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Revista Brasileira de Enfermagem
Print version ISSN 0034-7167
ALMEIDA, Maria de Lourdes de et al. Direction or coordination? Rethinking the institutional representativeness of nursing. Rev. bras. enferm. [online]. 2011, vol.64, n.3, pp. 521-526. ISSN 0034-7167. http://dx.doi.org/10.1590/S0034-71672011000300016.
This is a documentary-type descriptive research, using a qualitative approach and, which was carried out at the Hospital of the Federal University of Paraná (HC-UFPR), in the city of Curitiba-PR. It aimed to comparatively analyze the description of two job positions that represent the nursing service, which were adopted in different managerial models. The content analysis of the documents related to the job positions in the respective management models showed significant differences. The results pointed out several changes in the description of the job positions, i.e. the term Nursing Direction was changed into Nursing Coordination, involving the suppression of autonomy and decision-making power over matters intrinsic to this profession. Knowledge and competence in the professional practice are required by the nurse practitioners in order to keep their representativeness in the organizational structure.
Keywords : Nursing; Professional Practice; Organization and Management; Organizational Structure.