Factors associated with satisfaction at work in Psychosocial Care Centers

cross-sectional study involving 546 workers from 40 Psychosocial Care Centers in the South of Brazil. The satisfaction was identified based on the Assessment Scale of Satisfaction in the Mental Health Team and a logistic regression model was used for the adjusted data analysis.

RESULTS:

the prevalence of satisfaction at work corresponded to 66.4%. Factors directly associated with satisfaction: higher-level function (except physicians and psychologists), work time of six months or less, making a larger number of home visits, good supervision by the team, possibility to make collective choices and take courses.

CONCLUSIONS:

the satisfaction is associated with the work organization and conditions and demonstrates the need to invest in team supervisions, in process that democratize the services and in the workers' training.

Job Satisfaction; Mental Health; Community Mental Health Services; Work

Variable		n	Satisfaction	OR (95% CI)	p value
Sex					0.869
	Male	111	65.8%	1.00
	Female	435	66.6%	1.03(0.67-1.61)
Age					0.012
	≤ 25 years	73	67.1%	1.00
	26 to 35 years	180	62.8%	0.83(0.46-1.47)
	36 to 45 years	143	62.9%	0.83(0.46-1.51)
	≥ 46 years	144	74.3%	1.42(0.77-2.62)
Marital Situation					0.199
	Single	190	66%	1.00
	Fixed partner	286	68.5%	1.10(0.74-1.63)
	Separated/divorced/widowed	67	57%	0.66(0.38-1.18)
Education					0.003^*
	Primary Education	61	78.7%	1.00
	Secondary Education	186	71.5%	0.68(0.34-1.35)
	Undergraduate	126	60%	0.41(0.20-0.83)
	Graduate	173	61.3%	0.43(0.22-0.85)
Type of CAPS					0.060
	CAPS I	257	71.7%	1.00
	CAPS II	181	62.5%	0.66(0.44-0.99)
	CAPS III	108	61%	0.63(0.39-1.00)
Salary					0.157
	≤ 2 Brazilian Minimum W.	208	70.2%	1.00
	>2 to 5 Brazilian Minimum W.	216	62%	0.69(0.46-1.04)
	> 5 Brazilian Minimum W.	70	61.4%	0.67(0.38-1.19)
Workload at CAPS					0.125
	1 to 20 Hours/week	166	69.1%	1.00
	21 to 30 Hours/week	152	59.9%	0.67(0.42-1.06)
	31 to 60 Hours/week	224	69.2%	1.00(0.65-1.55)
Workload Other Location					0.102
	0 Hour	382	68.6%	1.00
	1 to 18 Hours	46	71.7%	1.16(0.59-2.29)
	20 to 30 Hours	77	59.7%	0.68(0.41-1.12)
	31 to 135 Hours	41	52.5%	0.59(0.26-0.98)
Function in CAPS					0.007
	Physician and Psychologist	111	54.1%	1.00
	Other higher-level functions^†	170	67.5%	1.76(1.08-2.88)
	Secondary and Primary-level Functions	265	74.7%	2.07(1.31-3.28)
Employment Contract					0.004
	CLT/Statutory	359	61.8%	1.00
	Temporary contract	159	74.7%	1.82(1.20-2.76)
Length of experience in CAPS					<0.001
	1 to 6 months	133	83.5%	1.00
	7 to 24 months	143	59.9%	0.29(0.17-0.52)
	25 to 250 months	267	61.1%	0.31(0.18-0.52)
Smoking					0.127
	No	438	67.3%	1.00
	Yes	59	73.9%	1.31(0.71-2.40)
	Former Smoker	46	54.4%	0.58(0.31-1.07)
Alcohol consumption					0.083
	Does not drink	208	72.1%	1.00
	1 per month or more	138	62.3%	0.64(0.40-1.01)
	2 per month or more	182	63.2%	0.66(0.43-1.02)

Variable		n	Satisfaction	OR (95% CI)	p value
Home Visits					0.070
	Up to 5 HV/month	356	64.3%	1.00
	Between 6 and 40 VD/month	87	74.4%	1.61(0.95-2.74)
Care in Groups					0.227
	0 Care in Groups (CG)	162	71%	1.00
	1 to 12 CG/month	176	66%	0.78(0.49-1.24)
	13 to 360 CG/month	105	61%	0.63(0.37-1.07)
Team Meetings (TM)					0.615
	0 TM	86	66.3%	1.00
	1 to 4 TM/month	291	63.5%	0.88(0.53-1.46)
	5 to 31 TM/month	93	68.8%	1.12(0.60-2.10)
Supervision MHS					<0.001
	Bad (0,1,2,3)	205	55.6%	1.00
	Intermediary (4,5,6)	96	60.4%	1.21(0.74-1.99)
	Good (7,8,9,10)	204	78.9%	3.15(2.03-4.89)
Supervision Team					<0.001
	Bad or Unsatisfactory	67	29.9%	1.00
	Intermediary	67	58.2%	3.27(1.60-6.68)
	Good	373	74.2%	6.76(3.81-11.98)
Supervision Community					<0.001
	Bad or Unsatisfactory	224	54.5%	1.00
	Intermediary	92	59.8%	1.24(0.75-2.03)
	Good	182	81.8%	3.74(2.36-5.93)
Lack of tools					<0.001
	No	249	80.7%	1.00
	Yes	283	53%	0.27(0.18-0.40)
Collective choices					<0.001
	No	47	40.4%	1.00
	Yes	486	68.5%	3.20(1.73-5.90)
Can take courses					<0.001
	No	137	48.2%	1.00
	Yes	379	72%	2.76(1.84-4.12)
Absences in previous 6 months					0.008
	No	335	71%	1.00
	Yes	204	59%	0.61(0.43-0.87)
Health Problems					0.037
	No	373	69.1%	1.00
	Yes	148	59.5%	0.65(0.44-0.98)
SRQ – 20					0.003
	Negative	381	71.1%	1.00
	Positive	28	42.9%	0.30(0.14-0.66)
Burden					<0.001
	No	272	78.9%	1.00
	Yes	269	54.3%	0.32(0.22-0.47)

Variable		Adjusted OR* (95% CI)	p value
Education			0.045
	Primary Education	1.00
	Secondary Education	0.60(0.28-1.28)
	Undergraduate	0.23(0.08-0.65)
	Graduate	0.26(0.08-0.82)
Function in CAPS			0.012
	Physician and Psychologist	1.00
	Other high-level functions^†	1.86(1.11-3.12)
	Secondary and Primary-level Functions	0.70(0.27-1.81)
Employment Contract			0.052
	CLT/Statutory	1.00
	Temporary Contracts	1.57(0.99-2.48)
Length of experience in CAPS			0.0001
	1 to 6 months	1.00
	7 to 24 months	0.30(0.17-0.55)
	25 to 250 months	0.36(0.20-0.63)
Home Visits			0.03
	Up to 5 HV/month	1.00
	Between 6 and 40 HV/month	1.84(1.04-3.25)
Supervision Team			0.001
	Bad or Unsatisfactory	1.00
	Intermediary	3.50(1.42-8.61)
	Good or Satisfactory	3.94(1.86-8.38)
Lack of tools			0.0002
	No	1.00
	Yes	0.38(0.23-0.64)
Collective Choices			0.001
	No	1.00
	Yes	7.39(1.86-29.31)
Can take Courses			0.006
	No	1.00
	Yes	2.27(1.27-4.06)
SRQ 20			0.09
	Negative	1.00
	Positive	0.34(0.12-0.94)
Burden			0.022
	No	1.00
	Yes	0.48(0.25-0.90)

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
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Sonia Regina da Costa Lapischies Universidade Federal de Pelotas. Faculdade de Enfermagem Rua Almirante Barroso, 1056 Centro CEP: 96010-280, Pelotas, RS, Brasil E-mail: sonia_lapisx@hotmail.com