Evaluation of Nursing Service Management Model applied in hospitals managed by social health organization

Rev Bras Enferm. 2021 May 24;74(suppl 5):e20200876. doi: 10.1590/0034-7167-2020-0876. eCollection 2021.
[Article in English, Portuguese]

Abstract

Objective: Evaluate the Hospital Nursing Service Management Model from the perspective of nurses from hospitals managed by social health organization, considering the type and dimensions of the model.

Methods: This is an exploratory, cross-sectional study with a quantitative approach; census population. The evaluation was conducted in 15 hospitals based on the Index of Professional Nursing Governance, including the descriptive analysis of the k-means method and multiple linear regression to score the instrument. Data collection was performed online, stored in REDCap®.

Results: Of 1,523 invited, 680 (44.6%) accepted and 518 (34.1%) completed the questionnaire. With a general average of 184.3 points, 12 hospitals indicated shared; and 3 (20%), traditional governance (average of 165.7 points).

Conclusion: Managers presented a lower perception of shared governance with professionals without a management function. The type of function and time of activity at the institution influenced the results. The present model is hybrid, in the transition process from the traditional to corporate.

MeSH terms

  • Cross-Sectional Studies
  • Hospitals
  • Humans
  • Models, Nursing
  • Nursing Care*
  • Nursing Services*
  • Nursing Staff, Hospital*