Competência de gestão dos gestores de cuidados de saúde para permitir e gerir a mudança: evidências dos gestores de cuidados de saúde primários na Tanzânia
DOI:
https://doi.org/10.37293/sapientiae92.04Palavras-chave:
Competência de gestão, Preparação para a mudança, Implementação da mudança, Avaliação da mudança, Qualidades de liderança para a mudançaResumo
Este artigo de investigação examinou a competência de gestão dos gestores dos cuidados de saúde primários na viabilização e gestão da mudança. O estudo foi realizado na Tanzânia tendo utilizado uma abordagem de investigação transversal. Foi utilizado um método de amostragem por censo para recolher dados de cento e dois gestores de cuidados de saúde. A análise dos dados recolhidos foi efetuada com recurso a soluções de produtos e serviços estatísticos SPSS versão 25. Os resultados demonstram que, relativamente aos indicadores dos constructos, preparação para a mudança, implementação da mudança, avaliação da mudança e qualidades de liderança na orientação da mudança, respetivamente, (73,53%), (65,69%) e (76,47%) dos gestores de saúde são competentes e (26,47%), (34,31%) e (23,53%) são menos competentes. O estudo conclui que os gestores dos cuidados de saúde primários na Tanzânia revelaram níveis de competência e práticas menos competentes na facilitação e gestão da mudança.Referências
Al-Maqbali, M. (2019). Transdisciplinarity: What competencies do future healthcare managers need to succeed. Journal of Nursing Rsearch Practices, 3(1), pp.5-10. https://www.researchgate.net/publication/332414030.pdf.
Al-Momani, M.M. (2018). Exploring characteristics and perceptions of private hospital physician managers regarding their management training needs. Biomedical Research, 29(8), pp.1712-1717. https://doi.org/10.4066/.29-17-2055.
AwadAllah, M.B. and Salem, G.M. (2021). Managerial Competencies of Primary Health Care Managers. Egyptian Journal of Occupational Medicine, 44(1), pp.35–46. https://ejom.journals.ekb.eg/article_143333_c9f33b684ac494e91c77f9017d234d31.pdf.
Barsbay, M.Ç. and Öktem, M.K. (2021). The Competency Movement in Public Hospitals: Analysing the Competencies of Hospital Executive Managers. Transylvanian Review of Administrative Sciences, 17(62), pp.22-43. http://dx.doi.org/10.24193/tras.62E.2
Bilgin O, and Torun S (2023). Determination of the managerial competencies of clinical nurse managers: Self-assessment. Journal of Health and Nursing Management, 10(1), pp.1-9. http://doi.org/10.54304/SHYD.2023.41033.
Bogaert, K., Castrucci, B.C., Gould, E., Rider, N., Whang, C. and Corcoran, E. (2019). Top training needs of the governmental public health workforce. Journal of Public Health Management and Practice, 25(2 Suppl), p.S134. https://doi.org/10.1097/PHH.0000000000000936.
Cleary, S., Toit, A.D., Scott, V. and Gilson, L. (2018). Enabling relational leadership in primary healthcare settings: lessons from the DIALHS collaboration. Health Policy and Planning, 33(suppl_2), pp.ii65-ii74. https://doi.org/10.1093/135.
Daouk-Öyry, L., Sahakian L., and van de Vijver, F. (2020). Evidence-Based Management Competency Model for Managers in Hospital Settings. British Journal of Management, (00), pp.1–20. http://.doi.org/10.1111/1467-8551.12434.pdf.
Figueroa, C.A., Harrison, R., Chauhan, and Meyer, L (2019 ). Priorities and challenges for health leadership and workforce management globally: a rapid review. BMC Health Service Research 19(239). https://doi.org/10.1186/s12913-019-4080-7.
Fouka, G. and Mantzorou, M. (2011). What are the major ethical issues in conducting research? Is there a conflict between the research ethics and the nature of nursing?. Health science journal, 5(1), pp.3-14. https://www.researchgate.net/publication/233959936.
Hahn, C.A. and Gil Lapetra, M. (2019). Development and use of the leadership competencies for healthcare services managers assessment. Frontiers in Public Health, 7(34). https://doi.org/10.3389/fpubh.2019.00034.
Jiyenze, K. M., Sirili, N, Ngocho, J. S., Kikula, A., Chikoti, B., Kapologwe. N., Kengia, T.J. (2023). Strengthening health management, leadership,and governance capacities: What are the actual training needs in Tanzania? Health Science Reports. https://doi.10.1002/hsr2.1158.
Kakemam, E. and Dargahi, H. (2019). Competencies gap in Hospital Management in Tehran, Iran: a cross-sectional survey. Journal of Health Management, 21(4), pp.451-464. https://doi/pdf/10.1177/0972063419884412.
Kingu, U. A., Ismail, I. J., and Kibusi, S. M. (2023). Managerial Competency of Primary Healthcare Facility Managers in the Selected District Councils in Tanzania. Management & Economics Research Journal, 5(1), 45-65. https://doi.org/10.48100/merj.2023.277.
Le-Dao, H., Chauhan, A., Walpola, R., Fischer, S., Schwarz, G., Minbashian, A., Munro, A., D’Arcy, E., Allan, J. and Harrison, R. (2020). Managing complex healthcare change: a qualitative exploration of current practice in New South Wales, Australia. Journal of Healthcare Leadership, 10(12). pp.143-151. https://doi.org/10.2147/.S274958.
Liang, Z., Blackstock, F.C., Howard, P.F., Briggs, D.S., Leggat, S.G., Wollersheim, D., Edvardsson, D. and Rahman, A. (2018). An evidence-based approach to understanding the competency development needs of the health service management workforce in Australia. BMC Health Services Research, 18(976). pp.1-12. https://doi.org/10.1186/s12913-018-3760-z.
Majid, M.A.A., Othman, M., Mohamad, S.F. and Lim, S.A.H. (2017). Employee satisfaction with offshore catering job: Piloting for interviews. International Journal of Academic Research in Business and Social Sciences, 7(10), pp.729-737. http://dx.doi.org/10.6007710/3428.
Ministry of Health Commuity Development Gender Elderly and Children. Health facilty performance. Dar es Salaam: Ministry of Health. (2018). http://www.tzdpg.or.tz/fileadmin/documents/dpg_internal/dpg_working_groups_clusters/cluster_2/health/JAHSR_2018/2._Health_facility_performance.pdf.
Mugenda, O.M. and Mugenda, A.G. (2012). Research methods dictionary. Nairobi. Kenya Applied Research and Training Services, Kenya
Ndayishimiye C, Dubas-Jakóbczyk K, Holubenko, A and Domagała, A (2023) Competencies of hospital managers – A systematic scoping review. Frontiers in Public Health. 11(1130136). https://doi.org/10.3389/fpubh.2023.1130136.
Nilsen, P., Seing, I., Ericsson, C., Birken, S.A. and Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. BMC health services research, 20(147). pp.1-8. https://doi.org/10.1186/s12913-020-4999-8
Ponto, J. (2015). Understanding and evaluating survey research. Journal of the advanced practitioner in oncology, 6(2):168-71 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4601897/
Stoller, J.K. (2014). Help wanted: developing clinician leaders. Perspectives on medical education, 3(3), pp.233-237. https://doi.org/10.1007/s40037-014-0119-y.
Tataw, B.D, and Stokes, E. W., (2023). Leadership in interProfessional healthcare practice (IPHP): Readiness, roles, and compentencies for healthcare managers and human resource professionals. Journal of Interprofessional Education & Practice, 32, https://doi.org/10.1016/j.xjep.2023.100635.
Thompson, J.M. (2010). Understanding and managing organizational change: implications for public health management. Journal of Public Health Management and Practice, 16(2), pp.167-173. https://doi.org/10.1097/phh.0b013e3181c8cb51
Yakubu, K., Dankyau, M. and Lodenyo, M. (2019). A comparison of leadership competencies among doctors practicing in public and private hospitals in Jos metropolis of Plateau State, Nigeria. Annals of African medicine, 18(1), p.23-29. https://doi.org/10.4103_9_18.
Downloads
Publicado
Edição
Secção
Licença
Direitos de Autor (c) 2024 Ukende A. Kingu, Ismail J. Ismail, Stephen M. Kibusi
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-NãoComercial-CompartilhaIgual 4.0.
O conteúdo das publicações é responsabilidade absoluta dos autores e não da Universidade Óscar Ribas, nem da revista SAPIENTIAE. A revista permite aos autores manterem o direito de autor sobre os artigos e documentos publicados, sob Creative Commons Reconocimiento -No Comercial-Compartir Igual 4.0 Internacional License.This journal is Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International.