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Avalia??o dos impactos do uso do sistema de gest?o hospitalar no Hospital Universit?rio Onofre Lopes

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Previous issue date: 2015-08-28 / O objetivo deste estudo foi identificar as poss?veis causas de diferen?as de resultados alcan?ados na implanta??o de um Sistema de Gest?o Informatizado (SGI) em um Hospital Universit?rio Federal localizado no nordeste do Brasil e compreender os motivos que influenciaram os resultados em diferentes grupos quando fora utilizada a mesma metodologia de implanta??o de sistemas. Considerando a implica??o dos gestores, profissionais de sa?de, outros profissionais envolvidos e a estrutura organizacional vigente no per?odo em que se deu a implanta??o, buscou-se conhecer como essas pessoas perceberam a evolu??o da implanta??o no seu grupo ou setor e tamb?m na organiza??o. Partindo de uma abordagem qualitativa, utilizou-se como instrumento de pesquisa a entrevista semiestruturada, mais especificamente a entrevista epis?dica, por ser mais focada na narrativa sobre a experi?ncia vivida pelos participantes ao longo do processo de implanta??o do SGI no hospital. Foram entrevistados tr?s grupos de profissionais e um grupo de gestores, todos com forma??o de n?vel superior em suas profiss?es e que participaram do processo de implanta??o desde o in?cio. Seguiu-se a metodologia de Bardim (2009) em todas as fases de tratamento e interpreta??o dos dados. A partir da analise empreendida, despontaram tr?s categorias: O pensamento e o conhecimento; As pr?ticas e mudan?as; Resultados obtidos. Da categoria ?pensamento e o conhecimento?, emergiram tr?s subcategorias: O administrativo, O institucional e O conhecimento em TI. Da categoria ?As pr?ticas e mudan?as?, emergiram tr?s subcategorias: Realidade anterior ao SGI; O projeto de TI e a implanta??o do SGI e Impactos da implanta??o do SGI. Da categoria ?Resultados obtidos? emergiram tr?s subcategorias: Benef?cios promovidos pelo SGI, Insatisfa??es observadas e N?vel de utiliza??o e compreens?o do SGI. Observou-se que a falta de integra??o dos setores foi um problema determinante na implanta??o do SGI, que o projeto de implanta??o do SGI n?o foi bem dimensionado e divulgado na institui??o e, ainda, que diferentes modelos de lideran?as e de objetivos dos setores influenciaram no andamento do processo de implanta??o do SGI. Muitas outras quest?es foram registradas nas conclus?es, mas em resumo, pode-se mencionar que um SGI deve ser uma ferramenta de consolida??o de pr?ticas organizacionais j? institucionalizadas e de integra??o entre setores e n?o de apoio a pr?ticas isoladas e personalistas de algumas esferas da institui??o. / The object of this study was motivated by the need to know the possible
causes of differences in results achieved in the implementation of a Computerised
Management System (CMS) in a Federal University Hospital, located in northeastern
Brazil, to understand the factors that influenced the results in different groups when
was used the same systems implementation methodologies. Considering the
implication of managers, health professionals, other professionals involved and the
existing organizational structure in the period when implantation occurred, aimed to
know the perception of these people about the development of CMS in the
deployment process in your group or sector and also in the organization.The
methodology used in this study was the content analysis which provides a rich set of
methodological tools for evaluating speeches,enabling us to discourse from the
unknown analysis and subjectivity, but with scientific rigor, allowing, at the end, to
understand the disparity in results in the implementation of CMS.It was used as a
research tool, a semi-structured interview, which exploits a qualitative approach, as
suggested by the authors. It was used the approach of the episodic interview, to be
more narrative about the experiences of the interview participants in their practical
experience along the CMS deployment process in the hospital.Were interviewed
three groups of professional and a group of managers, all with higher education in
their professions and who participated in the entire implementation process from the
beginning.It followed the Bardin's methodology (2009) in all the phases of treatment
and interpretation of data, where emerged three categories: the "Thought and
Knowledge"; the "Practices and Changes"; the "Obtained Results". From the
category "Thought and Knowledge"emerged three subcategories: the
"Administrative", the "Institutional" and the "IT Knowledge". From the category
"Practices and Changes" emerged three subcategories: "Reality Prior to CMS"; "The
IT Project and the implementation of CMS" and "Impacts of the CMS
Implementation". From the category "Results Obtained" emerged three
subcategories: "Benefits Promoted by CMS", "Dissatisfaction Observed" and "Level
of Use and Understanding CMS ". It was observed that the lack of integration of the
sectors was a determinant problem in the implementation of CMS. The CMS
implementation project was not well dimensioned and divulged in the institution.
Different models of leaderships and of objectives of the sectors influenced in the
course of the CMS implementation process. We can mention that an CMS should be
a consolidation of organizational practices tool already institutionalized and of
integration amongthe sectors and not supporting to isolated practices and
personalistsfrom sectors of the institution.

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/20665
Date28 August 2015
CreatorsBertin, M?nica de C?ssia Fernandes
Contributors26931410873, http://lattes.cnpq.br/1107978417272282, Torres, Tatiana de Lucena, 02803434423, http://lattes.cnpq.br/2310895002206004, Barreto, Lais Karla da Silva, 01012660494, http://lattes.cnpq.br/2003796585005455, Bendassolli, Pedro Fernando
PublisherUniversidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM GEST?O DE PROCESSOS INSTITUCIONAIS, UFRN, Brasil
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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