Nurse workforce in state services with direct management: Revealing precarization

Melo, Cristina Maria Meira de; Carvalho, Clarissa Assis de; Silva, Livia Angeli; Leal, Juliana Alves Leite; Santos, Tatiane Araújo dos; Santos, Handerson Silva

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Sumário

RESEARCH • Esc. Anna Nery 20 (3) • 2016 • https://doi.org/10.5935/1414-8145.20160067 copy

Nurse workforce in state services with direct management: Revealing precarization

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

Analise nurse workforce under direct management of Bahia Department of Health.

Methods:

Quantitative, analytical, census (N = 2.305). 2013 secondary data.

Results:

Predominate statutory bonds, formed mostly by women (93.84%), with greater incorporation of men lately (58.45%). Women that worked for many years or were recently contracted. Men are found working more in hospitals while women in administrative sectors. Maturities focus on up to two minimum wages (61.56%). In the highest salary range men have a higher proportion and commissioned position is the most important factor that adds value to earnings. The workload of 40 hours per week is carried out by 41% of women workers.

Conclusions:

Nurses, even approved by a public contest, experience a process of precarization of labor, low wages and long hours. Prevailing gender differences in the type of service, value of wages and taking positions.

Keywords:
Workforce; Nurses; Health management; Health systems

Variable	Gender
	Female		Male			Total			p-value
	N	%	N	%	N		%
Instruction level								p ^* * Test Chi2 Pearson;
Undergraduate	1313	60.70	109	76.76	1422		61.69
Specialization	787	36.38	32	22.54	819		35.53	0.002
Master/Doctor Degree	30	1.39	1	0.70	31		1.34
No information	33	1.53	0	0.00	33		1.43
Total	2163	100.00	142	100.00	2305		100.00
Time of admission								p ^ Test Chi2 of Linear Trend.
< 3 years	823	38.05	83	58.45	906		39.31
3 to 9	365	16.87	29	20.42	394		17.09	0.000
10 to 19	73	3.37	2	1.41	75		3.25
20 to 29	747	34.54	18	12.68	765		33.19
30 and more	155	7.17	10	7.04	165		7.16
Total	2163	100.00	142	100.00	2305		100.00
Workplace								p ^ Test Chi2 of Linear Trend.
Reference Center	176	8.14	5	3.52	181		7.85
DIRES/Management	398	18.40	18	12.68	416		18.05	0.007
Hospital/Maternity/UPA	1438	66.48	114	80.28	1552		67.33
Others	151	6.98	5	3.52	156		6.77
Total	2163	100.00	142	100.00	2305		100.00
Maturity^* * Test Chi2 Pearson;								p ^ Test Chi2 of Linear Trend.
< 1	5	0.23	0	0.00	5		0.22
1 up to 2	1309	60.52	110	77.46	1419		61.56	0.000
Sup. 2 to 3	810	37.45	30	21.13	840		36.44
Sup. 3 to 4	26	1.20	0	0.00	26		1.13
Sup. 4 or more	13	0.60	2	1.41	15		0.65
Total	2163	100.00	142	100.00	2305		100.00

Variable	Maturity
	*< 1 SM^ * Minimum wage (SM) that time R$ 680,00;**	1 up to 2 SM	2 and up SM	3 and up SM	4 and up SM	Total	p-value^ Test Chi2 of Linear Trend.
	N %	N %	N %	N %	N %	N %	p-value^ Test Chi2 of Linear Trend.
Instruction level
Undergraduate	3	991	419	7	2	1422	0.000
Undergraduate	60.00	69.84	49.88	26.92	13.33	61.69
Especialization	1	399	401	13	5	819
Especialization	20.00	28.12	47.74	50.00	33.33	35.53
Master/Doctorate	1	21	8	0	1	31
Master/Doctorate	20.00	1.48	0.95	0.00	6.67	1.34
No Information	0	8	12	6	7	33
No Information	0.00	0.56	1.43	23.08	46.67	1.43
Total	5	1419	840	26	15	2305
Total	100.00	100.00	100.00	100.00	100.00	100.00
Workplace
Reference Center	1	98	80	2	0	181	0.000
Reference Center	20.00	6.91	9.52	7.69	0.00	7.85
DIRES/Management	2	192	201	13	8	416
DIRES/Management	40.00	13.53	23.93	50.00	53.33	18.05
Hospital/Emergency/Maternity unit	2	1047	490	10	3	1552
Hospital/Emergency/Maternity unit	40.00	73.78	58.33	38.46	20.00	67.33
Others	0	82	69	1	4	156
Others	0.0	5.78	8.21	3.85	26.67	6.77
Total	5	1419	840	26	15	2305
Total	100.00	100.00	100.00	100.00	100.00	100.00
Commissioned position
No	3	1313	761	12	1	2090	0.000
No	60.00	92.53	90.60	46.15	6.67	90.67
Yes	2	24	10	13	13	62
Yes	40.00	1.69	1.19	50.00	86.67	2.69
No information	0	82	69	1	1	153
No information	0.0	5.78	8.21	3.85	6.67	6.64
Total	5	1419	840	26	15	2305
Total	100.00	100.00	100.00	100.00	100.00	100.00
Time of admission
< 3	1	897	5	1	2	906	0.000
< 3	20.00	63.21	0.60	3.85	13.33	39.31
3 to 9	2	261	129	0	2	394
3 to 9	40.00	18.40	15.36	0.00	13.33	17.09
10 to 19	0	27	44	3	1	75
10 to 19	0.00	1.90	5.24	11.54	6.67	3.25
20 to 29	1	200	539	17	8	765
20 to 29	20.00	14.09	64.17	63.38	53.33	33.19
30 and up	1	34	123	5	2	165
30 and up	20.00	2.40	14.64	19.23	13.33	7.16
Total	5	1419	840	26	15	2305
Total	100.00	100.00	100.00	100.00	100.00	100.00

Variable	Commissioned position
	No		Yes		No information		Total		*p-value^ * Test Chi2 of Linear Trend.**
	N	%	N	%	N	%	N	%	*p-value^ * Test Chi2 of Linear Trend.**
Education level
Undergraduate	1324	63.35	14	22.58	84	54.90	1422	61.69	0.000
Especialization	739	35.36	17	27.42	63	41.18	819	35.53
Master/Doctorate	23	1.10	4	6.45	4	2.61	31	1.35
No information	4	0.19	27	43.55	2	1.31	33	1.43
Total	2090	100.00	62	100.00	153	100.00	2305	100.00

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[1] Corresponding author: Juliana Alves Leite Leal. E-mail: julileite@hotmail.com