Os ruídos encontrados na construção de um modelo democrático e participativo de gestão hospitalar

• Autor(a) principal: Bernardes, Andrea
• Data de Publicação: 2007
• Outros Autores: Cecilio, Luiz Carlos de Oliveira [UNIFESP], Nakao, Janete R. S., Évora, Yolanda D. Martinez
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/00130000107cw
• Texto Completo: http://dx.doi.org/10.1590/S1413-81232007000400008; http://repositorio.unifesp.br/handle/11600/3811
• topic: Joint management; Democratic and participatory management; Management by committee; Gestão colegiada; Gestão democrática e participativa; Colegiado de gestão

A path leading to management modernization is based on an approach stressing dialog and discussions of the construction of a healthcare enhancement project whose main characteristic is its emphasis on joint management concepts at all levels. This paper assesses almost ten years of management by committee in a public hospital in Rio de Janeiro State, Brazil, seeking impacts on its micro-policies. The intention is to identify and analyze how the nursing staff experienced the implantation of this management model in the hospital. Empirical matters were analyzed at two levels: initially the comments of the players were grouped into themes, followed by cross-theme readings that analyzed the concept of noise. The remarks made by the respondents indicated that this noise functions within the organization, demonstrating that the selected management process and the manner in which it was conducted are not sufficient to penetrate and intervene in institutional micro-policies, leaving gaps between the proposals set forth by this management model and the real situation of the workers.