Facilidades e dificuldades das enfermeiras gerentes na implementação da gerência do cuidado no ambiente hospitalar Facilities managers and difficulties of nurses in the implementation of environmental management of care hospital

Objective: to analyze the facilities and difficulties of nurse managers in care management implementation in hospitals. Methods: this is a descriptive study with a qualitative approach carried out from October to November 2012, in a public tertiary referral hospital in Fortaleza-CE. Data collection was performed using semi-structured interviews. The technique used for the interpretation of the data was content analysis. Results: we found as factors that facilitate the development of care management support from the leader of the hospital's nursing sector and the dialectical relationship between the team members. As noted impediments to hospital physical structure and the lack of staff. Conclusion: the study seeks to sensitize the discussion on care management, because the link between the management and care activities, it is important for innovation and renewal of the nursing work process