Conceitos de gestão e gerência do cuidado de enfermagem: revisão de escopo

Abstract

Introduction: Terms “Care Management” and “Care Administration” are strongly present in the reality of health services and academic literature in studies at the most diverse care levels. The scope and differentiation of the terms Nursing Care Management and Nursing Care Administration are a matter of great concern. Objectives: To define the Management and Nursing Care Administration concepts based on the existing scientific production. Methods: This is a scoping review based on the protocol of the Joanna Briggs Institute. Data was collected in the 04-25/04/2020 period. The researched papers were retrieved from LILACS, CINAHL, MEDLINE, and SCOPUS databases without time limits. The sample consisted of studies published in Portuguese, English, and Spanish from 2007 to 2020. Results: We established a structural framework that involves the Nursing Care Management and Nursing Care Administration concepts. The definition and characterization of each component of this framework, its relationships, and, mainly, the conceptualization of the Care Management and Nursing Care Administration terms. This study identified that working in “Nursing Care Management” requires the same skills as working in “Nursing Care Administration”. However, such concepts are mobilized under different frequency and density, and skills with more significant strategic-administrative nuances are more strongly mobilized in the “Nursing Care Administration” thematic core. In contrast, skills mobilized show essentially strategic-cognitive nuances in the “Nursing Care Management” thematic core.