scholarly journals Barreiras do processo de construção do enfermeiro-líder: uma etnoenfermagem

2018 ◽  
Vol 12 (5) ◽  
pp. 1381
Author(s):  
Liliane Alves Pereira ◽  
Carolina Domingues Hirsch ◽  
Rosemary Silva Silveira ◽  
Jamila Geri Tomaschewski-Barlem ◽  
Claudia Denise Schallenberger ◽  
...  

RESUMOObjetivo: compreender as barreiras no processo de construção do enfermeiro-líder. Método: estudo qualitativo, fundamentado nos pressupostos da etnoenfermagem, tendo, como sujeitos, 22 profissionais da equipe de Enfermagem que compõem três turnos de trabalho. A análise dos dados respeitou o preconizado pela etnoenfermagem, que propõe que as informações sejam analisadas em quatro fases utilizando-se de critérios específicos e congruentes com o paradigma qualitativo e apresentando os resultados após cada fase. Resultados: foram agrupados nas categorias Características pessoais e Cultura Institucional. Conclusão: as principais barreiras na construção do exercício da liderança pelo enfermeiro devem ser reconhecidas para serem superadas no cotidiano do exercício profissional, pois tanto as características pessoais, quanto a cultura institucional devem ser transpostas com conhecimento e criatividade. Descritores: Enfermagem; Liderança; Ética, Metodologia de pesquisa em enfermagem; Cultura Organizacional; Saúde.ABSTRACT Objective: to understand the barriers in the nurse-leader building process. Method: a qualitative study, based on the presuppositions of the ethnographic study, having, as the subjects, 22 professionals of the Nursing team that compose three work shifts. The data analysis respected what was recommended by the ethnographic survey, which proposes that the information be analyzed in four phases using specific and congruent criteria with the qualitative paradigm and presenting the results after each phase. Results: were grouped in two categories: Personal characteristics and Institutional Culture. Conclusion: the main barriers in the construction of leadership by the nurse must be recognized to be overcome in the daily practice, since both personal characteristics and institutional culture must be transposed with knowledge and creativity. Descriptors: Nursing; Leadership; Ethics; Methodology of nursing research; Organizational culture; Health. RESUMEN Objetivo: comprender las barreras en el proceso de construcción del enfermero líder. Método: estudio cualitativo, fundamentado en los presupuestos de la etnoenfermería, teniendo, como sujetos, 22 profesionales del equipo de Enfermería que compone tres turnos de trabajo.  El análisis de los datos respetó el preconizado por la etnoenfermería, que propone que las informaciones sean analizadas en cuatro fases, utilizando criterios específicos y congruentes con el paradigma cualitativo, presentando los resultados después de cada fase. Resultados: se agruparon en las categorías:1) Características personales y 2) Cultura Institucional. Conclusión: las principales barreras en la construcción del ejercicio del liderazgo por el enfermero deben ser reconocidas para ser superadas en el cotidiano del ejercicio profesional, pues tanto las características personales, en cuanto a la cultura institucional deben ser transpuestas con conocimiento y creatividad. Descriptores: Liderazgo; Ética, Metodología de investigación en Enfermería; Cultura de la Organización; Salud.

Author(s):  
Jannine van Schothorst-van Roekel ◽  
Anne Marie J W M Weggelaar-Jansen ◽  
Antoinette A de Bont ◽  
Iris Wallenburg

Abstract Scholars describe organizing professionalism as ‘the intertwinement of professional and organizational logics in one professional role’. Organizing professionalism bridges the gap between the often-described conflicting relationship between professionals and managers. However, the ways in which professionals shape this organizing role in daily practice, and how it impacts on their relationship with managers has gained little attention. This ethnographic study reveals how nurses shape and differentiate themselves in organizing roles. We show that developing a new nurse organizing role is a balancing act as it involves resolving various tensions concerning professional authority, task prioritization, alignment of both intra- and interprofessional interests, and internal versus external requirements. Managers play an important yet ambiguous role in this development process as they both cooperate with nurses in aligning organizational and nursing professional aims, and sometimes hamper the development of an independent organizing nursing role due to conflicting organizational concerns.


2020 ◽  
Vol 9 (2) ◽  
pp. e000948
Author(s):  
Catherine Montgomery ◽  
Stephen Parkin ◽  
Alison Chisholm ◽  
Louise Locock

BackgroundTeamwork is important in the design and delivery of initiatives in complex healthcare systems but the specifics of quality improvement (QI) teams are not well studied.ObjectiveTo explain the functioning of front-line healthcare teams working on patient-centred QI using Bourdieu’s sociological construct of capital.MethodsOne medical ward from each of six NHS Trusts in England participated in the study, purposively selected for a range of performance levels on patient experience metrics. Three ethnographers conducted focused ethnography for 1 year, using interviews and observations to explore the organisation, management and delivery of patient-centred QI projects by the six front-line teams. Data were analysed using Bourdieu’s typology of the four forms of capital: economic, social, symbolic and cultural.ResultsWhile all teams implemented some QI activities to improve patient experience, progress was greater where teams included staff from a broad range of disciplines and levels of seniority. Teams containing both clinical and non-clinical staff, including staff on lower grades such as healthcare assistants and clerks, engaged more confidently with patient experience data than unidisciplinary teams, and implemented a more ambitious set of projects. We explain these findings in terms of ‘team capital’.ConclusionTeams that chose to restrict membership to particular disciplines appeared to limit their capital, whereas more varied teams were able to draw on multiple resources, skills, networks and alliances to overcome challenges. Staff of varying levels of seniority also shared and valued a broader range of insights into patient experience, including informal knowledge from daily practice. The construct of ‘team capital’ has the potential to enrich understanding of the mechanism of teamwork in QI work.


Author(s):  
Liz Brewster ◽  
Andrew M Cox

Interest in the connection between involvement in digital communities and well-being has increased as these communities become more commonplace. Specific models of interaction that affect well-being have emerged; here, we examine one of those models, termed ‘digital daily practice’. Digital daily practices involve a commitment to doing one thing – exercise, photography and writing – every day and sharing it online. Participants in these practices agree that they provide an unexpected benefit of improving well-being. This article makes an in-depth examination of one digital daily practice, photo-a-day, using a practice theory framework to understand the affordances it offers for well-being. We engage with the literature on well-being and self-care, critiquing its presentation of well-being as an individual trait. We present data from an ethnographic study including interviews and observations to highlight how photo-a-day as a practice functions as self-care and how communities are formed around it. Photo-a-day is not a simple and uncomplicated practice; rather it is the complex affordances and variance within the practice that relate it to well-being. We conclude that this practice has multi-faceted benefits for improving well-being.


ILUMINURAS ◽  
2012 ◽  
Vol 13 (30) ◽  
Author(s):  
Carina Balladares

En este texto mostraremos parte de un estudio etnográfico mayor, que se centró en conocer las transformaciones de las relaciones sociales, y de la cultura fabril, de un grupo de trabajadores industriales urbanos que autogestionan, desde fines de 2003, una fábrica recuperada de calzados y ropa deportiva argentina. Este artículo se centrará en describir las relaciones de alteridad y poder que estos trabajadores fueron desplegando luego de organizarse bajo el formato de cooperativa. Veremos cómo, desarmada la relación de alteridad principal de la vieja empresa (sintetizada en el vínculo patrón-empleados), los propios asociados de la cooperativa comenzaron a construir diversas alterizaciones en el nuevo contexto de relacionamiento mutuo, que se superpusieron y enlazaron con otras que provenían del pasado como empresa bajo patrón. Detallaremos ciertos rasgos de sus interacciones sociales y describiremos ciertas categorías de la práctica cotidiana. Se trata de categorías que acompañaron la formación de procesos identificatorios complejos y constelaciones de poder. Palabras clave: Fábrica recuperada. Poder. Alteridad. Autogestión. Igualitarismo.   Otherness and Power in Recovered Factory of Argentina   Abstract  This text will show part of a larger ethnographic study, which focused on knowing the transformation of social relations, and factory culture, of a group of self-managing urban industrial workers who, since late 2003, are in charge of a recovered factory of footwear and sports clothing of Argentina. This article will focus on describing the relationships of otherness and power that these workers developed after organizing under the cooperative format. We'll see how, when the principal relationship of otherness of the old company (synthesized in the employer-employee tie) was dismantled, the members of the cooperative began to build different otherness relationships in the new context, which are overlapped and bonded with others came from the past as a company under a boss. We'll detail some features of their social interactions and describe certain categories of the daily practice. These categories accompanied the formation of complex identification procedures and constellations of power. Keywords: Recovered factory. Power. Otherness. Worker self-management. Egalitarianism.  


2019 ◽  
Vol 7 (3) ◽  
pp. 57-68
Author(s):  
Eric Gordon ◽  
Rogelio Alejandro Lopez

This article reports on a qualitative study of community based organizations’ (CBOs) adoption of information communication technologies (ICT). As ICTs in the civic sector, otherwise known as civic tech, get adopted with greater regularity in large and small organizations, there is need to understand how these technologies shape and challenge the nature of civic work. Based on a nine-month ethnographic study of one organization in Boston and additional interviews with fourteen other organizations throughout the United States, the study addresses a guiding research question: how do CBOs reconcile the changing (increasingly mediated) nature of civic work as ICTs, and their effective adoption and use for civic purposes, increasingly represent forward-thinking, progress, and innovation in the civic sector?—of civic tech as a measure of “keeping up with the times.” From a sense of top-down pressures to innovate in a fast-moving civic sector, to changing bottom-up media practices among community constituents, our findings identify four tensions in the daily practice of civic tech, including: 1) function vs. representation, 2) amplification vs. transformation, 3) grassroots vs. grasstops, and 4) youth vs. adults. These four tensions, derived from a grounded theory approach, provide a conceptual picture of a civic tech landscape that is much more complicated than a suite of tools to help organizations become more efficient. The article concludes with recommendations for practitioners and researchers.


2021 ◽  
pp. 7-18
Author(s):  
Antonina Mikhailovna Litvina ◽  
Natalya Leonidovna Izevlina

The aim of the study is to investigate, analyze and evaluate the professional and personal characteristics of heads of nursing services. Results. Heads of nursing services with underdeveloped professional and leadership qualities are unable to lead staff and train others. Conclusion. This work shows the uniqueness and importance of the development of the personality of the nurse-leader, her abilities as criteria for professional and career growth; also, an attempt is made to highlight the character traits and principles of work that make management successful and effective.


2014 ◽  
Vol 9 (1) ◽  
pp. 45
Author(s):  
Dominique Daniel

Objective – To identify patterns of patron behaviour in the library in order to improve space utilization. Design – Ethnographic data-gathering, including observations and a qualitative survey. Setting – Music library of a large public university. Subjects – Library patrons, primarily music students but also music faculty, other students and faculty, and regional music professionals and amateurs. Methods – In the exploratory phase, complete (i.e., incognito) participant observers recorded patron characteristics and behaviours in four zones of the library (the technology lab, the stacks, the reference area, and study carrels). They conducted a series of five-minute-long visual sweeps of these zones at five-minute intervals. Observers were not given any checklist, but were told to record anything they saw regarding the personal characteristics, behaviours, and activities of patrons. The data collected resulted in what the investigators called “flip books” (a series of images recorded in close succession, which, when flipped, could give the illusion of movement). The data was analyzed using the grounded theory approach, a qualitative method to identify recurring themes on space use. A statistical analysis based on these themes was then conducted. In the second, explanatory phase, observers conducted new “sweeps,” or observations of the same library zones, this time using checklists to indicate the occurrence of specific activities identified in the first phase (solo vs. group activity, social interaction vs. study discussion, and use of technology). In addition, observers recorded patron entry and exit on “time cards,” and had all exiting patrons answer five brief questions about the types and volume of activities they had conducted in the various zones of the library. Main Results – The vast majority of the patrons were students. Most (at least three-quarters) engaged in solitary activity, and a large majority used electronic technology. According to data from the flip books, 44% engaged in multitasking, which was therefore significant but not preferred. It was more likely to occur when electronic technology was involved. Patrons were most likely to be present in the library for less than 5 minutes or more than 20 minutes. Patrons who stayed in the library for only a short time were more likely to engage in leisure activities than those who stayed longer, but leisure activities overall were as prevalent as study time. The technology lab and the reference area were the most popular zones. Users stayed in the technology lab and stacks for short times only, whereas the reference area and carrels were favored for long visits. Users engaged in multitasking mostly in the carrels and reference area. Conclusion – The patrons’ preference for solitary study is at odds with academic libraries’ current interest in collaborative learning spaces, but can be explained by the specific nature of music studies (artistic creation is a solitary activity), and is in line with previous ethnographic studies of public libraries. Music students presumably use the technology labs for short visits between classes. They favor the study carrels for longer stays where they can multitask, using their own laptops and iPods. These findings can be used to help redesign the library. Design recommendations include placing the technology lab by the entrance to enable quick coming and going, increasing the number of carrels, placing them in quiet parts of the library, and equipping them with electrical outlets.


2017 ◽  
Vol 3 (2) ◽  
Author(s):  
Marilyn Naidoo

Institutional culture is one of the most salient forces operating in higher education because it is a vehicle for implementing organizational and institutional change. This article reports on an ethnographic study that focused on the role of a theological institution’s culture and how the culture shaped diversity management, and ultimately student formation. This article highlights the saliency of the institutional culture in maintaining the status quo and not supporting the establishment of more equitable learning environments. Within theological education we need to dismantle beliefs and practices that shape and sustain social injustice and that will require some institution cultures to be challenged and changed. Being aware of the formative nature of the institutional culture provides critical insights into an institution’s change process and can help theological students and educators to find a common theological discourse.


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