Nursing work: challenges for health management in the Northeast of Brazil

Abstract

Aim: Social exchange theory is used as the framework to examine the interaction between supervisor-subordinate relationships, training and affective commitment for Northeast Brazilian public sector nursing professionals.Background: There are continuing challenges to nursing management worldwide in terms of the supply of nursing professionals, their work relationships, nurse training and commitment to their employing organisations. The interplay between these factors for nurses in the Northeast of Brazil has not been well understood.

Relationship between leadership, bullying in the workplace and turnover intention among nurses

“…We observed that nurses with more than one job were more likely to suffer from personal bullying. A study from Brazil indicated that, because of low wages, nurses might need to work two or more jobs, making this population especially overloaded, and these working conditions affected their availability to participate in professional training and limited their relationship with supervisors (Nelson et al., 2013), which can make this population vulnerable to bullying. (Maringá, 2017), have enacted laws to deter and punish such practices in the public sector, but unfortunately there is still no such law at the state level.…”

The influence of bullying on the wellbeing of Brazilian nursing professionals

“…The managerial environment (for example poor interpersonal and people management skills) has been associated with workplace bullying (Dick, 2008). In relation to Brazil, the majority of research on work relationships among nursing professionals is qualitative in nature (Dalmolin et al, 2009) and it has become clear that follow-through quantitative or mixed methods research is also required (Nelson et al, 2013). It is not clear whether or not effective LMX is likely to minimize bullying and improve wellbeing in the northeast of Brazil, given the particular circumstances shaping nursing management in that region.…”

Representação da prática gerencial do enfermeiro na unidade de internação: perspectiva da equipe de enfermagem

“…Allied to this, most hospitals in the country are driven by capitalism assumptions and the culture of classical administration (6) , therefore, they are not predisposed for the solidifi cation of a professional profi le able to articulate the managerial and care dimensions. This panorama can contribute so that nurses are primarily devoted to management demands (7) . In this sense, the dichotomy care/management has prevailed in the nurses discourse (3,8) , considering that they have the perception that there is no articulation between the two dimensions, they consider that managerial activities will lead to patient distance, which may result in confl icts with the rest of the nursing staff (9)(10) .…”