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    A liderança do enfermeiro em uti e sua relação com o ambiente de trabalho
    (Universidade Federal de São Paulo (UNIFESP), 2014-04-24) Balsanelli, Alexandre Pazetto [UNIFESP]; Cunha, Isabel Cristina Kowal Olm Cunha [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Leadership is a variable that needs constant research . Understand what are the factors that interfere with its exercise constitutes a priority . Objectives: 1-) check the ideal leadership style as perceived by nurses, and the real according to a review of their subordinates; 2-) Analyze the environment of professional nursing practice recital: autonomy, control, relationships between doctors and nurses and organizational support; 3-) To correlate the variables work environment and real leadership . Method: correlational study conducted in ICU 4 , and 2 private hospitals and public hospitals 2 , the south zone of São Paulo , SP , Brazil . The sample consisted of 66 pairs (nurses and nurse technicians ) , defined by lottery . Nurses responded to three instruments : 1 - ) characterization; 2 - ) Nursing Work Index Revised version for validated ( B - NWI - R ) Portuguese and 3 - ) Grid & Nursing Leadership : ideal behavior . The nursing technicians : 1 - ) characterization and 2 - ) Grid & Nursing Leadership : actual behavior considering that the nurse raffled . Data were analyzed using descriptive statistics , the Student t test , Wilcoxon test for Indepentes samples and ANOVA with p value ? 0.05 , Results: The ICU analyzed have favorable working environment for the exercise of professional nursing practice ( overall mean = 1.95 and SD = 0.40 ) . When comparing the ICU of private and public hospitals is observed that the overall score of the B - NWI -R reached values of 1.91 ( SD = 0.39 ) and 1.99 (sd = 0.42 ) respectively with p = 0.459 . Among the observed 66 nurses , 65 ( 98.5 % ) felt that the style of leadership 9.9 was ideal. When there is real leadership , 42 ( 63.6 % ) of leaders are evaluated in a satisfactory manner , ie by 9.9 are classified as nursing technician evaluated with the confidence interval ranging from 95 % [ 50 8% ; 74.8 % ] . Eight nurses ( 12.1% ) are considered to be 9.1; nine ( 13.6 % ) is 5.5 ; six ( 9.1% ) 1.9 and only one ( 1.5 % ) is 1.1 . 's work environment did not influence the real leadership of nurses ( p value = 0.852 ) . The characteristic of the institution in which the ICU in private or public belong not be presented directly related to leadership ( p value = 0.4379 ) . Stands out , only the domain relationship between doctors and nurses , with p value = 0.00168 . Conclusion : the work environment was not a predictor of nursing leadership in the context of ICUs . Further research may be conducted to identify which interferes in exercising that power.