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- ItemSomente MetadadadosLiderança do enfermeiro na atenção primária à saúde e sua relação com o ambiente da prática profissional em enfermagem(Universidade Federal de São Paulo (UNIFESP), 2020-09-24) Mattos, Julio Cesar De Oliveira [UNIFESP]; Balsanelli, Alexandre Pazetto [UNIFESP]; Universidade Federal de São PauloObjectives: 1-) To assess nurse‘s self-perception in coaching leadership in Primary Health Care; 2-) Verify how nursing assistants assess nurse‘s leadership; 3-) To Classify professional nursing practice environment; 4-) To correlate the perception about nursing leadership with professional nursing practice environment. Methods: this correlational, cross-sectional, descriptive and quantitative study was conducted at 13 health centers in the south of São Paulo, SP, Brazil, in which 150 nursing professionals, 75 nurses and 75 nursing assistants working at these units, participated. Two leadership coaching questionnaires were applied: Questionário de Autopercepção do Enfermeiro no Exercício da Liderança (QUAPEEL) and Questionário de Percepção do Técnico e Auxiliar de Enfermagem no Exercício da Liderança (QUEPTAEEL), Then, the Practice Environment Scale, Brazilian version (PES) was applied. For data analysis, we applied Multivariate Analysis of Variance (MANOVA) with the use of Pillai‘s Multivariate Screening Test, Univariate Analysis of Variance (ANOVA), Pearson’s Correlation Test and Effect Size by the Rosenthal “r” coefficient: small (between 0.100 and 0.299), medium (between 0.300 and 0.500) and large (above 0.500), with a significance level of 5% (p <0.05). Results: through the questionnaires’ measures and total scores and subscales, there was a statistically significant difference between the groups in relation to the measures of QUEPTAEEL/QUAPEEL. Professional nursing practice environment was favorable for both nurses and nursing assistants. Concerning variable “leadership”, the group of nurses had an average scoreclose to findings in the group of nursing assistants. When the self-perception of coaching leadership and the professional nursing practice environment domains were correlated among nurses, two positive linear correlations were noticed: communication and nursing fundamentals focused on quality of care and communication with collegial relations between nurses and physicians. In other words, the greater the communication between leader and team member, the greater the relationship with physician and quality of care. Nursing assistants, when assessing nurses’ coaching leadership and professional practice environment in nursing, significant correlations were obtained between many domains of the two scales. Conclusion: the skills of coaching leadership were perceived in both groups, being better assessed by nurses. The environment of professional nursing practice was assessed as favorable by both nurses and nursing assistants and was related to coaching leadership. Favorable environments associated with leadership contribute to better results and best practices in the organization.
- ItemAcesso aberto (Open Access)A youth-leader program in Baltimore City Recreation Centers: lessons learned and applications(Sage Publications Inc, 2018) Trude, Angela Cristina Bizzotto; Steeves, Elizabeth Anderson; Shipley, Cara; Surkan, Pamela J.; Sato, Priscila de Morais; Estep, Tracey; Clanton, Stella; Lachenmayr, Lisa; Gittelsohn, JoelPeer-led interventions may be an effective means of addressing the childhood obesity epidemic; however, few studies have looked at the long-term sustainability of such programs. As part of a multilevel obesity prevention intervention, B’More Healthy Communities for Kids, 16 Baltimore college students were trained as youth-leaders (YLs) to deliver a skill-based nutrition curriculum to low-income African American children (10-14 years old). In April 2015, formative research was used to inform sustainability of the YL program in recreation centers. In-depth interviews were conducted with recreation center directors (n = 4) and the YLs (n = 16). Two focus groups were conducted with YLs (n = 7) and community youth-advocates (n = 10). Barriers to this program included difficulties with transportation, time constraints, and recruiting youth. Lessons learned indicated that improving trainings and incentives to youth were identified as essential strategies to foster continuity of the youth-led program and capacity building. High school students living close to the centers were identified as potential candidates to lead the program. Based on our findings, the initial intervention will be expanded into a sustainable model for implementation, using a train-the-trainer approach to empower community youth to be change agents of the food environment and role models.