Browsing by Author "Cunha, Simone Graziele Silva"
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- Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospitalPublication . Cunha, Simone Graziele Silva; Deodato, Sérgio; Brito, Maria José MenezesObjective: to understand the ethical problems experienced by nurse managers in the context of the COVID-19 pandemic. Methods: qualitative study, conducted with 19 nurse managers. The inclusion criteria were nurses who had held a management position for at least six months, and the exclusion criteria were those who held an assistance position. Data were collected through individual interviews with a semi-structured script and document analysis and analyzed using Content Analysis. Results: the ethical problems were related to duplicity and lack of information about norms and routines; lack of patient flow; routine changes without communication with the nurse coordinators; absenteeism and presenteeism of the nursing team; refusal of reassignment by technicians; nursing professionals who chose to work in the COVID-19 sector and earn additional unhealthy salary and those who did not choose due to fear of disease; and conflicts arising from the patient. Conclusion: the analysis revealed situations marked by ethical problems that compromise the dynamics of work and the quality of care. Contributions to practice: understanding ethical problems contributes to the promotion of improvements in planning, intervention, and preparation of professionals to deal with conflicting issues experienced in hospital management.
- Nurse managers' ethical problems in hospital settings: an analysis from the macinttyrian perspectivePublication . Cunha, Simone Graziele Silva; Deodato, Sérgio; Ramos, Flávia Regina Souza; Caram, Carolina da Silva; Brito, Maria José MenezesObjective: to understand hospital nurse managers’ ethical problems from the perspective of Macintyre’s virtue ethics. Method: qualitative research of the single case study type, encompassed by Alasdair Macintyre’s theoretical framework of virtue ethics. Sixteen nurses in management positions participated in the study for a minimum period of six months. The setting was a university hospital in Belo Horizonte, Brazil. Data were collected between August and October 2021, through individual interviews with a semi-structured script and document analysis, analyzed using Bardin’s content analysis. Two categories of ethical problems emerged from the thematic analysis linked to violations of care values: internal goods; and linked to breaking norms, patterns of behavior and interpersonal relationships: external goods. Results: the ethical problem is present in care, in relationships and in the institution. When referring to the profession’s internal assets, ethical problems are characterized as a violation of care values: denial of assistance, negligent and reckless actions or violation of the rights of professionals, patients, staff and institutions. When referring to external goods, such problems are linked to interruption of norms, inappropriate actions and behaviors or ethical conduct questioned and disrespected by professionals. Conclusion: nurse managers understand ethical problems as circumstances that generate opposition to actions considered correct and that go against what is proper to nurses and against their duty, negatively affecting professionals, patient care, the institution and the public service.