AIM:Social exchange theory is used as the framework to examine the interaction between supervisor-subordinate relationships, training and affective commitment for Northeast Brazilian public sector nursing professionals. BACKGROUND:There are continuing challenges to nursing management worldwide in terms of the supply of nursing professionals, their work relationships, nurse training and commitment to their employing organisations. The interplay between these factors for nurses in the Northeast of Brazil has not been well understood. METHOD:Quantitative data were collected from 550 nursing professionals using a cross-sectional, survey-base design. Qualitative data were collected from 25 participants using in-depth interviews and focus group discussions. RESULT:Using path analysis, and the ordinary least squares approach, the findings demonstrated a significant, but weak, linkage between supervisor-subordinate relationships, training and organisational commitment. The qualitative data suggest that contracting out may be a causative factor. CONCLUSION:Healthcare managers in Brazil need to create more positive environments to strengthen supervisor-nurse relationships, improve the provision of training and to strengthen organisational commitment. IMPLICATIONS FOR NURSING MANAGEMENT:Healthcare policy-makers in hospital can make significant contributions to improving organisational commitment by reducing multiple job holding, improving the ratio of registered nurses to nursing technicians/assistants and beginning nurse supervision training in effective people management.

译文

目的:以社会交流理论为框架,研究巴西东北部公共部门护理专业人员的上级-下级关系,培训和情感承诺之间的相互作用。
背景:就护理专业人员的供应,他们的工作关系,护士培训以及对雇用组织的承诺而言,全球护理管理面临着持续的挑战。对于巴西东北部的护士而言,这些因素之间的相互作用还没有被很好地理解。
方法:采用横断面调查为基础的设计,从550名护理专业人员中收集了定量数据。使用深度访谈和焦点小组讨论从25名参与者中收集了定性数据。
结果:使用路径分析和普通最小二乘法,研究结果表明主管与下属之间的关系,培训和组织承诺之间存在显着但微弱的联系。定性数据表明,外包可能是一个致病因素。
结论:巴西的医疗保健管理人员需要创造更多积极的环境,以加强主管与护士的关系,改善培训的提供并加强组织的承诺。
护理管理的意义:医院的医疗保健政策制定者可以通过减少多种工作岗位,提高注册护士与护理技术人员/助理的比例以及开始有效的人员管理方面的护士监督培训,为提高组织承诺做出重大贡献。

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