Valores que norteiam o processo de tomada de decisão da enfermeira

Abstract

The aim of this study is to identify the values raised by a group of nurses from a health care institution, and to understand in which way these values can interfere in nursing management activities. This study was based on Methodological Triangle which envolves both quantitative and qualitative methods. It was held at a philantropic hospital in São José do Rio Preto with nurses who work in specialized areas with in-patients. The data were collected using a questionnaire in which three situations were presented covering usual incidents to nurses. These situations required important decisions to be made based on personal values. The results showed that for nurses, honesty, self-control and responsibility are inter-related; usually, the nurses demonstrated tolerance, understanding and solidarity. But, many times, nurses are condescending to their subordinates when their professional competence is not required. However, when trying to attain social recognition, nurses are keen and they can punish their subordinates.

Percepção de enfermeiros sobre dilemas éticos relacionados a pacientes terminais em Unidades de Terapia Intensiva

“…These values, may, sometimes, help or make things difficult for nurses in the decision-making process due to the internal conflicts generated by cultural and social differences, among which family members, patients and other professionals stand (14) .…”

“…Nurses consider values such as honesty, self-control, responsibility, tolerance, understanding, solidarity, and condescension when making decisions; which shows the influence of the historical foundations of the profession, the predominance of female values and the need for social, personal and professional acknowledgment (14) .…”

Administração e Valores: em busca de novos caminhos para a compreensão do comportamento administrativo

“…Poucos valores são efetivamente universais e aqueles que orientam as decisões e ação cotidianas são tão diversos quanto os grupos e instituições existentes na sociedade. Valores específicos guiam decisões e ações específicas em instituições ou grupos sociais (Porto & Tamayo, 2007) que pertencem as pessoas que compõem um grupo ou classe profissional específica, por exemplo, a classe das enfermeiras (Perocca, 1997); os valores organizacionais (Tamayo & Gondim, 1996) que pertencem aos integrantes de uma organização ou tipo de organização específica (empresa pública, privada, etc.) e os valores sociais "gerais" (Porto & Tamayo, 2007) que guiam as ações e decisões das pessoas nas esferas mais amplas da sua vida social, como o valor da cidadania.…”