Modelo de dirección de hospitales por enfermeras

research based on the theory of strategic thinking to understand organizational, operational and administrative behavior and processes is the subject of this article. with the hospital administrative system as the object of study, this research used a qualitative approach and a case-study method by applying a series of stages; namely, adaptation to the roster, construction of explanations, temporal analysis, logical models and cross-case presentation, which made it possible to process the information and to analyze the data systematically. the final stage guided the presentation of results and achieved the proposed objective; that is, to discuss the paradigm of the administrative system applied by managing nurses, based on the perception of their subordinates. the results show the subordinate nurses recognized innovative management, with direct and central supervision, and emphasized the model for innovative management/management-by-programs, which is light and flexible. it also requires a higher degree of professionalism and fosters autonomy. communication was horizontal, leaving the door open to management. the function of the supervisors was to evaluate personal activity in a direct way. lastly, changes based on socialized theoretical-methodological ideas of decentralized administration were instituted by breaking down individual resistance and ensuring the accomplishment of common goals and objectives.