Os afetos no processo de trabalho gerencial no hospital: as vivências do enfermeiro

Abstract

RESUMO: Objetivo: compreender os sentimentos vivenciados pelos enfermeiros em função do exercício do gerenciamento no contexto hospitalar. Método: estudo de abordagem qualitativa, do tipo exploratório e descritivo com corte transversal, como referencial teórico foi utilizada a Teoria das Representações Sociais. Foram entrevistados dez enfermeiros por meio de um roteiro semi-estruturado. Os dados foram interpretados com base na análise do discurso, da linha da Psicologia Social, por meio da técnica dos Mapas de Associação de Ideias. Resultados: identificaram-se sentimentos predominantemente negativos reportados pelos enfermeiros em relação ao exercício de seu trabalho gerencial, relacionados aos determinantes organizacionais e sociais das representações do trabalho. Considerações finais: são necessárias outras investigações que se proponham ao aprofundamento na temática com metodologias pautadas na pesquisa-ação com vistas à melhoria dos processos de trabalho no ambiente hospitalar. Descritores: Gerência; Administração hospitalar; Enfermagem. ABSTRACT

Análise conceitual da gestão do cuidado em enfermagem no âmbito hospitalar

“…Lima RS, Lourenço EB (6) To understand the feelings experienced by nurses as a response to management activities in the hospital context. Qualitative, exploratory, descriptive and cross-sectional study.…”

“…(3,6,12,14,15,16,17,18) Coordination of management actions and the care process provides nurses with possibilities to reunite with care, and consequently contributes to increased satisfaction levels and decreased work stress. (6) The literature survey allowed identification of coordination and integration of management and care, and the practices of leadership, interaction, communication, decision-making and cooperation, as fundamental attributes in nursing care management. The interactive relationship between nurses and users stands out as an important element in care management dynamics, because it allows exchanging information and establishing trust and bonds, contributing to the realization of actions to promote and recover user health.…”

“…(6) For this reason, nurses sometimes identify their job as being of a bureaucratic-care nature and sometimes classify it as directed to care, maintaining a dichotomy between management and care. (5) A study focused on the theoretical elaboration of nursing care management in the hospital context corroborated this, supporting the idea that nurses have conceptual difficulties with nursing care management actions and revealing a dialectical relationship between management and care expertise.…”

Cargas de trabalho psíquicas no processo de trabalho de enfermeiros de maternidades e centros obstétricos

“…When perceiving the managerial and assistance demands that overcome their immediate capacities, the nurse is faced with the need to prioritize actions to the detriment of others, characterizing the split of these two dimensions of the work process, also revealed in the literature (5) . This context is based on an everyday work based on criteria of better performance, flexibility and versatility (2) .…”

“…Even in view of the relevance of the scientific literature on the wear and tear of work contexts (2,(5)(6) , there is a lack of studies that address the specificities of the WL in the Maternity and OCs context; especially considering that the humanization of the child care is a major challenge, which requires the preparation of workers and respect for the true meanings of that moment, and that is when the importance of this study arises.…”