Challenges of nurse leadership in the context of a health crisis in an international border locality

Authors

DOI:

https://doi.org/10.1590/ce.v30i0.95724

Keywords:

Leadership, Primary Health Care, Nursing, COVID-19, Border Areas

Abstract

 

Objective: To understand the challenges primary health care nurses face regarding their leadership exercise during periods of health crisis in an international border city.

Method: Exploratory, descriptive, and qualitative study conducted in the Primary Health Care of a border municipality in the Southern Region of Brazil in 2023. In-depth interviews were conducted with 15 nurses and submitted to Content Analysis.

Results: The analysis categories showed that, for nurses, the exercise of their leadership in times of health crisis is affected by the inefficiency of communication between management and the team, highlighting the gaps that compromise decision-making. There is an overload of responsibilities as nurses take on the roles of informal leaders. The difficulties in serving foreigners are due to the absence of clear protocols and the language.

Conclusion: Leading in the international border region during health crisis pressures nurses to have the specific knowledge to lead their team.

Author Biographies

Gabriela Kauana Silva, Western Paraná State University

Nurse. Master's degree in Public Health in Border Region. Professor at the State University of Western Paraná, Foz do Iguaçu, PR, Brazil.

Karina Emília dos Santos Scherer, Western Paraná State University

Nurse. Master's Degree in Public Health in Border Region.

Maria de Lourdes de Almeida, Western Paraná State University

Nurse, PhD in Nursing. Professor at the State University of Western Paraná, Foz do Iguaçu, PR, Brazil.

Published

2025-01-23

How to Cite

Silva, G. K., Scherer, K. E. dos S., & Almeida, M. de L. de. (2025). Challenges of nurse leadership in the context of a health crisis in an international border locality. Cogitare Enfermagem, 30. https://doi.org/10.1590/ce.v30i0.95724

Issue

Section

ORIGINAL ARTICLE