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Governance of professional nursing practice in a hospital setting: a mixed methods study.

dos Santos JL, Erdmann AL - Rev Lat Am Enfermagem (2015 Nov-Dec)

Bottom Line: Based on the results obtained with the Brazilian Nursing Work Index - Revised, it is possible to state that nurses perceived that they had autonomy, control over the environment, good relationships with physicians and organizational support for nursing governance.To perform these tasks, nurses aim to get around the constraints of the organizational support and develop management knowledge and skills.It is important to reorganize the structures and processes of nursing governance, especially the support provided by the organization for the management practices of nurses.

View Article: PubMed Central - PubMed

Affiliation: Departamento de Enfermagem, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.

ABSTRACT

Objective: To elaborate an interpretative model for the governance of professional nursing practice in a hospital setting.

Method: A mixed methods study with concurrent triangulation strategy, using data from a cross-sectional study with 106 nurses and a Grounded Theory study with 63 participants. The quantitative data were collected through the Brazilian Nursing Work Index - Revised and underwent descriptive statistical analysis. Qualitative data were obtained from interviews and analyzed through initial, selective and focused coding.

Results: Based on the results obtained with the Brazilian Nursing Work Index - Revised, it is possible to state that nurses perceived that they had autonomy, control over the environment, good relationships with physicians and organizational support for nursing governance. The governance of the professional nursing practice is based on the management of nursing care and services carried out by the nurses. To perform these tasks, nurses aim to get around the constraints of the organizational support and develop management knowledge and skills.

Conclusion: It is important to reorganize the structures and processes of nursing governance, especially the support provided by the organization for the management practices of nurses.

No MeSH data available.


- Diagram representing the correlation among the sub-scales of the B-NWI-R,the categories and the phenomenon. Florianópolis, SC, Brazil, 2012-2013
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4664001&req=5

f3: - Diagram representing the correlation among the sub-scales of the B-NWI-R,the categories and the phenomenon. Florianópolis, SC, Brazil, 2012-2013

Mentions: The work of the nurse in care management explains the positive mean of the sub-scale"nurse-physician relationship" of the B-NWI-R. Figure3 shows the correlation among the sub-scales of the B-NWI-R, the presentedsubcategories and the studied phenomenon.


Governance of professional nursing practice in a hospital setting: a mixed methods study.

dos Santos JL, Erdmann AL - Rev Lat Am Enfermagem (2015 Nov-Dec)

- Diagram representing the correlation among the sub-scales of the B-NWI-R,the categories and the phenomenon. Florianópolis, SC, Brazil, 2012-2013
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4664001&req=5

f3: - Diagram representing the correlation among the sub-scales of the B-NWI-R,the categories and the phenomenon. Florianópolis, SC, Brazil, 2012-2013
Mentions: The work of the nurse in care management explains the positive mean of the sub-scale"nurse-physician relationship" of the B-NWI-R. Figure3 shows the correlation among the sub-scales of the B-NWI-R, the presentedsubcategories and the studied phenomenon.

Bottom Line: Based on the results obtained with the Brazilian Nursing Work Index - Revised, it is possible to state that nurses perceived that they had autonomy, control over the environment, good relationships with physicians and organizational support for nursing governance.To perform these tasks, nurses aim to get around the constraints of the organizational support and develop management knowledge and skills.It is important to reorganize the structures and processes of nursing governance, especially the support provided by the organization for the management practices of nurses.

View Article: PubMed Central - PubMed

Affiliation: Departamento de Enfermagem, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.

ABSTRACT

Objective: To elaborate an interpretative model for the governance of professional nursing practice in a hospital setting.

Method: A mixed methods study with concurrent triangulation strategy, using data from a cross-sectional study with 106 nurses and a Grounded Theory study with 63 participants. The quantitative data were collected through the Brazilian Nursing Work Index - Revised and underwent descriptive statistical analysis. Qualitative data were obtained from interviews and analyzed through initial, selective and focused coding.

Results: Based on the results obtained with the Brazilian Nursing Work Index - Revised, it is possible to state that nurses perceived that they had autonomy, control over the environment, good relationships with physicians and organizational support for nursing governance. The governance of the professional nursing practice is based on the management of nursing care and services carried out by the nurses. To perform these tasks, nurses aim to get around the constraints of the organizational support and develop management knowledge and skills.

Conclusion: It is important to reorganize the structures and processes of nursing governance, especially the support provided by the organization for the management practices of nurses.

No MeSH data available.