Abstract
Governance in hygiene and cleaning has shown to be a trend nowadays in hospital organizations. This is a reflective study that aimed at discussing and theoretically thinking over the implementation of governance services in hospital hygiene and cleaning, identifying possibilities, limitations and challenges posed to the current managerial work of nurses. The services implementation has huge potentials like quick cleaning of units, scaling the replacement of staff in public institutions by outsourcing workers, and appropriateness of the design which are aspects that impact on the safety of users. Limitations concern the human resources capacity-building and proper work in the hospital setting. This service makes room for the managerial work of nurses that are faced with the challenge of adapting the managerial tools used to forecast and provide human and material resources, planning, decision making, supervision and continued education on the specificity of the hospital hygiene and cleaning service.
Highlights
Hospital organization is one of the most complex health institutions, due to the co-existence of countless care and administrative procedures, several simultaneous lines of production, and fragmentation of decisions on care, to the presence of a multi-professional team with a high degree of autonomy
When meeting the demands of social actors as clients/users, funders and health plans, hospitals have incorporated to their activities some procedures and processes that make a difference in relation to the competitors and improve the quality standard of services provided.[2,3,4]
Management based on hospital governance emerges as a feasible alternative to hospitals seeking for the best quality standards in management and services delivery through rationality and administrative efficiency
Summary
Hospital organization is one of the most complex health institutions, due to the co-existence of countless care and administrative procedures, several simultaneous lines of production, and fragmentation of decisions on care, to the presence of a multi-professional team with a high degree of autonomy. Hospital governance services focus directly on the comfort, safety and well-being of internal and external client/user, in an attempt to change the environment to make it cozier The implementation of this kind of service makes quality and efficiency key elements in health production. In operational terms, nursing has been in charge of the hospital unit cleaning, and faces a new reality ranging from resources planning for carrying out procedures to the technical development of the unit cleaning This situation brings about questions on how to properly design the specific actions of nursing professionals, which actions could be assigned to other professionals with no damage to the nursing work space, but redefining/consolidating the specificity of the nursing scope of action. The aim of this study was to discuss and theoretically think over the implementation of the governance service in hospital hygiene and cleaning identifying possibilities, limitations and challenges posed to nurse managerial work in this service
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