Decision-making of the nursing team after the revitalization of a decentralized management model

Texto & Contexto - Enfermagem

Karen Yukari Hayashida¹  Andrea Bernardes¹  Vanessa Gomes Maziero¹  Carmen Silvia Gabriel¹ 

关键词: Nursing;    team;    Organization and administration;    Decision-making;    Health management;    Grupo de enfermería;    Organización y administración;    Toma de decisiones;    Gestión en salud;    Equipe de enfermagem;    Organização e administração;    Tomada de decisões;    Gestão em saúde;   

DOI  :  10.1590/0104-07072014001190013

来源: SciELO

【 摘 要 】

This study's objective was to identify changes in decision-making arising from the revitalization of the participatory management model and how these changes impacted the daily work of the nursing staff, as well as to identify potential difficulties. This qualitative case study was conducted in a public hospital in the State of São Paulo, Brazil. Participant observation and semi-structured interviews were conducted with 23 nursing workers and the Health Technical Assistant. We used thematic content analysis for data analysis. The revitalization of the management model was not comprehensive because many professionals were oblivious to the process. Shared actions did not occur and adherence to the model was hampered because the workers were not fully informed of the assumptions concerning this management model. For the implementation of this model to be effective, teamwork and the inclusion of all the stakeholders should be reviewed in order to achieve more cooperative and qualified work.

【 授权许可】

CC BY   
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