Banca de QUALIFICAÇÃO: RAFAELA LIRA MENDES COSTA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : RAFAELA LIRA MENDES COSTA
DATE: 30/06/2021
TIME: 14:00
LOCAL: Sala Virtual - https://meet.google.com/hcm-gege-rvv
TITLE:

THE EXERCISE OF THE PROFESSIONAL AUTONOMY OF THE NURSE IN THE HOSPITAL ENVIRONMENT

KEY WORDS:

Professional Autonomy; Nurses; Ethics in Nursing; Professionalism; Sociology.

PAGES: 161
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

The object of the present study was the exercise of the nurses’ professional autonomy of in the hospital environment. The objective was to analyze how the nurses exercise their professional autonomy in the hospital environment. It is a qualitative study, with a descriptive and exploratory approach. The research selected three scenarios: Hospital Universitário Professor Alberto Antunes (HUPAA), Hospital Geral do Estado Professor Osvaldo Brandão Vilela (HGE). Nurses who work in the General Intensive Care Units and Surgical Clinics of each hospital participated in this research. For the purpose of constituting a sufficient information bank in quantity and with elements which support the analysis and discussion of the results anchored in the chosen theoretical framework, 21 participants were listened to, which met the criterion of diversity of conceptions and contributory experiences to achieve the proposed objective, answering the guiding question of this study. The project was approved by the Ethics and Research Committee of the Universidade Feral de Alagoas, as per the substantiated statement in nº 3.777.418 and CAAE nº 26735019.8.0000.5013. The information was produced from October 2020 to January 2021, through semi-structured online interviews, using the Zoom and Google Meet platforms. The content of each interview was transcribed and subsequently validated by each participant. An exhaustive reading of the information was carried out, from which 4 categories and 2 subcategories emanated, interpreted in the light of Eliot Lazarus Freidson's Sociology of Professions: 1. Professional Autonomy: understanding what it is to (re)affirm it; 2. Requirements and demands for the exercise of professional autonomy, this category being composed of 2 subcategories (I – Requirements; II – Demands); 3. Professional autonomy and working conditions; 4 – Power relations in the hospital environment and professional autonomy. The analysis of the information showed that there are several challenges and difficulties faced by nurses who seek to assert their professional autonomy in the hospital environment, whether in the process of care, team leadership, service management or the interprofessional relationships that are established in the daily work. There were multiple meanings attributed to the issue of professional autonomy and that revealed a lot about the way the nurses position themselves to deal with different situations that drive or even discourage the development of an autonomous practice in the hospitals. Furthermore, among the various factors identified in this research that enhance the exercise of professional autonomy, expertise was highlighted as the central and decisive element during the nurses’ work. However, other factors came to hamper that exercise, such as power relations with physicians and members of the nursing team itself.

BANKING MEMBERS:
Presidente - 079.925.055-49 - REGINA MARIA DOS SANTOS - UFAL
Interna - 1566710 - ISABEL COMASSETTO
Externa à Instituição - MARIA LÍGIA DOS REIS BELLAGUARDA - UFSC