Resumo

ROJAS RUSSELL, M. et al. Work climate in Mexican hemodialysis units: A cross-sectional study. Nefrología (Madr.) [online]. 2011, vol.31, n.1, pp.76-83. ISSN 1989-2284.

Introduction: The work climate (WC) affects the performance of service providers and impacts on the care provided. This is important in the case of conditions that affect the quality of life, as is the case of chronic kidney disease (CKD) treated with hemodialysis. In Mexico, the demand for care of CKD cases is increasing and the hemodialysis treatment offer is limited. The purpose of this study was to describe and compare the WC in public, private and social security hemodialysis units in Mexico, as well as to validate an instrument to measure WC in hemodialysis units (HU). Methods: 372 professionals from 84 HU in 27 states were Interviewed through a questionnaire. The questionnaire included questions about the WC, the quality of care, structure and organization of the HU. Variables were compared by type of institution and profession. Results: Significant correlations were observed between the WC and indicators of the quality of care. In nine of the fourteen variables there were significant differences by type of unit, with a better perception of WC in private units and a poorer perception on social security ones. Conclusion: The perception of WC relies on the organization and planning of institutions as well as on its infrastructure. In the case of the HU of the Social Security in Mexico it seems to be areas that require improvement to encourage a better work climate.

Palavras-chave : Hemodialysis; Work climate; Social security.

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