{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:10:09Z","timestamp":1753888209154,"version":"3.41.2"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Texto contexto - enferm."],"abstract":"<jats:p>RESUMO  Objetivo: analisar os desafios presentes no trabalho de enfermeiros gestores no contexto hospitalar, no Brasil e em Portugal.  M\u00e9todo: pesquisa de m\u00e9todos mistos, abordagem explanat\u00f3rio sequencial, realizada com enfermeiros gestores de quatro hospitais, entre mar\u00e7o de 2019 e mar\u00e7o de 2020. O estudo iniciou com a etapa quantitativa, aplicando um survey a 143 participantes e dados analisados por estat\u00edstica anal\u00edtica e inferencial. A etapa qualitativa foi realizada com 71 destes participantes utilizando entrevistas, para compreender os desafios deste trabalho, e os dados foram submetidos \u00e0 an\u00e1lise de conte\u00fado. A integra\u00e7\u00e3o dos achados foi realizada por meio de conex\u00e3o de dados.  Resultados: na etapa quantitativa os resultados evidenciaram que as atividades de gest\u00e3o realizadas pelos enfermeiros por cen\u00e1rio, inclu\u00edram planejamento, gest\u00e3o de pessoas, de processos assistenciais, de materiais, da qualidade e lideran\u00e7a, com maiores m\u00e9dias para os quatro primeiros. A qualitativa permitiu aprofundar os achados anteriores, contrastando a invisibilidade do planejamento, confirmando a gest\u00e3o de pessoas como o desafio comum \u00e0s realidades, explicando as m\u00e9dias nas realidades nacional e portuguesa. A integra\u00e7\u00e3o dos achados detalhou na gest\u00e3o de pessoas e lideran\u00e7a a relev\u00e2ncia dos conflitos e do d\u00e9ficit de profissionais.  Conclus\u00e3o:  gerenciar pessoas, processos assistenciais e materiais se mostram desafios dos enfermeiros na gest\u00e3o hospitalar nos dois pa\u00edses. Os enfermeiros carecem de suporte estrutural e forma\u00e7\u00e3o continuada para melhor gest\u00e3o e aprimoramento do planejamento e lideran\u00e7a.<\/jats:p>","DOI":"10.1590\/1980-265x-tce-2023-0059pt","type":"journal-article","created":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T11:57:45Z","timestamp":1687780665000},"source":"Crossref","is-referenced-by-count":2,"title":["DESAFIOS DE ENFERMEIROS GESTORES NO TRABALHO EM HOSPITAIS BRASILEIROS E PORTUGUESES: ESTUDO DE M\u00c9TODOS MISTOS"],"prefix":"10.1590","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1389-7932","authenticated-orcid":false,"given":"Lara","family":"Vandresen","sequence":"first","affiliation":[{"name":"Universidade Federal de Santa Catarina,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1754-0922","authenticated-orcid":false,"given":"Denise Elvira Pires de","family":"Pires","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7119-0230","authenticated-orcid":false,"given":"Let\u00edcia de Lima","family":"Trindade","sequence":"additional","affiliation":[{"name":"Universidade do Estado de Santa Catarina,  Brasil; Universidade Comunit\u00e1ria da Regi\u00e3o de Chapec\u00f3,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9982-9537","authenticated-orcid":false,"given":"Olga Maria Pimenta Lopes","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1527-9940","authenticated-orcid":false,"given":"Maria Manuela Ferreira Pereira da Silva","family":"Martins","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2396-9845","authenticated-orcid":false,"given":"Mariana","family":"Mendes","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina,  Brasil"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"key":"ref1","article-title":"Resonant leadership practices of nurse managers in the hospital setting: a cross-sectional study","volume":"31","author":"Reynolds POF","year":"2022","journal-title":"Texto Contexto Enferm"},{"key":"ref2","article-title":"Exploring the management competencies of nurse managers in the Greater Accra Region, Ghana","volume":"13","author":"Ansah AM","year":"2020","journal-title":"Int J Afr Nurs Sci"},{"key":"ref3","series-title":"Legisla\u00e7\u00e3o comentada: Lei do Exerc\u00edcio Profissional e C\u00f3digo de \u00c9tica","author":"Bresciani H","year":"2016","edition":"1"},{"year":"2018","series-title":"Resolu\u00e7\u00e3o Cofen N\u00ba 581\/2018 - Alterada pela Resolu\u00e7\u00e3o Cofen N\u00ba 625\/2020 e decis\u00f5es Cofen N\u00bas 065\/2021 e 120\/2021. Atualiza, no \u00e2mbito do Sistema Cofen\/Conselhos Regionais de Enfermagem, os procedimentos para Registro de T\u00edtulos de P\u00f3s-Gradua\u00e7\u00e3o Lato e Stricto Sensu concedido a Enfermeiros e aprova a lista das especialidades","key":"ref4"},{"journal-title":"Di\u00e1rio da Rep\u00fablica","article-title":"Regulamento n.\u00ba 76\/2018. 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