Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital

Detalhes bibliográficos
Autor(a) principal: Cunha, Simone Graziele Silva
Data de Publicação: 2023
Outros Autores: Deodato, Sérgio, Brito, Maria José Menezes
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Rev Rene (Online)
Texto Completo: http://periodicos.ufc.br/rene/article/view/81737
Resumo: Objective: to understand the ethical problems experienced by nurse managers in the context of the COVID-19 pandemic. Methods: qualitative study, conducted with 19 nurse managers. The inclusion criteria were nurses who had held a management position for at least six months, and the exclusion criteria were those who held an assistance position. Data were collected through individual interviews with a semi-structured script and document analysis and analyzed using Content Analysis. Results: the ethical problems were related to duplicity and lack of information about norms and routines; lack of patient flow; routine changes without communication with the nurse coordinators; absenteeism and presenteeism of the nursing team; refusal of reassignment by technicians; nursing professionals who chose to work in the COVID-19 sector and earn additional unhealthy salary and those who did not choose due to fear of disease; and conflicts arising from the patient.  Conclusion: the analysis revealed situations marked by ethical problems that compromise the dynamics of work and the quality of care. Contributions to practice: understanding ethical problems contributes to the promotion of improvements in planning, intervention, and preparation of professionals to deal with conflicting issues experienced in hospital management.
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spelling Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospitalProblemas éticos vivenciados por enfermeiros gestores na pandemia da COVID-19 em um hospital universitárioNursing; Health Management; Ethics, Nursing; COVID-19; Coronavirus Infections.Enfermagem; Gestão em Saúde; Ética em Enfermagem; COVID-19; Infecções por Coronavírus.Objective: to understand the ethical problems experienced by nurse managers in the context of the COVID-19 pandemic. Methods: qualitative study, conducted with 19 nurse managers. The inclusion criteria were nurses who had held a management position for at least six months, and the exclusion criteria were those who held an assistance position. Data were collected through individual interviews with a semi-structured script and document analysis and analyzed using Content Analysis. Results: the ethical problems were related to duplicity and lack of information about norms and routines; lack of patient flow; routine changes without communication with the nurse coordinators; absenteeism and presenteeism of the nursing team; refusal of reassignment by technicians; nursing professionals who chose to work in the COVID-19 sector and earn additional unhealthy salary and those who did not choose due to fear of disease; and conflicts arising from the patient.  Conclusion: the analysis revealed situations marked by ethical problems that compromise the dynamics of work and the quality of care. Contributions to practice: understanding ethical problems contributes to the promotion of improvements in planning, intervention, and preparation of professionals to deal with conflicting issues experienced in hospital management.Objetivo: compreender os problemas éticos vivenciados por enfermeiros gestores no contexto da pandemia da COVID-19. Métodos: estudo qualitativo, realizado com 19 enfermeiros gestores. Os critérios de inclusão foram enfermeiros que exerciam a função de gestão há, pelo menos, seis meses, e os de exclusão, os que ocupavam cargo assistencial. Coleta de dados realizada por meio de entrevistas individuais com roteiro semiestruturado e análise documental, e analisados por meio da Análise de Conteúdo. Resultados: os problemas éticos estão relacionados à: duplicidade e falta de informação sobre as normas e rotinas; ausência de fluxo dos pacientes; mudanças de rotina sem comunicação com os enfermeiros coordenadores; absenteísmo e presenteísmo da equipe de enfermagem; recusa de remanejamento por parte dos técnicos; profissionais da enfermagem que optaram por atuar no  setor da COVID-19 e ganhar adicional de insalubridade e os que não optaram devido ao medo da doença; e conflitos provenientes do paciente. Conclusão: a análise revelou situações marcadas por problemas éticos que comprometem a dinâmica de trabalho e a qualidade do atendimento. Contribuições para a prática: a compreensão dos problemas éticos contribui para a promoção de melhorias no planejamento, intervenção e preparo dos profissionais para lidar com questões conflitantes vivenciadas na gestão hospitalar.Universidade Federal do Ceará2023-01-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontextoapplication/pdfapplication/pdfhttp://periodicos.ufc.br/rene/article/view/8173710.15253/2175-6783.20232481737Rev Rene; Vol. 24 (2023): Rev Rene; e81737Rev Rene; v. 24 (2023): Rev Rene; e817372175-67831517-3852reponame:Rev Rene (Online)instname:Universidade Federal do Ceará (UFC)instacron:UFCporenghttp://periodicos.ufc.br/rene/article/view/81737/227711http://periodicos.ufc.br/rene/article/view/81737/227712Copyright (c) 2023 Rev Reneinfo:eu-repo/semantics/openAccessCunha, Simone Graziele SilvaDeodato, SérgioBrito, Maria José Menezes2023-01-24T18:24:59Zoai:periodicos.ufc:article/81737Revistahttp://periodicos.ufc.br/renePUBhttp://periodicos.ufc.br/rene/oairene@ufc.br||2175-67831517-3852opendoar:2023-01-24T18:24:59Rev Rene (Online) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital
Problemas éticos vivenciados por enfermeiros gestores na pandemia da COVID-19 em um hospital universitário
title Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital
spellingShingle Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital
Cunha, Simone Graziele Silva
Nursing; Health Management; Ethics, Nursing; COVID-19; Coronavirus Infections.
Enfermagem; Gestão em Saúde; Ética em Enfermagem; COVID-19; Infecções por Coronavírus.
title_short Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital
title_full Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital
title_fullStr Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital
title_full_unstemmed Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital
title_sort Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital
author Cunha, Simone Graziele Silva
author_facet Cunha, Simone Graziele Silva
Deodato, Sérgio
Brito, Maria José Menezes
author_role author
author2 Deodato, Sérgio
Brito, Maria José Menezes
author2_role author
author
dc.contributor.author.fl_str_mv Cunha, Simone Graziele Silva
Deodato, Sérgio
Brito, Maria José Menezes
dc.subject.por.fl_str_mv Nursing; Health Management; Ethics, Nursing; COVID-19; Coronavirus Infections.
Enfermagem; Gestão em Saúde; Ética em Enfermagem; COVID-19; Infecções por Coronavírus.
topic Nursing; Health Management; Ethics, Nursing; COVID-19; Coronavirus Infections.
Enfermagem; Gestão em Saúde; Ética em Enfermagem; COVID-19; Infecções por Coronavírus.
description Objective: to understand the ethical problems experienced by nurse managers in the context of the COVID-19 pandemic. Methods: qualitative study, conducted with 19 nurse managers. The inclusion criteria were nurses who had held a management position for at least six months, and the exclusion criteria were those who held an assistance position. Data were collected through individual interviews with a semi-structured script and document analysis and analyzed using Content Analysis. Results: the ethical problems were related to duplicity and lack of information about norms and routines; lack of patient flow; routine changes without communication with the nurse coordinators; absenteeism and presenteeism of the nursing team; refusal of reassignment by technicians; nursing professionals who chose to work in the COVID-19 sector and earn additional unhealthy salary and those who did not choose due to fear of disease; and conflicts arising from the patient.  Conclusion: the analysis revealed situations marked by ethical problems that compromise the dynamics of work and the quality of care. Contributions to practice: understanding ethical problems contributes to the promotion of improvements in planning, intervention, and preparation of professionals to deal with conflicting issues experienced in hospital management.
publishDate 2023
dc.date.none.fl_str_mv 2023-01-24
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
texto
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://periodicos.ufc.br/rene/article/view/81737
10.15253/2175-6783.20232481737
url http://periodicos.ufc.br/rene/article/view/81737
identifier_str_mv 10.15253/2175-6783.20232481737
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv http://periodicos.ufc.br/rene/article/view/81737/227711
http://periodicos.ufc.br/rene/article/view/81737/227712
dc.rights.driver.fl_str_mv Copyright (c) 2023 Rev Rene
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Rev Rene
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal do Ceará
publisher.none.fl_str_mv Universidade Federal do Ceará
dc.source.none.fl_str_mv Rev Rene; Vol. 24 (2023): Rev Rene; e81737
Rev Rene; v. 24 (2023): Rev Rene; e81737
2175-6783
1517-3852
reponame:Rev Rene (Online)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Rev Rene (Online)
collection Rev Rene (Online)
repository.name.fl_str_mv Rev Rene (Online) - Universidade Federal do Ceará (UFC)
repository.mail.fl_str_mv rene@ufc.br||
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