Factors involved in the management of nursing care: A descriptive study

Abstract

Aim: To investigate the factors involved in care management. Method: This is a descriptive study, performed with 32 nurses from Basic Care units in Maracanaú, Brazil, from May to July 2012. The methodological process used was the Discourse of the Collective Subject, to order and organize the data. Results: The most important concerns were: excessive demand, resistance of the users to the proposed activities in health prevention and promotion and precarious organizational structure. The facilities presented were: support from the health department, teamwork and autonomy of the nurse. Discussion: The difficulties experienced generated a gap between the caring service and the managerial process, especially those linked to the instability of the work processes and the traditional assisting model, but on the other hand, the teamwork, the support of management and autonomy stimulated the interaction between caring and managing. Conclusion: The Attention Care Service presents ambivalences because sometimes it permits and at other times it separates caring and care management.