Relationship between team climate and satisfaction at work in the Family Health Strategy

Peduzzi, Marina; Agreli, Heloise Lima Fernandes; Espinoza, Pilar; Koyama, Mitti Ayako Hara; Meireles, Everson; Baptista, Patrícia Campos Pavan; West, Michael

doi:10.11606/s1518-8787.2021055003307

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Original Article • Rev. Saúde Pública 55 • 2021 • https://doi.org/10.11606/s1518-8787.2021055003307 copy

Relationship between team climate and satisfaction at work in the Family Health Strategy

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

OBJECTIVE

To analyze the association between team climate, team characteristics and satisfaction at work in teams of the Estratégia Saúde da Família com Saúde Bucal (Family Health Strategy with Oral Health) (ESF with SB).

METHODS

Cross-sectional correlational study with ESF teams with SB in the municipality of São Paulo. Universe of 1,328 teams and random sample of 124 teams with 1,231 professionals. Applied questionnaire with data teams’ characterization, team climate scale, and satisfaction at work. Analysis of validity, of climate and satisfaction scores through mean among professionals in each team, cluster analysis, association between variables by Pearson’s correlation and Chi-square, and tested linear regression model for the two factors of satisfaction at work.

RESULTS

There was a directly proportional association between team climate and satisfaction at work. The better the climate with regard to team goals, the greater the intrinsic satisfaction at work and with the physical environment. The better the climate with regard to team goals and task orientation, the greater the satisfaction with hierarchical relations. The group with best team climate reported higher percentage of teams ranked with better satisfaction at work, and in the group with the worst team climate there was higher percentage of teams with the lowest satisfaction at work.

CONCLUSIONS

The study provides consistent although moderate evidence of association between favorable teamwork climate and job satisfaction in ESF with SB. It emphasizes the dimensions of climate, common goals and task orientation, and may serve as subsidy for management and permanent education of teams, aiming at the quality of care to the health needs of users, family and community in APS.

Family Health Strategy; Workforce, organization & administration; Work Engagement; Job Satisfaction; Dental Health Services

	Mean	95%CI	Standard Error	Minimum
Length of time working on the team (months)	61.83	59.91–63.74	0.97	14.70
Team size (registry)	11.41	11.29–11.54	0.06	9.00
Teamwork climate
Participation in the team	78.77	78.14–79.40	0.32	50.69
Support to new ideas	75.03	74.34–75.72	0.35	51.04
Team objectives	74.87	74.31–75.43	0.28	49.16
Task orientation	76.31	75.56–77.06	0.38	47.35
Teamwork climate – total	76.21	75.62–76.81	0.30	49.47
Satisfaction at work
Intrinsic satisfaction at work and with physical environment	75.24	74.44–76.03	0.40	47.73
Satisfaction with hierarchical relationships	74.78	73.92–75.64	0.43	47.81
Satisfaction at work – total	75.05	74.27–75.84	0.40	48.85

	Social Organization																		p

	A (n = 10)		B (n = 6)		C (n = 37)		D (n = 17)		E (n = 18)		F (n = 17)		G (n = 2)		H (n = 3)		I (n = 14)

	Number of teams of ESF with SB and percentage

	n	%	n	%	n	%	n	%	n	%	n	%	n	%	n	%	n	%
	10	8.1	6	4.8	37	29.8	17	13.7	18	14.5	17	13.7	2	1.6	3	2.4	14	11.6	N/A
Teamwork climate
Teamwork climate - total	77.27 ± 0.76^b		76.27 ± 0.60^b		76.11 ± 0.52^b		75.71 ± 0.70^b		76.02 ± 0.86^b		72.87 ± 0.99^C		76.44 ± 0.14^b		83.57 ± 1.25^a		79.02 ± 0.77^b		< 0.001
Participation in the team	79.22 ± 0.97^c		77.60 ± 0.85^c		78.09 ± 0.59^c		78.43 ± 0.72^c		78.49 ± 0.72^c		76.18 ± 1.12^c		81.92 ± 0.10^b		86.45 ± 0.68^a		82.56 ± 0.83^b		< 0.001
Support to new ideas	75.26 ± 0.84^c		73.60 ± 0.41^c		74.55 ± 0.67^c		74.69 ± 0.78^c		75.62 ± 0.99 ^c		71.13 ± 1.03^d		78.4 ± 0.37^b		84.10 ± 0.85^a		78.69 ± 0.94^b		< 0.001
Team objectives	76.37 ± 0.86^b		74.46 ± 0.97^b		75.43 ± 0.42^b		74.74 ± 0.68^b		74.17 ± 0.91^b		72.06 ± 0.92^b		70.34 ± 0.59^c		80.95 ± 1.68^a		76.30 ± 0.70^b		< 0.001
Tasks orientation	78.01 ± 0.68^b		79.60 ± 0.59^b		76.09 ± 0.69^b		74.93 ± 0.89^b		76.43 ± 1.04^b		71.68 ± 1.26^c		78.25 ± 1.39^b		84.00 ± 1.71^a		79.50 ± 0.93^b		< 0.001
Satisfaction at work
Total	77.31 ± 1.09^c		76.72 ± 0.88^c		74.67 ± 0.68^c		73.48 ± 1.1^c		74.40 ± 1.05^c		72.92 ± 1.26^b		67.33 ± 0.73^d		82.19 ± 1.51^a		78.64 ± 1.09^a		< 0.001
Intrinsic and with physical environment	77.89 ± 1.05^a		77.23 ± 0.78^a		74.59 ± 0.72^a		72.64 ± 1.14^b		75.40 ± 1.03^a		74.22 ± 1.24^a		66.79 ± 0.67^c		82.73 ± 2.34^a		77.98 ± 1.10^a		< 0.001
Hierarchical relationships	76.44 ± 1.36^b		75.95 ± 1.19^b		74.80 ± 0.73^b		74.75 ± 1.12^b		72.9 ± 1.18^c		70.97 ± 1.42^c		68.14 ± 0.83^c		81.38 ± 0.32^a		79.64 ± 1.19^a		< 0.001

	Intrinsic satisfaction at work and with physical environment	Satisfaction with hierarchical relationships
Team climate – total	0.520^a	0.619^a
Participation in the team	0.420^a	0.541^a
Support to new ideas	0.465^a	0.557^a
Team objectives	0.531^a	0.592^a
Tasks orientation	0.492^a	0.587^a

	Team climate								Total		p

	CE1		CE2		CE3		CE4

	n	%	n	%	n	%	n	%	n	%
Satisfaction at work	16	100,0	67	100.0	31	100.0	10	100.0	124	100.0	< 0.001
ST1	9	56.3	10	14.9	0	0.0	0	0.0	19	15.3
ST2	4	25.0	38	56.7	14	45.2	1	10.0	57	46.0
ST3	1	6.3	9	13.4	2	6.5	2	20.0	14	11.3
ST4	2	12.5	9	13.4	15	48.4	4	40.0	30	24.2
ST5	0	0.0	1	1.5	0	0.0	3	30.0	4	3.2

	Dependent variable

	Intrinsic satisfaction at work and with physical environment			Satisfaction with hierarchical relationships

	Coefficient	95%CI	p	Coefficient	95%CI	p
Participation in the team	-0.05	-0.29 to 0.18	0,649	0,15	-0,07 to 0,38	0.185
Support to new ideas	0.12	-0.14 to 0.38	0,352	0,07	-0,14 to 0,28	0.503
Team objectives	0.48	0.26 to 0.70	< 0,001	0,44	0,24 to 0,64	< 0.001
Task orientation	0.17	-0.04 to 0.39	0,106	0,25	0,06 to 0,45	0.012
Team size	-0.07	-0.58 to 0.44	0,794	0,05	-0,45 to 0,55	0.855
Mean length of time (months)	-0.05	-0.09 to -0.01	0,012	-0,05	-0,1 to -0,01	0.018
Constant	9.77	-2.71 to 22.25	0,124	1,74	-11.7 to 15.18	0.798

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E-mail: revsp@usp.br

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[1] Correspondence: Marina Peduzzi Rua Cristiano Viana 450 apt. 121, Cerqueira Cesar 05411-000, São Paulo, SP, Brasil E-mail: marinape@usp.br