Clima na equipe: desafios e perspectivas de profissionais envolvidos no cuidado oncológico hospitalar

Abstract

The climate in the team comes from the concept of organizational climate, based on shared perceptions among professionals about policies, practices and processes in the work environment. Working as a team in the field of health means cooperating with others so that they can reach a defined objective for the quality of care offered to the patient. The present study aims to understand the work process of professionals involved in hospital cancer care. Exploratory-descriptive study with a quantitative and qualitative approach developed from an integrative review and field research. In the integrative review, the PRISMA 2020 protocol (PAGE et al., 2021) was followed with a survey in the databases, from 2015 to 2021, export of publications to the Rayyan tool and double-blind analysis by evaluators. The inconsistencies were aligned in a consensus meeting between the evaluators. For the field research, an invitation was sent through electronic addresses and social networks containing the details of the criteria for participation and access link to the Free and Informed Consent Term and to the electronic form containing the characterization items and the Climate Scale in the Team (SILVA, 2014). From the Scale respondents, an intentional sample participated in individual interviews. The data originated from the Scale were treated by descriptive statistics and the data from the open questions of the Scale and from the interviews were treated with content analysis, in the thematic mode. The results show that the team climate shows clear elements of the organization and work dynamics; the presence of interaction between different professionals; working conditions interfering with the quality of care. However, there is a need for investments for its improvement, with regard to the active participation of professionals in the team; support for new ideas; collective definition of objectives; task orientation; challenges of communication between professionals; work overload and emotional exhaustion associated with leadership roles. It is concluded that the existing complexity in oncology units requires greater articulation and integration among professionals, to strengthen relations and teamwork for the definition of collective objectives and effective communication.