Gestão compartilhada em serviços de pronto atendimento: estudo de métodos mistos

IF 1.1 4区 医学 Q3 NURSING Acta Paulista De Enfermagem Pub Date : 2023-08-09 DOI:10.37689/acta-ape/2023ao014833
Elaine Cantarella Lima, José Luis de Santana Santos, Alexandre Pazetto Balsanelli, R. Camargo, A. Maximiano, Jaine Araújo da Silva, A. Bernardes
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Abstract

Objective: To analyze the management model adopted in Emergency Services in municipalities that are part of a Regional Health Department. Methods: Mixed methods study with a concomitantly incorporated design. It was conducted in 2017 with six managers and 223 health workers (physicians, nurses and nursing technicians/assistants) from ten Emergency Care Units in eight municipalities of the Regional Health Department XIII, São Paulo. The data collection instrument composed of six closed questions and four open questions was delivered to participants. Quantitative data were analyzed using descriptive statistics; qualitative data were developed using the Collective Subject Discourse technique and analyzed using the DSCSoft® software. Results: There was a predominance of female professionals, 173 (75.2%), in the position of nursing assistants, 78 (33.9%). Managers evaluated the institution’s management model as contemporary and participatory, enabling workers to participate in decision making and giving them autonomy to decide on day-to-day issues, while workers evaluated it as traditional management, highlighting its formal structure. Conclusion: It was observed that managers and workers have a different view of the management model of health institutions. The assumptions of the shared management model encompass valuable concepts, such as dialogic communication, decentralization of power and greater autonomy for decision making. However, when analyzing the opinion of most workers who participated in this study, the wide use of a hierarchical model in institutions is still observed.
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
92
审稿时长
4 weeks
期刊介绍: Acta Paulista de Enfermagem – (Acta Paul Enferm.), ISSN 1982-0194, is a [bilingual] technical-scientific electronic publication of the Escola Paulista de Enfermagem – EPE, Universidade Federal de São Paulo – UNIFESP. Our mission: To disseminate the scientific knowledge generated within the rigor of research and ethics methodology. Our objective: To publish results of original research for advancement of practices of clinical, surgical, and management nursing, as well as education, research, and information and communication technology.
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