Factors associated with nursing work climate deterioration as related to shift exchanges

ABSTRACT Objective: To uncover the factors that deteriorate the work environment during shift exchanges. Method: This is a qualitative, descriptive-analytical study using the phenomenological method, based on Elton Mayo's human relations theory. The setting was a second-level hospital. A tota...

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Bibliographic Details
Main Authors: Danelia Gómez-Torres, Karla Sofia Gómez-Alcántara, David Fuentes-García, Claudio Emilio León-González
Format: Article
Language:English
Published: Universidade Federal do Rio Grande do Sul 2025-05-01
Series:Revista Gaúcha de Enfermagem
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Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472025000100426&lng=en&tlng=en
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Summary:ABSTRACT Objective: To uncover the factors that deteriorate the work environment during shift exchanges. Method: This is a qualitative, descriptive-analytical study using the phenomenological method, based on Elton Mayo's human relations theory. The setting was a second-level hospital. A total of thirty-two participants were included. The social actors included were general nurses, specialists, and service managers. Data collection was carried out using interviews and non-participant observation techniques, conducted in September-October 2021. Data analysis was performed in three stages: epoché, description, and horizontalization. The chromatic technique was used for analysis. Results: The main findings converge into three categories: workload, as it affects the quality of care; absenteeism, which increases handover time; and interpersonal relationships, which influence the handover process. Observations allowed for the creation of a shift exchange model represented by a flowchart and a patient reception instrument. Final considerations: Workload and interpersonal relationships directly influence the work environment.
ISSN:1983-1447