The Client Capital in Nursing Management in Hospitals

Abstract

Objective: To analyze how the components of the client's capital are used in the management of nursing in hospitals. Method: A qualitative research carried out in five public hospitals, four private hospitals and three philanthropic hospitals in the period from October 2014 to May 2015. Data were collected through a semi-structured interview with twelve nursing managers and analyzed according to content analysis. Results: The components of the Client's Capital were used by the nurses when performing the management of the client service to promote changes and improve the service after evaluating the satisfaction of the nursing care through active systematic search, with its own evaluation tools and the ombudsman's information and in the interaction with suppliers of materials, equipment and services. Conclusion and implications for practice: The managers use managerial actions for the development of the client's capital of organizations. In order to improve them, they must evaluate the nursing care in a continuous and strategic process to satisfy the clients, throughout their trajectory in the organization, since clients are permanent sources of innovation that affect professional and organizational development and productivity.

Potentialities and Difficulties of Technological Mediation in the Work of Nurse Managers in Hospitals

“…Other studies also mention positive aspects regarding technological innovation in healthcare and nursing management, with emphasis on digital technologies and ICT 11,[13][14][22][23] . The use of technological resources also produce, in an articulated way, improvements in nursing care and management, allowing the realization of more accurate records, which contributes to the implementation of the Systematization of Nursing Care (SAE) 7 .…”

“…Research in hospitals in the Netherlands 23 shows that robust information systems produce more reliable indicators. Investments in hospital infrastructure should prioritize systems for electronic patient records and the incorporation of technologies that expand the possibilities of resolution of actions 13,23,26 . In the context of technological evolution in health, nursing has the potential to improve the management of services and promote changes in the organizational context, aiming at improvements to care and management.…”

“…The incorporation and use of technological innovations in healthcare has encouraged significant changes in the way nurses work in different scenarios, especially in the management in hospitals 13 . Its potential to expand the scope of nurses' activities, in addition to stimulating innovative attitudes regarding the production of better health outcomes has also been mentioned 14 .…”

Production cost of autologous platelet rich plasma gel

“…Nursing activities are permanent sources of scientific and technological innovation, requiring skilled labor, and having a direct impact on the basis of organizational productivity, while being “socially committed to the public policies of the Unified Health System (SUS)”. This occurs through technological care, when: applying new ideas and adopting best practices; improving processes, care models and protocols, aimed at customer care and Administrative Technology, with management of operational processes which require knowledge and skills; using indicators, administrative processes, and cost management in care ( 33 ) .…”

Potencialidades E Dificuldades Da Mediação Tecnológica No Trabalho De Enfermeiros Gestores Em Hospitais

“…A incorporação e utilização de inovações tecnológicas no campo da saúde têm incentivado mudanças significativas no modo como os enfermeiros atuam em diferentes cenários, em especial, na gestão dos hospitais 13 . Também tem sido mencionado o seu potencial para ampliar o escopo de atuação dos enfermeiros, além de estimular atitudes inovadoras no que diz respeito à produção de melhores resultados em saúde 14 .…”