Organizational climate and teamwork at the Family Health Strategy

a cross-sectional study carried out with 458 professionals belonging to 72 FHS teams in a municipality in Southern Brazil. Data collection occurred between March and July of 2016 with self-application of the Team Climate Inventory (TCI). Data were analyzed by means of a non-parametric ANOVA.

Results:

“Team Participation” was the best-rated domain (8.11), while “Task orientation” was the worst (7.51). Nurses obtained the highest mean in TCI (8.05), and dentists, the lowest (7.45).

Conclusion:

TCI is an appropriate and innovative tool for assessing the teamwork climate at the FHS. Identifying fragilities such as “task orientation” and relationships among professional categories of the team supports the planning of actions for organizational climate improvements and teamwork at the FHS.

Descriptors:
Work; Patient Care Team; Health Personnel; Interpersonal Relations; Family Health Strategy

Factor	N	Mean Grade	Mean Score	X²	P value
Team Participation	72	8.1155276	150.541667^b	37.47	0.0001^* * Significant at the 95% confidence level (α = 0.05). Numbers marked with the same letter do not differ from each other by the Kruskal-Wallis test, followed by the Dunn's Test.
Support for new ideas	48	7.7801182	111.520833^a
Team Objectives	66	7.6982092	100.674242^a
Task orientation	42	7.5170016	77.845238^a

Occupation	Mean Grade	Mean Score	X²	P value
Nurse	8.05	141.947368^a	36.90	0.0001^* * Significant at the 95% confidence level (α =0.05). Numbers marked with the same letter do not differ from each other by the Kruskal-Wallis test, followed by the Dunn's Test.
Nursing Technician	8.02	142.118421^a
Doctor	7.90	124.039474^a
Community Health Agents	7.85	119.421053^a
Deantal Auxiliary	7.60	89.131579^a
Dentist	7.45	70.342105^b

Factor assessed	Mean Grade	Mean Score	X²	P value
Team Participation
Community Health Agent	8.03	32.458333^a	17.93	0.0030^* * Significant at the 95% confidence level (α = 0.05). Numbers marked with the same letter do not differ from each other by the Kruskal-Wallis test, followed by the Dunn's Test.
Dental Auxiliary	7.91	27.750000^a
Dentist	7.70	21.125000^b
Nurse	8.42	47.875000^a
Doctor	8.45	50.125000^a
Nursing Technician	8.19	39.666667^a
Support for new ideas
Community Health Agent	7.92	28.31250^a	22.26	0.0005^* * Significant at the 95% confidence level (α = 0.05). Numbers marked with the same letter do not differ from each other by the Kruskal-Wallis test, followed by the Dunn's Test.
Dental Auxiliary	7.76	21.81250^a
Dentist	7.20	6.87500^b
Nurse	8.01	32.81250^a
Doctor	7.68	21.18750^a
Nursing Technician	8.11	36.00000^a
Team Objectives
Community Health Agent	7.76	35.545455^a	7.61	0.1789
Dental Auxiliary	7.40	22.409091^a
Dentist	7.54	27.363636^a
Nurse	7.85	38.727273^a
Doctor	7.76	35.909091^a
Nursing Technician	7.89	41.045455^a
Tasks orientation
Community Health Agent	7.61	23.928571^a	15.5538	0.0082^* * Significant at the 95% confidence level (α = 0.05). Numbers marked with the same letter do not differ from each other by the Kruskal-Wallis test, followed by the Dunn's Test.
Dental Auxiliary	7.20	13.500000^b
Dentist	7.19	12.285714^b
Nurse	7.80	30.714286^a
Doctor	7.44	18.000000^a
Nursing Technician	7.86	30.571429^a

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding Author: Hellen Emília Peruzzo. E-mail: hellen_peruzzo@hotmail.com