Gestão e planejamento contingencial para tomada de decisão em uma organização hospitalar na Covid-19

Klaus Nobre Stigger; André Andrade Longaray; Edison Luiz Devos Barlem; Rosemary Silva da Silveira; Graziele de Lima Dalmolin; Paulo Roberto da Silva Muñoz; Danubia Andressa da Silva Stigger

doi:10.12957/reuerj.2024.79223

Authors

Klaus Nobre Stigger Universidade Federal do Rio Grande https://orcid.org/0000-0002-6347-7995
André Andrade Longaray Universidade Federal do Rio Grande https://orcid.org/0000-0002-2908-9390
Edison Luiz Devos Barlem Universidade Federal do Rio Grande https://orcid.org/0000-0001-6239-8657
Rosemary Silva da Silveira Universidade Federal do Rio Grande https://orcid.org/0000-0003-0671-0022
Graziele de Lima Dalmolin Universidade Federal de Santa Maria https://orcid.org/0000-0003-0985-5788
Paulo Roberto da Silva Muñoz Universidade Federal do Rio Grande https://orcid.org/0000-0002-4077-4831
Danubia Andressa da Silva Stigger Universidade Federal do Rio Grande https://orcid.org/0000-0002-7206-5669

DOI:

https://doi.org/10.12957/reuerj.2024.79223

Keywords:

COVID-19, Hospital Administration, Answering Service, Decision Making

Abstract

Objective: to describe the strategic management decision-making process of a healthcare facility providing care during the COVID-19 pandemic. Method: this qualitative study, approved by the Institutional Review Board, was implemented in a Brazilian hospital, a referral facility for patients with COVID-19. Interviews were held with 27 managers who worked during the pandemic. Discursive Textual Analysis was adopted using Iramuteq. Results: six semantic classes were described to clarify the work dynamics of managers and the challenges related to the managerial performance structure, the multi-professional decision-making process, the psychological, occupational, human, psychosocial, technical, and logistics aspects of supplies, and organizational structure dynamics. Conclusion: arduous working days encouraged the workforce to cooperate and strengthen interpersonal relationships, becoming an engaged and cohesive combat front through decision-making.

Author Biographies

Klaus Nobre Stigger, Universidade Federal do Rio Grande

Nurse. MSc. Federal University of Rio Grande. Rio Grande, Rio Grande do Sul, Brazil.

André Andrade Longaray, Universidade Federal do Rio Grande

Engineering. Full Professor Titular at the Federal University of Rio Grande. Rio Grande, Rio Grande do Sul, Brazil. Professor in the Graduate Programs in Computer Modeling (PPGMC) and Nursing (PPGENF).

Edison Luiz Devos Barlem, Universidade Federal do Rio Grande

PhD in Engineering. Associate Professor at the Federal University of Rio Grande. Rio Grande, Rio Grande do Sul, Brazil. Professor in the Graduate Programs in Nursing and Health Sciences at FURG.

Rosemary Silva da Silveira, Universidade Federal do Rio Grande

PhD. Full Professor at the Federal University of Rio Grande. Rio Grande, Rio Grande do Sul, Brazil. Member and leader of the Center for Nursing and Health Studies and Research - NEPES/FURG.

Graziele de Lima Dalmolin, Universidade Federal de Santa Maria

PhD in Nursing. Associated Professor at the Federal University of Santa Maria. Santa Maria, Rio Grande do Sul, Brazil. She primarily works with nursing ethics, moral distress, and occupational health.

Paulo Roberto da Silva Muñoz, Universidade Federal do Rio Grande

Psychologist. PhD. Professor at the Federal University of Rio Grande. Rio Grande, Rio Grande do Sul, Brazil. Members of the Laboratory for Studies and Research into Decision Support System Methodologies (LabSADi/FURG).

Danubia Andressa da Silva Stigger, Universidade Federal do Rio Grande

MSc. Doctoral student in the nursing program at the Federal University of Rio Grande. Rio Grande, Rio Grande do Sul, Brazil.

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