Career commitment and entrenchment among Primary Care nurses

This is a cross-sectional study, carried out in 2018, with primary care nurses from two cities in the state of São Paulo. The Career Commitment and Entrenchment Scales, validated in Brazil, and consisting of 12 items each, were used, and assess: identity, resilience, and planning, related to commitment; emotional costs, investments, and limitation of career alternatives, related to entrenchment.

Results:

The mean score of career commitment (61.4 points) was higher than that of career entrenchment (57.8 points); the identity factor had a high level (70.9 points); resilience and career planning obtained medium levels (62.5 and 50.8 points, respectively). Career entrenchment (57.8 points) and its respective factors reached medium levels (investments: 57.7 points; limitation of alternatives: 58.8 points; emotional costs: 57.0 points).

Conclusion:

The nurses showed a predominance of the career commitment relationship, as they showed a greater link of identification and positive relationship than of career stagnation.

DESCRIPTORS
Career Mobility; Occupational Health Nursing; Working Environment; Primary Health Care; Nursing

Variables	Municipality A	Municipality B
Variables	n (%)	n (%)
Total	77 (100.0)	15 (100.0)
Sex
Male	5 (5.2)	1 (6.7)
Female	72 (93.5)	14 (93.3)
Did not answer	1 (1.3)	–
Age range
From 20 to 30 years	16 (20.8)	1 (6.7)
From 31 to 40 years	32 (41.6)	9 (60.0)
From 41 to 50 years	19 (24.7)	3 (20.0)
51 years or above	6 (7.8)	2 (13.3)
Did not answer	4 (5.2)	–
Marital status
Married	44 (57.1)	12 (80.0)
Single	27 (35.1)	2 (13.3)
Divorced	5 (6.5)	–
Widow(er)	1 (1.3)	1 (6.7)
Level of education
Undergraduate course	10 (13.0)	3 (20.0)
Graduate certificate	63 (81.8)	12 (80.0)
Master degree	2 (2.6)	–
PhD	2 (2.6)	–
Type of agreement
Selected for public job	53 (68.8)	12 (80.0)
Hired	24 (31.2)	3 (20.0)
Family income (in minimum salaries)*
Two to five	24 (31.2)	10 (66.7)
Six to 10	39 (50.6)	2 (13.3)
More than 10	12 (15.6)	3 (20.0)
Did not answer	2 (2.6)	–
Health unit manager
Yes	31 (40.3)	9 (60.0)
No	46 (59.7)	6 (40.0)
Length of work at PHC
Up to two years	17 (22.1)	2 (13.3)
Two to five years	21 (27.3)	5 (33.3)
Six to 10 years	16 (20.8)	2 (13.3)
11 to 20 years	20 (26.0)	4 (26.7)
More than 20 years	1 (1.3)	2 (13.3)

Relationships with career	Standardized means (±sd)	Classification
Career commitment	61.4 (±6.8)	Medium
Identification with career	70.9 (±10.3)	High
Planning with career	50.8 (±10.5)	Medium
Resilience with career	62.5 (±17.5)	Medium
Entrenchment with career	57.8 (±7.6)	Medium
Investments in the career	57.7 (±18.2)	Medium
Limitation of alternatives in the career	58.8 (±8.7)	Medium
Emotional costs in the career	57.0 (±10.1)	Medium

Relationships with career	Standardized means (±sd)		p-value*
Relationships with career	Municipality A	Municipality B	p-value*
Career commitment	61.2 (±7.2)^a	62.4 (±4.3)^a	0.833
Identification with careers	70.7 (±9.5)^b	72.0 (±14.0)^b	0.779
Planning with career	50.0 (±10.4)^a	55.0 (±10.0)^a	0.286
Resilience with career	62.9 (±17.9)^a	60.3 (±15.9)^a	0.460
Career entrenchment	57.6 (±7.3)^a	59.0 (±8.7)^a	0.346
Investments in the career	58.3 (±17.8)^a	55.0 (±20.2)^a	0.963
Limitation of alternatives in the career	58.1 (±9.0)^a	62.4 (±6.3)^a	0.115
Emotional costs in the career	56.4 (±10.1)^a	59.7 (±10.3)^a	0.495

Sociodemographic and professional variables	Career commitment				Career entrenchment
Sociodemographic and professional variables	Identification	Planning	Resilience	General construct	Investments	Limitation of alternatives	Emotional costs	General construct
Sex
Male	67.0 (±6.7)^a	51.0 (±10.2)^a	58.0 (±13.0)^a	58.7 (±8.8)^a	52.2 (±14.4)^a	63.0 (±2.7)^a	60.0 (±5.0)^a	58.3 (±5.9)^a
Female	71.3 (±10.3)^b	50.7 (±10.5)^a	62.6 (±17.8)^a	61.5 (±6.7)^a	58.3 (±18.4)^a	58.5 (±8.9)^a	57.0 (±10.2)^a	57.9 (±7.6)^a
p-value	0.363	0.237	0.950	0.487	0.882	0.398	0.016	0.270
Level of education
Undergraduate course	72.7 (±10.1)^b	50.4 (±6.3)^a	58.9 (±15.6)^a	60.6 (±5.1)^a	49.6 (±21.6)^a	57.8 (±8.5)^a	54.6 (±11.6)^a	54.0 (±9.0)^a
Graduate certificate	70.9 (±10.2)^b	51.5 (±10.6)^a	63.2 (±17.9)^a	61.8 (±6.8)^a	59.4 (±17.1)^a	58.9 (±9.0)^a	57.7 (±9.9)^a	58.6 (±7.0)^a
Master’s degree	67.5 (±17.7)^a	45.0 (±7.1)^a	62.5 (±17.7)^a	58.3 (±14.1)^a	65.0 (±14.1)^a	65.0 (±0.0)^a	55.0 (±7.1)^a	61.7 (±7.1)^a
PhD	62.5 (±10.6)^a	35.0 (±21.2)^a	60.0 (±28.3)^a	52.5 (±1.2)^a	40.0 (±28.3)^a	57.5 (±3.5)^a	47.5 (±10.6)^a	48.3 (±11.8)^a
p-value	0.227	0.588	0.138	0.872	0.044	0.141	0.755	0.416
Type of agreement
Selected for public position	70.4 (±9.7)^b	52.2 (±10.1)^a	64.5 (±17.1)^a	62.4 (±6.6)^a	60.8 (±16.1)^a	58.7 (±8.2)^a	57.7 (±9.7)^a	59.0 (±6.4)^a
Hired	72.0 (±11.7)^b	47.6 (±10.8)^a	57.6 (±18.0)^a	59.1 (±6.8)^a	50.4 (±20.9)^a	59.1 (±10.0)^a	55.2 (±11.1)^a	54.9 (±9.3)^a
p-value	0.033	0.485	0.056	0.084	0.015	0.012	0.860	0.282
Length of work at PHC
Up to two years	75.0 (±10.3)^b	48.4 (±9.0)^a	53.4 (±17.6)^a	58.9 (±7.5)^a	47.9 (±20.5)^a	54.5 (±9.7)^a	61.6 (±9.1)^a	54.6 (±9.4)^a
Two to five years	69.4 (±10.7)^a	53.3 (±11.9)^a	62.9 (±16.7)^a	61.9 (±6.4)^a	55.4 (±15.9)^a	61.9 (±8.3)^a	56.4 (±9.2)^a	57.9 (±5.5)^a
Six to 10 years	67.8 (±9.4)^a	50.6 (±8.0)^a	70.0 (±16.9)^b	62.8 (±6.3)^a	63.9 (±11.8)^a	59.7 (±6.5)^a	56.7 (±9.2)^a	60.1 (±5.3)^a
11 to 20 years	72.1 (±9.8)^b	49.6 (±12.2)^a	62.7 (±17.8)^a	61.6 (±7.0)^a	62.3 (±20.7)^a	57.2 (±9.0)^a	55.4 (±12.5)^a	58.3 (±9.3)^a
Above 20 years	63.3 (±11.5)^a	55.0 (±8.7)^a	60.0 (±8.7)^a	59.4 (±2.5)^a	71.7 (±7.6)^b	63.3 (±5.8)^a	50.0 (±0.0)^a	61.7 (±4.4)^a
p-value	0.468	0.129	0.536	0.074	0.221	0.022	0.040	0.205

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Luciano Garcia Lourenção, Rua General Osório, s/nº, 4º piso, Centro, 96201-900 – Rio Grande, RS, Brazil, lucianolourencao.enf@gmail.com

Brasil

Brasil

Career commitment and entrenchment among Primary Care nurses** Extracted from the thesis: “Comprometimento e entrincheiramento com a carreira de enfermeiros da Atenção Primária à Saúde”, Faculdade de Medicina de São José do Rio Preto, Programa de Pós-Graduação em Enfermagem, 2021.

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Career commitment and entrenchment among Primary Care nurses^** Extracted from the thesis: “Comprometimento e entrincheiramento com a carreira de enfermeiros da Atenção Primária à Saúde”, Faculdade de Medicina de São José do Rio Preto, Programa de Pós-Graduação em Enfermagem, 2021.