No abstract

Despite all quality management and integration literature prescriptions to implement strategies for a better organizational performance, healthcare organizations support a model that is inefficient, expensive, and unsustainable over time. This work aims to examine the interpersonal relationships in three large hospitals located in Southern Brazil and its relation with organizational efficiency. Through a qualitative and explanatory research, semi-structured interviews were applied to 32 professionals, in addition to a document analysis. The data analysis shows that integration occurs at the formal leadership level only in one of the organizations and does not involve the medical and operational professionals. Quality management seems not to be fully incorporated into care routines, and are related to efficiency losses. This scenario is probably related to the lack of integration among the professionals and the consolidation of trust, leadership, and communication.

Professionals who work at the patients' bedside should be involved in the development of strategies, in order to commit them to the organisational objectives. The consolidation of interpersonal relationships of nursing professionals can lead to improvements with medical professionals, with positive impacts on patient safety and efficiency.

The present descriptive, cross-sectional study aims to analyze the quality of work life (QLW) with 95 nurses and nurse technicians selected by convenience from a hospital in Serra Gaúcha, RS. The Nursing Questionnaire of quality of life at work (QWLQ-78) was used and divided into four domains (Physical/Health; Psychological; Professional; and Personal). The data were submitted to descriptive statistics (means and standard deviations) and absolute and relative frequency calculation. The results from all domains showed a satisfactory perception of quality of life at work (QLW). A strong correlation was observed between all domains and QLW, notably in the personal domain (r=0,866), followed by Psychological and Professional Domains (both ρ=0.819). The lowest correlation occurred between the Physical/Health domain and QWL (r=0.762) and between this domain and the others. The study showed a satisfactory perception of QWL in the studied sample.