Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro. R. Afonso Cavalcanti 275, Cidade Nova. 20211-130 Rio de Janeiro RJ Brasil.
Universidade do Estado do Rio Grande do Norte. Natal RN Brasil.
Cien Saude Colet. 2024 Aug;29(8):e05052024. doi: 10.1590/1413-81232024298.05052024. Epub 2024 Mar 28.
This study aimed to analyze the role of nurses in hospital management in the face of COVID-19. The study had a qualitative, descriptive, and exploratory approach. The setting was a hospital that was completely transformed to care for patients with COVID-19. At the time of data collection, ten nurses managed the services, and all participated in the semi-structured interview. After thematic analysis, the data were presented in three categories, representing the elements of Donabedian's triad: structure, process, and result. Category 1 highlighted the hospital structure reconfiguration based on material and people management; category 2 addressed the work process restructuring to achieve goals with safety and quality; and category 3 focused on nurses' experiences in describing the results achieved and expected. The analysis highlighted the importance of teamwork, involvement, and adaptation of managers in the face of the challenges of a new and life-threatening disease, scarce resources, and the complexity of human relationships in the crisis. In transformational leadership, these nurses encouraged behavior change, professional growth, and resilience.
这项研究旨在分析护士在应对 COVID-19 时在医院管理中的作用。该研究采用定性、描述性和探索性方法。研究地点是一家专门收治 COVID-19 患者的医院，该医院完全进行了改造。在数据收集时，有 10 名护士管理服务，他们都参与了半结构化访谈。经过主题分析，数据呈现为三个类别，代表了 Donabedian 三因素模型的要素：结构、过程和结果。类别 1 突出了基于物质和人员管理的医院结构重新配置；类别 2 解决了为实现安全和质量目标而进行的工作流程重组；类别 3 侧重于护士在描述所取得和预期结果方面的经验。分析强调了在面临新的危及生命的疾病、稀缺资源以及危机中人际关系的复杂性等挑战时，团队合作、管理者的参与和适应的重要性。在变革型领导中，这些护士鼓励行为改变、专业成长和韧性。
