Participative leadership in the management process of nightshift nursing

Abstract

This is a qualitative, exploratory, descriptive study, aiming to identify the perceptions of nurses regarding the leadership process and to analyze how this process takes place on the nightshift. Data collection was performed through the Focus Groups Technique, with 13 nightshift nurses of a public teaching hospital. Two categories that resulted from the thematic analysis are the focus of this article: the context of nightshift nursing work and leadership from the perception of the nightshift nurses. Teamwork is an important condition to vitalize the participatory perspective of the leadership process, given the necessary relationship of support and integration, above all in the nightshift nursing work. This exercise challenges the nurse in the solidification of a culture that promotes spaces for reflection regarding the work, integrating leadership with a learning process that is constituted through constructive bonds between the workers.

Gerenciamento do cuidado de enfermagem à criança em condição crônica hospitalizada

“…During this work shift, nurses mainly supervisethe nursing care, acting as leaders. This is configured as complex practice, since it involves the coordination of multiple factors such as communication skills, trust, respect, proactivity, establishing bonds guided by the ethics and human values which impact the care and behavior of workers (19) .…”

A utilização de instrumentos para avaliação da liderança nos serviços de saúde e enfermagem

“…In this regard, the increasing requirements of productivity and quality widen the requisites of qualification of the workers in an unstable and flexible labor market and make the implementation of formation and management models based on professional skills more generalized (3)(4) .…”

Nursing work at night in palliative oncology care

“…Hence, participatory leadership is an important strategy, mainly at night, in view of the integration needed for nursing care management. Differently from some realities presented in research (6,15) , however, which indicate the tranquility of the nighttime period as a factor that facilitates care actions and planning, with In general, this care mode requires managers' attention and investments to provide appropriate resources, with a view to better palliative care practices. This is a challenge for the health system.…”

“…As a strategy to cope with the difficulties of nighttime nursing practice, the baccalaureate nurses evidenced the necessary trust relation and team spirit. In the management dimension, this strategy remits to participatory leadership, which remits to a contemporaneous view of leadership as a form of work that values team members' experiences and potential resources, demanding relational competencies as well as shared and complementary actions among peers, who support decision making during shifts when their heads are not present (14)(15) .…”