RESUMEN
This article shows the importance of the nursing service in the health organizations. The metaphor "giant" will be used to describe the extent of this service, and the term "silent" will be used to refer to the little acknowledgment the nursing service receives from the community. The extent and complexity of the nursing assistance is vital for the effectiveness of the processes of health care, however its structure and organization is unknown by the community. The nursing service congregates a great number of personnel with different levels of education. The planning, organization, structure and operation of this service follow the principles of the General Theory of Administration. Knowledge from this area has also been used to help health institutions to achieve its goals and objectives. This study also approaches the client and the quality of health assistance, pointing out the need of reexamining the administrative model adopted and looking forward to systemic alternatives.
Asunto(s)
Servicio de Enfermería en Hospital/organización & administración , Brasil , Legislación de Enfermería , Objetivos Organizacionales , Filosofía en EnfermeríaRESUMEN
According to several studies, nursing, especially in hospital settings, is one of the most stressful professions. The objective of this study was to identify the sources of stress related to the administrative tasks of nurses working in a hospital, as well as the main health changes that stress caused these professionals. The quantitative survey was carried out in 1996 with a sample of 207 nurses at a university hospital in the city of Porto Alegre, in the state of Rio Grande do Sul, Brazil. A questionnaire was used to collect data on stress sources and symptoms. The questionnaire also gathered demographic data, as well as information on the nurses' feelings about their working conditions. The average age of the study participants was 35.8 years, and the average time working at the hospital was 8.5 years. Among participants, 48% were considered to be stressed. Work overload was the stress source that best predicted relative risk of stress (6.1). In terms of stress symptoms, the most commonly reported ones were cardiovascular changes. However, gastrointestinal changes were related to a higher risk of stress (5.3). Managing other staff was the stress source that had the greatest number of significant correlations with stress symptoms. On the other hand, immunologic changes were the symptoms that had the highest correlation with stress sources. Our results suggest that stress related to administrative tasks in nursing may trigger changes in nurses' health.
Asunto(s)
Investigación en Administración de Enfermería , Estrés Fisiológico , Brasil , HumanosRESUMEN
This article describes the student's opinion about the discipline Administration of Adult Nursing Assistance, developed in the 7th term of nursing graduation course in UFRGS Nursing School. The aspects evaluated were: organization, objectives, theoretical framework, subjects relevance, teaching strategies, field of practice learning and supervision. It's a qualitative study, the instrument used is a questionary with open questions, which allows the students write their points of view about the discipline. The population selected was all students of 7th term of course in 1996/1 and 1996/2 (77 students), but only 34 students answered the instrument. The data were analyzed by Bardin (1977) conteud analysis approach.
Asunto(s)
Actitud del Personal de Salud , Bachillerato en Enfermería/normas , Estudiantes de Enfermería/psicología , Enseñanza/normas , Adulto , Curriculum , Humanos , Investigación Metodológica en Enfermería , Encuestas y CuestionariosRESUMEN
The nursing develops it's activities through the staff work, therefore, the quality of its work depends on the performance of the work group. For this reason, the nursing knowledge about human motivation and the different motivational factors which interfere in people actions are very important. For some persons is important to do things (realization necessity), for others, is important to influence people (power necessity), and for others to valorize the fellowship with the work group (affiliation necessity) is the most important. The present study is based on "three motives" of the McClelland (1965) approach. The authors also used the Souza (1972) model with the aim to identify which factors are responsible for nurses motivation in adults clinical wards in an university hospital. The results shows that Realization (80%) is the predominant motivational factor, the Affiliation and Power are in the second place with the same rate (7%).