Management styles in outpatient nursing work: impacts on the worker’s health

Santos, Katerine Moraes dos; Tracera, Gisele Massante Peixoto; Sousa, Kayo Henrique Jardel Feitosa; Palheta, Allan Marcos da Silva; Marion da Silva, Rosângela; Zeitoune, Regina Célia Gollner

doi:10.1590/1980-220X-REEUSP-2022-0127en

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 56 • 2022 • https://doi.org/10.1590/1980-220X-REEUSP-2022-0127en copy

Management styles in outpatient nursing work: impacts on the worker’s health^* *Extracted from the thesis: “Fatores de riscos psicossociais e dimensões do trabalho em profissionais de enfermagem de ambulatório universitário”, Universidade Federal do Rio de Janeiro, 2021.

Estilos de gestión en el trabajo de enfermería ambulatorial: impactos en la salud del trabajador

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To analyze management styles in outpatient clinics of university hospitals and their impacts on the nursing workers’ health.

Method:

Quantitative, cross-sectional study with 388 nursing professionals working in 11 outpatient clinics linked to public universities in Rio de Janeiro. The Management Styles Scale, the Pathogenic Suffering at Work Scale, and the Work-Related Physical and Psychosocial Harms Scale were used.

Results:

The managerial and collective management styles showed a moderate presence for the outpatient clinics nursing staff. The characteristics of the predominantly managerial management style, evidenced by the lack of participation in decision-making, the strongly hierarchical work, focused on norms and control, acted as predictors of the experiences of suffering and of the physical, psychological, and social damages presented by the professionals working in this context.

Conclusion:

The analysis of management styles allowed elucidating characteristics that have the potential to negatively impact the workers’ health, highlighting the need to review the management models currently adopted for the outpatient nursing team.

DESCRIPTORS
Nursing; Team; Occupational Health; Health Management; Personnel Management; Ambulatory Care Facilities

EEG management style factors items	Mean	SD	Evaluation
Managerial Style	2.66	0.7	Moderate
Hierarchy is valued in this organization	3.69	1.1	Predominant
Great importance is credited to the rules in this organization	3.27	1.1	Moderate
There is strong control of the work	3.09	1.1	Moderate
The work environment becomes disorganized with changes	2.78	1.2	Moderate
Affective ties among people in this organization are weak	2.72	1.2	Moderate
Here managers prefer to work individually	2.44	1.3	Uncharacteristic
In this organization, managers consider themselves the center of the world	2.31	1.4	Uncharacteristic
The managers of this organization consider themselves irreplaceable	2.30	1.3	Uncharacteristic
The managers of this organization will do anything to get attention	2.11	1.2	Uncharacteristic
In my work, idolatry of bosses is encouraged	1.86	1.2	Uncharacteristic
Collective Style	2.99	0.9	Moderate
People are committed to the organization even when there is no adequate return	3.66	1.1	Predominant
Collective work is valued by managers	3.35	1.2	Moderate
For this organization, the result of the work is seen as an achievement of the group	3.29	1.2	Moderate
The merit of the achievements in the company belongs to everyone	3.14	1.3	Moderate
The competence of the workers is valued by the management	3.01	1.2	Moderate
Innovation is valued in this organization	2.95	1.2	Moderate
Managers care about the workers’ well-being	2.94	1.2	Moderate
Managers favor the interactive work of professionals from different areas	2.82	1.3	Moderate
There is rigorous planning of actions	2.78	1.1	Moderate
We are encouraged by managers to seek new challenges	2.73	1.2	Moderate
Decisions in this organization are made in a group	2.70	1.2	Moderate
There are similar ascension opportunities for all people	2.53	1.3	Moderate

Management Styles Scale (EEG)	Pathogenic Suffering at Work Scale (ESPT)						Scale of Physical and Psychosocial Harm at Work (EDT)
	Lack of meaning at work		Mental exhaustion		Lack of recognition		Psychological Damage		Social Damage		Physical Damage
	Mean/high risk n(%) alto n(%)	OR (95%CI)	Mean / high risk n(%)	OR (95%CI)	Mean / high risk n(%)	OR (95%CI)	Mean/high risk/ n(%)	OR (95%CI)	Mean/high risk n(%)	OR (95%CI)	Mean/high risk n(%)	OR (95%CI)
Managerial
Uncharacteristic	6 (3.2)	1.0	71 (38.2)	1.0	10 (5.3)	1.0	14 (7.5)	1.0	18 (9.6)	1.0	97 (51.9)	1.0
Moderate/predominant	39 (19.5)	7.30 (3.01–17.71)	131 (65.5)	3.07 (2.03–4.65)	67 (33.5)	8.91 (4.42–17.98)	60 (30.3)	5.29 (2.84–9.87)	49 (24.6)	3.06 (1.71–5.49)	152 (76)	2.94 (1.90–4.53)
Collective
Uncharacteristic	31 (22.8)	1.0	96 (71.1)	1.0	55 (40.4)	1.0	45 (33.1)	1.0	35 (25.9)	1.0	103 (75.7)	1.0
Moderate/predominant	14 (5.6)	0.20 (0.10–0.39)	107 (42.8)	0.30 (0.19–0.47)	23 (9.2)	0.15 (0.09–0.26)	30 (12.0)	0.27 (016–0.46)	33 (13.2)	0.43 (0.25–0.74)	147 (58.8)	0.46 (0.29–0.73)

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Katerine Moraes dos Santos Avenida Presidente Vargas, 2863, Cidade Nova 20210-030 – Rio de Janeiro, RJ, Brazil katerinegm@gmail.com

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Management styles in outpatient nursing work: impacts on the worker’s health* *Extracted from the thesis: “Fatores de riscos psicossociais e dimensões do trabalho em profissionais de enfermagem de ambulatório universitário”, Universidade Federal do Rio de Janeiro, 2021.

Estilos de gestión en el trabajo de enfermería ambulatorial: impactos en la salud del trabajador

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Management styles in outpatient nursing work: impacts on the worker’s health^* *Extracted from the thesis: “Fatores de riscos psicossociais e dimensões do trabalho em profissionais de enfermagem de ambulatório universitário”, Universidade Federal do Rio de Janeiro, 2021.