RESUMO
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Assuntos
Humanos , Estilo de Vida , Atividade Motora , Acidentes de Trânsito/prevenção & controle , Alcoolismo/prevenção & controle , Dieta , Fumar/prevenção & controleRESUMO
OBJECTIVE: To describe the quality of professional life (QPL) as perceived by primary care workers and to measure the organizational climate (OC). To identify the influence of OC on QPL and the variables that explain this relationship. DESIGN: Cross-sectional study. SETTING: Primary care centres in the Menorca Health Area (Balearic Islands, Spain). PATIENTS: One hundred and sixty six primary care, including health-workers and others. MAIN MEASUREMENTS: Two anonymous, self-administered, PC-validated questionnaires were filled in: QPL-35 (dimensions: perception of demands, support from managers, and motivation) and OC (dimensions: team-work, cohesion, and commitment). Age, seniority, professional group, job relationship, and the health centre were analysed. RESULTS: Positive answers: 67.4%. Average QPL was 5.78, lower for older workers and higher among those perceiving more cohesion. Average score for perceived demands was 5.53, higher among physicians and less if there is high commitment. Support from managers was 4.9, positively associated with cohesion and team-work and negatively associated with permanent workers and clerical staff. Intrinsic motivation was 7.43, greater if commitment was higher. Regardless of age, professional category and seniority, there was a significant association between OC and QPL (strongest in the motivation [r2=0.26] and managerial support [r2=0.476] dimensions). CONCLUSIONS: OC influences QPL, especially in motivation and managerial support. Commitment enhances motivation and perception of demands. Where there is better cohesion and team-work, the manager s support is also rated more highly.
Assuntos
Pessoal de Saúde , Satisfação no Emprego , Política Organizacional , Adulto , Estudos Transversais , Humanos , Qualidade de Vida , Inquéritos e QuestionáriosRESUMO
Objetivo. Describir la calidad de vida profesional (CVP) percibida por los trabajadores de atención primaria (AP) y el clima de la organización (CO) de sus centros, y conocer la influencia del CO sobre la CVP y las variables que explican esta relación. Diseño. Transversal, analítico. Emplazamiento. Centros de atención primaria del Área de Salud de Menorca. Participantes. Un total de 166 profesionales sanitarios y no sanitarios. Mediciones principales. Dos cuestionarios anónimos autoadministrados y validados en AP: CVP-35 (dimensiones: demandas, apoyo directivo y motivación) y CO (dimensiones: trabajo en equipo, cohesión y compromiso). Se analizan la edad, la antigüedad, el grupo profesional, la relación laboral y el centro sanitario. Resultados. La tasa de respuestas fue del 67,4%. La CVP global es 5,78, peor a mayor edad y mejor cuanta más cohesión. La percepción de demandas es 5,53, más en médicos y menos si hay un elevado compromiso. El apoyo directivo se valora en 4,9, mejor cuanta más cohesión y trabajo en equipo y peor en trabajadores fijos y administrativos. La motivación intrínseca es 7,43 y aumenta con el incremento del compromiso. Hay asociación entre CO y QVP (mayor en las dimensiones motivación [r2 = 0,26] y apoyo directivo [r2 = 0,476]), independientemente de la edad, el grupo profesional y la antigüedad laboral. Conclusiones. El clima influye en la calidad de vida profesional, especialmente en la motivación y el apoyo directivo. El compromiso mejora la motivación intrínseca y la percepción de demandas. La valoración del apoyo directivo mejora si lo hacen la cohesión y el trabajo en equipo
Objective. To describe the quality of professional life (QPL) as perceived by primary care workers and to measure the organizational climate (OC). To identify the influence of OC on QPL and the variables that explain this relationship. Design. Cross-sectional study. Setting. Primary care centres in the Menorca Health Area (Balearic Islands, Spain). Patients. One hundred and sixty six primary care, including health-workers and others. Main measurements. Two anonymous, self-administered, PC-validated questionnaires were filled in: QPL-35 (dimensions: perception of demands, support from managers, and motivation) and OC (dimensions: team-work, cohesion, and commitment). Age, seniority, professional group, job relationship, and the health centre were analysed. Results. Positive answers: 67.4%. Average QPL was 5.78, lower for older workers and higher among those perceiving more cohesion. Average score for perceived demands was 5.53, higher among physicians and less if there is high commitment. Support from managers was 4.9, positively associated with cohesion and team-work and negatively associated with permanent workers and clerical staff. Intrinsic motivation was 7.43, greater if commitment was higher. Regardless of age, professional category and seniority, there was a significant association between OC and QPL (strongest in the motivation [r2=0.26] and managerial support [r2=0.476] dimensions). Conclusions. OC influences QPL, especially in motivation and managerial support. Commitment enhances motivation and perception of demands. Where there is better cohesion and team-work, the manager´s support is also rated more highly
Assuntos
Masculino , Feminino , Humanos , Pessoal de Saúde/estatística & dados numéricos , Satisfação no Emprego , 16359 , 16360 , Atenção Primária à Saúde/estatística & dados numéricos , Esgotamento Profissional/epidemiologiaRESUMO
La motivación del paciente ha sido considerada como un requisito previo de cualquier tratamiento o intervención psicoterapéutica sin el cual la efectividad de la misma se vería mermada. En los últimos años han sido muchos los trabajos que han centrado sus esfuerzos en el estudio de la motivación en el contexto de la práctica clínica. En la intervención de las personas que padecen esquizofrenia el trabajo sobre la motivación se hace imprescindible, dados los factores clínicos vinculados a la enfermedad. El presente trabajo revisa los estudios que presentan intervenciones motivacionales en pacientes que sufren esquizofrenia, además de aportar algunas consideraciones de la intervención motivacional en la esquizofrenia en la práctica clínica
Patient motivation has been considered as a previous requirement of any treatment or psychotherapy effectiveness. In the last years a lot of studies have worked hard about motivation in clinical practice context. In the intervention of the schizophrenic patients the work on the motivation is made essential, once the clinical factors linked to the illness have been given. The current study review the studies that present motivational interventions in patients who suffer schizophrenia, besides contributing some considerations of the motivational intervention in the illnes
