in the models, the relationships between satisfaction with hierarchical relationships and the factor “support for new ideas” moderated for men and “task orientation” for women were significant. For satisfaction with the physical environment, “working hours” and “participation in the team” were significant and, for intrinsic satisfaction, the regime, working hours and the factors “team objectives”, “participation in the team” and “support for new ideas” remained significant, as did the moderation effect between length of service, “participation in the team” and “support for new ideas”.

Conclusion:

team climate is influenced by job satisfaction in a heterogeneous way and the moderating effect of this relationship is associated with gender and length of service.

Descriptors:
Prehospital Care; Patient Care Team; Job Satisfaction; Emergency Medical Services; Ambulances; Nursing

Highlights:

(1) There was a positive perception of the team climate and job satisfaction.

(2)The team climate influenced job satisfaction in a heterogeneous way.

(3) The moderating effect of this relationship was associated with gender and working hours.

(4) The working regime and working hours directly affected intrinsic satisfaction.

	Initial model		Final model
	Adjusted coefficient (95%CI)*	p ^†	(95%CI)*	p ^†
Gender women (ref. ^‡=man)	-0,193 (-1,896 to 1,510)	0,824	-0,027 (-1,361 to 1,306)	0,968
Team climate
Participation in the team	0,004 (-0,021 to 0,028)	0,760	-	-
Support for new ideas	0,058 (0,023 to 0,093)	0,001	0,065 (0,030 to 0,100)	<0,001
Team goals	0,017 (-0,006 to 0,040)	0,156	-	-
Task orientation	-0,026 (-0,068 to 0,017)	0,234	-0,004 (-0,045 to 0,038)	0,854
Climate x gender moderation
Support for new ideas	-0,093 (-0,133 to -0,054)	<0,001	-0,083 (-0,130 to -0,036)	0,001
Task orientation	0,081 (0,038 to 0,124)	<0,001	0,070 (0,023 to 0,116)	0,003

	Initial model Adjusted coefficient (95%CI)*	p ^†	Final model Adjusted coefficient (95%CI)*	p ^†
Shift work (ref. ^‡=12 h)		<0,001		<0,001
6 h	-1,049 (-1,536 to -0,563)	<0,001	-1,253 (-1,528 to -0,978)	<0,001
24 h	0,020 (-1,326 to 1,366)	0,977	0,111 (-1,105 to 1,326)	0,858
36 h	0,923 (0,246 to 1,599)	0,007	0,582 (0,222 to 0,942)	0,002
Team climate
Participation in the team	0,041 (-0,005 to 0,087)	0,084	0,076 (0,050 to 0,102)	<0,001
Support for new ideas	0,042 (-0,030 to 0,113)	0,251	-	-
Team goals	0,013 (-0,022 to 0,047)	0,469	-	-
Task orientation	0,002 (-0,046 to 0,051)	0,921	-	-

	Initial model Adjusted coefficient (95%CI)*	p ^†	Final model Adjusted coefficient (95%CI)*	p ^†
Statutory regime (ref. ^‡=CLT ^§/Cooperators)	-0,239 (-0,457 to -0,022)	0,031	-0,202 (-0,365 to -0,040)	0,015
Time of MECS^\|\| (ref. ^‡=more than 5 years)		0,113		0,419
0,5 \|-\| 1 ano	3,682 (-0,423 to 7,787)	0,079	3,258 (-0,854 to 7,370)	0,120
1 -\| 3 anos	1,438 (0,113 to 2,763)	0,033	0,703 (-0,715 to 2,122)	0,331
3 -\| 5 anos	0,207 (-1,765 to 2,179)	0,837	-0,255 (-2,035 to 1,525)	0,779
Shift work (ref. ^‡=12 h)		<0,001		<0,001
6 h	-0,517 (-1,176 to 0,142)	0,124	-0,586 (-1,027 to -0,145)	0,009
24 h	0,355 (0,078 to 0,632)	0,012	0,374 (0,250 to 0,499)	<0,001
36 h	0,633 (0,243 to 1,023)	0,001	0,605 (0,318 to 0,892)	<0,001
Team climate
Participation in the team	0,023 (-0,002 to 0,047)	0,076	0,019 (-0,007 to 0,046)	0,159
Support for new ideas	0,018 (-0,022 to 0,058)	0,376	0,018 (-0,019 to 0,055)	0,341
Team goals	0,023 (0,001 to 0,045)	0,044	0,021 (0,004 to 0,039)	0,018
Task orientation	-0,003 (-0,038 to 0,031)	0,850	-	-
Moderation team participation x MECS ^\|\| time		<0,001		<0,001
0,5 \|-\| 1 year	-0,186 (-0,288 to -0,084)	<0,001	-0,182 (-0,277 to -0,087)	<0,001
1 -\| 3 years	-0,009 (-0,032 to 0,015)	0,473	0,001 (-0,019 to 0,021)	0,917
3 -\| 5 years	-0,046 (-0,089 to -0,003)	0,035	-0,024 (-0,060 to 0,013)	0,198
Moderation support for new ideas x MECS ^\|\| time		0,003		<0,001
0,5 \|-\| 1 year	0,175 (0,075 to 0,275)	<0,001	0,181 (0,086 to 0,275)	<0,001
1 -\| 3 years	-0,025 (-0,070 to 0,020)	0,278	-0,020 (-0,066 to 0,025)	0,380
3 -\| 5 years	0,061 (-0,011 to 0,133)	0,097	0,041 (-0,017 to 0,098)	0,164

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
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[1] Corresponding author: Hercules de Oliveira Carmo E-mail: hercules.enf@alumni.usp.br https://orcid.org/0000-0002-6996-4233