Intervening conditions on governance of the nursing practice at an obstetrics centre

• Published in: Revista Gaúcha de Enfermagem Vol. 35; no. 1; pp. 47 - 54
• Main Authors: Roberta Juliane Tono de OLIVEIRA, Fernanda Hannah da Silva COPELLI, Aline Lima PESTANA, José Luís Guedes dos SANTOS, Vitória Regina Petters GREGÓRIO, Alacoque Lorenzini ERDMANN
• Format: Journal Article
• Language: English
• Published: Universidade Federal do Rio Grande do Sul
• Subjects: Enfermería obstétrica; Gerencia; Gestión clínica; Gestión en salud
• ISSN: 1983-1447
• DOI: 10.1590/1983-1447.2014.01.43125

Governance refers to all processes that grant nurses autonomy, control and authority over the nursing practice. The aim of this study was to identify intervening conditions on governance of nursing practice at an obstetrics centre. This is a qualitative study based on the Grounded Theory method. Data were collected between January and May 2013 by means of semi-structured interviews with 27 participants of a university hospital in southern Brazil, divided into four sampling groups. Data were analysed using open, axial and selective coding. Governance is reinforced by experience and professional autonomy, coordination of the care and management dimension, interpersonal communication, satisfaction and engagement with the profession. It is limited by difficulties with interpersonal relationships, work overload and precarious physical structure of the maternity units. This study provides arguments for the discussion on improvements in healthcare and the professional satisfaction of nurses and nursing teams.