0126/2024 - ANÁLISE QUALITATIVA SOBRE A ATUAÇÃO E AS EXPERIÊNCIAS DOS ENFERMEIROS NA GESTÃO HOSPITALAR FRENTE À COVID-19 QUALITATIVE ANALYSIS OF THE PERFORMANCE AND EXPERIENCES OF NURSES IN HOSPITAL MANAGEMENT IN THE FACE OF COVID-19
Objetivou-se analisar a atuação dos enfermeiros na gestão hospitalar frente à COVID-19. O estudo teve uma abordagem qualitativa, do tipo descritivo e exploratório. O cenário foi um hospital que se transformou totalmente para atendimento de pacientes com COVID-19. No momento da coleta de dados, dez enfermeiros estavam à frente da gestão dos serviços, e todos participaram da entrevista semiestruturada. Os dados, após análise temática, foram apresentados em três categorias, representativas dos elementos da tríade de Donabedian, ou seja, estrutura, processo e resultado. A categoria 1 realçou a reconfiguração da estrutura hospitalar a partir da gestão de materiais e das pessoas; a categoria 2 abordou a reestruturação do processo de trabalho para alcance das metas com segurança e qualidade; e a categoria 3 focou nas experiências dos enfermeiros na descrição dos resultados alcançados e esperados. A análise evidenciou a importância do trabalho em equipe, do envolvimento e da adaptação do gestor diante dos desafios da doença nova e ameaçadora da vida, dos recursos escassos e da complexidade das relações humanas na crise. Na liderança transformacional esses enfermeiros incentivaram a mudança de comportamento, o crescimento profissional, e resiliência.
Palavras-chave:
Centro Hospitalar; Infecção por SARS-CoV-2; Modelo de Donabedian; Enfermeiras Chefe; Organização e Administração.
Abstract:
The objective was to analyze the role of nurses in hospital management in the face of COVID-19. The study had a qualitative approach, descriptive, and exploratory. The setting was a hospital that was completely transformed to care for patients with COVID-19. At the time of data collection, ten nurses managed the services, and all participated in the semi-structured interview. After thematic analysis, the data were presented in three categories, representing the elements of Donabedian\'s triad: structure, process, and result. Category 1 highlighted the reconfiguration of the hospital structure based on the management of materials and people; category 2 addressed the restructuring of the work process to achieve goals with safety and quality; and category 3 focused on nurses\' experiences in describing the results achieved and expected. The analysis highlighted the importance of teamwork, involvement, and adaptation of the manager in the face of the challenges of a new and life-threatening disease, scarce resources, and the complexity of human relationships in the crisis. In transformational leadership, these nurses encouraged behavior change, professional growth, and resilience.
Keywords:
Hospitals; SARS-CoV-2 Infection; Donabedian Model; Head Nurse; Organization and Administration.
QUALITATIVE ANALYSIS OF THE PERFORMANCE AND EXPERIENCES OF NURSES IN HOSPITAL MANAGEMENT IN THE FACE OF COVID-19
Resumo (abstract):
The objective was to analyze the role of nurses in hospital management in the face of COVID-19. The study had a qualitative approach, descriptive, and exploratory. The setting was a hospital that was completely transformed to care for patients with COVID-19. At the time of data collection, ten nurses managed the services, and all participated in the semi-structured interview. After thematic analysis, the data were presented in three categories, representing the elements of Donabedian\'s triad: structure, process, and result. Category 1 highlighted the reconfiguration of the hospital structure based on the management of materials and people; category 2 addressed the restructuring of the work process to achieve goals with safety and quality; and category 3 focused on nurses\' experiences in describing the results achieved and expected. The analysis highlighted the importance of teamwork, involvement, and adaptation of the manager in the face of the challenges of a new and life-threatening disease, scarce resources, and the complexity of human relationships in the crisis. In transformational leadership, these nurses encouraged behavior change, professional growth, and resilience.
Palavras-chave (keywords):
Hospitals; SARS-CoV-2 Infection; Donabedian Model; Head Nurse; Organization and Administration.
Rebello, P. D., Duarte, S. C. M., Araújo, J. L., Baixinho, C. L., Costa, A., Silva, M. M.. ANÁLISE QUALITATIVA SOBRE A ATUAÇÃO E AS EXPERIÊNCIAS DOS ENFERMEIROS NA GESTÃO HOSPITALAR FRENTE À COVID-19. Cien Saude Colet [periódico na internet] (2024/Abr). [Citado em 17/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/analise-qualitativa-sobre-a-atuacao-e-as-experiencias-dos-enfermeiros-na-gestao-hospitalar-frente-a-covid19/19174?id=19174
