Ambiente de prática profissional da enfermagem em bloco cirúrgico: perspectiva dos trabalhadores

Abstract

The nursing practice environment is characterized by presence of organizational peculiarities in work environment which collaborate or hinder the development of professional practice. The present study aimed to analyze the practice environment of nursing team in a Surgical Center of a public reference hospital in Ceará. The sample consisted of 46 nursing professionals. Data collection was performed from March to May 2018, through a socio-demographic and occupational questionnaire and Practice Environment Scale. Data were processed in Excel spreadsheets, analyzed with descriptive statistics and calculated central tendency measures (mean and standard deviation). Analysing scale application, scores with mean values of 2.5 were interpreted as mixed environment; above this point, we consider the environment favorable to professional practice, and, below, unfavorable environments. The study was approved by the Research Ethics Committee (CAAE: 52900016.5.0000.5040). The results revealed the professional practice environment of the operation room as favorable in most of the evaluated items, showing only a subscale evaluated as mixed environment. The averages of subscales were limitrophes, with the "Nursing Foundations for Quality Care” (2.79), followed by "Collegial RN-MD Relations" (2.71); "Nurse Manager Ability, Leadership & Support" (2.70) and "Staffing & Resource Adequacy" (2.68). The subscale "Nurse Participation in Hospital Affairs" obtained a lower average than the others (2,49), demonstrating this is a theme who deserves attention of leadership for a better approach. Thus, the study can promote a situational diagnosis of how professional practice environment of perioperative nursing is configured, and can provide criteria to better manage this unit and its team, ensuring a quality and safe nursing care for patients.