Challenges in the practice of nurses in Philanthropic Hospitals: The reality of southern Minas Gerais

Abstract

Introduction: Philanthropic hospitals play a fundamental role in healthcare in Brazil, especially in inland regions, where they often represent the main or only hospital service available to the population. In this scenario, the nurse's role becomes essential for the organization of care, patient safety, and coordination of healthcare teams. Objective: To understand the main challenges faced by nurses working in philanthropic hospitals in southern Minas Gerais and their impacts on the quality of care provided and professional well-being. Methods: Qualitative, descriptive, and exploratory research, conducted in a philanthropic hospital in the region. Data collection occurred through semi-structured interviews with five nurses from the institution, allowing for an understanding of their experiences, perceptions, and difficulties faced. Results: The main challenges identified were the scarcity of human and material resources, high care demand, work overload, and institutional limitations. Participants highlighted the importance of the Nursing Care Systematization (SAE) for the organization of care and patient safety, although they reported difficulties in making records due to lack of time and excessive activities. Weaknesses related to professional training and institutional support were also observed. Conclusion: It is concluded that nurses face challenges that impact the quality of care and professional well-being, highlighting the scarcity of resources, work overload, difficulties in operationalizing the SAE, and weaknesses in continuing education. Despite this, they demonstrate commitment to patient safety and the humanization of care.