Quality of Work Life (QWL) and the musculoskeletal symptoms in Community Health Workers

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.2023.e5001

Keywords:

Workplace, Quality of Life, Musculoskeletal Diseases, Community Health Workers

Abstract

ABSTRACT | INTRODUCTION: The Community Health Agent, in their work environment, deals with several challenges, such as the numerous tasks, the demand for productivity, the lack of resources, interpersonal conflicts and inadequate salary conditions, thus implying physical and mental overload; aspects that can affect the quality of life and the onset of musculoskeletal disorders. OBJECTIVE: Evaluate the Quality of Life at Work (QWL) and the presence of musculoskeletal symptoms in Community Health Agents (CHA). METHODS: This is a cross-sectional study, with convenience sampling, in which the participants were the CHA servers working in the Family Health Units of the Second Health Health District in Maceió - Alagoas. Data were collected using the following instruments: a sociodemographic questionnaire; a quality of work life assessment questionnaire (QWLQ-bref); and the musculoskeletal symptoms questionnaire (QNSO). RESULTS: Thirty-eight CHAs participated, most of them female (86.8%). It was obtained an average QWL score of 59.84, which represents a satisfactory position. In the analysis by domains, the personal, psychological and physical are also in the range of satisfaction, except for the professional domain with a score of 53.44, classified as neutral. Regarding musculoskeletal symptoms, the neck (55.3%) and lumbar spine (47.4%) were the most affected regions in the last 12 months. CONCLUSIONS: The results of this study indicate the need to adopt improvements in working conditions, both in the sense of rethinking the issues that afect QWL, as well as in the management of musculoskeletal problems.

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References

(1) Presidência da República (Brasil). Lei nº 14.536, de 20 de janeiro de 2023. Altera a Lei nº 11.350, de 5 de outubro de 2006, a fim de considerar os Agentes Comunitários de Saúde e os Agentes de Combate às Endemias como profissionais de saúde, com profissões regulamentadas, para a finalidade que especifica [Internet]. Diário Oficial da União. 2023 jan. 20. Available from: http://www.planalto.gov.br/ccivil_03/_ato2023-2026/2023/lei/L14536.htm

(2) Presidência da República (Brasil). Lei nº 13.595, de 5 de janeiro de 2018. Altera a Lei nº 11.350, de 5 de outubro de 2006, para dispor sobre a reformulação das atribuições, a jornada e as condições de trabalho, o grau de formação profissional, os cursos de formação técnica e continuada e a indenização de transporte dos profissionais Agentes Comunitários de Saúde e Agentes de Combate às Endemias [Internet]. Diário Oficial da União. 2018 jan. 5. Available from: http://www.planalto.gov.br/Ccivil_03/_Ato2015-2018/2018/Lei/L13595.htm

(3) Almeida MCS, Baptista PCP, Silva A. Workloads and strain process in Community Health Agents. Rev Esc Enferm USP. 2016;50(1):93-100. https://doi.org/10.1590/S0080-623420160000100013

(4) Santos LT, Souza FO, Freitas PSP. Effects of work on sickness among community health agents - a literature review. Rev Aten Saúde. 2019;17(61):105-13. https://doi.org/10.13037/ras.vol17n61.5600

(5) Maciel FBM, Santos HLPC, Carneiro RAS, Souza EA, Prado NMBL, Teixeira CFS. Community health workers: reflections on the health work process in Covid-19 pandemic times. Ciênc Saúde Coletiva. 2020;25(suppl 2):4185-95. https://doi.org/10.1590/1413-812320202510.2.28102020

(6) Feroz AS, Khoja A, Saleem S. Equipping community health workers with digital tools for pandemic response in LMICs. Arch Public Health. 2021;79(1):1. https://doi.org/10.1186/s13690-020-00513-z

(7) Nogueira ML, Borges CF, Lacerda A, Fonseca AF, Vellasques AP, Morel CMM, et al. 2º Boletim da Pesquisa Monitoramento da saúde dos ACS em tempos de Covid-19 [Internet]. Rio de Janeiro: Fiocruz; 2020. Available from: https://www.arca.fiocruz.br/handle/icict/44597

(8) Mata MM, Castro DN, Gomes CA, Macêdo JA, Checchi MHR, Gama ASM, et al. The experience of the reorganization of primary health care and the work of community health workers in front of COVID-19 in a municipality in the interior of Amazonas. J Manag Prim Health Care. 2020;12:40. https://doi.org/10.14295/jmphc.v12.1014

(9) Costa ISS, Torres ACS, Bezerra MIC, Pires RR. Work process of Community Agents and mental health: health workers’s perceptions in a municipality in the interior of Ceará. Res Soc Dev. 2022;11(2):e4711225520. https://doi.org/10.33448/rsd-v11i2.25520

(10) Ferreira MC. Quality of Work Life (QWL): from “welfarism” to effective promotion. Laboreal. 2015;11(2). https://doi.org/10.4000/laboreal.3552

(11) Urtado MB, Ruiz VM. Management of quality of work life: the importance of the diagnostic analysis. Sinergia [Internet]. 2016;17(1):63-9. Available from: https://ojs.ifsp.edu.br/index.php/sinergia/article/view/154

(12) Camargo SF, Almino RHSC, Diógenes MP, Oliveira Neto JP, Silva IDS, Medeiros LC, et al. Quality of working life from the perspective of different groups of professionals working in a maternity hospital. Ciênc Saúde Coletiva. 2021;26(4):1467-76. https://doi.org/10.1590/1413-81232021264.02122019

(13) Cordioli Junior JR, Cordioli DFC, Gazetta CE, Silva AG, Lourenção LG. Quality of life and osteomuscular symptoms in workers of primary health care. Rev Bras Enferm. 2020;73(5):e20190054. https://doi.org/10.1590/0034-7167-2019-0054

(14) Ministério da Saúde (Brasil). Secretaria de Atenção à Saúde. Secretaria de Vigilância em Saúde. Saúde do trabalhador e da trabalhadora [Internet]. Brasília, DF: Ministério da Saúde, 2018. 136 p. Available from: http://renastonline.ensp.fiocruz.br/recursos/caderno-atencao-basica-41-saude-trabalhador-trabalhadora

(15) Paula ÍR, Marcacine PR, Castro SS, Walsh IAP. Work ability, musculoskeletal symptoms, and quality of life among community health workers in Uberaba, Minas Gerais, Brazil. Saude Soc. 2015;24(1):152-64. https://doi.org/10.1590/S0104-12902015000100012

(16) Suyama EHT, Lourenção LG, Cordioli DFC, Cordioli Junior JR, Miyazaki MCOS. Occupational stress and musculoskeletal symptoms in Community Health Workers. Cad Bras Ter Ocup. 2022;30:e2992. https://doi.org/10.1590/2526-8910.ctoAO22692992

(17) Cheremeta M, Pedroso B, Pilatti LA, Kovaleski JL. Construction of short version of QWLQ-78: a measurement instrument of quality of work life. R Bras Qual Vida. 2011;3(1). http://dx.doi.org/10.3895/S2175-08582011000100001

(18) Pinheiro FA, Tróccoli BT, Carvalho CV. Validity of the Nordic Musculoskeletal Questionnaire as morbidity measurement tool. Rev Saúde Pública. 2002;36(3):307-12. https://doi.org/10.1590/S0034-89102002000300008

(19) Nisihara R, Santos JC, Kluster GM, Favero G, Silva AB, Souza L. Sociodemographic and occupational profile and quality of life of health agents responsible for combating dengue in two towns in Parana, Brazil. Rev Bras Med Trab. 2018;16(4):393-9. https://doi.org/10.5327/Z1679443520180248

(20) Rocha NHN, Barletto M, Bevilacqua PD. Identity of community health agents: composing emerging rationalities. Interface. 2013;17(47):847-57. https://doi.org/10.1590/S1414-32832013005000031

(21) Méllo LMBD, Albuquerque PC, Santos RC, Felipe DA, Queirós AAL. Community health workers during Covid-19 pandemic: practices, legitimacy and professional education in Brazil. Interface. 2021;25(suppl 1):e210306. https://doi.org/10.1590/interface.210306

(22) Clemente MP, Pinto AGA, Martins AKL. Participatory management in the Family Health Strategy: reorientation of demand in the light of the Paideia Method. Saúde Debate. 2021;45(129):315-26. https://doi.org/10.1590/0103-1104202112905

(23) Ursine BL, Trelha CS, Nunes EFPA. The Community Health Agent within the Family Health Strategy: an investigation on work conditions and quality of life. Rev Bras Saúde Ocup. 2010;35(122):327-39. https://doi.org/10.1590/S0303-76572010000200015

(24) Pinheiro LS, Medeiros TCS, Valença CN, Dantas DKF, Santos MAP. Quality of life and work improvements according to community health agents. Rev Bras Med Trab. 2019;17(2):180-7. https://doi.org/10.5327/z1679443520190315

Published

10/03/2023

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Section

Original Articles

How to Cite

1.
Souza DR de A, de Carvalho VL, Souza CS. Quality of Work Life (QWL) and the musculoskeletal symptoms in Community Health Workers. Rev Pesq Fisio [Internet]. 2023 Oct. 3 [cited 2024 May 20];13:e5001. Available from: https://journals.bahiana.edu.br/index.php/fisioterapia/article/view/5001

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