ENFERMEIROS DIRETORES: RESPONSABILIDADES, DESAFIOS E EVOLUÇÃO DO PAPEL – REVISÃO INTEGRATIVA
DOI:
https://doi.org/10.56238/arev8n5-093Palavras-chave:
Enfermagem, Governança em Saúde, Diretores de Hospitais, Gestão em Saúde, AdministraçãoResumo
O papel dos enfermeiros diretores tem evoluído de uma função predominantemente operacional para um cargo estratégico e multifacetado, refletindo as crescentes exigências dos sistemas de saúde e posicionando esses profissionais como agentes centrais na integração entre qualidade assistencial, sustentabilidade e desenvolvimento organizacional. Objetivo: Compreender a natureza do trabalho dos enfermeiros diretores, identificando responsabilidades, funções, desafios e tendências de evolução do cargo. Métodos: Realizou-se revisão integrativa que seguiu as orientações de Whittemore & Knafl (2005) nas bases de dados Scopus, PubMed, Web of Science e SciELO, incluindo estudos publicados entre 1995 e 2025. A análise seguiu as etapas do Preferred Reporting Items for Systematic reviews and Meta-Analyses. Resultados: A pesquisa resultou na inclusão de 26 artigos, organizados em sete categorias temáticas que emergiram da análise: Estratégia e governança; Regulação e política; Desafios organizacionais e rotatividade; Financeiro e sustentabilidade; Inovação e tecnologia; Sucessão e desenvolvimento executivo; e Liderança transformacional e identidade profissional. Conclusão: Os resultados demonstram que os enfermeiros diretores atuam como estrategas organizacionais e mediadores políticos, sendo responsáveis por alinhar qualidade, custos, resultados, inovação tecnológica e práticas baseadas em evidências, com vistas ao fortalecimento da liderança em enfermagem no contexto organizacional.
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