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Introdução: A prestação de cuidados domiciliários representa um desafio para os
profissionais de saúde. No caso particular de serviços de cuidados paliativos (CP),
estão frequentemente expostos a elementos stressantes, pela sua prática diária
junto de utentes em sofrimento e próximos do fim de vida.
Objetivos: Avaliar os níveis de satisfação profissional (SP) e de burnout dos
profissionais das Equipas Comunitárias de Suporte em Cuidados Paliativos (ECSCP),
em Portugal. Identificar a associação entre a SP e o Burnout nas ECSCP enquanto
promotoras da qualidade dos serviços.
Metodologia: Estudo epidemiológico, analítico, observacional e transversal,
integrado numa investigação do Observatório Português dos Cuidados Paliativos. A
população alvo do estudo foram os profissionais das ECSCP existentes em Portugal
continental e regiões autónomas, a 31 dezembro de 2017. Os profissionais
responderam a um questionário disponibilizado on-line (aplicação Limesurvey) entre
26 de julho e 9 de setembro de 2018.
Resultados: Com uma taxa de resposta de 42,7%, a amostra foi constituída por 35
profissionais. O nível de SP foi de 80%, sendo de 90,0% com a melhoria contínua da
qualidade, 85,0% com a qualidade da prestação de cuidados e 76,0% com a
qualidade do local de trabalho. O nível de burnout pessoal foi de 30,2%, relacionado
com trabalho 34,9% e com o utente 20,0 %.
Discussão e conclusão: Não foram encontradas associações estatisticamente
significativas do burnout com as caraterísticas sociodemográficas e organizacionais
da amostra. Verificámos que os níveis de burnout são influenciados, sobretudo, pela
SP. Não foram encontrados estudos que avaliem a SP em CP pelo que consideramos
este estudo pertinente e inovador. Os resultados, mesmo sem validade externa,
constituem uma mais valia para orientar futuros estudos e servir de linhas
orientadoras para uma política de gestão de recursos humanos em CP em Portugal.
Introduction: The home care services represent a challenge for health professionals. In the particular case of palliative care services (PC), they are often exposed to stress elements, due to their daily practice among suffering and near-end patients. Objectives: To evaluate the job satisfaction (JS) and burnout levels of the professionals of the Palliative Care Community Support Teams (PCCST) in Portugal. To identify the association between JS and Burnout in PCCST as promoters of service quality. Methodology: Epidemiological, analytical, observational and transversal study, integrated in an investigation of the Portuguese Observatory of Palliative Care. The target study population was the PCCST professionals in mainland Portugal and autonomous island regions, on December 31, 2017. The professionals answered to a questionnaire available online (Limesurvey application) from July 26 to September 9, 2018. Results: With a response rate of X%, the sample was formed by 35 professionals. The JS level was 80%, 90.0% related to the continuous quality improvement, 85.0% related to the quality care services and 76.0% related to the quality of the work place. The personal burnout level was 30.2%, 34.9% related to work and 20.0% related to the user. Discussion and conclusion: There weren´t found statistically significant associations of burnout with the sociodemographic and organizational characteristics of the sample. We noted that burnout levels are mainly influenced by JS There weren´t found JS evaluation studies in PC, therefore, we consider this study relevant and innovative. The results, even without external validity, constitute an added value to guide future studies and serve as guidelines for a PC human resources management policy in Portugal.
Introduction: The home care services represent a challenge for health professionals. In the particular case of palliative care services (PC), they are often exposed to stress elements, due to their daily practice among suffering and near-end patients. Objectives: To evaluate the job satisfaction (JS) and burnout levels of the professionals of the Palliative Care Community Support Teams (PCCST) in Portugal. To identify the association between JS and Burnout in PCCST as promoters of service quality. Methodology: Epidemiological, analytical, observational and transversal study, integrated in an investigation of the Portuguese Observatory of Palliative Care. The target study population was the PCCST professionals in mainland Portugal and autonomous island regions, on December 31, 2017. The professionals answered to a questionnaire available online (Limesurvey application) from July 26 to September 9, 2018. Results: With a response rate of X%, the sample was formed by 35 professionals. The JS level was 80%, 90.0% related to the continuous quality improvement, 85.0% related to the quality care services and 76.0% related to the quality of the work place. The personal burnout level was 30.2%, 34.9% related to work and 20.0% related to the user. Discussion and conclusion: There weren´t found statistically significant associations of burnout with the sociodemographic and organizational characteristics of the sample. We noted that burnout levels are mainly influenced by JS There weren´t found JS evaluation studies in PC, therefore, we consider this study relevant and innovative. The results, even without external validity, constitute an added value to guide future studies and serve as guidelines for a PC human resources management policy in Portugal.
Descrição
Palavras-chave
Cuidados paliativos Cuidados paliativos domiciliários Satisfação profissional Burnout Palliative care Home palliative care Professional satisfaction