Representação da prática gerencial do enfermeiro na unidade de internação: perspectiva da equipe de enfermagem

Abstract

Objective:To understand the meanings that nursing staff gives to nurse's managerial practice in the inpatient unit. Methods: This is an exploratory and descriptive research with qualitative approach, conducted in a general hospital in a Southern city of Minas Gerais State. We used the Theory of Social Representations as theoretical framework. The study sample were composed by 23 nursing technicians and fi ve nursing assistants. Data collection was conducted through semi-structured interviews, from December 2011 to January 2012. For data analysis we used the discourse analysis, according to social psychology framework. Results: The meanings attributed to management occurred from the closeness/distance to staff and to patients` care actions. Conclusions:The managerial nurse, perceived as a process apart from care, is classifi ed as non familiar practice, of hard understanding and valuation.

Avaliação de intervenção para difusão da enfermagem baseada em evidências em hospital de ensino

“…Characteristics of the nurse manager profile, weaknesses in interpersonal correspondence with the nursing staff and the distance between their work and the provided care are considered barriers for the implementation of EBN in the Brazilian hospital scenarios (2,20) . As presented in a study conducted in a general hospital in southern Minas Gerais, the nursing staff has its own difficulties in understanding the role of nurse managers in the inpatient units.…”

“…As presented in a study conducted in a general hospital in southern Minas Gerais, the nursing staff has its own difficulties in understanding the role of nurse managers in the inpatient units. The management practices of these nurses was represented as bureaucratic and largely distanced from care (20) . It is therefore necessary to invest in aspects that reach beyond the competencies for EBN, including enhancing the efficiency of leadership practices among managing nurses by stimulating transformational leadership based on cooperation, an inspiring vision, and the commitment to share the importance of applying scientific evidence in care (2)(3) .…”

Apprehensions of nurse managers on evidence-based practice

“…Often, nurses' managerial practice was represented as bureaucratic and preponderantly distanced from care. 25,26 In this way, the need to invest in aspects of nurses' work involving the exercise of transformational leadership based on cooperation, vision inspiring and the committed to share the importance of applying scientific evidence in care. 4,25,26 The investments made in a new administrative work structure, which is based on the availability of resources and the realignment of activities for the use of evidence, were also identified as processes favoring the incorporation of innovations such as EBP.…”

“…25,26 In this way, the need to invest in aspects of nurses' work involving the exercise of transformational leadership based on cooperation, vision inspiring and the committed to share the importance of applying scientific evidence in care. 4,25,26 The investments made in a new administrative work structure, which is based on the availability of resources and the realignment of activities for the use of evidence, were also identified as processes favoring the incorporation of innovations such as EBP. 25,26 In addition, the perceived work overload among nurses has been a barrier to the implementation of the EBP at an international level, which generates the need for the development of guidelines on performance priorities, in order to reduce the overlap of tasks worldwide.…”

“…4,25,26 The investments made in a new administrative work structure, which is based on the availability of resources and the realignment of activities for the use of evidence, were also identified as processes favoring the incorporation of innovations such as EBP. 25,26 In addition, the perceived work overload among nurses has been a barrier to the implementation of the EBP at an international level, which generates the need for the development of guidelines on performance priorities, in order to reduce the overlap of tasks worldwide. 26 Although nurses are expected to use scientific evidence, with a view to the evolution of Nursing and health practice, not always the application of research knowledge to guide practice is considered as one of the activities of this professional in Nursing managers and evidence Camargo FC, Goulart MB, Iwamoto HH, Araújo MRN, Contim D the work process.…”