Processo decisório da gestão e as repercussões para trabalhadores de instituição pública de saúde
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Data
2017-02-21
Autores
Castro, Andrezza Belluomini [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
O processo decisório nas instituições de saúde acontece cotidianamente e suas repercussões podem causar impactos positivos ou negativos para aqueles que as vivenciam. As ações de decisão habitualmente estão centralizadas no corpo de gestores da instituição e, portanto, compete a eles a responsabilidade de criar estratégias para que escolhas realizadas tenham o propósito de levar a instituição a atingir seus melhores resultados. Nesse sentido, esta pesquisa tem como objetivo apreender as repercussões profissionais e pessoais para os trabalhadores de uma instituição pública de saúde, decorrentes do processo decisório da gestão. Trata-se de um estudo qualitativo realizado em um Hospital Público de referência em ensino do estado de São Paulo, após aprovação do Comitê de Ética em Pesquisa sob n. CAAE: 47979115.0.0000.5411. Participaram deste estudo 25 trabalhadores do quadro efetivo institucional, pertencentes a diferentes categorias da equipe administrativa e equipe de saúde. A coleta de dados foi realizada por meio de entrevistas semiestruturadas, previamente agendadas, realizadas em locais escolhidos pelos participantes e gravadas em aparelho digital. O tratamento dos dados foi realizado segundo a Análise de Conteúdo e os resultados emergentes apontam para três categorias de análise que emergiram dos discursos dos sujeitos da pesquisa: “O conhecimento dos trabalhadores sobre o organograma institucional está focado na proximidade com os cargos”; “O sistema decisório da gestão influencia na vida profissional do trabalhador de saúde” e “O sistema decisório da gestão exerce influência na vida pessoal do trabalhador”. Os discursos foram analisados com base na literatura e documentos oficiais sobre o tema envolvendo Processo Decisório. Assim, esse estudo implementa ações de mudança no processo tradicional “centralizado” das instituições de saúde, no sentido de propor a ruptura de ações dominantes e decisões autônomas da gestão. Neste sentido, como produto dessa pesquisa foi elaborado um vídeo que constitui um canal de comunicação no processo admissional, visando acolhimento, inclusão nos processos hierárquicos e à integração entre os gestores e seus liderados no sentido de possibilitar novos olhares e viabilização de parcerias para um melhor convívio no ambiente profissional.
The process of decision making is present routinely in health institutions and their repercussions may cause positive or negative impact on those who are exposed. The decision making is normally centralized in the managers of the institution, thus, they being responsible for creating strategies for the institution reaching the best result. The aim of this study was to analyze the impact of the management on the personal and professional repercussions of the employees in a public health institution. The study design is a qualitative study, being realized in a public health teaching hospital in the State of São Paulo-Brazil. The study was approved by the local Ethic commission (protocol CAAE: 47979115.0.0000.5411); all participants signed a written consent. 25 employees of different areas of the administration and of the health care team were invited. Data were achieved by semi-structured interviews, previously scheduled, at a place of choice of the interviewer. All interviews were recorded. The analyses of the data were based on the principles of the analysis of context. Results pointed out three categories of analysis “ The knowledge of the employees about the institucional organogram is focused on the approach of the positions”; “The system of decision making in management influences the professional life of the health worker” and “ The system of decision making in management influences the personal life of the health worker”. The analyses of the interviews were based on literature and documents about the thematic of Process of decision making. Thus, this study implements action for changing the traditional centralizing process in health institutes and proposes the break of dominant actions and autonomous actions of management. As part of the results, a video was produced, as an instrument of communication during the admission process which focuses on hosting, inclusion in the hierarchical processes and on the integration between employees and managers. These action will bring new insights and possibilities of partnerships for a better professional environment.
The process of decision making is present routinely in health institutions and their repercussions may cause positive or negative impact on those who are exposed. The decision making is normally centralized in the managers of the institution, thus, they being responsible for creating strategies for the institution reaching the best result. The aim of this study was to analyze the impact of the management on the personal and professional repercussions of the employees in a public health institution. The study design is a qualitative study, being realized in a public health teaching hospital in the State of São Paulo-Brazil. The study was approved by the local Ethic commission (protocol CAAE: 47979115.0.0000.5411); all participants signed a written consent. 25 employees of different areas of the administration and of the health care team were invited. Data were achieved by semi-structured interviews, previously scheduled, at a place of choice of the interviewer. All interviews were recorded. The analyses of the data were based on the principles of the analysis of context. Results pointed out three categories of analysis “ The knowledge of the employees about the institucional organogram is focused on the approach of the positions”; “The system of decision making in management influences the professional life of the health worker” and “ The system of decision making in management influences the personal life of the health worker”. The analyses of the interviews were based on literature and documents about the thematic of Process of decision making. Thus, this study implements action for changing the traditional centralizing process in health institutes and proposes the break of dominant actions and autonomous actions of management. As part of the results, a video was produced, as an instrument of communication during the admission process which focuses on hosting, inclusion in the hierarchical processes and on the integration between employees and managers. These action will bring new insights and possibilities of partnerships for a better professional environment.
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Palavras-chave
Processo decisório, Gestor de saúde, Trabalhadores, Comunicação, Instalações de saúde, Decision making, Health manager, Employees, Communication, Health installations