Perceções de profissionais de saúde portugueses sobre a semana de 4 dias: estudo transversal exploratório
DOI:
https://doi.org/10.37914/riis.v8i1.459Palavras-chave:
administração de serviços de saúde, gestão de recursos humanos, pessoal de saúde, horário de trabalhoResumo
Enquadramento: a pandemia da COVID-19 e o burnout agravaram a crise de recursos humanos na saúde, resultando na saída de profissionais. A Semana de 4 Dias surge como possível solução para mitigar este problema, embora haja pouca informação sobre sua aplicação no setor. Objetivos: compreender a posição de profissionais de saúde sobre esta iniciativa, avaliando o seu impacto no funcionamento do setor e vida dos profissionais. Metodologia: estudo transversal exploratório com questionário voluntário e consentido, aplicado a amostra de conveniência de 2004 profissionais de saúde. Análise realizada usando os testes de Kolmogorov-Smirnov e Kruskal-Wallis (p<0,05). Resultados: o modelo parece positivo para reduzir o absentismo, aumentar a produtividade e a satisfação no trabalho. Esperadas melhorias na qualidade e concentração no trabalho, estabilidade laboral e realização profissional. Apesar de desafios como carga de trabalho adicional e multitasking, o modelo parece benéfico para reter profissionais e equilibrar a vida pessoal e o trabalho. Espera-se mais tempo para lazer e rejeitam-se impactos negativos na família, saúde e bem-estar. As modalidades com cortes salariais parecem ser rejeitadas. Dadas as limitações metodológicas, estes resultados devem ser interpretados com cautela. Conclusão: os profissionais avaliam a iniciativa de forma positiva e apoiam a sua implementação, sem perda remuneratória.
Referências
Afshari, F. S., Guajardo, L., Kramer, J. M., Musawi, A., Venugopalan, S. R., & Sykes-Smith, A. (2023). Compressed 4-day workweek for dental faculty retention and recruitment. Journal of Dental Education, 87(8), 1108–1112. https://doi.org/10.1002/jdd.13234 DOI: https://doi.org/10.1002/jdd.13234
Aiken, L. H., Sermeus, W., McKee, M., Lasater, K. B., Sloane, D., Pogue, C. A., Kohnen, D., Dello, S., Maier, C. B. B., Drennan, J., & McHugh, M. D. (2024). Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. BMJ Open, 14, e079931. https://doi.org/10.1136/bmjopen-2023-079931 DOI: https://doi.org/10.1136/bmjopen-2023-079931
Allen, R. E., & Hawes, D. K. (1979). Attitudes toward work, leisure and the four day workweek. Human Resource Management, 18(1), 5–10. https://doi.org/10.1002/hrm.3930180103 DOI: https://doi.org/10.1002/hrm.3930180103
Araújo, A., Rodrigues, A. C., & Ferreira, M. R. (2025). Exploring the impact of a four-day workweek on sustainable people management: a systematic review of the literature. Journal of Organizational Effectiveness: People and Performance, 12(4), 1113-1131. https://doi.org/10.1108/JOEPP-08-2024-0372 DOI: https://doi.org/10.1108/JOEPP-08-2024-0372
Arbon, C. A., Facer, R. L., & Wadsworth, L. L. (2012). Compressed workweeks - strategies for successful implementation. Public Personnel Management, 41(3), 389-405. https://doi.org/10.1177/009102601204100301 DOI: https://doi.org/10.1177/009102601204100301
Askenazy, P. (2013). Working time regulation in France from 1996 to 2012. Cambridge Journal of Economics, 37(2), 323-347. https://doi.org/10.1093/cje/bes084 DOI: https://doi.org/10.1093/cje/bes084
Atkinson, C., & Hall, L. (2011). Flexible working and happiness in the NHS. Employee Relations, 33(2), 88-105. https://doi.org/10.1108/01425451111096659 DOI: https://doi.org/10.1108/01425451111096659
Bakker, A. B., Demerouti, E., & Sanz-Vergel, A. (2023). Job demands-resources theory: ten years later. Annual Review of Organizational Psychology and Organizational Behavior, 10, 25-53. https://doi.org/10.1146/annurev-orgpsych-120920-053933 DOI: https://doi.org/10.1146/annurev-orgpsych-120920-053933
Barck-Holst, P., Nilsonne, Å., Åkerstedt, T., & Hellgren, C. (2021). Coping with stressful situations in social work before and after reduced working hours, a mixed-methods study. European Journal of Social Work, 24(1), 94-108. https://doi.org/10.1080/13691457.2019.1656171 DOI: https://doi.org/10.1080/13691457.2019.1656171
Bird, R. C. (2010). Four-day work week: old lessons, new questions. Connecticut Law Review, 42(4), 1059-1080. https://digitalcommons.lib.uconn.edu/law_review/66
Cabral-Cardoso, C., & Santos, R. S. (2025). The person behind the mask: supervisor-subordinate relationships and well-being at work. Management Research, 23(3), 283-314. https://doi.org/10.1108/MRJIAM-11-2023-1480 DOI: https://doi.org/10.1108/MRJIAM-11-2023-1480
Calvasina, E. J., & W. R. Boxx. (1975). Efficiency of workers on the 4-day work week. Academy of Management Journal, 18(3), 604–610. https://doi.org/10.5465/255689 DOI: https://doi.org/10.2307/255689
Campbell, T. T. (2024). The four-day work week: a chronological, systematic review of the academic literature. Management Review Quarterly, 74(3), 1791-1807. https://doi.org/10.1007/s11301-023-00347-3 DOI: https://doi.org/10.1007/s11301-023-00347-3
Chung, H. (2022). A social policy case for a four-day week. Journal of Social Policy, 51(3), 551-566. https://doi.org/10.1017/S0047279422000186 DOI: https://doi.org/10.1017/S0047279422000186
Cohen, C., Pignata, S., Bezak, E., Tie, M., & Childs, J. (2023). Workplace interventions to improve wellbeing and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. BMJ Open, 13, e071203. https://doi.org/10.1136/bmjopen-2022-071203 DOI: https://doi.org/10.1136/bmjopen-2022-071203
Dall’Ora, C., Ejebu, O. Z., Jones, J., & Griffiths, P. (2023). Nursing 12-hour shifts and patient incidents in mental health and community hospitals: a longitudinal study using routinely collected data. Journal of Nursing Management, 6626585. https://doi.org/10.1155/2023/6626585 DOI: https://doi.org/10.1155/2023/6626585
Delaney, H., & Casey, C. (2022). The promise of a four-day week? A critical appraisal of a management-led initiative. Employee Relations: The International Journal, 44(1), 176–190. https://doi.org/10.1108/ER-02-2021-0056 DOI: https://doi.org/10.1108/ER-02-2021-0056
Dutordoir, M., & Struyfs, K. (2024). The impact of a compressed workweek on shareholder value: an event study analysis of Belgium's 4-day workweek legislation. Human Resource Management, 63(6), 903-917. https://doi.org/10.1002/hrm.22238 DOI: https://doi.org/10.1002/hrm.22238
Erwin, D. G., & Garman, A. N. (2010). Resistance to organizational change: linking research and practice. Leadership & Organization Development Journal, 31(1), 39–56. https://doi.org/10.1108/01437731011010371 DOI: https://doi.org/10.1108/01437731011010371
Estevão, M., & Sá, F. (2008). The 35-hour workweek in France: straightjacket or welfare improvement? Economic Policy, 23(55), 418-463. https://doi.org/10.1111/j.1468-0327.2008.00204.x DOI: https://doi.org/10.1111/j.1468-0327.2008.00204.x
Fagnani, J., & Letablier, M. T. (2004). Work and family life balance: the impact of the 35-hour laws in France. Work, Employment and Society, 18(3), 551-572. https://doi.org/10.1177/0950017004045550 DOI: https://doi.org/10.1177/0950017004045550
Fottler, M.D. (1977). Employee acceptance of a 4-day work week. Academy of Management Journal, 20(4), 656–668. https://doi.org/10.5465/255364 DOI: https://doi.org/10.2307/255364
García-Iglesias, J. J., Gómez-Salgado, J., Martín-Pereira, J., Fagundo-Rivera, J., Ayuso-Murillo, D., Martínez-Riera, J. R. & Ruiz-Frutos, C. (2020). Impacto del SARS-CoV-2 (Covid-19) en la salud mental de los profesionales sanitarios: una revisión sistemática. Revista Española de Salud Pública, 94, e202007088. https://ojs.sanidad.gob.es/index.php/resp/article/view/888
Goodale, J. G., & Aagaard, A. K. (1975). Factors relating to varying reactions to the 4-day workweek. Journal of Applied Psychology, 60(1), 33-38. https://doi.org/10.1037/h0076345 DOI: https://doi.org/10.1037/h0076345
Gomes, P., & Fontinha, R. (2024). Relatório final do projeto-piloto da semana de quatro dias. Ministério do Trabalho Solidariedade e Segurança Social/Instituto do Emprego e Formação Profissional. https://www.iefp.pt/documents/10181/11729755/Relatorio+Final+S4D_PT_V21.pdf/abc242e9-1a8f-4593-ab47-7ca8f655fe8d
Hamermesh, D. S., & Biddle, J. E. (2025). Days of work over a half century: the rise of the four-day workweek. ILR Review, 78(1), 37-61. https://doi.org/10.1177/00197939231209965 DOI: https://doi.org/10.1177/00197939231209965
Hayakawa, J., Patterson, M., Sandhu, E., & Schomberg, J. (2025). Reimagining work-life balance: the impact of a 4-day workweek on healthcare leader burnout and well-being. Worldviews on Evidence-Based Nursing, 22(2), e70010. https://doi.org/10.1111/wvn.70010 DOI: https://doi.org/10.1111/wvn.70010
Hayden, A. (2006). France’s 35-hour week: attack on business? Win-win reform? Or betrayal of disadvantaged workers?. Politics & Society, 34(4), 503-542. https://doi.org/10.1177/0032329206293645 DOI: https://doi.org/10.1177/0032329206293645
Hewett, R., Shantz, A., Mundy, J., & Alfes, K. (2018). Attribution theories in human resource management research: a review and research agenda. International Journal of Human Resource Management, 29(1), 87-126. https://doi.org/10.1080/09585192.2017.1380062 DOI: https://doi.org/10.1080/09585192.2017.1380062
Hofmann, P. B. (2018). Stress among healthcare professionals calls out for attention. Journal of Healthcare Management, 63(5), 294-297. https://doi.org/10.1097/JHM-D-18-00137 DOI: https://doi.org/10.1097/JHM-D-18-00137
Ivancevich, J. M., & Lyon, H. L. (1977). The shortened workweek: a field experiment. Journal of Applied Psychology, 62(1), 34–37. https://doi.org/10.1037/0021-9010.62.1.34 DOI: https://doi.org/10.1037//0021-9010.62.1.34
Jahal, T., & Bardoel, E. A. (2024). Could the 4-day week work? A scoping review. Asia Pacific Journal of Human Resources, 62(1), e12395. https://doi.org/10.1111/1744-7941.12395 DOI: https://doi.org/10.1111/1744-7941.12395
Jain, M. J., Chouliara, N., & Blake, H. (2025). From five to four: examining employee perspectives towards the four-day workweek. Administrative Sciences, 15(3), 114. https://doi.org/10.3390/admsci15030114 DOI: https://doi.org/10.3390/admsci15030114
der Landwehr, M. A., Topp, J., & Neumann, M. (2025). When less is more: a systematic review of four-day workweek conceptualizations and their effects on organizational performance. arXiv, Computer Science(Software Engineering), 2507.09911. https://doi.org/10.48550/arXiv.2507.09911
Kamerādea, D., Wang, S., Burchell, B., Balderson, S. U., & Coutts, A. (2019). A shorter working week for everyone: how much paid work is needed for mental health and well-being? Social Science & Medicine, 241, 112353. https://doi.org/10.1016/j.socscimed.2019.06.006 DOI: https://doi.org/10.1016/j.socscimed.2019.06.006
Kelliher, C., & Anderson, D. (2010). Doing more with less? Flexible working practices and the intensification of work. Human Relations, 63(1), 83–106. https://doi.org/10.1177/0018726709349199 DOI: https://doi.org/10.1177/0018726709349199
Llaurado-Serra, M., Santos, E. C., Grogues, M. P., Constantinescu-Dobra, A., Coţiu, M. A., Dobrowolska, B., Friganovići, A., Gutysz-Wojnicka, A., Hadjibalassi, M., Ozga, D., Režić, S., Sabou, A., Slijepčević, J., & Georgiou, E. (2025). Critical care nurses’ intention to leave and related factors: survey results from 5 European countries. Intensive and Critical Care Nursing, 88, 103998. https://doi.org/10.1016/j.iccn.2025.103998 DOI: https://doi.org/10.1016/j.iccn.2025.103998
Lepinteur, A. (2019). The shorter workweek and worker wellbeing: evidence from Portugal and France. Labour Economics, 58, 204-220. https://doi.org/10.1016/j.labeco.2018.05.010 DOI: https://doi.org/10.1016/j.labeco.2018.05.010
Lock, F. K., & Carrieri, D. (2022). Factors affecting the UK junior doctor workforce retention crisis: an integrative review. BMJ Open, 12(3), e059397. https://doi.org/10.1136/bmjopen-2021-059397 DOI: https://doi.org/10.1136/bmjopen-2021-059397
Lu, Y., Li, Z., Chen, Q., Fan, Y., Wang, J., Ye, Y., Chen, Y., Zhong, T., Wang, L., Xiao, Y., Zhang, D., & Yu, X. (2023). Association of working hours and cumulative fatigue among Chinese primary health care professionals. Frontiers in Public Health, 11, 1193942. https://doi.org/10.3389/fpubh.2023.1193942 DOI: https://doi.org/10.3389/fpubh.2023.1193942
Moloney, W., Boxall, P., Parsons, M, & Cheung, G. (2018). Factors predicting Registered Nurses’ intentions to leave their organization and profession: a job demands-resources framework. Journal of Advanced Nursing, 74(4), 864–875. https://doi.org/10.1111/jan.13497 DOI: https://doi.org/10.1111/jan.13497
Moen, P., & Chu, Y. (2024). Time work in the office and shop: workers’ strategic adaptations to the 4-day week. Work and Occupations, 51(4), 607-633. https://doi.org/10.1177/07308884231203317 DOI: https://doi.org/10.1177/07308884231203317
Munyon, T. P., LeClaire, C., Pace, L., & Boldin, T. (2023). What makes a compressed workweek successful?. Organizational Dynamics, 52(2), 100982. https://doi.org/10.1016/j.orgdyn.2023.100982 DOI: https://doi.org/10.1016/j.orgdyn.2023.100982
Nord, W. R., & Costigan, R. (1973). Worker adjustment to the four-day week: a longitudinal study. Journal of Applied Psychology, 58(1), 60–66. https://doi.org/10.1037/h0035419 DOI: https://doi.org/10.1037/h0035419
Pedersen, M., Muhr, S. L., & Dunne, S. (2024). The care of the self and the meaningful four-day workweek. Philosophy of Management, 23, 335–352. https://doi.org/10.1007/s40926-024-00314-2 DOI: https://doi.org/10.1007/s40926-024-00314-2
Querstret, D., O'Brien, K., Skene, D. J., & Maben, J. (2020). Improving fatigue risk management in healthcare: a scoping review of sleep-related/ fatigue-management interventions for nurses and midwives (reprint). International Journal of Nursing Studies, 112, 103745. https://doi.org/10.1016/j.ijnurstu.2020.103745 DOI: https://doi.org/10.1016/j.ijnurstu.2020.103745
Ronen S., & Primps, S. B. (1981). The compressed work week as organizational change: behavioral and attitudinal outcomes. Academy of Management Review, 6(1), 61–74. https://doi.org/10.5465/amr.1981.4288003 DOI: https://doi.org/10.2307/257141
Sagherian, K., Clinton, M. E., Huijer, H.A.S., & Geiger-Brown, J. (2017). Fatigue, Work Schedules, and Perceived Performance in Bedside Care Nurses. Workplace Health & Safety, 65(7), 304-312. https://doi.org/10.1177/2165079916665398 DOI: https://doi.org/10.1177/2165079916665398
Salyers, M. P., Bonfils, K. A., Luther, L., Firmin, R. L., White, D. A. Adams, E. L., & Rollins A. L. (2017). The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. Journal of General Internal Medicine, 32, 475–482. https://doi.org/10.1007/s11606-016-3886-9 DOI: https://doi.org/10.1007/s11606-016-3886-9
Schneider, J., Talamonti, D., Gibson, B., & Forshaw, M. (2022). Factors mediating the psychological well-being of healthcare workers responding to global pandemics: a systematic review. Journal of Health Psychology, 27(8), 1875-1896. https://doi.org/10.1177/13591053211012759 DOI: https://doi.org/10.1177/13591053211012759
Topp, J., Hille, J. H., Neumann, M., & Mötefindt, D. (2022). How a 4-day work week and remote work affect agile software development teams. Hochschule Hannover. DOI: https://doi.org/10.1007/978-3-030-94238-0_4
Veal, A. J. (2023). The 4-day work-week: the new leisure society? Leisure Studies, 42(2), 172-187. https://doi.org/10.1080/02614367.2022.2094997 DOI: https://doi.org/10.1080/02614367.2022.2094997
Venczel, T. (2024). Illuminating shades: a qualitative analysis of the impact of a four-day workweek on subjective well-being in Hungary. Employee Responsibilities and Rights Journal. https://doi.org/10.1007/s10672-024-09504-6 DOI: https://doi.org/10.1007/s10672-024-09504-6
Wadsworth, L. L., & Facer, R. L. (2016). Work–family balance and alternative work schedules: exploring the impact of 4-day workweeks on state employees. Public Personnel Management, 45(4), 382-404. https://doi.org/10.1177/0091026016678856 DOI: https://doi.org/10.1177/0091026016678856
Xiao, Q., Cooke, F. L., & Chen, L. (2022). Nurses’ well-being and implications for human resource management: a systematic literature review. International Journal of Management Reviews, 24(4), 599-624. https://doi.org/10.1111/ijmr.12295 DOI: https://doi.org/10.1111/ijmr.12295
Yildizhan, H., Hosouli, S., Yılmaz, S. E., Gomes, J. Pandey, C., & Alkharusi, T. (2023). Alternative work arrangements: individual, organizational and environmental outcomes. Heliyon, 9(11), e21899. https://doi.org/10.1016/j.heliyon.2023.e21899 DOI: https://doi.org/10.1016/j.heliyon.2023.e21899
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Direitos de Autor (c) 2025 Manuel Ferreira Veloso, Carlos Cabral-Cardoso
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