The present study relates to the opinions of thirty nurses who introduced aspects of work organization innovation into their routine work practices through the research process. Its objective was to promote reflection on and experimentation with alternative work organization practices which are close to the comprehensive nursing care model. To this end, a qualitative, convergent care study was developed and carried out in a teaching hospital in southern Brazil, through workshops which articulated collective reflection, definition, experimentation and assessment of aspects of change in organization of the work. The results indicated four categories: insulin therapy care; in-patients' level of dependency; recording additional nursing observations; and comprehensive care during the nightshift. It is therefore concluded that undertaking nursing care using the comprehensive care model entails institutional actions which occur through adequate working conditions and through decision-making by staff themselves in their daily work practices.
Nursing; Organization and administration; Nursing care