de Oliveira Roberta Juliane Tono, da Copelli Fernanda Hannah Silva, Pestana Aline Lima, dos Santos José Luís Guedes, Gregório Vitória Regina Petters, Erdmann Alacoque Lorenzini
Rev Gaucha Enferm. 2014 Mar;35(1):47-54. doi: 10.1590/1983-1447.2014.01.43125.
Governance refers to all processes that grant nurses autonomy, control and authority over the nursing practice. The aim of this study was to identify intervening conditions on governance of nursing practice at an obstetrics centre. This is a qualitative study based on the grounded theory method. Data were collected between January and May 2013 by means of semi-structured interviews with 27 participants of a university hospital in southern Brazil, divided into four sampling groups. Data were analysed using open, axial and selective coding. Governance is reinforced by experience and professional autonomy, coordination of the care and management dimension, interpersonal communication, satisfaction and engagement with the profession. It is limited by difficulties with interpersonal relationships, work overload and precarious physical structure of the maternity units. This study provides arguments for the discussion on improvements in healthcare and the professional satisfaction of nurses and nursing teams.
治理是指赋予护士对护理实践的自主权、控制权和权威的所有过程。本研究的目的是确定某产科中心护理实践治理的干预条件。这是一项基于扎根理论方法的定性研究。2013年1月至5月期间,通过对巴西南部一家大学医院的27名参与者进行半结构化访谈收集数据,这些参与者分为四个抽样组。使用开放式、轴心式和选择性编码对数据进行分析。经验和专业自主权、护理协调和管理维度、人际沟通、对职业的满意度和投入度强化了治理。人际关系方面的困难、工作负担过重以及产科病房不稳定的物理结构限制了治理。本研究为讨论改善医疗保健以及护士和护理团队的职业满意度提供了论据。