Framing the difficulties resulting from implementing a Participatory Management Model in a public hospital

Autor(es)

Bernardes, Andrea ^[1] ; Cummings, Greta ^[2] ; Martinez Evora, Yolanda Dora ; Gabriel, Carmen Silvia

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Escola Enfermagem Ribeirao Preto, Dept Enfermagem Geral & Especializada, WHO Collaborating Ctr Nursing Res Dev, BR-14040902 Ribeirao Preto, SP - Brazil

^[2] Univ Alberta, Fac Nursing, Edmonton, AB T6G 2M7 - Canada

• Tipo de documento: Artigo Científico
• Fonte: Revista Latino-Americana de Enfermagem; v. 20, n. 6, p. 1142-1151, NOV-DEC 2012.
• Citações Web of Science: 8

Resumo

Objective: This study aims to address difficulties reported by the nursing team during the process of changing the management model in a public hospital in Brazil. Methods: This qualitative study used thematic content analysis as proposed by Bardin, and data were analyzed using the theoretical framework of Bolman and Deal. Results: The vertical implementation of Participatory Management contradicted its underlying philosophy and thereby negatively influenced employee acceptance of the change. The decentralized structure of the Participatory Management Model was implemented but shared decision-making was only partially utilized. Despite facilitation of the communication process within the unit, more significant difficulties arose from lack of communication inter-unit. Values and principals need to be shared by teams, however, that will happens only if managers restructure accountabilities changing job descriptions of all team members. Conclusion: Innovative management models that depart from the premise of decentralized decision-making and increased communication encourage accountability, increased motivation and satisfaction, and contribute to improving the quality of care. The contribution of the study is that it describes the complexity of implementing an innovative management model, examines dissent and intentionally acknowledges the difficulties faced by employees in the organization. (AU)

• Processo FAPESP: 08/03775-5 - A transformação da gestão em um hospital público do município de Ribeirão Preto - SP e sua influência no cotidiano de trabalho da equipe de enfermagem
• Beneficiário: Andrea Bernardes
• Modalidade de apoio: Auxílio à Pesquisa - Regular