Gestão do enfermeiro em hospital pediátrico de nível terciário pela perspectiva multiprofissional: revisão narrativa

Introducao: o enfermeiro e capacitado para desenvolver competencias e habilidades nas areas de assistencia, gerencia educacao e de pesquisa. A gestao foca a assistencia ao paciente, os recursos humanos, materiais, equipamentos e estrutura fisica, a informacao, aprimorando a lideranca, empreendedorismo e a tomada de decisao. Objetivos : Identificar as atribuicoes do enfermeiro gestor em hospital pediatrico de nivel terciario a partir de levantamento bibliografico e analisar, categorizar e discutir as atribuicoes gerenciais para compreender e ampliar o conhecimento da equipe multiprofissional. Metodo : revisao narrativa com abordagem descritiva. A busca foi realizada nas bases de dados Literatura Latina-Americana e do Caribe em Ciencias da Saude, Medical Literature Analysis and Retrieval System Online , Base de Dados de Enfermagem, Scientific Electronic Library e Biblioteca Virtual em Saude. Resultados: identificados 508 artigos de 2015 a 2020 e selecionados 17 apos da leitura na integra. Realizada analise por triangulacao de equipe multiprofissional. Todos os estudos convergem com a gestao da assistencia com abordagem da qualidade e seguranca do paciente. Apos analise e interpretacao dos 17 artigos foram identificadas categorias, incluidas em quatro eixos: gestao de pessoas encontrado em 16 artigos (94,1%) e extraidas as categorias relacionadas a recursos humanos e de conflitos; engajamento e motivacao da equipe; comunicacao e relacionamento interpessoal; delegacao e supervisao de tarefas; lideranca e educacao permanente. A gestao de materiais e fisicos encontrado em 4 (23,5%) estudos e extraidas as categorias sobre previsao ou programacao semanal/anual; reposicao e falta de materiais; provisao de materiais com solicitacao de compra; tomada de decisao sobre implantacao de novos materiais e respectivos testes; gestao do espaco fisico e de leitos e gestao de equipamentos e instrumentos. A gestao estrategica foi verificada em 7 artigos (41,2%) e extraidas as categorias sobre elaboracao e participacao de protocolos operacionais padrao; analise de indicadores de saude; mapeamento e gestao de riscos e qualidade e acreditacao. A gestao dos cuidados foi observada em 8 artigos (47%) de onde foram extraidas as categorias de promocao e seguranca da assistencia; qualidade do cuidado e humanizacao na assistencia. Conclusoes: a identificacao das acoes de gestao do enfermeiro amplia o conhecimento dos processos gerenciais em hospital de nivel terciario, ressaltando a importância da comunicacao e as trocas de saberes para a constante construcao e lapidacao das competencias de comunicacao para respaldar a gestao das unidades geridas e contribuir no manejo desses desafios, facilitando a participacao e o desempenho de todos os profissionais envolvidos no cuidado. O conhecimento e compreensao dos profissionais da equipe multiprofissional sobre as atribuicoes do enfermeiro gestor potencializam o trabalho no âmbito das relacoes interpessoais, envolvimento e cooperacao nos processos operacionais e estrategicos com foco na seguranca do paciente e na qualidade da assistencia Palavras-chave : Administracao em Enfermagem; Administracao e Organizacao; Gestao em Enfermagem Nurse management in a tertiary pediatric hospital from a multiprofessional perspective: narrative review ABSTRACT Introduction: nurses are trained to develop competencies and skills in the areas of care, management, education and research. Management focuses on patient care, human resources, materials, equipment and physical structure, information, improving leadership, entrepreneurship and making decisions. Objectives: To identify the duties of the nurse manager in a tertiary pediatric hospital based on a bibliographic survey and to analyze, categorize and discuss the managerial duties of the nurse to understand and expand the knowledge of the multiprofessional team. Method: narrative review with a descriptive approach. The search was carried out in the databases of Latin American and Caribbean Literature in Health Sciences, Medical Literature Analysis and Retrieval System Online, Nursing Database, Scientific Electronic Library and Virtual Health Library. Results: 508 articles were identified from 2015 to 2020 and 17 were selected after reading in full. Multidisciplinary team triangulation analysis. All studies converge with care management with an approach to quality and patient safety. After analyzing and interpreting the 17 articles, the following categories were identified, included in four sections: People’s management found in 16 articles (94.1%) and categories related to human resources and conflicts extracted; team engagement and motivation; communication and interpersonal relationships; task delegation and supervision; leadership and continuing education. Materials and physics management found in 4 (23.5%) studies and extracted the categories on forecast or weekly / annual schedule; replacement and lack of materials; provision of materials with purchase request; decision making on the implantation of new materials and respective tests; management of physical space and beds and management of equipment and instruments. Strategic management was verified in 7 articles (41.2%) and the categories about elaboration and participation of standard operational protocols were extracted; analysis of health indicators; mapping and management of risks and quality and accreditation. Care management was observed in 8 articles (47%) from which the categories of promotion and security of care were extracted; quality of care and humanization of care. Conclusion: the identification of nurse management actions expands the knowledge of management processes in a tertiary-level hospital, emphasizing the importance of communication and the exchange of knowledge for the constant construction and polishing of communication skills to support the management of managed units contribute to the management of these challenges, facilitating the participation and performance of all professionals involved in care. The knowledge and understanding of the professionals of the multiprofessional team about the nurse manager's duties enhance the work within the scope of interpersonal relationships, involvement and cooperation in operational and strategic processes with a focus on patient safety and quality of care. Keywords : Hospitals; Organization and Administration; Nursing Administration; Administration and Organization; Nursing Management