The health care management by nurses from the hospital infection control service in light of the Nursing Role Effectiveness Model

Abstract

The objective was to reflect on the key concepts of the Middle Range Theory (TMA) Nursing Role Effectiveness Model (NREM) and its applicability in the management practices of Nurses working in the Hospital Infection Control Service. This is a theoretical-reflective study, which starts from the philosophical and epistemological conceptions of the TMA - NREM in order to reflect its applicability in the managerial actions of nurses who work in the Hospital Infection Control Service. For this reflection, the authors were based on the main concepts of the theory: structure (organization, nurse and patient), processes (independent, dependent and interdependent actions) and results (care sensitive to the nurse's actions). Through reflection, it can be seen that the key concepts of the aforementioned theory apply and at the same time support the theoretical reflection on the managerial actions of nurses who work in the Hospital Infection Control Service, contributing to elucidate how the interrelationship between the variables of this medium-range theory can favor better results than the reduction of infections in hospital units. It was possible to conclude that the managerial actions of nurses who work in the Hospital Infection Control Service are interrelated, capable of generating sensitive nursing care for patients hospitalized in hospital units.