Nursing work: challenges for health management in the N ortheast of B razil
SA Nelson, PR Azevedo, RS Dias… - Journal of nursing …, 2013 - Wiley Online Library
SA Nelson, PR Azevedo, RS Dias, SMA de Sousa, LDP de Carvalho, ACO Silva…
Journal of nursing management, 2013•Wiley Online LibraryAim Social exchange theory is used as the framework to examine the interaction between
supervisor–subordinate relationships, training and affective commitment for Northeast
Brazilian public sector nursing professionals. Background There are continuing challenges
to nursing management worldwide in terms of the supply of nursing professionals, their work
relationships, nurse training and commitment to their employing organisations. The interplay
between these factors for nurses in the Northeast of Brazil has not been well understood …
supervisor–subordinate relationships, training and affective commitment for Northeast
Brazilian public sector nursing professionals. Background There are continuing challenges
to nursing management worldwide in terms of the supply of nursing professionals, their work
relationships, nurse training and commitment to their employing organisations. The interplay
between these factors for nurses in the Northeast of Brazil has not been well understood …
Aim
Social exchange theory is used as the framework to examine the interaction between supervisor–subordinate relationships, training and affective commitment for Northeast Brazilian public sector nursing professionals.
Background
There are continuing challenges to nursing management worldwide in terms of the supply of nursing professionals, their work relationships, nurse training and commitment to their employing organisations. The interplay between these factors for nurses in the Northeast of Brazil has not been well understood.
Method
Quantitative data were collected from 550 nursing professionals using a cross‐sectional, survey‐base design. Qualitative data were collected from 25 participants using in‐depth interviews and focus group discussions.
Result
Using path analysis, and the ordinary least squares approach, the findings demonstrated a significant, but weak, linkage between supervisor–subordinate relationships, training and organisational commitment. The qualitative data suggest that contracting out may be a causative factor.
Conclusion
Healthcare managers in Brazil need to create more positive environments to strengthen supervisor–nurse relationships, improve the provision of training and to strengthen organisational commitment.
Implications for nursing management
Healthcare policy‐makers in hospital can make significant contributions to improving organisational commitment by reducing multiple job holding, improving the ratio of registered nurses to nursing technicians/assistants and beginning nurse supervision training in effective people management.
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