Factors involved in the management of nursing care: a descriptive study

Abstract

Aim: To investigate the factors involved in care management. Method: This is a descriptive study, performed with 32 nurses from Basic Care units in Maracanaú, Brazil, from May to July 2012. The methodological process used was the Discourse of the Collective Subject, to order and organize the data. Results: The most important concerns were: excessive demand, resistance of the users to the proposed activities in health prevention and promotion and precarious organizational structure. The facilities presented were: support from the health department, teamwork and autonomy of the nurse. Discussion: The difficulties experienced generated a gap between the caring service and the managerial process, especially those linked to the instability of the work processes and the traditional assisting model, but on the other hand, the teamwork, the support of management and autonomy stimulated the interaction between caring and managing. Conclusion: The Attention Care Service presents ambivalences because sometimes it permits and at other times it separates caring and care management.

Modelo comboio para suporte familiar pelo enfermeiro na atenção básica: estudo descritivo

“…Logo, é fundamental que essas orientações possam ser direcionadas para a produção do cuidado centrado nos usuários e nas famílias, envolvendo, além da doença, os sujeitos em seu contexto, fomentando o desenvolvimento de autonomia das pessoas para lidarem com os seus problemas, por meio da utilização predominante de tecnologias interacionistas e da construção dialogada entre os atores sociais envolvidos nesse processo (15) . Bem como, a utilização de ferramentas próprias para o trabalho com famílias tão próximas do exercício da prática do enfermeiro.…”

Care management actions in the Family Health Strategy

“…This split between the care and management dimensions intervene negatively in the nursing work process and consequently restricts the autonomy of these professionals in the field of primary care, which weakens the solving of problems identified, producing dissatisfaction of the population attended by health services (4) .…”

“…However, the care management in the Family Health Strategy is still a practice that is not developed and not discussed on the national scenario (3) , in addition to this, there are factors that separate care and management, especially due to the precariousness of the labor process and to the traditional care model. These characteristics harm the actions taken by nurses in this scenario of action and they can even generate on these professionals feelings of frustration especially for restriction of autonomy and little solving of the problems identified (4) .…”

Care management in nursing within emergency care units

“…6 Teamwork is also involved in the management of nursing care in other performance scenarios of the nurses. 11 The importance of training, conveyed by the professionals, refers to the characteristics of the nurse's managerial work, which involves actions of managing, caring, and educating; caring, managing, and educating; and educating, caring, and managing. 5 This dynamic between managing, caring, and educating can permeate and connect the hospital and para-hospital services in hospital quality care.…”