RESUMO
AIM: To analyse experiences of managers and nursing staff in the implementation of participatory management, specifically processes of decision-making, communication and power in a Canadian hospital. BACKGROUND: Implementing a Participatory Management Model involves change because it is focused on the needs of patients and encourages decentralisation of power and shared decisions. METHODS: The study design is qualitative using observational sessions and content analysis for data analysis. We used Bolman and Deal's four-frame theoretical framework to interpret our findings. RESULTS: Participatory management led to advances in care, because it allowed for more dialogue and shared decision making. However, the biggest challenge has been that all major changes are still being decided centrally by the provincial executive board. CONCLUSIONS: Managers and directors are facing difficulties related to this change process, such as the resistance to change by some employees and limited input to decision-making affecting their areas of responsibility; however, they and their teams are working to utilise the values and principles underlying participatory management in their daily work practices. IMPLICATIONS FOR NURSING MANAGEMENT: Innovative management models encourage accountability, increased motivation and satisfaction of nursing staff, and improve the quality of care.
Assuntos
Tomada de Decisões , Hospitais Públicos/organização & administração , Relações Interprofissionais , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Supervisão de Enfermagem/organização & administração , Alberta , Comunicação , Feminino , Humanos , Masculino , Pesquisa em Administração de Enfermagem , Recursos Humanos de Enfermagem Hospitalar/psicologia , Inovação Organizacional , Política , Poder Psicológico , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Pesquisa Qualitativa , Melhoria de Qualidade/organização & administraçãoRESUMO
Este estudio fue realizado en la Escuela de Enfermería de Ribeirao Preto, de la Universidad de Sâo Paulo y relata una experiencia sobre la enseñanza de la informática a alumnos de enfermería. Se aplicó un cuestionario a 108 alumnos matriculados en el curso "Introducción a la informática aplicada a la salud" en los años 1989-1991. Los resultados encontrados fueron favorables al contenido del curso, los alumnos de 1989 refirieron que la informática debía ser enseñada en carácter de optativo sin embargo en 1991 los alumnos revelaron una fuerte predominancia en cuanto a su obligatoriedad