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Publication
Ambiente da prática de cuidados em enfermagem em diferentes modelos de gestão :
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.77 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Independentemente do seu tipo de prática, ambiente de trabalho ou país, os enfermeiros
partilham um atributo que os define: são profissionais empenhados que abraçam uma
filosofia holística de cuidados. As organizações adaptam a sua capacidade para suportar
os cuidados em ambientes desafiadores para a prática.
Ao longo dos tempos, emergiram modelos aplicáveis aos ambientes de trabalho dos
enfermeiros a partir de estudos conduzidos nos Estados Unidos da América e na
Europa. A vantagem destes modelos é que são relevantes para qualquer local de
trabalho. Numa altura que a gestão dos serviços de saúde estão a ser postas em causa,
quando há falta de pessoal, recursos e ou estruturas, há um conflito entre a
responsabilidade profissional dos enfermeiros e a prestação dos cuidados adequados aos
doentes. Um modelo para estudar o ambiente de prática dos cuidados de enfermagem é
o Practice Environment Scale Nurse Index (PES-NWI) (versão portuguesa).
Neste projeto de investigação pretende-se estudar a realidade portuguesa em dois
modelos de gestão diferentes e a perspetiva que os enfermeiros tem sobre o ambiente da
prática de cuidados de enfermagem. O estudo decorre no início do ano de 2019, em dois
hospitais com modelo de gestão diferente: entidade pública empresarial (E.P:E.) e
gestão privada (GP). O número de questionários entregues foi de 350 e foram
preenchidos 233 o que representa uma taxa de resposta de 65,6%. A adesão foi maior no
sector público (85,5%) comparativamente ao privado (41,3%).
Como principal resultado destaca-se que a perspetiva global dos enfermeiros sobre o
ambiente da prática de cuidados varia conforme o modelo de gestão hospitalar. No
modelo de gestão privada o ambiente foi globalmente percecionado como desfavorável
e no modelo de gestão EPE foi perspetivado como misto.
Este resultado vêm consolidar que a realidade atual em Portugal sobre a “Saúde”
especificamente na classe de Enfermagem está a passar por um período conturbado. Os
resultados das dimensões do PES-NWI são globalmente inferiores aos outros estudos,
mesmos os nacionais. Esta realidade é ainda mais grave para o modelo de gestão
privado que evidenciou uma perspetiva do ambiente da prática desfavorável, em mais
nenhum estudo essa realidade se verificou.
Regardless of their type of practice, work environment or country, nurses share one defining attribute: they are committed professionals who embrace a holistic care philosophy. The ability to support care in challenging practice environments is determined by the Organizations environments. Over the years, models applicable to nurses' work environments have emerged from studies conducted in the United States of America and Europe. The advantage of these models is that they are relevant to any workplace. At a time when the management of health services is being challenged with a shortage of staff, resources and structures, there is a conflict between the professional responsibility of nurses and the practice of adequate patient care. A model for studying the nursing care practice environment is the Environment Scale Nurse Index (Portuguese version). This research project aim to study the perspective that nurses have about their care practice environment in two different management models hospitals (public and private sectors). The present study takes place at the beginning of 2019 in two hospitals. The number of questionnaires delivered was 350 and 233 were completed which represents a response rate of 65.6%. In our sample, the overall perception of nurses about the environment of care practice varies according to the hospital management model. In the private management model the environment was perceived as unfavorable and in the public management model it was mixed. This result consolidate that the current reality in Portugal about “Health” specifically in the Nursing class is going through a conturbated period. The PES-NWI dimension scores are lower than other studies, even in National ones. This reality is even more serious for the private management model that evidenced a perception of the unfavorable practice environment. In no other study this reality was verified.
Regardless of their type of practice, work environment or country, nurses share one defining attribute: they are committed professionals who embrace a holistic care philosophy. The ability to support care in challenging practice environments is determined by the Organizations environments. Over the years, models applicable to nurses' work environments have emerged from studies conducted in the United States of America and Europe. The advantage of these models is that they are relevant to any workplace. At a time when the management of health services is being challenged with a shortage of staff, resources and structures, there is a conflict between the professional responsibility of nurses and the practice of adequate patient care. A model for studying the nursing care practice environment is the Environment Scale Nurse Index (Portuguese version). This research project aim to study the perspective that nurses have about their care practice environment in two different management models hospitals (public and private sectors). The present study takes place at the beginning of 2019 in two hospitals. The number of questionnaires delivered was 350 and 233 were completed which represents a response rate of 65.6%. In our sample, the overall perception of nurses about the environment of care practice varies according to the hospital management model. In the private management model the environment was perceived as unfavorable and in the public management model it was mixed. This result consolidate that the current reality in Portugal about “Health” specifically in the Nursing class is going through a conturbated period. The PES-NWI dimension scores are lower than other studies, even in National ones. This reality is even more serious for the private management model that evidenced a perception of the unfavorable practice environment. In no other study this reality was verified.
Description
Keywords
Administração em enfermagem Ambiente de trabalho Hospitais