O percurso construtivo do enfermeiro gestor: uma teoria fundamentada nos dados

Sandra Maria da Cruz Pestana; Maria Manuela Ferreira Pereira da Silva Martins; Cecília Maria Rodrigues

doi:10.15253/2175-6783.20232488646

Authors

Sandra Maria da Cruz Pestana Centro Hospitalar de Vila Nova de Gaia e Espinho https://orcid.org/0000-0003-1983-1843
Maria Manuela Ferreira Pereira da Silva Martins Universidade do Porto, Escola Superior de Enfermagem do Porto https://orcid.org/0000-0003-1983-1843
Cecília Maria Rodrigues Centro Hospitalar Universitário do Porto https://orcid.org/0000-0003-0701-1135

DOI:

https://doi.org/10.15253/2175-6783.20232488646

Keywords:

Health Services Administration; Nursing; Staff Development; Grounded Theory.

Abstract

Objective: to understand how nurses experience the succession planning of manager nurses. Methods: qualitative study using grounded theory as a theoretical and methodological reference, with a sample of 20 nurses. Data collection took place through interviews, content analysis, and the conceptual model originated from the coding process. Results: the process of succession planning is informally implemented in the diagnosis of head nurses, but there are some gaps in the systematization of the process. The selection processes, the leadership profile, and experience stand out in the diagnosis, and a casual experience in management is relevant for the preparation of head nurses. Although this is necessary, there are still obstacles, such as the resistance of managers, the turnover of hospital administration councils, and the COVID-19 pandemic. Conclusion: nurses interviewed highlighted many benefits from the planning of succession, but find obstacles to its implementation, which contributes to the reluctance of head nurses to actively participate. Contributions to practice: the theoretical-conceptual model can contribute to change and systematically structure the constructive path of manager nurses, allowing the identification of conditions that promote or limit the diagnosis, education, and development of these professionals.

References

Martins MM, Gonçalves MN, Teles P, Bernardino E, Guerra N, Ribeiro OMPL. Construction and validation of a manager’s perception tool. Rev Enferm UFPE on line. 2021;15(1):e245192. doi: https://doi.org/10.5205/1981-8963.2021.245192

Tucker CA. Succession planning for academic nurses. J Prof Nurs 2020;36(5):334-42. doi: https://doi.org/10.1016/j.profnurs.2020.02.002

Phillips LK. Succession planning in nursing education. Nurs Outlook. 2021;69(1):32-42. doi: https://doi.org/10.1016/j.outlook.2020.08.004

Pedersen A, Sorensen J, Babcock T, Bradley M, Donaldson N, Donnely JE, et al. A nursing leadership immersion program: succession planning using social capital. J Nurs Adm. 2018;48(3):168-74. doi: https://doi.org/10.1097/NNA.0000000000000592

Nogueira ALG, Munari DB, Ribeiro LCM, Bezerra ALQ, Chaves LDP. Nurse´s expectations about the succession of leaders in the hospital context. Rev Latino-Am Enfermagem. 2019;27:e3178. doi: https://doi.org/10.1590/1518-8345.2833.3178

Payne RA, Hovarter R, Howell M, Draws C, Gieryn D. Succession planning in public health: addressing continuity, costs and compliance. Nurse Lead. 2018;16(4):253-6. doi: http://doi.org/10.1016/j.mnl.2018.05.008

McGarity T, Reed C, Monahan L, Zhao M. Innovative frontline nurse leader professional development program. J Nurses Prof Dev. 2020;36(5):277-82. doi: http://doi.org/10.1097/NND.0000000000000628

Phillips T, Evans JL, Tooley S, Shirey MR. Nurse manager succession planning: a cost benefit analysis. J Nurs Manag. 2018;26(2):238-43. doi: https://doi.org/10.1111/jonm.12512

Ashley A, Marsh K. How do we grow our next generation of nurse leaders? Clin J Oncol Nurs. 2019;23(1):552. doi: https://doi.org/10.1188/19.CJON.552

Stevanin S, Palese A, Bressan V, Vehviläinen-Julkunen K, Kvist T. Workplace-related generational characteristics of nurses: a mixed-method systematic review. J Adv Nurs. 2018;74(6):1245-63. doi: https://doi.org/10.1111/jan.13538

Ramseur P, Fuchs MA; Edwards P, Humphreys J. The implementation of a structured nursing leadership development program for succession planning in a health system. J Nurs Adm. 2018;48(1):25-30. doi: https://doi.org/10.1097/nna.0000000000000566

Munari DB, Nogueira ALG, Sousa ET, Ribeiro LCM, Sherman R. Leadership succession: a ne- cessary reflection for the future of nursing. Rev Eletr Enferm. 2019;21:54787. doi: https://dxdoi.org/10.5216/ree.v21.54787

Turner C, Jennings C. Grounded theory: what makes a grounded theory study? Eur J Cardiovasc Nurs. 2021;1;20(3):285-9. doi: https://dx.doi.org/10.1093/eurjcn/zvaa034

Rakhmawati W. Understanding classic, straussian, and constructivist grounded theory approaches. Belitung Nurs J. 2019;5(3):111-5. doi: https://doi.org/10.33546/bnj.754

Girardon-Perlini NMO, Simon BS, Lacerda MR. Grounded Theory methodological aspects in Brazilian nursing thesis. Rev Bras Enferm. 2020;73(6):e20190274. doi: https://dx.doi.org/10.1590/0034-7167-2019-0274

Lacerda MR, Costenaro RGS. Metodologias de pesquisa para a Enfermagem e saúde: da teoria à prática. Porto Alegre: Editora Moriá; 2016.

Vilelas J. Investigação: o processo de construção do conhecimento. Lisboa: Sílabo; 2020.

Ordem dos Enfermeiros (POR). Regulamento da competência acrescida avançada em Gestão. Carreira Especial de Enfermagem. Regulamento nº 76/2018 [Internet]. 2018 [cited Apr 20, 2023]. Available from: https://dre.pt/dre/detalhe/regulamento/76-2018-114599547

Presidência do Conselho de Ministros (POR). Carreira Especial de Enfermagem. Decreto-lei nº 71/2019 [Internet]. 2019 [cited Apr 20, 2023]. Available from: https://dre.pt/dre/detalhe/decreto-lei/71-2019-122403266

Martin CM, O´Shea KMS. Succession planning for organizational stability. Nurs Manage. 2021; 52(4):12-20. doi: https://dx.doi.org/10.1097/01.numa.0000737612.48252.0a

Burke D, Erickson JI. Passing the chief nursing officer baton: the importance of succession planning and transformational leadership. J Nurs Adm. 2020;50(7/8):369-71. doi: https://dx.doi.org/10.1097/NNA.0000000000000901

Alfonso ALR, Hipona, JB, Quijencio W. Nurse manager´s responsive coaching to facilitate staff nurses clinical skills development in public tertiary hospital. J Nurs Pract. 2021;5(1):12-21. doi: https://doi.org/10.30994/jnp.v5i1.137

Sittler LF. The effect on nursing leadership roles with succession planning for the next generation of millennial nurses. J Biomed Sci. 2019;1(3):109-12. doi: https://doi.org/10.38125/OAJBS.000127

Nogueira ALG, Munari DB, Sousa ET, Ribeiro LCM. Nursing leadership succession planning: paths for elaboration. Rev Esc Enferm USP. 2021;55:e03758. doi: https://doi.org/10.1590/s1980-220x2020022103758

Cunha SGS, Deodato S, Brito MJM. Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital. Rev Rene. 2023;24;e81737. doi: https://doi.org/10.15253/2175-6783.20232481737