Resumen:
Aim: to identify the attributes and competencies of nursing managers in the teaching hospitals in the state of Paraná, in relation to their teaching, research, care and management. Method: a descriptive, exploratory, qualitative approach, carried out in 12 teaching hospitals in Paraná, through semi-structured interviews with 13 nurses who occupy the top position in nursing. The interviews included identification data of the participants, their positions and their attributes and competencies. Results: the attributes were; institutional representation, nursing care management, human resources management and teaching. The skills that stood out after content analysis were; conflict management, leadership, decision making and policy. Conclusions: although the research was carried out in teaching hospitals, the most frequent assignments and competencies of managers relate to the managerial dimension to the detriment of the teaching and research dimensions.
Descripción:
INTRODUCTION The teaching hospitals (HE – from the Portuguese Hospitais de Ensino) are important institutions for the country that provide highly complex assistance, training of human resources in health, the development of clinical research and the evaluation of new technologies. The Teaching Hospitals Restructuring Program (PRHE – from the Portuguese Programa de Reestruturação de Hospitais de Ensino) was created in 2003 to certify these institutions in teaching, research, assistance and management (1). The achievement of quantitative and qualitative goals for HE(1) based on specific directives, were established by local managers of the Unified Health System (SUS – Sistema Único de Saúde), and included an increase in medium and high complexity procedures, urgency and emergency, and education and research network (2). In this research, we focus on the nursing manager who occupies the highest nursing position in the HE and is committed to developing his role in teaching, research, care and management. He has a voice and a seat in the upper levels of the HE, and he opines, discusses and influences the decisions of the hospital, considers human resources and different ways of conducting nursing care and materials used by the team, and acts as a mediator between nursing and other categories, all of which requires specific skills. After almost ten years of the PRHE, and in view of the small amount of literature on this subject, we expected to find out how these changes were absorbed by the nursing managers and to identify the attributes and competencies of HE nursing managers from the state of Paraná in relation to teaching, research, care and management.
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