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评价社会办医医院应用的护理服务管理模式。

Evaluation of Nursing Service Management Model applied in hospitals managed by social health organization.

机构信息

Associação Paulista para o Desenvolvimento da Medicina. São Paulo, São Paulo, Brazil.

Hospital Alemão Oswaldo Cruz. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2021 May 24;74(suppl 5):e20200876. doi: 10.1590/0034-7167-2020-0876. eCollection 2021.

Abstract

OBJECTIVE

Evaluate the Hospital Nursing Service Management Model from the perspective of nurses from hospitals managed by social health organization, considering the type and dimensions of the model.

METHODS

This is an exploratory, cross-sectional study with a quantitative approach; census population. The evaluation was conducted in 15 hospitals based on the Index of Professional Nursing Governance, including the descriptive analysis of the k-means method and multiple linear regression to score the instrument. Data collection was performed online, stored in REDCap®.

RESULTS

Of 1,523 invited, 680 (44.6%) accepted and 518 (34.1%) completed the questionnaire. With a general average of 184.3 points, 12 hospitals indicated shared; and 3 (20%), traditional governance (average of 165.7 points).

CONCLUSION

Managers presented a lower perception of shared governance with professionals without a management function. The type of function and time of activity at the institution influenced the results. The present model is hybrid, in the transition process from the traditional to corporate.

摘要

目的

从社会医疗机构管理的医院护士的角度出发,考虑模型的类型和维度,评价医院护理服务管理模式。

方法

这是一项探索性、横断面研究,采用定量方法;普查人群。评估在基于专业护理治理指数的 15 家医院进行,包括 k-均值法的描述性分析和对工具进行评分的多元线性回归。数据通过在线收集,存储在 REDCap®中。

结果

在邀请的 1523 人中,有 680 人(44.6%)接受邀请,518 人(34.1%)完成了问卷。总体平均分为 184.3 分,有 12 家医院表示采用共享治理模式;3 家(20%)采用传统治理模式(平均分为 165.7 分)。

结论

与没有管理职能的专业人员相比,管理人员对共享治理的看法较低。机构的职能类型和活动时间影响了评估结果。目前的模式是混合模式,处于从传统模式向公司模式的过渡过程中。

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