Transformar para conhecer o processo de avaliação de desempenho da equipe de enfermagem: abordagem a partir da Socioclínica Institucional

Abstract

In the hospital context, some gaps and failures are observed in the evaluation of the teams' performance, among them, the little mastery over the evaluation process and the absence of feedback for the worker. This research is about performance evaluation and its general objective was to provide the nursing team with a space for discussion and collective analysis of the performance evaluation process of the Brazilian Company of Hospital Services carried out in a University Hospital, located in the State of Minas Gerais. In addition, it had as specific objectives to identify the understanding of the professionals of the nursing team, of the hemodialysis sector, about the performance evaluation process carried out in the hospital in study; to verify how professional nursing practices in the hemodialysis sector influence the performance evaluation process; to analyze, together with the nursing workers, the instrument "Check list for monitoring" of the team's activities, in order to subsidize the annual evaluation process instituted in the hospital, aiming at the qualification of the assistance provided to users of the Unified Health System. This is an intervention-research with a qualitative approach, carried out in the Hemodialysis sector and which used the theoretical and methodological framework of Institutional Analysis, in the Institutional Socioclinical aspect. Four (4) socioclinical meetings were held in June 2022 for data production, with the use of some devices that contributed to explain the analyzers, analyze the implications and institutions that cross professional practice, among them, the performance evaluation. Six (6) nurses and fourteen (14) nursing technicians participated in the research; the reports were recorded and transcribed in full. In addition, as a data source, the researcher's institutional diary was used. Data were organized into charts and analyzed based on the eight characteristics of the Institutional Socioclinic. The results showed that the performance evaluation has some principles of New Public Management as guidelines, which brings the logic of productivity and meritocracy to the hospital's daily life, providing competitiveness through the scarcity of financial resources destined to the Cargo Career Plan and Salary. Thus, the devices used made it possible to explain the money analyzer, which revealed internal disputes that occur in the nursing team; the existence of privileges among workers and other factors that cause demotivation and lead to suffering at work. The nursing team also pointed out obstacles such as: lack of clear, transparent and objective information about all the steps that make up the evaluation 9 process and a systematic follow-up of the work carried out, carrying out specific evaluations. Therefore, this intervention research allowed to analyze the performance evaluation institution and made it possible to analyze the libidinal, ideological, professional and organizational implications of the researcher and the participants themselves. Workers also contributed with suggestions to improve and revise the “Checklist for monitoring” already used in the unit, being presented as one of the products of this research, which could support periodic evaluations with more constant feedback, in order to qualify the practice nursing professional.