Abstract
Resumo Objetivo Analisar o conceito gestão do cuidado em enfermagem no âmbito hospitalar, com base no referencial teórico-metodológico de Walker e Avant. Métodos Realizou-se uma revisão integrativa, para operacionalizar a análise, nas bases de dados Literatura Latino-americana e do Caribe em Ciências da Saúde, Scientific Eletronic Library Online e a Base de dados de Enfermagem, utilizando palavra chave e descritores: Gestão do Cuidado, Enfermagem e Hospital. Resultados Evidenciou-se uma prática gerencial do enfermeiro com enfoque para as atividades burocráticas e pouco articulada ao cuidado. Entretanto, identificaram-se a articulação e integração entre o gerenciamento e o cuidar, liderança, comunicação, interação, tomada de decisão e cooperação como atributos essenciais da gestão do cuidado em enfermagem. Conclusão A aplicação desse conceito na prática gerencial do enfermeiro apresenta-se como uma necessidade emergente para o desenvolvimento de um modelo de gestão vinculada ao cuidar.
Highlights
Assuming that management and administration are synonyms and mean action, thinking and decision, they can be understood as the art of obtaining results that can be defined, predicted, analyzed and evaluated
Since the construction of the concept of care management in the hospital context required the clarificarion of the phenomenon in question, the authors chose not to use the identification of contrary cases, which is employed to reinforce the decision on the definition of attributes.[8] the absence of this topic does not bring any loss to the concept analysis
It was noticed that care management is construed as a complementary subprocess in the nursing work process, but that it is necessary to recognize care as the target to be administered in health services.[9]. Regarding the places where healthcare professionals appropriated the expression, the areas that stood out were emergency and urgency units, mobile prehospital care services, general patient and obstetric units, and outpatient clinics.[9, 10, 11, 12, 13]
Summary
Assuming that management and administration are synonyms and mean action, thinking and decision, they can be understood as the art of obtaining results that can be defined, predicted, analyzed and evaluated. Health care management is defined as the provision of health technologies, taking into account the unique needs of people at different times in their lives, aiming at offering well-being, safety and autonomy. It manifests in six dimensions: individual, family, professional, organizational, systemic and societarian.[2]. Care management is applied to the coordination of the management and service dimensions of the nursing work process. When nurses act in the management dimension, they develop actions directed toward work organization and human resources, whose goal is to enable proper conditions for the delivery of care to patients and nursing team performance. The target of the care dimension, in its turn, is the needs of health care, which must be met fully.[3]
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