Gestão do cuidado em enfermagem a pacientes com COVID-19 no contexto hospitalar

Abstract

This research aims to: analyze the management of nursing care for patients with covid-19 in thehospital context. This is a qualitative research developed with nurses at a Federal University Hospital. Data collection took place through semi-structured interviews and the data were processed by the N-vivo 11 software and analyzed according to thematic content analysis. Four categories of analysis guided by the theoretical matrix of situational strategic planning were identified, (1) The representation of the explanatory moment in the management of nurses in the face of the covid-19 pandemic, with the subcategory: Limitations and weaknesses in problem definitions, which define consequences and not the causes of the problems, thus weakening their care management. (2) The representation of the normative moment in the management of nurses in the face of the covid-19 pandemic, with the subcategories: The definition of objectives and attributes of nursing care management and the management of care (de)centered on integrality, in which have repercussions on the definition of care management focused on technical aspects, closer to the biomedical model. (3) The representation of the strategic moment in the management of nurses in the face of the covid-19 pandemic, with the subcategory, Structural and care organizational strategies such as changes in the flow and promotion of disease prevention. Representative aspects of the technical managerial capacity of nurses, however within the classical and traditional perspectives of management(4) Structural and care organizational changes, as they reported their routines from entering the sector to leaving the sector, but involving difficulties in solving problems, since the external environment is not considered in the analysis of possibilities. With this, it is concluded that caremanagement has important aspects that reveal limitations and potentialities of care managementin the hospital context.