Inclusão da competência interpessoal na formação do enfermeiro como gestor

As Habilidades Sociais de Enfermeiras Gestoras em Equipes de Saúde da Família

Resumo A pesquisa, de natureza descritiva, investigou o repertório de habilidades sociais de enfermeiras responsáveis pela gestão de equipes de Saúde da Família. Foi aplicado o Inventário de Habilidades Sociais (IHS-Del Prette) e foram realizadas entrevistas semiestruturadas visando obter a autopercepção das oito participantes acerca de seus recursos e déficits nessas habilidades, sobretudo no que concerne às exigências do trabalho em atenção primária. Os resultados médios do grupo de gestoras foram analisados quanto ao escore total e aos cinco fatores do IHS-Del Prette. A categorização dos relatos obtidos nas entrevistas ocorreu à luz da Análise de Conteúdo de Bardin. Os resultados evidenciaram variadas classes de habilidades sociais, como empatia, assertividade, expressão de sentimentos positivos e resolução de problemas. Em contrapartida, observaram-se dificuldades para comunicação clara e eficaz e para mediar conflitos interpessoais. Destaca-se a relevância de investigações e experiências sistemáticas para o aprimoramento de habilidades interpessoais essenciais à gerência em saúde pública.

Validation of the self-assessment of communication skills and professionalism for nurses

ABSTRACT Objectives: to translate, adapt cross-culturally and validate into Brazilian Portuguese the following instrument: "Self-assessment of communication skills and professionalism in residents" for the nursing professional, and to determine if personal characteristics and performance of the nurse interfere in the self-assessment about professionalism and interpersonal communication. Method: quantitative study. Results: the sample consisted of 110 nurses with mean age of 32 years old (± 7.3), most of them were women (n = 80; 72.7%). The internal consistency of the scale "Autoavaliação sobre profissionalismo e comunicação interpessoal entre enfermeiro e paciente" presented moderate and satisfactory reliability (α=0,712). Factorial analysis identified four factors: Interpersonal Skills, Exchange of Information, Honesty in the Relationship and Professionalism. Conclusion: the instrument is valid and reliable in Portuguese and for Brazilian culture. Interpersonal Skills changed with gender and marital status. Ability to exchange information was influenced by gender and working sector. Self-assessment of professionalism changed with marital status.

Leadership and job satisfaction among Azorean hospital nurses: an application of the situational leadership model

AIMS

The aim of this study was to describe nurse managers' leadership behaviours, comparing them with staff nurses' perceptions of their leader's leadership, as well as to determine if leadership components affect job satisfaction among staff nurses.

BACKGROUND

Understanding the leadership phenomenon using a detailed theoretical framework, such as the situational leadership model, allows for the deconstruction of leadership into small segments, thereby producing a vast but detailed picture of the process involved in leading people.

METHOD

This quantitative, descriptive, inferential and correlational study involved the participation of 266 nurses (managers and staff) from two public Portuguese Azorean hospitals.

INSTRUMENTS

The Leadership Effectiveness and Adaptability Description questionnaire, developed by Hersey and Blanchard, was used to assess leadership behaviours. A job satisfaction instrument, developed by the authors, was also used to determine staff nurses' satisfaction.

RESULTS

The study revealed important differences between nurse managers and staff nurses regarding the perception of leadership components. Low levels of job satisfaction among staff nurses were detected. It was also found that some leadership components are related to staff nurses' satisfaction.

CONCLUSIONS

Nurse managers must be aware of their leadership, applying appropriate styles, thereby developing their staff nurses' skills while promoting their professional satisfaction.

IMPLICATIONS FOR NURSING MANAGEMENT

Leadership is a complex process that is not separable from job satisfaction. Promoting effective leadership through formal training among nurse managers may translate into having more satisfied nurses, better nursing care, and stronger leadership.

O trabalho gerencial do enfermeiro na Rede Básica de Saúde

Este estudo focaliza questões da gerência nos serviços públicos de saúde e têm como objetivo identificar elementos do trabalho gerencial do enfermeiro na Rede Básica de Saúde de Goiânia-GO. Pesquisa exploratória descritiva, de base quantitativa, realizada entre 2006/2007. Para a coleta de dados foi utilizada a entrevista estruturada com 44 enfermeiros gerentes de serviços. Foi construído um banco de dados, utilizando o Software Epi-Info versão 3.3.2. Os dados foram submetidos a um processo de codificação e analisados por medida de frequência simples e nas variáveis que o enfermeiro pode discorrer utilizamos a categorização por semelhança. Os resultados apontam aspectos que fortalecem e tornam mais visíveis as ações gerenciais dos enfermeiros, ao mesmo tempo que mostram as fragilidades do trabalho gerencial na Rede Básica de Saúde. A contribuição dos enfermeiros gerentes foi de grande significado para que a formação seja repensada pelas universidades e pelos gestores.

[Management in nursing: a critical view about the knowledge produced in Brazilian journals (2000-2004)]

This study aimed at analyzing the scientific production about management in nursing in Brazilian journals through bibliographic research in the period from 2000 to 2004. This bibliographic study considered data bases and libraries during the period of May to July 2005. From the texts submitted to categorization apprehended the following categories: general considerations about management; the formation of nurse in management area; models of management in nursing in practice and management theories used; difficulties in nursing management; suggestions of changes and solutions to be searched. The confronts and reflections pointed out the need of transformation of management in direction to a participative and flexive posture, valuing the human potential.