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门诊护理工作中的管理方式:对工作人员健康的影响。

Management styles in outpatient nursing work: impacts on the worker's health.

机构信息

Universidade Federal do Rio de Janeiro, Instituto de Atenção à Saúde São Francisco de Assis, Rio de Janeiro, RJ, Brazil.

Universidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gafreé & Guinle, Rio de Janeiro, RJ, Brazil.

出版信息

Rev Esc Enferm USP. 2022 Nov 7;56:e20220127. doi: 10.1590/1980-220X-REEUSP-2022-0127en. eCollection 2022.

Abstract

OBJECTIVE

To analyze management styles in outpatient clinics of university hospitals and their impacts on the nursing workers' health.

METHOD

Quantitative, cross-sectional study with 388 nursing professionals working in 11 outpatient clinics linked to public universities in Rio de Janeiro. The Management Styles Scale, the Pathogenic Suffering at Work Scale, and the Work-Related Physical and Psychosocial Harms Scale were used.

RESULTS

The managerial and collective management styles showed a moderate presence for the outpatient clinics nursing staff. The characteristics of the predominantly managerial management style, evidenced by the lack of participation in decision-making, the strongly hierarchical work, focused on norms and control, acted as predictors of the experiences of suffering and of the physical, psychological, and social damages presented by the professionals working in this context.

CONCLUSION

The analysis of management styles allowed elucidating characteristics that have the potential to negatively impact the workers' health, highlighting the need to review the management models currently adopted for the outpatient nursing team.

摘要

目的

分析大学附属医院门诊的管理模式及其对护理人员健康的影响。

方法

这是一项横断面研究,共纳入了 388 名在里约热内卢的 11 所公立大学附属医院工作的护理人员。研究使用了管理风格量表、工作相关致病因素量表和工作相关身体与心理社会危害量表。

结果

门诊护理人员的管理和集体管理风格表现为中等程度。主要的管理风格特点表现为缺乏决策参与、工作高度等级化、注重规范和控制,这些特点预示着护理人员会经历痛苦,并出现身体、心理和社会损害。

结论

管理风格的分析阐明了可能对工作人员健康产生负面影响的特征,这凸显了审查当前为门诊护理团队所采用的管理模式的必要性。

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