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[护理管理:护士在医院急诊科的行动]

[Care management: nurses' actions in a hospital emergency service].

作者信息

dos Santos José Luís Guedes, Lima Maria Alice Dias da Silva

机构信息

Programa de Pós-Graduação em Enfermagem da Universidade Federal de Santa Catarina (UFSC), Santa Catarina, Brasil.

出版信息

Rev Gaucha Enferm. 2011 Dec;32(4):695-702. doi: 10.1590/s1983-14472011000400009.

Abstract

This study aimed to analyze care management actions performed by nurses in a hospital emergency service. This is a qualiative research of the case study type, carried out with nurses from the Emergency Service of a University Hospital in southern Brazil. The data were collected through participant observation and semi-structured interviews, and analyzed using thematic analysis. The results show nurses' actions in care planning, forecasting and provisioning of resources, supervision, leadership and training of the nursing team. In care planning, there is the execution of the nursing process and the control of the realization of laboratory and radiological tests. The actions of forecasting and provisioning of resources were: elaboration of the monthly schedule of employees, daily distribution of the staff and the management of material resources. Leadership encourages the planning of care, the coordination of the nursing staff and the delegation of activities.

摘要

本研究旨在分析医院急诊服务中护士所采取的护理管理行动。这是一项案例研究类型的定性研究,研究对象为巴西南部一所大学医院急诊服务部门的护士。数据通过参与观察和半结构化访谈收集,并采用主题分析法进行分析。结果显示了护士在护理计划、资源预测与供应、监督、护理团队领导及培训方面的行动。在护理计划方面,包括护理流程的执行以及实验室和放射检查落实情况的控制。资源预测与供应的行动有:制定员工月度排班表、每日人员分配以及物资资源管理。领导能力体现在鼓励护理计划制定、协调护理人员以及活动委派方面。

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