Federal University of Santa Catarina, Brazil
Nursing Department
Postgraduate Program in Nursing
Job satisfaction and dissatisfaction in
Primary Health Care in Brazil: a
dissertation in construction
Jacks Soratto, Phd candidate
Responsible professor Denise Elvira Pires de Pires, Phd
INTRODUCTION
 The Family Health Strategy (FHS) was created in 1994.
 Principles of Primary Health Care (PHC).
 Reorganization of the health care model in Brazil.
Family Health Strategy results
 Distribution of medications and examinations.
 Vaccination coverage.
 Infant mortality.
 Indicators of hospitalization for heart problems.
(BRASIL, 2008; 2012; 2015; MENDES, 2012).
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
INTRODUCTON
Professionals and Actions
• It is composed of a multidisciplinary team.
• Health promotion, disease prevention, cure and
health rehabilitation inside and outside of the
Health Care Centers.
Family Health Strategy Numbers
 39.000 family health care teams.
 97% of Brazilian cities.
 66% of the population.
 14% of all health care facilities in Brazil.
(BRASIL, 2008; 2012a,2015; MENDES, 2012).
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
AIM OF THE STUDY
To analyze the elements that contribute to job
satisfaction
and
dissatisfaction
of
professionals in the Family Health Strategy in
Brazil.
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
METHOD
TYPE OF STUDY
Brazilian guidelines on PHC.
Karl Marx
Qualitative
Christhophe Dejours.
(MORSE, 2003; DEJOURS, 2004, 2009; MINAYO, 2010; POLIT, BECK, 2011; BRASIL, 2012; MARX, 2012).
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
METHOD
LOCAL AND RESEARCH PARTICIPANTS
Participants
 76 Health Care professionals.





Local
Nurses, nursing assistants.
Dentists, oral health assistants.
Doctors.
Psychologist.
Pharmacist.
 11 Health Care Centers.
 27 health teams.
 Distributed in all regions of Brazil.
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
METHOD
DATA ANALYSIS
Thematic Content Analysis
 Laurence Bardin’s (2011)
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
METHODS
DATA ANALYSIS
Stages of the thematic analysis
1st phase: pre-analysis.
Atlas.ti Software
The hermeneutic unit was created and all primary
documents were also inserted.
Quotations were selected
Codes and memos were set, and the codes were
2nd phase: data exploration.
grouped into families.
The analysis tools were also used, mainly the
codes-primary documents table and codings
analyzer.
Quotations, codes, families and memos were
3rd phase: interpretation.
articulated.
Networks were generated and finally the outputs
were extracted.
METHODS
All national and international ethical
principles for research involving
human beings were respected.
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
PRELIMINARY RESULTS OF THE STUDY
Table 1 – Distribution of the prevalence of primary documents [n = 81], quotations
[n = 2372] and codes [n = 525], according to the geographical region of Brazil.
Geografic region
Primary documents
Quotations
Codes
n
%
n
%
n
%
Midwest
20
24,7
631
26,6
106
21,2
Northeast
21
25,9
619
26,1
114
22,3
North
11
13,6
236
9,9
91
15,4
Southest
17
21,0
500
21,1
113
21,4
Soulth
12
14,8
386
16,3
101
19,6
Total
81
100,0
2372
100,0
525
100,0
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
PRELIMINARY RESULTS OF THE STUDY
JOB SATISFACTION IN FAMILY HEALTH STRATEGY
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
PRELIMINARY RESULTS OF THE STUDY
JOB DISSATISFACTION IN FAMILY HEALTH STRATEGY
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
BENEFITS OF THE ATLAS.TI SOFTWARE
1- Software X methods
Laurence Bardin’s
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
BENEFITS OF THE ATLAS.TI SOFTWARE
2- Organization of texts and documents
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
BENEFITS OF THE ATLAS.TI SOFTWARE
3- Organization the participants’ profiles
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
BENEFITS OF THE ATLAS.TI SOFTWARE
4- Organization the study categories
Jacks Soratto and Denise Pires – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
BENEFITS OF THE ATLAS.TI SOFTWARE
 Data security.
 Time reduction for analysis.
 Trustful research.
 Happiness researcher
Jacks Soratto – Job satisfaction and dissatisfaction in Primary Health Care in Brazil: a dissertation in construction
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BRASIL. Ministério da Saúde. Departamento da Atenção Básica. Histórico de Cobertura da Atenção Básica e Saúde da Família.
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