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Nurses' supervision and autonomy in hospitals: an Ibero-American multicenter study
Rebecca Maria Oliveira de Góis1, Gilberto Tadeu Reis da Silva2, Maria Lúcia Silva Servo3
1Universidade Federal da Paraíba. João Pessoa, Paraíba, Brazil.
Objectives:
to analyze nursing supervision contributions and influences in the construction and implementation of regulated professional autonomy of nursing teams in hospital settings in Ibero-American countries.
Methods:
qualitative research, stemming from a multicenter study conducted in university hospitals in Portugal, Spain, and Brazil. Semi-structured interviews were conducted with clinical nurses and ward managers. Content analysis was used to interpret the collected data.
Results:
supervision and its potential for developing autonomy were influenced by institutional hierarchy, the structure of decision-making processes, and training processes. A supervision approach based on support and professional development favors nurses' autonomy, while practices centered on control can limit it.
Final Considerations:
the emphasis on supervision models that promote nurses' development and participation contributes to more autonomous and effective care practices.
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