Abstract
Objective: to analyze, from the perspective of Social Network Analysis, the configuration of interactions among healthcare workers in the context of hospital nursing care. Method: cross-sectional, descriptive, and exploratory study conducted at a philanthropic hospital in Ceará, Brazil. Data collection occurred in July 2022 using a sociodemographic questionnaire and an egocentric relational matrix applied to 25 nurses working across three care sectors. Interactions were classified as favorable or unfavorable to the organizational climate based on participants' evaluations and graphically represented using UCINET® and NetDraw® software. Results: two distinct relational patterns were identified. Favorable interactions were concentrated among core care professionals, particularly between nurses and physicians, associated with functional proximity and communication in care. Unfavorable interactions mainly involved support sectors, such as pharmacy, nutrition, and transport, highlighting difficulties at interprofessional interfaces. Furthermore, lower participation of managers was observed in favorable interactions. Conclusion: the identified interaction patterns indicate that the evaluation of the organizational climate among nurses is related to daily interaction experiences in care practice and is influenced by proximity, frequency, and the quality of relationships established in the work environment.
References
Wei H, Horns P, Sears SF, Huang K, Smith CM, Wei TL. A systematic meta-review of systematic reviews about interprofessional collaboration: facilitators, barriers, and outcomes. J Interprof Care. 2022;36(5):735–49. https://doi.org/10.1080/13561820.2021.1973975. PMID: 35129041.
Schneider B, González-Romá V, Ostroff C, West MA. Organizational climate and culture: Reflections on the history of the constructs in the Journal of Applied Psychology. J Appl Psychol. 2017;102(3):468–82. https://doi.org/10.1037/apl0000090. PMID: 28125256.
Cantos Nieto V, Lucero Sánchez M, Nausin RJ. Clima Organizacional y Satisfacción Laboral del Profesional de Enfermería. ReSoFro. 2026;6(2). https://doi.org/10.59814/resofro.2026.6(2)1107.
Villagracia HN, Alanezi AJ, Alshammri RZ, Alblwei KH, Harbi FFA, Alanezi FM, et al. Intensive Care Unit Nurses’ Organizational Climate and Clinical Competency in Saudi Government Hospitals: Cross‐Sectional and Multicenter Study. J Nurs Manag. 2025;2025(1):5041633. https://doi.org/10.1155/jonm/5041633.
Tueros Jurado RM, Salazar Marzal AM. Impacto del clima organizacional en la satisfacción laboral del personal de una empresa de mensajería en Lima. BIJ. 2025;4(2):5–23. https://doi.org/10.62943/bij.v4n2.2025.304.
Fonseca J dos SA, David HMSL, Silva TF da, Ramos TC da S, Neves ACL, Miranda RB de. Redes sociais, acesso e regulação dos serviços de saúde em um município de pequeno porte do Rio de Janeiro, Brasil. Ciênc saúde coletiva. 2018;23(10):3211–22. https://doi.org/10.1590/1413-812320182310.15492018.
Peduzzi M, Agreli HLF, Silva JAM da, Souza HS de. Trabalho em equipe: uma revisita ao conceito e a seus desdobramentos no trabalho interprofissional. Trab educ saúde. 2020;18(suppl 1):e0024678. https://doi.org/10.1590/1981-7746-sol00246.
Reeves S, Pelone F, Harrison R, Goldman J, Zwarenstein M. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2017;6(6):CD000072. https://doi.org/10.1002/14651858.CD000072.pub3. PMID: 28639262.
Berberoglu A. Impact of organizational climate on organizational commitment and perceived organizational performance: empirical evidence from public hospitals. BMC Health Serv Res. 2018;18(1):399. https://doi.org/10.1186/s12913-018-3149-z. PMID: 29859066.
Ferreira AG, Lopes MRC, Borba AK de OT, Marques AP de O, Alves FAP, Lima BC de C. Factors associated with absenteeism in elderly nursing workers. Rev Gaucha Enferm. 2022;43:e20210063. https://doi.org/10.1590/1983-1447.2022.20210063.en. PMID: 36383815.
Araújo-dos-Santos T, Nunes DO, Pereira RB, Góes MM da CSR, Ferreira IQBP, Santos SD dos, et al. Associação entre variáveis relacionadas à precarização e afastamento do trabalho no campo da enfermagem. Ciênc saúde coletiva. 2020;25(1):123–33. https://doi.org/10.1590/1413-81232020251.28242019.
Silva TF da, David HMSL. Acolhimento, Redes sociais e produção do cuidado na Atenção Básica em Saúde no Município do Rio de Janeiro, Brasil. redes. 2021;32(1):67–81. https://doi.org/10.5565/rev/redes.879.
Borgatti SP, Everett MG, Johnson JC. Analyzing social networks. 2nd ed. Thousand Oaks: Sage Publications; 2018.
Andrade DC, David HMSL. Análise de redes sociais: uma proposta metodológica para a pesquisa em saúde e na enfermagem. Rev enferm UERJ. 2016;23(6). https://doi.org/10.12957/reuerj.2015.14861.
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495–9. https://doi.org/10.1016/j.ijsu.2014.07.013. PMID: 25046131.
Conselho Nacional de Saúde (BR). Resolução nº 466, de 12 de dezembro de 2012. Aprovar diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos [Internet]. Brasília: Conselho Nacional de Saúde; 2012 [cited 2026 mar 15]. Available from: https://www.gov.br/conselho-nacional-de-saude/pt-br/atos-normativos/resolucoes/2012/resolucao-no-466.pdf/view
Ljungholm L, Edin-Liljegren A, Ekstedt M, Klinga C. What is needed for continuity of care and how can we achieve it? – Perceptions among multiprofessionals on the chronic care trajectory. BMC Health Serv Res. 2022:22(686). https://doi.org/10.1186/s12913-022-08023-0. PMID: 35606787.
Oliveira LB de, Cordeiro C de L. What do Young Adults Want? A Study About Their Job Preferences. BBR, Braz Bus Rev. 2025;22:e20231341. https://doi.org/10.15728/bbr.2023.1341.en
Meneses-La-Riva ME, Fernández-Bedoya VH, Suyo-Vega JA, Ocupa-Cabrera HG, Grijalva-Salazar RV, Ocupa-Meneses G di D. Enhancing Healthcare Efficiency: The Relationship Between Effective Communication and Teamwork Among Nurses in Peru. Nurs Rep. 2025;15(2):59. https://doi.org/10.3390/nursrep15020059. PMID: 39997795.
Larsman P, Pousette A, Törner M. Nurses' organizational climate of perceived organizational support and its relationships with psychosocial working conditions and psychological contracts: A longitudinal questionnaire study. Scand J Psychol. 2024;65(4):683–92. https://doi.org/10.1111/sjop.13017. PMID: 38482993.
Amiri F, Baghbani M, Hannani S, Azadi NA. Impact of organizational climate on the self-efficacy of operating room personnel. Ann Med Surg (Lond). 2023;85(6):2414–9. https://doi.org/10.1097/MS9.0000000000000368. PMID: 37363572.
Shen Y, Li Y, Ju C, Ashraf H, Hu Z, He C, et al. Foundational Effects of Organizational Climate on Perceived Safety Climate: A Multiple Mediation Model. Sustainability. 2023;15(22):15759. https://doi.org/10.3390/su152215759.
Tsoni E, Lazanaki V, Katsaros K. The Influence of Organizational Climate on Work Engagement: Evidence from the Greek Industrial Sector. Adm Sci. 2025;15(11):413. https://doi.org/10.3390/admsci15110413.
Conceoção A, Palma-Moreira A. The Relationship Between Occupational Stress, Burnout, and Perceived Performance: The Moderating Role of Work Regime. Adm Sci. 2025;15(10):377. https://doi.org/10.3390/admsci15100377.
Ullah H, Arbab S, Khan SA, Liu CQ, Fayaz M, Tian Y, et al. Work-Related Stress, Professional Respect, and Psychological Counseling Among Nurses: A Cross-Sectional Study. J Nurs Manag. 2025;2025(1):2413658. https://doi.org/10.1155/jonm/2413658. PMID: 40709105.

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