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Challenges Faced by Nurse-Managers at Work in Brazilian and Portuguese Hospitals

A Mixed-Methods Study

Bibliographic Data

ID21433396
AuthorsLara Vandresen (0000-0002-1389-7932, Universidade Federal de Santa Catarina), Denise Elvira Pires De Pires (0000-0002-1754-0922, Universidade Federal de Santa Catarina), Letícia De Lima Trindade (0000-0002-7119-0230, Universidade do Estado de Santa Catarina, Brasil; Universidade Comunitária da Região de Chapecó, Brasil), Olga Maria Pimenta Lopes Ribeiro (0000-0001-9982-9537, Escola Superior de Enfermagem do Porto), Maria Manuela Ferreira Pereira Da Silva Martins (0000-0003-1527-9940, Escola Superior de Enfermagem do Porto), Mariana Mendes (0000-0003-2396-9845, Universidade Federal de Santa Catarina, corresponding author)
Year2023
Volume32
Publication date2023-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueTexto & Contexto - Enfermagem (JOURNAL)
Journal identifiersISSN: 0104-0707 • E-ISSN: 1980-265X
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1980-265x-tce-2023-0059en
OpenAlexW4382141418
LanguageEN
Citations received5
References cited12

Objective: to analyze the challenges found in nurse-managers' work in the Brazilian and Portuguese hospital contexts. Method: a mixed-methods research study with a sequential explanatory approach, carried out between March 2019 and March 2020 with nurse-managers from four hospitals. The study was initiated with the quantitative stage, applying a survey to 143 participants and analyzing the data by means of analytical and inferential statistics. The qualitative stage was carried out with 71 of these participants using interviews, in order to understand the challenges inherent to this job, and the data were submitted to content analysis. Integration of the findings was performed through data connection. Results: in the quantitative stage, the results evidenced that the managerial activities carried out by nurses by scenario included planning, people management, management of care processes, management of materials, quality management and leadership, with higher mean values for the first four. The qualitative stage allowed deepening the previous findings, contrasting invisibility of the planning, confirming people management as the common challenge to the realities, explaining the mean values in the national and Portuguese scopes. Integration of the findings detailed the relevance of the conflicts and the deficit of professionals in people management and leadership. Conclusion: managing people, care processes and materials are challenges for nurses in hospital management in both countries. Nurses lack structural support and ongoing training for better management and improvement of planning and leadership

Invisibility · Political science · Portuguese · Qualitative property · Qualitative research · Relevance (law) · Sociology · Work (physics) · Health, Nursing, Elderly Care · Healthcare Quality and Management · Medical Malpractice and Liability Issues · Medicine · Nursing · Psychology

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Unique citing works5
Citations per year1,67
Citation span2023 - 2024 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 5

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