Gestão por objetivos na Enfermagem de Reabilitação: desafios e implicações para os processos de trabalho

Maria Manuela Martins; Maria Antónia Chora; José Manuel Chora; Lígia Monterroso; Rute Salomé Silva Pereira

doi:10.33194/rper.2026.43011

Authors

Maria Manuela Martins Instituto de Ciências Biomédicas Abel Salazar-Universidade do Porto, Porto, Portugal https://orcid.org/0000-0003-1527-9940
Maria Antónia Chora Universidade de Évora, Évora, Portugal
José Manuel Chora Unidade Local de Saúde do Alentejo Central, Évora, Portugal
Lígia Monterroso Instituto Politécnico de Santarém, Santarém, Portugal
Rute Salomé Silva Pereira Instituto de Ciências Biomédicas Abel Salazar-Universidade do Porto, Porto, Portugal https://orcid.org/0000-0002-4468-0787

DOI:

https://doi.org/10.33194/rper.2026.43011

Keywords:

Rehabilitation Nursing, Quality of Health Care, Healthcare Work Process, Health Management, Goals, Quality Indicators, Health Care

Abstract

Introduction: The definition of objectives and goals constitutes a central element in the organization of work processes in rehabilitation nursing, guiding planning, decision-making, and the evaluation of care quality.

Aim: To critically analyze how the definition of objectives and goals conditions the work processes of rehabilitation nurses and to propose recommendations for professional practice.

Methodology: Reflection based on a narrative review of the scientific literature, normative documents from the Ordem dos Enfermeiros, and the authors’ clinical experience.

Reflection: The definition of objectives and goals influences three interdependent domains of work processes: care delivery and management, professional performance evaluation, and continuous education processes. Benefits were identified in terms of improved effectiveness, quality, and safety of care, as well as challenges related to unrealistic goals, excessive focus on quantitative indicators, and limited integration of psychosocial and subjective dimensions of rehabilitation.

Conclusion: The reflective, collaborative, and person-centered definition of objectives and goals constitutes a structuring instrument of rehabilitation nurses’ work processes, contributing to clinical excellence, professional development, and the sustainability of health services. The use of rehabilitation-sensitive indicators and the strengthening of competencies in planning, communication, and evaluation are recommended.

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