Nursing supervision for care comprehensiveness

Abstract

Objective: To refl ect on nursing supervision as a management tool for care comprehensiveness by nurses, considering its potential and limits in the current scenario. Method: A refl ective study based on discourse about nursing supervision, presenting theoretical and practical concepts and approaches. Results: Limits on the exercise of supervision are related to the organization of healthcare services based on the functional and clinical model of care, in addition to possible gaps in the nurse training process and work overload. Regarding the potential, researchers emphasize that supervision is a tool for coordinating care and management actions, which may favor care comprehensiveness, and stimulate positive attitudes toward cooperation and contribution within teams, co-responsibility, and educational development at work. Final considerations: Nursing supervision may help enhance care comprehensiveness by implying continuous refl ection on including the dynamics of the healthcare work process and user needs in care networks. Descriptors: Nursing Supervisory; Organization and Administration; Nursing; Nursing Team; Nursing Services. RESUMO Objetivo: refl etir a supervisão de enfermagem como instrumento gerencial do enfermeiro para integralidade do cuidado, considerando suas potencialidades e limitações no cenário atual. Método: estudo refl exivo baseado na formulação discursiva sobre a supervisão de enfermagem, apresentando conceitos e enfoques teóricos e/ou práticos. Resultados: limitações no exercício da supervisão estão relacionadas à organização dos serviços de saúde embasada no modelo funcional e clínico de atenção, assim como possíveis lacunas no processo de formação do enfermeiro e sobrecarga de trabalho. Quanto às potencialidades, destaca-se a supervisão como instrumento de articulação de ações assistenciais e gerenciais, que pode favorecer integralidade da atenção, estimular atitudes de cooperação e colaboração em equipe, além da corresponsabilização e promoção da educação no trabalho. Considerações fi nais: supervisão de enfermagem pode contribuir para fortalecimento da integralidade do cuidado, pressupondo refl exão contínua, para contemplar a dinamicidade do processo de trabalho em saúde e necessidades dos usuários nas redes de atenção. Descritores: Supervisão de Enfermagem; Organização e Administração; Enfermagem; Equipe de Enfermagem; Serviços de Enfermagem. RESUMENObjetivo: Refl exionar sobre supervisión de enfermería como instrumento gerencial del enfermero para integralidad del cuidando, considerando sus potencialidades y limitaciones del escenario actual. Método: Estudio refl exivo basado en formulación discursiva sobre supervisión de enfermería, presentando conceptos y enfoques teóricos y/o prácticos. Resultados: Las limitaciones del ejercicio supervisional están relacionadas a organización de servicios de salud fundamentada en modelo funcional y clínico de atención, en posibles carencias del proceso formativo del enfermero y sobrecarga laboral. Respecto a potencialidades, se destaca la...

The continuity of hospital nursing care for Primary Health Care in Spain

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Perfil do enfermeiro no gerenciamento dos serviços hospitalares

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