Clinical management initiatives undertaken by nurses in a strategic leadership position
DOI:
https://doi.org/10.33448/rsd-v10i3.13149Keywords:
Clinical Governance; Nurses; Leadership; Professional Management; Health services administration.Abstract
In the present study, it is proposed to characterize clinical management initiatives undertaken by nurses in a strategic leadership position. For this, a descriptive, exploratory, qualitative research was developed between September and October 2018, with the participation of eight nurses in leadership positions in primary health care in a municipality in the south of Brazil. The same findings to be identified audio-recorded, questioning focused on the management-assistance-education axes in the participants' practices. Afterwards, content analysis was carried out, thematic modality. The results illustrate proactive dispositions to achieve the best results with regard to the management of care practices, the orientation of actions focused on the needs of users and the professional development of the team on a permanent basis. The clinic management initiatives undertaken by nurses in leadership positions reveal ample opportunities for the dissemination of innovative and effective practices in health services, and announce the strategic potential of these professionals in conducting management processes that incite movements in favor of the organization in networks with with a view to producing safe, quality care based on standards of excellence.
References
Anschau, F., Webster, J., Roessler, N., Fernandes, E. O., Klafke, V., Silva, C. P., …. & Fossari J. A. J. (2016). Clinic Management as a Tool for Enhancing quality of Care and Guarantee of Hospital Access. BAOJ Medical and Nursing, 2(5), 1-4.
Anschau, F., Webster, J., Roessler, N., Fernandes, E. O., Klafke, V., Silva, C. P., …. & Fossari J. A. J. (2017). Evaluation of clinical governance interventions on qualification of care and supply of beds in a large public hospital. Scientia Medica, 27(2), 1-7.
Backes, D. S., Forgiarini, A. R., Silva, L. D., Souza, M. H. T., Backes, M. T. S., & Büscher, A. (2020). Nursing entrepreneur care in social inequity contexts. Revista Brasileira de Enfermagem, 73(4), 1-6.
Barros, D. F., Freitas, F. R. N., Souza, A. T. S., Araújo, T. M. E., Freitas, D. J. N., Alves, M. C. S., ... & Pedrosa, J. I. S. (2021). Liderança do Enfermeiro na Atenção Primária à Saúde: Uma revisão integrativa. Research, Society and Development, 10(1), e26110110099.
Brandt, B., Lutfiyya, M. N., King, J. A., & Chioreso, C. (2014). A scoping review of interprofessional collaborative practice and education using the lens of Triple Aim. Journal of Interprofessional Care, 28(5), 393-399.
Cassiani, S. H. B., & Lira Neto, J. C. G. (2018). Nursing perspectives and the “Nursing Now” campaign. Revista Brasileira de Enfermagem, 71(5), 2351–2352.
Cavalcanti, P. C. D. S., Oliveira Neto, A. V. D., & Sousa, M. F. D. (2015). What are the challenges for the qualification of Primary Care in the view of municipal managers? Saúde em Debate, 39(105), 323–336.
Copelli, F. H. D. S., Oliveira, R. J. T. D., Santos, J. L. G. D., Magalhães, A. L. P., Gregório, V. R. P., & Erdmann, A. L. (2017). Care management and nursing governance in a maternity ward: grounded theory. Revista Brasileira de Enfermagem, 70(6), 1277-1283.
Cordova, F. P., Santin, J., Barros, A. P. D., Pereira, C. S., Paskulin, L. M. G., Duarte, Ê. R. M., ... & Ferreira, G. E. (2020). Artefatos para o cuidado de usuários com lesões crônicas de pele na atenção primária à saúde com base em princípios da gestão da clínica. Research, Society and Development, 9(11), e94991110654.
Dal Molin, T., Oliveira, J. L. C., Tonini, N. S., Oliveira, R. M., Anchieta, D. W., Silva, G. K. T., & Souza, R. F. (2019). Proactive behavior of hospital nurses: comparison between jobs. Cogitare Enfermagem, 24, e5817.
Ferreira, G. E., Dall'Agnol, C. M., & Porto, A. R. (2016). Repercussions of proactivity in the management of care: Perceptions of nurses. Escola Anna Nery, 20(3), e20160057.
Galavote, H. S., Zandonade, E., Garcia, A. C. P., Freitas, P. D. S. S., Seidl, H., Contarato, P. C., Andrade, M. A. C. & Lima, R. C. D. (2016). The nurse 's work in primary health care. Escola Anna Nery, 20(1), 90-98.
Gomes, R., Lima, V. V., Oliveira, J. M., Schiesari, L. M. C., Soeiro, E., Damázio, L. F., Petta, H. L., Oliveira, M. S., Silva, S. F., Sampaio, S. F., Padilha, R. Q., Machado, J. L. M., & Caleman, G. (2015). The Polysemy of Clinical Governance: a review of literature. Ciência & Saúde Coletiva, 20(8), 2431–2439.
Lanzoni, G. M. M., Meirelles, B. H. S., & Cummings, G. (2016). Nurse leadership practices in primary health care: a grounded theory. Texto & Contexto Enfermagem, 25(4), 1-9.
Mattos, J. C. O., & Balsanelli, A. P. (2019). A liderança do enfermeiro na atenção primária à saúde: revisão integrativa. Enfermagem em Foco, 10(4),164-171.
Mendes, E. V. (2015). A construção social da atenção primária à saúde. Brasília: Conselho Nacional de Secretários de Saúde.
Minayo, M. C. S. (2012). Qualitative analysis: theory, steps and reliability. Ciência & Saúde Coletiva, 17(3), 621-626.
Oliveira, J. L. C., Toso, B. R. G. O., & Matsuda, L. M. (2018). Advanced practices for care management: reflections on the Brazilian Nursing. Revista Brasileira de Enfermagem, 71(4), 2060-2065.
Padilha, R. Q., Gomes, R., Lima, V. V., Soeiro, E., Oliveira, J. M., Schiesari, L. M. C., Silva, S. F., & Oliveira, M. S. (2018). Principles of clinical management: connecting management, healthcare and education in health. Ciência & Saúde Coletiva, 23(12), 4249–4257.
PAHO. Pan American Health Organization. (2018). Expanding the roles of nurses in Primary Health Care. Washington, DC: PAHO.
Peduzzi, M., & Agreli, H. F. (2018). Teamwork and collaborative practice in Primary Health Care. Interface - Comunicação, Saúde, Educação, 22(Supl. 2), 1525-1534.
Pereira, J. G., & Oliveira, M. A. (2018). Nurses’ autonomy in Primary Care: from collaborative practices to advanced practice. Acta Paulista de Enfermagem, 31(6), 627-635.
Pinto Filho, H. F., & Lima, R. R. T. (2020). Gestão participativa em unidades básicas de saúde: uma proposta para reinventar o trabalho em saúde. Research, Society and Development, 9(1), e175911872.
Richter, S. A., Santos, E. P., Kaiser, D. E., Capellari, C., & Ferreira, G. E. (2019). Being an entrepreneur in nursing: challenges to nurses in a strategic leadership position. Acta Paulista de Enfermagem, 32(1), 46-52.
Santos, J. L. G. D., Erdmann, A. L., Andrade, S. R. D., Mello, A. L. S. F., Lima, S. B. S. D., & Pestana, A. L. (2013) Nursing governance: an integrative review of the literature. Revista da Escola de Enfermagem da USP, 47(6),1417-1425.
Souza, G. C., Peduzzi, M., Silva, J. A. M., & Carvalho, B. G. (2016). Teamwork in nursing: restricted to nursing professionals or an interprofessional collaboration. Revista da Escola de Enfermagem da USP, 50(4), 640-647.
WHO. World Health Organization. (2020) State of the world's nursing 2020: investing in education, jobs and leadership. Geneva (SUI): World Health Organization.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Tiago Model Schmitz; Samanta Andresa Richter; Claudia Capellari; Mariene Araújo Rodrigues Marques; Michelly Kim de Oliveira Rosa Guimarães; Dagmar Elaine Kaiser; Mara Regina Rosa Ribeiro; Gímerson Erick Ferreira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.