Enfermeiro líder-coordenador no autogerenciamento dos vínculos profissionais saudáveis da equipe de enfermagem: uma pesquisa convergente assistencial

Abstract

Introduction: Nurse leadership in the nursing team requires relational skills and in full respect for subjectivities. Thus, the basis of the Theory of Professional Links (TPL) was crucial to establish positive professional connections in the nursing team and self-management strategies employed by the nurse in order to preserve the links already achieved. Objectives: to analyze nurse leadership in nursing teams for self-management of positive professional bonds, to understand nurse perception of leadership activities, to identify self-management strategies to review the working process aiming to preserve constructive professional links and also discuss the impacts of the implementation of TPL and self-management of positive professional connections. Method: convergent care research developed with nurses at a university hospital at Zona da Mata in Minas Gerais. To collect data for the first phase, a structured interview was conducted with 32 nurses from September to October 2020 and for the second phase six virtual synchronous focus groups were formed with 10 nurses from July to November 2021. Data were analyzed according to thematic analysis and following the proposal of TPL. Results: considering research context, nursing leadership directed to establish positive professional links in nursing teams was the foundational initiative to build a genuine and cohesive team with mutual collaboration to undertake the projects and reach the agreed goals. It emerged the leader-coordinator, the nurse leading the nursing team, able to influence and guide through his/her examples, words and consistent attitudes. His/her importance is recognized since self-management of positive professional bonds is employed in which the communication process pervades the concepts of TPL, enabling leadership development with open dialogue, with assertiveness, attentive listening, decentralised power which impacts both nursing work environment and therapeutic care. Within the context of practice, the communication process becomes increasingly important along with characteristics as affectivity, effectiveness and humanistic values to maintain constructive connections and therefore managing to develop leadership activities in nursing embracing all dimensions of caring. Conclusion: TPL proposes the promotion of positive professional links among the nursing team regarded as indispensable to nurses. Self-management is a strategy associated with the communication process in order to keep positive professional bonds, seen as autonomous, enterprising attitude that a nurse holds allowing the micro-space of nursing work to be beneficial for professional practice