Abstract
Abstract
Background
Health professionals in many parts of the world are cases, work in precarious conditions and intend to migrate to other countries in search of better living conditions for themselves and their families, which results in inadequate distribution worldwide and in the quality of care throughout the health system, which can ultimately influence the quality of life of patients in their health-disease processes.
Purpose
To analyze what quality of life at work is like for the health workforce in adult critical care (ACC) from an integrative approach.
Methods
This is an investigation of convergent parallel mixed methods that are integrated by means of a matrix in terms of convergence, divergence and complementarity. Two simultaneous moments of an analytical transversal type and another in narrative are included. Three instruments were applied to 209 Human Talent in Health to study the relationship among the Quality of Life at Work, exposure to psychosocial risks, compassion fatigue and the intention to rotate, and organizational practices in critical care were explored from the experiences narrated by 10 participants.
Results
The health workforce is dissatisfied with the management of their free time (77%). An unfavorable aspect for health is associated with the pace of work (84%), and there is an intention to migrate to another country (66%); they have high compassion satisfaction (67%). The narrative results in discrimination/harassment as normalized practices and faceless spirituality. The integration of mixed methods shows convergence between the use of the instrument that measures quality of life at work and the narratives of the participants, complementarity with the other instruments, and divergence regarding the intention to rotate to another health institution.
Conclusion
This study highlights the fact that the healthcare workforce is highly engaged, resilient, and adaptive in favor of an organizational culture that resists leaving the critical care ranks for a limited time.
Publisher
Research Square Platform LLC
Reference39 articles.
1. Pérez Gutiérrez N, Rodríguez Darabos EI. Talento humano en unidades de cuidado intensivo: adaptación de un modelo de estándares para Colombia basado en la evidencia científica. Acta Colomb Cuid Intensivo [Internet]. 2015;15(2):80–102. Available from: http://dx.doi.org/10.1016/j.acci.2015.02.006.
2. Giarelli E, Denigris J, Fisher K, Maley M, Nolan E. Perceived Quality of Work Life and Risk for Compassion Fatigue Among Oncology Nurses: A Mixed-Methods Study. Oncol Nurs Forum [Internet]. 2016;43(3):E121–31. Available from: http://onf.ons.org/onf/43/3/perceived-quality-work-life-and-risk-compassion-fatigue-among-oncology-nurses-mixed-methods.
3. González M, López M. del C. Quality of life in the work of nursing staff in health service clinics. Rev Colomb Salud Ocup [Internet]. 2019;9(1):1–7. Available from: https://doi.org/10.18041/2322-634X/rcso.1.2019.6418.
4. O’Cathain A, Murphy E, Nicholl J. The Quality of Mixed Methods Studies in Health Services Research. J Health Serv Res Policy [Internet]. 2008 Apr 21 [cited 2022 Apr 20];13(2):92–8. Available from: https://journals.sagepub.com/doi/full/10.1258/jhsrp.2007.007074.
5. Nowrouzi-Kia B, Nixon J, Ritchie S, Wenghofer E, VanderBurgh D, Sherman J. Quality of work life of paramedics practicing community paramedicine in northern Ontario, Canada: a mixed-methods sequential explanatory study. Rural Remote Health [Internet]. 2021;21(2):3–11. Available from: https://www.rrh.org.au/journal/article/6558.