ABSTRACT
OBJECTIVES: to identify the primary constructs concerning authentic leadership and its relevance for nurses' professional practice. METHODS: integrative literature review conducted between 2015 and 2020 in LILACS, SciELO, and PubMed databases. RESULTS: the United States published most of the 31 studies analyzed, with eight studies (25.8%), followed by Canada with seven studies (22.6%), and Brasil with five (16.1%). Most studies adopted a quantitative approach (77.41%), and 96.8% presented weak evidence. Three categories emerged: Work Engagement/Job Satisfaction and Organizational Commitment; Healthy Work Environment; and Intention to Quit the Job and Mental Exhaustion. FINAL CONSIDERATIONS: authentic leadership positively contributes to management and nursing care practice, promoting healthy work environments, structural empowerment, greater work engagement, and organizational commitment, decreasing absenteeism and mental exhaustion.
Subject(s)
Leadership , Nurses , Humans , Job Satisfaction , Workplace , Professional PracticeABSTRACT
ABSTRACT Objectives: to identify the primary constructs concerning authentic leadership and its relevance for nurses' professional practice. Methods: integrative literature review conducted between 2015 and 2020 in LILACS, SciELO, and PubMed databases. Results: the United States published most of the 31 studies analyzed, with eight studies (25.8%), followed by Canada with seven studies (22.6%), and Brasil with five (16.1%). Most studies adopted a quantitative approach (77.41%), and 96.8% presented weak evidence. Three categories emerged: Work Engagement/Job Satisfaction and Organizational Commitment; Healthy Work Environment; and Intention to Quit the Job and Mental Exhaustion. Final Considerations: authentic leadership positively contributes to management and nursing care practice, promoting healthy work environments, structural empowerment, greater work engagement, and organizational commitment, decreasing absenteeism and mental exhaustion.
RESUMEN Objetivos: identificar los principales constructos adoptados sobre el liderazgo auténtico y su relevancia para la práctica profesional del enfermero. Métodos: revisión integradora de la literatura en el período de 2015 a 2020, en las bases de datos: LILACS, SciELO y PubMed. Resultados: de los 31 estudios analizados, los países que más publicaron fueron Estados Unidos, con 08 estudios (25,8%), Canadá con 07 (22,6 %) y Brasil con 05 (16,1%); hubo predominio de estudios de abordaje cuantitativo (77,41%) y 96,8% presentaron nivel de evidencia débil. Surgieron tres categorías para discusión: Compromiso/Satisfacción en el Trabajo y Comprometimiento organizacional; Ambiente de Trabajo Saludable; Intención de Salir del Empleo y Desgaste Mental. Consideraciones Finales: el liderazgo auténtico contribuye positivamente en la gestión y práctica del cuidado del enfermero, proporcionando ambientes de trabajo más saludables, empoderamiento estructural, mayor compromiso con el trabajo y comprometimiento organizacional, además de contribuir para la disminución de las tasas de ausentismo y desgaste mental.
RESUMO Objetivos: identificar os principais construtos adotados sobre a liderança autêntica e sua relevância para a prática profissional do enfermeiro. Métodos: revisão integrativa da literatura no período de 2015 a 2020, nas bases de dados: LILACS, SciELO e PubMed. Resultados: dos 31 estudos analisados, os países que mais publicaram foram Estados Unidos, com 8 estudos (25,8%), Canadá com 7 (22,6 %) e Brasil com 5 (16,1%); houve predomínio de estudos de abordagem quantitativa (77,41%), e 96,8% apresentaram nível de evidência fraca. Emergiram três categorias para discussão: Engajamento/Satisfação no trabalho e comprometimento organizacional; Ambiente de trabalho saudável; Intenção de sair do emprego e desgaste mental. Considerações Finais: a liderança autêntica contribui positivamente na gestão e na prática do cuidado do enfermeiro, proporcionando ambientes de trabalho mais saudáveis, empoderamento estrutural, maior engajamento no trabalho e comprometimento organizacional, além de contribuir para diminuição das taxas de absenteísmo e desgaste mental.
ABSTRACT
Syphilis is a public health problem, especially in pregnant women, due to the risk of transmission to the fetus and the involvement of the central nervous system, causing neurosyphilis. A case-control study was carried out to analyze the variables associated with neurosyphilis in Brazilian newborns of pregnant women with syphilis admitted for childbirth. Newborns were submitted to treponemal and non-treponemal tests, cerebrospinal fluid analysis, and long bone radiography. Newborns diagnosed with neurosyphilis and congenital syphilis were defined as cases and controls, respectively. The length of hospitalization and mean cost of neurosyphilis treatment were also evaluated. Twenty-one cases of newborns with neurosyphilis and 42 controls with congenital syphilis were included in the study. Out of 63 pregnant women with syphilis, 95.2% (60/63) received prenatal care, 74.6% (47/63) were diagnosed with syphilis during this period, 31.9% (15/47) underwent treponemic tests, 80.8% (38/47) were treated with penicillin and only 46.8% (22/47) of the partners received the treatment. Clinical complications such as low birth weight were observed in 12.7% (8/63) of the newborns. About 50.8% (32/63) of the newborns were hospitalized due to syphilis complications and each case of neurosyphilis spent at least US$ 881.48 on treatment and hospitalization. The results showed that the prenatal coverage is not sufficient to prevent neurosyphilis. The late diagnosis of syphilis in pregnant women and inadequate follow-up of sexual partners may favor the vertical transmission of T. pallidum in pregnant Brazilian women. Thus, improving the quality of health services is important for a more effective control of neurosyphilis.
