RESUMO
AIM: To explore the views of an international sample of nursing and midwifery managers concerning attributes that they associate with compassionate management. METHOD: A cross-sectional online survey. Using a snowballing sampling method, 1217 responses were collected from nursing and midwifery managers in 17 countries. A total of complete 933 responses to a question related to which actions and behaviours indicated that a manager was exercising compassionate leadership were analysed for this paper. First, content analysis of the responses was conducted, and second, a relative distribution of the identified themes for the overall sample and for each participating country was calculated. RESULTS: Six main themes were identified describing the attributes of a compassionate leader: (1) Virtuous support, (2) Communication, (3) Personal virtues of the manager, (4) Participatory communication, (5) Growth/flourishing/ nurturing and (6) Team cohesion. The first three themes mentioned above collectively accounted for 63% of the responses, and can therefore be considered to be the most important characteristics of compassionate management behaviour. CONCLUSION: The key indicators of compassionate management in nursing and midwifery which were identified emphasise approachability, active and sensitive listening, sympathetic responses to staff members' difficulties (especially concerning child and other caring responsibilities), active support of and advocacy for the staff team and active problem solving and conflict resolution. While there were differences between the countries' views on compassionate healthcare management, some themes were widely represented among different countries' responses, which suggest key indicators of compassionate management that apply across cultures.
Assuntos
Liderança , Tocologia , Estudos Transversais , Empatia , Feminino , Humanos , Gravidez , Inquéritos e QuestionáriosRESUMO
La presente es una revisión basada en búsqueda bibliográfica, realización de entrevistas y en la experiencia de la autora acerca del proceso de atención, tal como se realiza en la actualidad, de aquellos padres que enfrentan la muerte de un hijo. La investigación se enmarcó dentro del paradigma cualitativo, usando la entrevista semiestructurada como método de recolección de datos. Se obtuvo una serie de respuestas en las que se observa la percepción de los padres acerca de los cuidados del equipo de salud, principalmente de los profesionales de enfermería, desde el diagnóstico hasta el momento de duelo en que ellos se encuentran.
The present study is a review based on bibliographic search, interviews and the experience of the author about health care process, as it is currently done, for parents that face the death of their child. This research belongs to the qualitative paradigm, using a semi structure interview as method of data recollection. Several answers were obtained seeing parents perception about health care of health team, mainly of nursing professionals, from diagnosis to the moment of mourning they are.
A presente é uma revisão baseada na busca bibliográfica, na realização de entrevistas e na experiência da autora sobre o processo de atenção, tal como se realiza na atualidade, daqueles pais que enfrentam a morte de um filho. A pesquisa teve como marco o paradigma qualitativo, usando a entrevista semi-estruturada como método de coleta de dados. Foi obtida uma série de respostas nas quais se observa a percepção dos pais sobre os cuidados da equipe de saúde, principalmente dos profissionais de enfermagem, desde o diagnóstico até o momento de enfrentamento em que eles se encontram.