Trends and spatial distribution of precarious work conditions for nurses in Brazil based on the type of employment bondObjective: to analyze the tendencies and spatial distribution of precarious work for nurses in Brazil, based on the type of employment relationships, between 2010 and 2023, according to the level of health care.
Method: ecological study with data extracted from the National Registry of Health Establishments. The indicator analyzed was the percentage of precarious work relationships. The temporal tendency was assessed by the Prais-Winsten regression model and the spatial distribution was assessed by means of choropleth maps.
Results: there was an increasing tendency in the precarious work of nurses in Brazil based on the type of employment relationships, regardless of the level of health care. The North region showed the highest percentages of increase in the indicator in Primary Health Care, Secondary Health Care, and Tertiary Health Care. The North and Northeast regions had the highest numbers of municipalities with a high percentage of precarious work conditions.
Conclusion: the precariousness of nursing employment relationships showed an increasing tendency at all levels of health care, being higher in Primary Health Care and increasing more in Tertiary Health Care within the time horizon analyzed.
Descriptors:
Workforce; Work Conditions; Precarious Work; Job Security; Nurses; Health Care Levels
Highlights:
(1) The precariousness of nurses’ employment relationships has increased substantially. (2) The precariousness of employment relationships was high in Primary Health Care. (3) The North and Northeast regions showed the most precarious employment relationships. (4) Tertiary Health Care has seen the greatest increase in the precariousness of employment bonds.
Thumbnail
Thumbnail
Note: Number of observations (n) included in the analysis of the historical series: (ii.1): Primary Health Care: 12,186,668; (ii.2): Secondary Health Care: 8,836,941 and (ii.3): Tertiary Health Care: 23,758,660
Notes: (i) white municipalities indicate missing data for professional ties in the NRHE and (ii) number of observations (n) included in the spatial distribution analysis: (ii.1): Primary Health Care: 105,587 (years 2010, 2016 and 2023); (ii.2): Secondary Health Care: 103,358 (years 2010, 2016 and 2023); (ii.3): Tertiary Health Care: 148,241 (years 2010, 2016 and 2023)