Análise da relação entre desempenho e comprometimento em profissionais de saúde: revisão sistemática

Autores

  • Carla Pimenta Unidade Local de Saúde de São José. Lisboa, Portugal | Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de Lisboa. Lisboa, Portugal.

DOI:

https://doi.org/10.25758/set.796

Palavras-chave:

Desempenho, Comprometimento, Profissionais de saúde, Revisão sistemática

Resumo

Introdução – O desempenho dos profissionais de saúde refere-se às competências clínicas, conhecimentos e habilidades técnicas, enquanto o seu comprometimento está relacionado com o vínculo psicológico e emocional com o trabalho e a organização. A compreensão da interação entre estes conceitos é importante para otimizar os resultados em saúde. Objetivos – Explorar a extensão e a natureza da relação entre desempenho e comprometimento nos profissionais de saúde, identificando os fatores que influenciam esta relação e quais as metodologias utilizadas para o seu estudo. Métodos – Foi realizada uma revisão sistemática da literatura seguindo o protocolo Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Resultados – Foram identificados 847 artigos, dos quais 14 foram incluídos para análise. Destaca-se a atualidade e universalidade do tema devido à profunda interação entre os constructos estudados. Alguns estudos apontam para correlações positivas diretas, enquanto outros evidenciam relações de influência mútua ou identificam o comprometimento como mediador em várias interações. Além disso, fatores como a satisfação no trabalho, o burnout, a liderança e a motivação também impactam a relação entre desempenho e comprometimento nos profissionais de saúde. Discussão – A relação entre desempenho e comprometimento nos profissionais de saúde é complexa e suscetível a diferentes influências. Conclusão – É pertinente a continuação de investigações para aprofundar o conhecimento nesta área, já que as organizações de saúde enfrentam o desafio contínuo de proporcionar uma assistência de qualidade aos pacientes, ao mesmo tempo que tentam gerir de forma eficiente recursos limitados.

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Referências

Nota: Assinalam-se com asterisco os artigos incluídos na análise.

Nunes AM. Administração e políticas de saúde em Portugal. Lisboa: Instituto Superior de Ciências Sociais e Políticas; 2020. ISBN 978-989-646-145-4

Nunes F. Mais profissionais devem abandonar o SNS e o país. Novo [homepage]; 2022 Oct 22. Available from: https://onovo.sapo.pt/noticias/mais-profissionais-devem-abandonar-o-sns-e-o-pais/

Barros PP, Costa E. Recursos humanos em saúde: relatório 2022 [Internet]. Carcavelos: Health Economics & Management Knowledge Center, NOVA SBE; 2022. Available from: https://www.novasbe.unl.pt/Portals/0/Files/Social%20Equity%20Initiative/Nova%20SBE_KC%20Health_Recursos%20Humanos_2022.pdf

World Health Organization, Organization for Economic Co-operation and Development, The World Bank. Delivering quality health services: a global imperative for universal health coverage [homepage]. Geneva: WHO; 2018. Available from: https://www.who.int/publications/i/item/9789241513906

Baird KM, Tung A, Yu Y. Employee organizational commitment and hospital performance. Health Care Manage Rev. 2019;44(3):206-15.

Engle RL, Mohr DC, Holmes SK, Seibert MN, Afable M, Leyson J, et al. Evidence-based practice and patient-centered care: doing both well. Health Care Manage Rev. 2021;46(3):174-84.

Pradhan RK, Jena LK. Employee performance at workplace: conceptual model and empirical validation. Bus Perspect Res. 2017;5(1):69-85.

Das R. Does public service motivation predict performance in public sector organizations? A longitudinal science mapping study. Manag Rev Q. 2023;73:1237-71.

Koopmans L, Bernaards CM, Hildebrandt VH, de Vet HC, van der Beek AJ. Construct validity of the individual work performance questionnaire. J Occup Environ Med. 2014;56(3):331-7.

Brefo-Manuh AB, Anlesinya A, Odoi AA, Owusu DR. Evaluating organisational uses of performance appraisal system: a conceptual analysis and framework for the future. Int J Bus Manag Rev. 2016;4(7):8-20.

Datta DK, Guthrie JP, Wright PM. Human resource management and labor productivity: does industry matter? Acad Manage J. 2005;48(1):135-45.

Becker TE, Kernan MC, Clark KD, Klein HJ. Dual commitments to organizations and professions: different motivational pathways to productivity. J Manage. 2018;44(3):1202-25.

Meyer JP, Allen NJ, Smith CA. Commitment to organizations and occupations: extension and test of a three-component conceptualization. J Appl Psychol. 1993;78(4):538-51.

Allen NJ, Meyer JP. Affective, continuance, and normative commitment to the organization: an examination of construct validity. J Vocat Behav. 1996;49(3):252-76.

Klein HJ, Brinsfield CT, Cooper JT. The experience of commitment in the contemporary workplace: an exploratory reexamination of commitment model antecedents. Hum Resour Manage. 2021;60(6):885-902.

Elias RZ. The impact of professional commitment and anticipatory socialization on accounting students’ ethical orientation. J Bus Ethics. 2006;68(1):83-90.

Lee K, Carswell JJ, Allen NJ. A meta-analytic review of occupational commitment: relations with person- and work-related variables. J Appl Psychol. 2000;85(5):799-811.

Figueira DJ, Nascimento JL, Almeida MH. Relation between organizational commitment and professional commitment: an exploratory study conducted with teachers. Univ Psychol. 2015;14(1):43-56.

Giffords ED. An examination of organizational commitment and professional commitment and the relationship to work environment, demographic and organizational factors. J Soc Work. 2009;9(4):386-404.

Wallenburg I, Weggelaar AM, Bal R. Walking the tightrope: how rebels “do” quality of care in healthcare organizations. J Health Organ Manag. 2019;33(7-8):869-83.

World Health Organization. Health and care workforce in Europe: time to act [homepage]. Geneva: OMS; 2022. Available from: https://www.who.int/europe/publications/i/item/9789289058339

Krijgsheld M, Tummers LG, Scheepers FE. Job performance in healthcare: a systematic review. BMC Health Serv Res. 2022;22(1):149.

Mathieu JE, Zajac D. A review and meta-analysis of antecedents, correlates, and consequences of organizational commitment. Psychol Bull. 1990;108:171-94.

Somers M, Birnbaum D. Exploring the relationship between commitment profiles and work attitudes, employee withdrawal, and job performance. Public Pers Manage. 2000;29(3):353-65.

Wright TA, Bonett DG. The moderating effects of employee tenure on the relation between organizational commitment and job performance: a meta-analysis. J Appl Psychol. 2002;87(6):1183-90.

Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015;350:g7647.

Fernandes A, Santinha G, Forte T. Public service motivation and determining factors to attract and retain health professionals in the public sector: a systematic review. Behav Sci. 2022;12(4):95.

Allen NJ, Meyer JP. The measurement and antecedents of affective, continuance and normative commitment to the organization. J Occup Psychol. 1990;63(1):1-18.

Al-Ahmadi H. Factors affecting performance of hospital nurses in Riyadh region, Saudi Arabia. Int J Health Care Qual Assur. 2009;22(1):40-54.*

Mrayyan MT, Al-Faouri I. Predictors of career commitment and job performance of Jordanian nurses. J Nurs Manag. 2008;16(3):246-56.*

Saraiva M, Alfaiate C, Gomes LP, Correia AR, Jorge F. The perception of quality and the performance in primary health care of Central Alentejo – Portugal. Cogent Bus Manag. 2023;10(1):2208423.*

Wang X, Li C, Chen Y, Zheng C, Zhang F, Huang Y, et al. Relationships between job satisfaction, organizational commitment, burnout and job performance of healthcare professionals in a district-level health care system of Shenzhen, China. Front Psychol. 2022;13:992258.*

Yücel I. Transformational leadership and turnover intentions: the mediating role of employee performance during the COVID-19 pandemic. Adm Sci. 2021;11(3):81.*

Gile PP, van de Klundert J, Buljac-Samardzic M. Strategic human resource management and performance in public hospitals in Ethiopia. Front Public Health. 2022;10:915317.*

Nadiri H, Tanova C. What factors influence employee service recovery performance and what are the consequences in health care? Qual Manag Health Care. 2016;25(3):162-75.*

Stamouli E, Gerbeth S. The moderating effect of emotional competence on job satisfaction and organisational commitment of healthcare professionals. BMC Health Serv Res. 2021;21(1):1257.*

Yáñez-Araque B, Gómez-Cantarino S, Gutiérrez-Broncano S, López-Ruiz VR. Examining the determinants of healthcare workers’ performance: a configurational analysis during COVID-19 times. Int J Environ Res Public Health. 2021;18(11):5671.*

Brefo-Manuh AB, Anlesinya A. Performance appraisal justice and work attitudes of health-care workers in Ghana. Eur J Train Dev. 2023;47(1/2):24-42.*

Nasurdin AM, Ling TC, Khan SN. The relation between turnover intention, high performance work practices (HPWPs), and organisational commitment: a study among private hospital nurses in Malaysia. Asian Acad Manag J. 2018;23(1):23-51.*

Bernales-Turpo D, Quispe-Velasquez R, Flores-Ticona D, Saintila J, Ruiz Mamani PG, Huancahuire-Vega S, et al. Burnout, professional self-efficacy, and life satisfaction as predictors of job performance in health care workers: the mediating role of work engagement. J Prim Care Community Health. 2022;13:21501319221101845.*

Yousaf A, Yang H, Sanders K. Effects of intrinsic and extrinsic motivation on task and contextual performance of Pakistani professionals: the mediating role of commitment foci. J Manag Psychol. 2015;30(2):133-50.*

Zhang B, Tang F, Sun B, Niu Y, Tang Z, Sun X. High-performance work systems, multiple commitments, and knowledge exchange and combination among Chinese public hospital nurses. Nurs Open. 2022;9(2):1445-55.*

Locke EA, Latham GP. A theory of goal setting & task performance. Prentice-Hall; 1990.

Meyer JP, Stanley DJ, Herscovitch L, Topolnytsky L. Affective, continuance, and normative commitment to the organization: a meta-analysis of antecedents, correlates, and consequences. J Vocat Behav. 2002;61(1):20-52.

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Publicado

11-11-2024

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Análise da relação entre desempenho e comprometimento em profissionais de saúde: revisão sistemática. (2024). Saúde & Tecnologia, 30, e796. https://doi.org/10.25758/set.796