| 1 |
Satisfação e insatisfação no trabalho de profissionais
de saúde da atenção básica(16)
2014/
Brazil |
Qualitative study
22 participants
Level V |
To identify the reasons for satisfaction and dissatisfaction of health professionals in the Family Health Strategy and traditional primary care. |
Reasons for satisfaction: affinity with the profession; user satisfaction with assistance; teamwork; between professionals and users.
Reasons for dissatisfaction: problems in relationships with users/families; insufficient salary; difficulties in teamwork; deficit of instruments and infrastructure, excessive workload; and lack of understanding of the population about the assumptions of Family Health Strategy. |
| 2 |
Trabalho na Estratégia Saúde da Família: Implicações nas cargas de trabalho de seus profissionais(10)
2014/
Brazil |
Qualitative study
11 Participants
Level V |
To identify aspects of work at Family Health Strategy that contribute to increasing and/or reducing workloads. |
The aspects that interfere with the proper implementation of Family Health Strategy increase workload.
Affinity with work, team autonomy, and job security reduce workload. |
| 3 |
Practice Transformation in the Safety Net Medical Home Initiative: A Qualitative Look(17)
2014/
USA |
Qualitative case study
07 participants
Level VI |
To study three successful practices to identify common characteristics and approaches. |
They were motivators of successful practices: desire to improve the quality of care and the experience of the patient or professional. Financial incentives played a minor role. |
| 4 |
Work context, job satisfaction and suffering in primary health care(8)
2015/
Brazil |
Cross-sectional study
242 participants
Level IV |
To evaluate the work context and the indicators of pleasure and suffering from the perspective of workers. |
Organization and working conditions obtained the worst evaluations.
Indicators of pleasure at work were related to professional achievement, freedom of expression, and acknowledgment. |
| 5 |
Dimensions of Safety Climate among Iranian Nurses(7)
2015/
Iran |
Literature review
Not quantified and not classified in relation to the Level of Evidence |
To develop and validate a psychometric scale to measure the safety climate of nurses. |
A scale of 40 items with 6 dimensions was elaborated:
1- involvement of employees in security support and management; 2- compliance with safety rules; 3- training and accessibility to personal protective equipment; 4-obstacles to safe work; 5- communication safety and working pressure; 6- and individual risk perception. |
| 6 |
Ser enfermeiro da Estratégia Saúde da Família: desafio e possibilidades(9)
2015/
Brazil |
Qualitative study/
07 participants
Level V |
To analyze the challenges and possibilities of the work of nurses in Family Health Strategy in a health district of Belo Horizonte. |
The daily life of nurses at Family Health Strategy is marked by work overload, which impairs the performance of actions. |
| 7 |
Safety climate in English general practices; workload pressures may compromise safety(4)
2015/
England |
Cross-sectional study
335 participants
Level IV |
To build an instrument for general British patient safety practices.
To report how these practices affect the security climate and high workload levels. |
Managers gave their practices significantly higher safety scores than non-manager participants. Respondents with more years of experience had a more negative perception of the level of workload.
Practices with patients living in areas of greater deprivation provided lower scores in relation to the safety climate. |
| 8 |
Dealing with workplace violence in emergency primary health care: a focus group study(18)
2015/
Norway |
Qualitative study/
37 participants
Level V |
To explore how the Primary Health Care professional handled the threats and violence of visitors or patients. |
Threatening situations that generated insecurity were related to family members, with fewer physical aggressions.
Factors that influence threats or violence: to minimize the risk of working alone; to be prepared; to resolve the mismatch between the patient's expectations and the service offered; and management support. |
| 9 |
Iranian nurses perspectives on assessment of safe care: an exploratory study(3)
2016/
Iran |
Qualitative study/
16 participants
Level V |
To explore the perspectives and experiences of nurses on the evaluation of safe nursing care and clinical practice. |
Four components were identified for safe care and patient safety: holistic evaluation of nursing care; teamwork and evaluation of nursing care; ethical problems; and challenges of safe evaluation of nursing care. |
| 10 |
Condiciones de trabajo de los profesionales
de enfermería en Chile(12)
2016/
Chile |
Systematic review of descriptive and retrospective character/ 9 articles
Level V |
To identify working conditions and the reasons why nursing professionals get sick. |
Nursing professionals work in conditions marked by lack of materials, work overload and limited resources. |
| 11 |
Patient safety in Primary Health Care: integrative review(6)
2016/
Brazil |
Integrative review/
10 articles/
Not classified in relation to the Level of Evidence |
To analyze scientific productions on patient safety. |
Scientific production related to the theme of patient safety has been increasing in recent years, following the discussions and intentions of the World Health Organization. |
| 12 |
Cuidados de enfermagem no pré-natal e segurança do paciente: revisão integrativa(5)
2016/
Brazil |
Integrative review/
280 articles/
Not classified in relation to the Level of Evidence |
To analyze the publications on patient safety during nursing care in prenatal care of Primary Health Care. |
Expansion of Family Health Strategy coverage and professional training can be strategies to qualify health care for safe and quality care for women in prenatal care. |
| 13 |
Aumento das cargas de trabalho em técnicos de enfermagem na Atenção Primária à Saúde no Brasil(11)
2016/
Brazil |
Multi-Institutional Clinical Trial
24 professionals/
Level V |
To analyze the aspects that contribute to increase workload of nursing technicians. |
Aspects that contribute to increase workload: low remuneration, lack of material resources, wear and illness, relationship with the user and scarcity of human resources. Prevailing overloads related to psychic and physiological conditions. |
| 14 |
Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams(19)
2016/
Scotland |
Qualitative study/
27 participants/
Level V |
To explore participants' perceptions and experiences about security. To identify facilitators and barriers to improving safety. |
The results indicated benefits of using the program; improvements in patient care systems; usefulness of program interventions. |
| 15 |
Prevalência da capacidade para o trabalho inadequada entre trabalhadores de enfermagem da atenção básica à saúde(20)
2017/
Brazil |
Cross-sectional study/
490 participants/
Level IV |
To describe the prevalence and characteristics of inadequate work capacity among nursing workers in the State of Bahia. |
Prevalence of inadequate work capacity was 17.9%, being higher among nurses (18.2%), when compared to nursing technicians and assistants (17.7%).
Changes are necessary both in the work environment and in the life of the worker. |
| 16 |
Validation of a moral distress instrument
in nurses of primary health care(21)
2018/
Brazil |
Methodological study/
391 participants/
Level VI |
To validate an instrument to identify the situations that triggered moral distress in nurses. |
Forty-six questions were validated, divided into six constructs: health policies, working conditions, nurse autonomy, professional ethical competence, disrespect for user autonomy and work overload. |
Construcciones de seguridad profesional en el contexto de la Atención Primaria de Salud
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