Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , |
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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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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1797174724045832192 |