Career commitment and entrenchment among multiprofessional residents during the COVID-19 pandemic
Compromiso y atrincheramiento en la carrera de residentes multiprofesionales durante la pandemia de la COVID-19
Comprometimento e entrincheiramento na carreira de residentes multiprofissionais durante a pandemia da COVID-19
Manoel Victor Moura Silva; Vanessa Yukie Kita; Satomi Mori Hasegawa; Cibelli Rizzo Cohrs; Cássia Regina Vancini Campanharo; Maria Carolina Barbosa Teixeira Lopes
Abstract
Objective to assess and compare career commitment and entrenchment among multiprofessional residents working in critical care during the COVID-19 pandemic.
Method a cross-sectional, descriptive, and analytical study conducted in 2022 with 48 residents from intensive care and emergency/urgent care programs. Data were collected using sociodemographic and career questionnaires, as well as the Career Commitment Scale and the Career Entrenchment Scale, each with 12 items and three domains.
Results participants showed moderate overall scores on both scales. Within career commitment, the Identity and Planning domains presented high scores, while Resilience presented a moderate level. For career entrenchment, the domains of Investments and Emotional Costs presented a moderate level, and Limited Alternatives presented a high level. Only the Resilience domain differed between groups, with lower scores among intensive care residents.
Conclusion and practical implications working in intensive care, being married, and having pre-existing conditions may be associated with lower resilience and greater career entrenchment. These findings highlight the need for institutional strategies to promote mental health, strengthen resilience, and support career decision-making in emotionally demanding contexts.
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Objetivo: avaliar e comparar o comprometimento e o entrincheiramento na carreira de residentes multiprofissionais atuantes em cuidados críticos durante a pandemia da COVID-19.
Método: estudo transversal, descritivo e analítico, realizado em 2022, com 48 residentes das áreas de cuidados intensivos e urgência/emergência. Aplicaram-se questionários sociodemográfico e de carreira, a Escala de Comprometimento e a Escala de Entrincheiramento, ambas com 12 itens e três domínios.
Resultados: os participantes apresentaram níveis médios nas pontuações gerais das escalas. No comprometimento, Identidade e Planejamento obtiveram escores altos, enquanto Resiliência apresentou nível médio. No entrincheiramento, observaram-se níveis médios em Investimentos e Custos Emocionais e nível alto em Limitação de Alternativas. Apenas o domínio Resiliência diferiu entre áreas, com menor escore entre residentes de cuidados intensivos.
Conclusão e implicações práticas: atuar em terapia intensiva, estar casado(a) e apresentar doenças pré-existentes podem estar associados à menor resiliência e maior entrincheiramento. Ressalta-se a necessidade de estratégias institucionais para promover a saúde mental, fortalecer a resiliência e apoiar a tomada de decisões profissionais em contextos de alta demanda emocional.
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Referências
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Aceito em:
07/12/2025
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