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      Professional Identity of Nurse Manager in the Light of the Structural Dialectic Care Model Translated title: Identidade profissional do enfermeiro gestor à luz do Modelo Estrutural Dialético dos Cuidados Translated title: Identidad profesional del enfermero gestor a la luz del Modelo Estructural Dialéctico de los Cuidados

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          Abstract

          ABSTRACT Objectives: To identify in the scientific literature the identity-related configurations inherent to the nurse’s managerial practices of a professional that works in a hospital setting, and to analyze them in the light of the Structural Dialectic Care Model (SDCM). Materials and method: The article concerns about a qualitative research where an integrative review was made enabling the selection of 15 articles, analyzed in light of the SDCM. Results: From the 15 selected articles, three thematic axes were established: Leadership, care and conflicts. Conclusions: It was concluded that the SDCM has made it possible to discover the nurse’s identity models as a managerial agent in the diverse pluralities articulated to the identity-related processes of such professional.

          Translated abstract

          RESUMO Objetivos: identificar, na literatura científica, as configurações identitárias inerentes às práticas gerenciais do enfermeiro que atua em ambiente hospitalar e analisá-las à luz do Modelo Estrutural Dialético dos Cuidados (MEDC). Materiais e método: trata-se de uma pesquisa qualitativa. Foi realizada uma revisão integrativa que possibilitou selecionar 15 artigos, analisados à luz do MEDC. Resultados: a partir dos 15 artigos selecionados, foram estabelecidos três eixos temáticos: liderança, cuidado e conflitos. Conclusões: conclui-se que o MEDC possibilitou averiguar os modelos identitários do enfermeiro, como agente gestor, nas diversas pluralidades articuladas aos processos identitários desse profissional.

          Translated abstract

          RESUMEN Objetivos: identificar en la literatura científica las configuraciones identitarias inherentes a las prácticas gerenciales del enfermero, que actúa en el entorno hospitalario, y analizarlas a la luz del Modelo Estructural Dialéctico de los Cuidados (MEDC). Materiales y método: investigación cualitativa en la que se realizó una revisión integradora que posibilitó seleccionar 15 artículos, analizados desde el MEDC. Resultados: a partir de los artículos seleccionados, se establecieron tres ejes temáticos: liderazgo, cuidado y conflictos. Conclusiones: el MEDC ha posibilitado averiguar los modelos identitarios del enfermero como agente gestor en las diversas pluralidades articuladas a los procesos identitarios de dicho profesional.

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          Lei nº 7.498/86, de 25 de junho de 1986. Dispõe sobre a regulamentação do exercício da enfermagem e dá outras providências

          (1986)
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            Revisão integrativa: conceitos e métodos utilizados na enfermagem

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              Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP

              Background Making evidence-based practice (EBP) a reality throughout an organization is a challenging goal in healthcare services. Leadership has been recognized as a critical element in that process. However, little is known about the exact role and function of various levels of leadership in the successful institutionalization of EBP within an organization. Aims To uncover what leaders at different levels and in different roles actually do, and what actions they take to develop, enhance, and sustain EBP as the norm. Methods Qualitative data from a case study regarding institutionalization of EBP in two contrasting cases (Role Model and Beginner hospitals) were systematically analyzed. Data were obtained from multiple interviews of leaders, both formal and informal, and from staff nurse focus groups. A deductive coding schema, based on concepts of functional leadership, was developed for this in-depth analysis. Results Participants’ descriptions reflected a hierarchical array of strategic, functional, and cross-cutting behaviors. Within these macrolevel “themes,” 10 behavioral midlevel themes were identified; for example, Intervening and Role modeling. Each theme is distinctive, yet various themes and their subthemes were interrelated and synergistic. These behaviors and their interrelationships were conceptualized in the framework “Leadership Behaviors Supportive of EBP Institutionalization” (L-EBP). Leaders at multiple levels in the Role Model case, both formal and informal, engaged in most of these behaviors. Linking Evidence to Action Supportive leadership behaviors required for organizational institutionalization of EBP reflect a complex set of interactive, multifaceted EBP-focused actions carried out by leaders from the chief nursing officer to staff nurses. A related framework such as L-EBP may provide concrete guidance needed to underpin the often-noted but abstract finding that leaders should “support” EBP.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                aqui
                Aquichan
                Aquichan
                Universidad de La Sabana (Bogotá, Distrito Capital, Colombia )
                1657-5997
                September 2019
                : 19
                : 3
                : e1935
                Affiliations
                [2] Valencia orgnameUniversidad de Alicante orgdiv1Nursing Department Spain carmen.solano@ 123456ua.es
                [3] Valencia orgnameUniversidad de Alicante orgdiv1Nursing Department Spain jose.siles@ 123456ua.es
                [4] orgnameUniversidade de São Paulo orgdiv1Nursing School Brazil genivalf@ 123456usp.br
                [1] orgnameUniversidade de São Paulo orgdiv1Nursing School Brazil taarsi2@ 123456usp.br
                Article
                S1657-59972019000300005
                10.5294/aqui.2019.19.3.5
                36d1e654-9ff1-499e-ac1f-e7ff60e16324

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 05 February 2019
                : 12 June 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 52, Pages: 0
                Product

                SciELO Colombia

                Categories
                Articles

                nurses,organización y administración,enfermería,enfermeras y enfermeros,investigación en administración de enfermería,administración de enfermería,Rol del profesional de enfermería,organização e administração,enfermagem,enfermeiras e enfermeiros,pesquisa em administração de enfermagem,administração de enfermagem,Papel do profissional de enfermagem,organization and administration,nursing,nursing administration research,nursing management,Nurse’s role

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