O processo de gestão por enfermeiros em uma unidade de atenção psicossocial de um hospital universitário e os constructos de Mintzberg

Abstract

This study aims to respond to the following objective: to analyze the management of nurses who work in a Psychosocial Care Unit of a University Hospital. This research is exploratory, with a qualitative approach, whose method was based on a single case study. The population of this research consisted of 10 nurses who are linked to the Psychosocial Care Unit of the Complexo Hospitalar Universitário Professor Edgard Santos. Documentary collection and semi-structured interviews were used as data collection instruments. Data collection took place from August to September 2021. Based on the material learned in the interviews and in the documentary research, data analysis was carried out, according to the thematic-type Content Analysis technique with the support of the WebQDA Qualitative Analysis software. Recommendations involving research with human beings were adopted. The results show that nurses use management strategies in the Psychosocial Care Unit related to the planning of management actions, aspects of educational activities in the organization, ways of standardizing the work process and dimensions of worker performance evaluation. It was still possible to understand the organizational structure of the nursing service of the Psychosocial Care Unit, pointing to the presence of nurses in the parts of the intermediate line and operational nucleus. These develop administrative activities related to the managerial dimension of the profession and presented important challenges in the daily management. In this sense, it is essential to expand spaces for discussion about the training process, as well as to strengthen the competences and skills of nurse managers, so that they can better deal with the challenges present in organizations. Finally, it is important that mental health nurses, in view of these results, reflect on the organizational structures, locations of their professional practice, strengthening their role, recognizing their attributions and choosing theoretical paths of management practices that qualify mental health care .