O conflito como realidade e desafio cultural no exercício da gerência do enfermeiro

Abstract

O exercício da gerência do enfermeiro é permeado de conflitos que podem ser interpretados pelos referenciais de cultura. O presente estudo tem como objetivo denotar especificidades culturais, analisadas segundo a Teoria Interpretativa da Cultura de Geertz, que se expressam como conflitos no âmbito da gerência do enfermeiro num Hospital Universitário. Os resultados denotam a incorporação de elementos ideológicos e de mecanismos de controle e de poder, que manifestam sua origem na forma de organização do trabalho. Percebe-se a efetivação de políticas alicerçadas em valores da própria profissão. As práticas exercidas destacam uma construção cultural que elucida algumas compreensões dos processos cognitivos, sociais e comportamentais, pois estes organizam as interpretações e as respostas para os eventos da prática gerencial do enfermeiro. Os resultados deste estudo apontam para a importância da cultura organizacional no exercício da gerência na enfermagem diante das incertezas laborais, na complexidade do ambiente hospitalar

Situações de conflito vivenciadas no contexto hospitalar: a visão dos técnicos e auxiliares de enfermagem

“…The findings of a study performed in a hospital in the state of Rio Grande do Sul corroborate the aforementioned actions, since the reports of the interviewed nurses show listening, respect and dialogue as strategies of coping to be incorporated in our culture, as a means to move out of an obscure situation towards an alternative possibility of visualization, of lightness, in the development of the nursing management process (11) .…”

“…In literature and in professional practice, it is evident that the condition for the exercise of management by the nurses is noted by the incorporation of control mechanisms, i. e., it is determined by the relationships of power, which are characterized by traits that stem from the history of the profession, covering both the religious and military domains and its link with the status of domineering classes, therefore relegating nurses to subordination and the imposition of performing tasks or following orders (11) .…”

Gerência do cuidado de enfermagem em cenários hospitalares: a construção de um conceito

“…What characterizes instrumental actions is the accomplishment of technical activities aimed at attending to the biological needs expressed in the client's body, and at the physical care involving this body, with a view to planning and organizing the therapeutic environment and the equipment and material needed to accomplish technical nursing procedures (21)(22) . The instrumental actions demand empirical knowledge and technical and management skills from nurses.…”

Gender Differences and Professional Identities in Health and Engineering

“…Studies such as Prochnow, Leite, Erdmann and Trevizan (2007) and Tabak and Orit (2007), for example, have pointed that the social relations established between physicians and other health professionals, particularly nurses, are based on tensions and conflicts deriving from the physicians greater power and control over the work process, in function of their sovereign autonomy in the decisions involving the diagnosis and prescription of medication for the patients.…”