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Ambientes favoráveis à prestação de cuidados: o enfermeiro especialista em enfermagem de saúde infantil e pediátrica enquanto gestor
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Abstract(s)
Este estudo teve como objetivo compreender os fatores que contribuem para
que o Enfermeiro Especialista em Enfermagem de Saúde Infantil e Pediátrica enquanto
gestor, promova um ambiente favorável à prestação de cuidados em contexto pediátrico
e neonatal. A investigação seguiu uma metodologia qualitativa, através da realização de
um focus group com sete Enfermeiros Especialistas, e posterior análise de conteúdo
com base em Bardin.
Da análise emergiram três temas centrais: “Condições de trabalho”, “Relações e
suporte” e “Desenvolvimento e sustentabilidade”. Estes englobaram categorias como
materiais, equipamentos, salários, segurança, respeito, apoio, educação e recursos.
Cada categoria dividiu-se em subcategorias que revelaram realidades complexas, como
escassez de materiais e equipamentos, desvalorização salarial, ausência de
reconhecimento institucional, lacunas na liderança e desafios na formação contínua.
A investigação destaca o papel estratégico do Enfermeiro Especialista na criação
de ambientes de cuidado humanizado, baseado na Teoria do Cuidado Transpessoal de
Jean Watson e na Teoria da Liderança Situacional de Hersey e Blanchard. Conclui-se
que, para além das competências técnicas, é essencial que o Enfermeiro Especialista
em Enfermagem de Saúde Infantil e Pediátrica enquanto gestor promova o bem-estar
da equipa, a comunicação eficaz, a valorização profissional e a sustentabilidade dos
cuidados prestados. Assim os ambiente acolhedores, seguros e humanizados
favorecem a prática da enfermagem pediátrica, promovendo cuidados integral à cirnça
e apoio à família.
Pretende-se que este trabalho contribua para o reconhecimento do Enfermeiro
Especialista como figura central na promoção de cuidados seguros, éticos e centrados
na criança e na família, apontando caminhos para a melhoria das políticas de gestão
em contextos pediátricos e neonatais.
This study aimed to understand the factors that enable the Specialist Nurse in Child Health and Paediatric Nursing, in the role of manager, to foster an environment conducive to the provision of care in paediatric and neonatal settings. The research followed a qualitative methodology, through the implementation of a focus group with seven Specialist Nurses, followed by content analysis based on Bardin’s framework. From the analysis, three central themes emerged: “Working Conditions,” “Relationships and Support,” and “Development and Sustainability.” These encompassed categories such as materials, equipment, salaries, safety, respect, support, education, and resources. Each category was further divided into subcategories that revealed complex realities, such as scarcity of materials and equipment, undervaluation of salaries, lack of institutional recognition, leadership gaps, and challenges in continuing education. The study highlights the strategic role of the Specialist Nurse in creating humanized care environments, grounded in Jean Watson’s Theory of Transpersonal Caring and Hersey and Blanchard’s Situational Leadership Theory. It concludes that, in addition to technical skills, it is essential for the Specialist Nurse in Child Health and Paediatric Nursing, as a manager, to promote team well-being, effective communication, professional recognition, and the sustainability of care delivery. Thus, welcoming, safe, and humanized environments enhance paediatric nursing practice, promoting comprehensive care for the child and support for the family. This work intends to contribute to the recognition of the Specialist Nurse as a central figure in the promotion of safe, ethical, and child- and family-centered care, while also pointing to pathways for the improvement of management policies in paediatric and neonatal contexts.
This study aimed to understand the factors that enable the Specialist Nurse in Child Health and Paediatric Nursing, in the role of manager, to foster an environment conducive to the provision of care in paediatric and neonatal settings. The research followed a qualitative methodology, through the implementation of a focus group with seven Specialist Nurses, followed by content analysis based on Bardin’s framework. From the analysis, three central themes emerged: “Working Conditions,” “Relationships and Support,” and “Development and Sustainability.” These encompassed categories such as materials, equipment, salaries, safety, respect, support, education, and resources. Each category was further divided into subcategories that revealed complex realities, such as scarcity of materials and equipment, undervaluation of salaries, lack of institutional recognition, leadership gaps, and challenges in continuing education. The study highlights the strategic role of the Specialist Nurse in creating humanized care environments, grounded in Jean Watson’s Theory of Transpersonal Caring and Hersey and Blanchard’s Situational Leadership Theory. It concludes that, in addition to technical skills, it is essential for the Specialist Nurse in Child Health and Paediatric Nursing, as a manager, to promote team well-being, effective communication, professional recognition, and the sustainability of care delivery. Thus, welcoming, safe, and humanized environments enhance paediatric nursing practice, promoting comprehensive care for the child and support for the family. This work intends to contribute to the recognition of the Specialist Nurse as a central figure in the promotion of safe, ethical, and child- and family-centered care, while also pointing to pathways for the improvement of management policies in paediatric and neonatal contexts.
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enfermeiro especialista saúde infantil e pediátrica ambientes de cuidados liderança cuidado humanizado gestão em enfermagem nurse specialist child and paediatric health care enviroments leadership humanized care nursing management
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