Nursing Now and Nursing in the future: the experience of the unexpected irruptions

Abstract

Objective: to carry out a theoretical reflection on the Nursing Now Campaign and the experience of the unexpected irruptions facing the pandemic period. Method: a theoretical-reflective study, supported by the theoretical framework of complexity thinking. It aims at understanding the dialogic between the notions of order, disorder and organization, which translate the transition from simplification to complexity of the pandemic phenomenon and its relation to the theme of Nursing Now and Nursing in the future. Results: the universe of phenomena is simultaneously composed of order, disorder and organization. Reasserting the central role of Nursing in the health team, facing the irruptions and uncertainties caused by the current pandemic, implies the ability to dialog with disorder and raise a new and more complex global (re)organization of the being and doing Nursing. Conclusion: in addition to answers, theoretical reflection raises new questions and irruptions. The inseparability between the notions of order and disorder in the evolutionary dynamics of the Nursing system is conceived and the promotion of even more complex levels of organization, management and Nursing assistance to achieve universal access to health is advocated.

Leadership in Nursing and Health Care in the Light of Complexity Thinking

“…The post-Covid-19 society will be essentially dynamic and changeable. Therefore, to keep up with the environment and the effervescent moving systems, the organizations/systems/ professions, in this case, Nursing should be highly organic, in other words, innovative, temporal, and anti-bureaucratic (23) .…”

“…Leadership, in the complex-systemic perspective, is simultaneously woven of circularity, complementarity, interdependence, and interactivity. From this perspective, nursing's central role in the health system is reaffirmed, given the unpredictability, uncertainties, and ambiguities of reality, which implies the ability to transcend verticalized paradigms and establish prospective connections between the different network points (23)(24) . To act in the SUS and cope with the complexity of the social system, the nurse needs to increasingly develop skills and competencies in teaching, research, and practice, aware of the need for lifelong learning.…”

Liderança em Enfermagem e saúde à luz do pensamento da complexidade

“…A sociedade pós-Covid-19 será essencialmente dinâmica e mutável. Assim, para acompanhar o ambiente e os sistemas em movimento efervescente, as organizações/sistemas/ profissões, neste caso, a Enfermagem deverá ser altamente orgânica, isto é, inovadora, temporal e antiburocrática (23) .…”

“…A liderança, na perspectiva sistêmico-complexa, é tecida simultaneamente de circularidade, complementaridade, interdependência e interatividade. Reafirma-se, nessa perspectiva, o papel central da Enfermagem no sistema de saúde, face à imprevisibilidade, às incertezas e ambiguidades do real, o que implica a capacidade de transcender paradigmas verticalizados e estabelecer conexões prospectivas entre os diferentes pontos da rede (23)(24) . Para atuar no SUS e fazer frente à complexidade dos sistemas sociais, o Enfermeiro necessita, crescentemente, desenvolver habilidades e competências no ensino, na pesquisa e na prática, consciente da necessidade de sua formação ao longo da vida.…”

Nursing care as a systemic and entrepreneurial phenomenon

“…Thus, the mediator, in this case the enterprising nurse, has a relevant role in prospectively leading the care process, based on horizontal and dialogic technologies (27) . However, it is not enough just to strengthen the leadership of the Nurse -goal of the Nursing Now campaign (28) . In addition to this goal, it is necessary to develop the thinking of complexity and intuit an entrepreneurial behavior both in teaching and research, as well as in the apprehension and dynamization of nursing care, with a view to the (re)organization, expansion and prospection of nursing care as a systemic and entrepreneurial phenomenon.…”