In Brazil, management inefficienty in health organization has been partly responsible for the discredit fo such sector. When conducting her managerial practice, the nurse performing in this context has not effectively contributed with the development of efficient clinical nursing nor has she collaborated in the solution os specific problems in the area. This predicament makes it impossible to bring about transformations or innovative actions necessary for personalized andqualified care. Consequently, neither the client nor the human capital committed in such assistanceis satisfied, which interfers in the nurse's self-fulfillment...