Work organization in hospital nursing: literature review approach

Abstract

ABSTRACT:The objective of this study was to analyze aspects of work organization in hospital nursing and its articulations with care, by means of an integrative review. A total of 25 studies were identified, from the period between 2000 and 2009. Based on the understanding of the work organization and its application in nursing, the following analytical categories were structured: conceptual and theoretical aspects, personnel management, care management, technologies, hospital accreditation, planning and material resources management. The literature evidenced the complexity of this work organization theme and the importance of studies on its application in nursing. The analysis of the publications points to the need to rethink work organization in such a way as to build less wearing and quality work alternatives, assuring the safety of both the user and the worker. DESCRIPTORS:Nursing. Administration. Health management. ORGANIZAÇÃO DO TRABALHO DA ENFERMAGEM HOSPITALAR:ABORDAGENS NA LITERATURA RESUMO: Este estudo, por meio de uma revisão integrativa, teve como objetivo analisar aspectos da organização do trabalho hospitalar da enfermagem e suas articulações com a assistência. Foram identificados 25 estudos, no período de 2000 a 2009. A partir da compreensão de organização do trabalho e sua aplicação na enfermagem foram estruturadas as seguintes categorias analíticas: aspectos teóricos e conceituais, gestão de pessoas, gestão da assistência, tecnologias, acreditação hospitalar, planejamento e gestão de materiais. A literatura evidenciou a complexidade desta temática de organização do trabalho e a importância de estudos sobre a sua aplicação na enfermagem. A análise das publicações aponta para a necessidade de se repensar a organização do trabalho, de modo a construir alternativas de trabalho menos desgastantes e de qualidade, garantindo a segurança do usuário e do trabalhador. DESCRITORES:Enfermagem. Administração. Gestão em saúde. ORGANIZACIÓN DEL TRABAJO EN ENFERMERÍA HOSPITALARIA: ABORDAJES EN LA LITERATURA RESUMEN:En el presente estudio se realiza una revisión integradora con el objetivo de analizar aspectos de la organización del trabajo de enfermería y sus relaciones con la atención. Se identificaron 25 estudios, de 2000 a 2009. A partir de la comprensión de la organización del trabajo y su aplicación en la enfermería, se estructuraron las siguientes categorías de análisis: aspectos teóricos y conceptuales, gestión de personas, gestión de la atención, tecnología, acreditación de hospitales, planificación y gestión de materiales. La literatura muestra la complejidad de este tema de la organización del trabajo y la importancia de los estudios sobre su aplicación en la enfermería. El análisis de las publicaciones muestra la necesidad de repensar la organización del trabajo a fin de construir alternativas para un trabajo menos estresante y de calidad, lo que garantiza la seguridad del usuario y el trabajador. DESCRIPTORES:Enfermería. Administración. Gestión en salud.

Moral harassment in the nurses' experiences: phenomenological perspective

“…18 It is considered that the working conditions to which Nursing professionals are exposed tend to deteriorate because of the strong influence of neoliberal policies instituted in hospitals, where the containment of human resources and degrading salaries of Nursing workers, as well as the high competitiveness, insidiously expose professionals in this category to violence in the workplace. [19][20] It was identified, in an integrative literature review, the aspects of Nursing hospital work organization and its articulations with care, the complexity of nurses' work organization, which involves not only the patient, but theoretical and conceptual aspects were identified. It is pointed out, in the research, the need to rethink this multifaceted framework of tasks, to construct less exhausting work alternatives and to guarantee, besides patient safety, that of the worker.…”

“…It is pointed out, in the research, the need to rethink this multifaceted framework of tasks, to construct less exhausting work alternatives and to guarantee, besides patient safety, that of the worker. [19][20] Psychosocial risks are defined as subjective perceptions that the worker has of work organization expressed through emotional, interpersonal stressors and those related to the organization of work. Competitiveness, lack of recognition, insecurity, fear of not knowing and being ridiculed, new demands associated with lack of autonomy, lack of respectful and transparent dialogue between peers, evaluation and the consequent generation of conflicts, the lack of clarity that favors the maintenance of fears and suspicions, among others.…”

Ensino Em Serviço De Residentes De Enfermagem Obstétrica Na Perspectiva Da Preceptoria

“…Além dessa hierarquia tácita na formação, a aprendizagem das residentes segue as demandas da assistência nos setores da maternidade, o que se assemelha à própria organização do trabalho da enfermagem no hospital, em que o modelo gerencial tradicional ainda predomina e causa hierarquia rígida e organização burocrática da assistência, provocando a ênfase nos manuais de procedimentos, rotinas, normas e escalas de distribuição de tarefas, e privilegia o fazer em detrimento do pensar (17) .…”

Organization of work and the production of subjectivity of the nurse related to the nursing process

“…14 Commonly, in the hospital organizations, care actions comply with standards and standardized routines, directed by established and internalized functions to regulate and standardize the professional work, so that proposed changes engender resistance and conflicts, since it is aim to change the way workers are used and were prepared/modeled to act. 15 Individual and collective behaviors are governed by different factors, among which, power or economic relations. However, some of these motivations are difficult to identify and the purpose that leads individuals or groups to act in a manner contrary to their interests remains unclear.…”