Objective: To analyze the concept of nursing care management in the hospital context on the basis of the theoretical-methodological framework of Walker and Avant. Methods: Elaboration of an integrative review to operationalize the analysis of the subject, extracting data from the databases Latin America and Caribbean Center on Health Sciences Information, Scientific Eletronic Library Online and the Brazilian Nursing Database, using the keywords and descriptors Care Management, Nursing and Hospital. Results: The review showed that management practice by nurses focuses on bureaucratic activities and has little relationship to care. However, coordination and integration of administration and care, leadership, communication, interaction, decision-making and cooperation were identified as essential characteristics of nursing care management. Conclusion: The application of this concept in nursing care management is an emerging need for the development of an administration model related to care. ResumoObjetivo: Analisar o conceito gestão do cuidado em enfermagem no âmbito hospitalar, com base no referencial teórico-metodológico de Walker e Avant. Métodos: Realizou-se uma revisão integrativa, para operacionalizar a análise, nas bases de dados Literatura Latino-americana e do Caribe em Ciências da Saúde, Scientific Eletronic Library Online e a Base de dados de Enfermagem, utilizando palavra chave e descritores: Gestão do Cuidado, Enfermagem e Hospital. Resultados: Evidenciou-se uma prática gerencial do enfermeiro com enfoque para as atividades burocráticas e pouco articulada ao cuidado. Entretanto, identificaram-se a articulação e integração entre o gerenciamento e o cuidar, liderança, comunicação, interação, tomada de decisão e cooperação como atributos essenciais da gestão do cuidado em enfermagem. Conclusão: A aplicação desse conceito na prática gerencial do enfermeiro apresenta-se como uma necessidade emergente para o desenvolvimento de um modelo de gestão vinculada ao cuidar.

Objectives: to understand the practice of the nurse in healthcare management of children with chronic condition in the hospital setting. Methods: analytical study of qualitative approach with theoretical and methodological reference of institutional ethnography. Developed in the pediatric unit of a university hospital, in a municipality in Northeastern Brazil. Data collections techniques were: participant observation, documentary analysis and semi-structured interview. Participants of the study totaled twenty professionals, including nurses, social workers, psychologists, pharmacists, nutritionists, physiotherapists, and doctors. For data analysis, it was used the Bardin's Content Analysis with interface of the Atlas.ti software. Results: categories of analysis were “Nurse as mediator of healthcare management”; “Nursing process as a mechanism of healthcare management”. Final considerations: the nurse proved to be essential for healthcare management of the child with chronic condition, acting as mediator of the relationship between the doctor, the members of the health team, the user and their family.

Objective: to describe the strategies adopted by nurses in order to provide the families of hospitalized children and adolescents with care. Method: this is a qualitative study, guided by thematic oral history, conducted with 12 nurses at a pediatric hospital. A semi-structured interview script was used to collect data. Data was organized and codified by using the software Atlas.ti 7.0 (Qualitative Research and Solutions), obtaining the categories: The family from nurses’ viewpoint: conceptual perspective; and Nurses providing the families of hospitalized children with care. Results: it was revealed that nurses turn the establishment of bonds, communication, health education, and search for support from the multiprofessional team, as well as a qualified listening and a calm professional attitude, into strategies to provide the families of hospitalized children and adolescents with care. Conclusion: the strategies used by nurses take place in the subjective dimension, and, in the essence, they are of great importance, by contributing to a better coping with the hard experience that hospitalization represents for the binomial family/child; these nurses also have a closer relationship with both the family and the child, getting to know their needs better. Descriptors: Nursing Care; Family; Child, Hospitalized; Adolescent; Hospitalization; Pediatric Nursing.RESUMO Objetivo: descrever as estratégias adotadas pelos enfermeiros para o cuidado de famílias de crianças e adolescentes hospitalizados. Método: trata-se de um estudo qualitativo, norteado pela história oral temática, realizado com 12 enfermeiros em um hospital pediátrico. Utilizou-se um roteiro de entrevista semiestruturado para a coleta de dados. Organizaram-se e codificaram-se os dados por meio do programa computacional Atlas.ti 7.0 (Qualitative Research and Solutions), obtendo-se as categorias: A família na visão de enfermeiros: perspectiva conceitual; e Os enfermeiros cuidando de famílias de crianças hospitalizadas. Resultados: revelou-se que os enfermeiros fazem do estabelecimento do vínculo, da comunicação, da educação em saúde e da busca por suporte da equipe multiprofissional, bem como da escuta qualificada e da postura profissional tranquila, estratégias para o cuidado de famílias de crianças e adolescentes hospitalizados. Conclusão: dão-se na dimensão subjetiva as estratégias utilizadas pelos enfermeiros, que, em sua essência, têm grande relevância, pois contribuem com um melhor enfrentamento da experiência difícil que a hospitalização representa para o binômio família/criança; esses enfermeiros também têm uma relação mais próxima tanto com a família como com a criança, conhecendo melhor suas necessidades. Descritores: Cuidado de Enfermagem; Família; Criança Hospitalizada; Adolescente; Hospitalização; Enfermagem Pediátrica.RESUMENObjetivo: describir las estrategias adoptadas por los enfermeros para brindar atención a familias de niños y adolescentes hospitalizados. Método: este es un estudio cualitativo, guiado por la historia oral temática, realizado con 12 enfermeros en un hospital pediátrico. Se utilizó un guión de entrevista semi-estructurado para recoger datos. Los datos se organizaron y codificaron utilizando el software Atlas.ti 7.0 (Qualitative Research and Solutions), obteniendo las categorías: La familia desde el punto de vista de enfermeros: perspectiva conceptual; y Los enfermeros que brindan atención a familias de niños hospitalizados. Resultados: se reveló que los enfermeros convierten el establecimiento del vínculo, de la comunicación, la educación para salud y la búsqueda de soporte del equipo multiprofesional, así como de la escucha calificada y la actitud profesional tranquila, en estrategias para brindar atención a familias de niños y adolescentes hospitalizados. Conclusión: las estrategias utilizadas por los enfermeros tienen lugar en la dimensión subjetiva y, en esencia, son de gran importancia, contribuyendo a hacer frente a la experiencia difícil que representa la hospitalización para el binomio familia/niño; eses enfermeros también tienen una relación más cercana tanto con la familia como con el niño, conociendo mejor sus necesidades. Descriptores: Atención de Enfermería; Familia; Niño Hospitalizado; Adolescente; Hospitalización; Enfermería Pediátrica.

Objective: To analyze the nurse’s performance in the hospital discharge process of children with chronic disease. Method: Qualitative research conducted from May to August/2019 with ten nurses working in a pediatric unit of a public hospital. The data, collected through semi-structured interviews, were submitted to inductive thematic analysis. Results: In the preparation for hospital discharge, nurses recognize health education as their attribution, valuing family knowledge in the training regarding home care. Nevertheless, their practice is weakened by the little articulation among the multiprofessional team, reduced nursing sizing and disarticulation in the health care network. Conclusion: There is a paradox between the report and the practice of the hospital discharge process accomplished by nurses. Although they have theoretical knowledge, their work process is influenced by the disarticulated way in which the multiprofessional team interacts, and the conditions provided by the institution to work in the preparation for hospital discharge of these children.

ABSTRACT Objectives: to understand how the pedagogical knowledge that integrates the basic knowledge of teaching is perceived by preceptors in residents' teaching-learning process. Methods: a qualitative research conducted by semi-structured interview from December 2013 to July 2014, with 31 preceptors of residency programs of three university hospitals in northeastern Brazil. For analysis, the Grounded Theory's proposal was used and supported by Atlas ti(r) 7.0 software. Results: preceptors integrate preceptorship with basic teaching knowledge proposed by Lee Shulman, with emphasis on General Pedagogical Knowledge when seeking strategies to better work on specific and disciplinary content, and Pedagogical Content Knowledge when adapting content to make it comprehensible to residents. Final Considerations: the study allowed us to understand how Shulman's basic knowledge of teaching is perceived by preceptors. It is recognized that they integrate knowledge into the preceptorship, highlighting the General and Pedagogical Content Knowledge.