Fatores associados à satisfação no trabalho de trabalhadores de CAPS do sul do Brasil

Abstract

The investigation of the repercussion of work in communitarian based services through extensive epidemiological studies with the use of standardized and validated scales, such as the Brazilian Mental Health Services Staff Satisfaction Scale (SATISBR) and Brazilian Mental Health Services Staff Burden Scale (IMPACTO-BR), provides subvention to assess the sustainability of mental health teams in the community care. This is a substudy of CAPSUL II Project, supported by the Health Ministry, aiming to evaluate the Psychosocial Care Centers in Southern Brazil. It consists in a cross-sectional study with 546 individuals that work in 40 Psychosocial Care Centers (CAPS). The goal of this study was to analyze satisfaction and work overload in services in Southern Brazil, as measured by the scales and SATIS-BR and IMPACTO-BR and also to test their associations with demographic variables, type of service, working conditions, work organization, absenteeism and health conditions. However the results presented here refer to the analysis of job satisfaction. The prevalence of satisfaction found in the studied sample was 66.4% and the average of global satisfaction was 3.6 (for values of 1 to 5). After adjustment they were associated with satisfaction: CAPS function in superior level (except physicians and psychologists) with greater satisfaction; working time in CAPS for 6 months or less to greater satisfaction; satisfactory team supervision to greater satisfaction; doing more number of home visits to grater satisfaction; lack of tools to work with to lower prevalence of satisfaction; possibility of making collective choices to greater satisfaction; opportunity to take courses to greater satisfaction; presence of work overload with less satisfaction. The results show an association of satisfaction with factors related to job content and working conditions in CAPS and also that one third of worker is dissatisfied in their work. These provide elements to direct the search for strategies of services organization that contemplate the needs and aspirations of the segments involved, because they show the necessity to invest in supervision by the service team, in processes that democratize the services and also in the training of their workers.