A visão dos gestores sobre o cuidado de enfermagem realizado por enfermeiras especialistas em hospitais universitários da região nordeste

Abstract

Nowadays, the job market has demands due to social, political, economic, and technological needs faced by workers globally. Those requirements also exist in the health sector, which increasingly requires training, updates, and continuous professional improvement. In this manner, lato sensu graduate nursing courses suggest an education aimed at a particular area of knowledge. These enable updates, learning, and better quality of care for the patient, family, and the community. The study aimed to analyze how nursing managers identify the quality of care in university hospitals based on the inclusion of specialist nurses. It is a descriptive-exploratory study of the qualitative approach. The managers of the nursing division in teaching Hospitals in Northeast Brazil were interviewed for information collection through Google Meet. The data were analyzed following the Content Analysis with the help of the Atlas.ti 9.0 software which helped to visualize the main results. The interview was conducted with fivenursing managers after submission and approval by the Research Ethics Committee of the Federal University of Rio Grande do Norte, opinion nº 5.004.512, under the number 50938721.5.0000.5537.The results found two categories of analysis: effects on nursing care after hiring specialist nurses and factors that promote and impede the insertion of the specialist nurses in the job market. The leading repercussions were: teaching and research improvements; systematized organization of own knowledge; security in performance/knowledge; enthusiasm; targeted treatment/work process; faster care; early identification of risks; reduced morbidity and mortality; shorter hospital stay/bed turnover; decrease in operating cost; user satisfaction; greater emphasis of the institution. The facilitating factors were: opening of vacancies in public tenders; better score in contests; institutionalization of the career plan; institutional incentive for the accomplishment of the post-graduation; same financial investment, in the private market, compared to general nurses; requirement of specialties by regulatory bodies; mastery of knowledge in the area of activit As for the complicating factors: reduced vacancies for specialist nurses; a need for greater financial investment for hiring; devaluation of specializations; inflexibility; female specialist/professional illness; lack of specific regulation and quality of lato sensu postgraduate training; experience in the area and appreciation of specializations by the private network. Finally, it is observed that despite the greater visibility and emphasis on the importance of specialties in relation to nursing work, the view of the managers of the investigative locus is influenced by the capitalist model.