ABSTRACT
OBJECTIVE: To analyze the leadership strategies of nurses in university hospitals in response to care management changes during the COVID-19 pandemic, informed by John Kotter's insights. METHODS: This multicentric study utilized qualitative and analytical methods. It was conducted through semi-structured interviews with 139 lead nurses from 10 university hospitals in Brazil. Data analysis included Bardin's content analysis and the webQDA software. RESULTS: The primary category identified was "Nursing Leadership Strategies in the Battle Against COVID-19," encompassing five subcategories. This category underscored the importance of strategic vision in nursing leadership for combating COVID-19 within hospital settings, as well as the necessity of working collaboratively with their teams and other healthcare professionals. FINAL CONSIDERATIONS: The results highlight the strategies used by lead nurses in confronting COVID-19, which can be associated with John Kotter's theoretical framework and his model of change.
Subject(s)
COVID-19 , Leadership , Pandemics , SARS-CoV-2 , COVID-19/nursing , COVID-19/epidemiology , Humans , Brazil , Female , Qualitative Research , Male , Adult , Middle Aged , Hospitals, University/organization & administration , Interviews as Topic/methods , Nurse AdministratorsABSTRACT
The aim of the present study was to acknowledge the significant aspects brought about by nurses regarding their experience of being responsible for the occurrence of health adverse events. This exploratory qualitative study employed a hermeneutic dialectic approach. The sample comprised 10 nurses who had been responsible for the occurrence of an adverse event at least once and four nursing supervisors with oversight responsibility for patients at the time the adverse events occurred. Analysis of the collected data allowed for the construction of analysis categories. Relevant issues regarding the need to empower human resources and strengthen recruitment systems were identified, with emphasis to the lack of personnel, workload, teamwork, and continuing education. Results allow for the visualization of an opportunity to put interventions into practice, aiming at contributing to a safer care system.
O estudo tem como objetivo conhecer os aspectos significativos apresentados pelas enfermeiras acerca da experiência de ter sido responsáveis por um evento adverso de saúde. Estudo qualitativo, com enfoque hermenêutico dialético. Amostra de 10 enfermeiras que tiveram ao menos uma experiência de responsabilidade perante um evento adverso e 4 supervisores de enfermagem, com responsabilidade da supervisão ao ocorrer o evento. A análise dos dados coletados permitiu construir categorias de análise relacionadas às necessidades de recursos humanos. Identificaram-se aspectos relevantes respeito à necessidade de fortalecer o sistema de recursos humanos, com dimensionamento de carga de trabalho, o trabalho em equipe, a formação do pessoal, como questões importantes para os enfermeiros. Os dados resultantes permitem enxergar um caminho para pôr em prática intervenções orientadas a colaborar com um sistema seguro de atendimento.
El estudio tuvo como objetivo conocer los aspectos significativos que surgen de las enfermeras acerca de la experiencia de haber sido responsables de un evento adverso en salud. Estudio cualitativo, con enfoque hermenéutico dialéctico. Muestra de 10 enfermeras que tuvieron al menos una experiencia de responsabilidad ante un evento adverso y cuatro supervisores de enfermería con responsabilidad de supervisión al ocurrir el evento. El análisis de los datos recogidos permitió construir categorías de análisis relacionadas con las necesidades de recursos humanos. Se identificaron aspectos relevantes respecto a la necesidad de fortalecer el sistema de recursos humanos y su selección, surgiendo la dotación de personal, la carga de trabajo, el trabajo en equipo y la formación permanente como aspectos significativos para las enfermeras. Los datos emergidos permiten visualizar un camino para poner en práctica intervenciones tendientes a colaborar con un sistema seguro de atención.
