Collective and decentralized management model in public hospitals: perspective of the nursing team

Authors

  • Andrea Bernardes Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Luiz Carlos de Oliveira Cecilio Universidade Federal de São Paulo; Escola Paulista de Medicina
  • Yolanda Dora Martinez Évora Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Carmen Silvia Gabriel Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Mariana Bernardes de Carvalho Secretaria da Saúde do Município de Guatapará

DOI:

https://doi.org/10.1590/S0104-11692011000400020

Keywords:

Nursing, Team, Organization and Administration, Communication, Power (Psychology), Health Management

Abstract

This research aims to present the implementation of the collective and decentralized management model in functional units of a public hospital in the city of Ribeirão Preto, state of São Paulo, according to the view of the nursing staff and the health technical assistant. This historical and organizational case study used qualitative thematic content analysis proposed by Bardin for data analysis. The institution started the decentralization of its administrative structure in 1999, through collective management, which permitted several internal improvements, with positive repercussion for the care delivered to users. The top-down implementation of the process seems to have jeopardized workers adherence, although collective management has intensified communication and the sharing of power and decision. The study shows that there is still much work to be done to concretize this innovative management proposal, despite the advances regarding the quality of care.

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Published

2011-08-01

Issue

Vol. 19 No. 4 (2011)

Section

Editorial

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Collective and decentralized management model in public hospitals: perspective of the nursing team . (2011). Revista Latino-Americana De Enfermagem, 19(4), 1003-1010. https://doi.org/10.1590/S0104-11692011000400020