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- 389-Editorial

EDITORIAL

Texto & Contexto Nursing Journal presents this edition focused on Management themes in Health Care and Nursing. It attempts to unveil an everlasting web of research, theoretical reflections, and experience reports of 54 (fifty-four) social subjects who will contribute towards the strengthening of this knowledge area, affirming the changes and transformations that have led us in the diverse scenarios of the professional practice of Nursing and of other professionals in the health care sector.

Formulating, planning, implementing, and managing studies and processes in the area of Management, especially those themes that are focused upon public policy, systems, and health care services, have been a day-to-day practice of nurses in Brazil. Upon socializing the studies presented here, we hope that these will then be updated, critiqued, and above all, replicated. Thus, we will be able to contribute to the construction of the Federal Health Care System (Sistema Único de Saúde), based on professional management in the diverse macro and micro areas for enacting management practice.

Fortunately, the knowledge available to the Brazilian and international community considers the plurality of ideas, the multiplicity of practices, and the diversity of methodological conceptions. It is able to achieve this reaffirming the diverse social movements from which Nursing has been made. This is a reaffirmation of the importance of democratizing access to knowledge and to investigation.

It is important to highlight that of the seventeen texts presented here, eleven are original research articles. This fact offers evidence to the importance of this knowledge area in Nursing and in Health Care. These articles reveal in this way the investigative force of professionals and students in the health care sector who face the challenges before managing people, material, information, technological, and financial resources. Thus, with planning, organization, leadership, and evaluation, these professionals and students consolidate and pave new paths for a quality, equal, resolute, and accessible health care service.

Managing work processes with leadership, analyzing the quality of care for the users, creating new professional ties, organizing information systems, acting and administering with assumptions for integrality, participating in the strategy for family health, studying factors that interfere in the quality of Nursing and health care, revealing profiles and cultural manifestations of professionals, identifying profiles of users, and evidencing the challenges faced by professionals in management areas. These management areas are current themes and will be elaborated upon in this edition. In the lines of the articles and between the lines of this edition of Texto & Contexto we can sample the new results of investigation in Nursing, in the field of Management in Nursing and Health Care, thus creating more space for democratic debate within the area.

The contribution of the theoretical reflections solidifies knowledge in relation to the management competencies of Nursing, management of health care practices in complex care, and upon finalizing the session, adapts the use of management knowledge for a cultural change in Nursing as a school subject. The texts herein, however, create substance for the body of knowledge in the area, expressing the values and conceptions of their authors, contributing in this way to the theoretical foundation of knowledge production and consolidated in the diverse sessions of the present Journal.

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- 390 - Albuquerque GL

Texto Contexto Enferm, Florianópolis, 2006 Jul-Set; 15(3): 389-90. In the Literature Review, the discussion concerning administrative theories and work organization indicate the influence of these issues on the health care sector. They especially point out the need for rethinking the work process in Health Care and Nursing.

Thus, these texts in their context outline the need for overcoming the fragmented and centralized models, most of all in the curative practices of individualized care. These texts yet present modern practices and those with a new managerial spirit, where understanding and comprehending the subject in the process might create a “cultural melting pot”, a necessary condition for the interposition of practices that are collectivized, competent, and coherently linked to the social universe, in historically determined circumstances.

These studies focus upon dimensions that involve health care policy, planning, and organizing of services, as well as the articulation of diversified health care practices, conceiving of the diverse variables and necessary resources for the management process. In this way, comprehending the economical, political, social, cultural, religious, and methodologies of management involving public and private sector managers with Brazilian Health Care becomes advantageous. Thus, strengthening the approach that with multidisciplinary management practices we contribute in order to qualify a scenario favorable to the alleged changes for the Federal Health Care System, in all spheres and levels of care.

The work presented here, based on its academic competence and insertion of real costumes of management, is evidence that the strategic course involved in the diverse manners of doing, conceiving, and implementing management practices in health care and Nursing. As such this periodical fulfills its role of socializing the knowledge unveiled. This knowledge is from daily life in health care might be able to contribute to the transformation of reality of care in health care, and especially for the clear development of citizenship and for all society.

May you have a wonderful reading!

Gelson Luiz de Albuquerque, PhD

Professor, Nursing Department and Post-Graduate Nursing Department of the Federal University of Santa Catarina (UFSC). Member of the Business Administration in Health Care and Nursing Research Group

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