Nurses’ Coaching Leadership Related to Practice Environment Within Primary Health Care

Abstract

Objective: to correlate the nurses’ self-perception and the perception of nursing aides regarding coaching leadership and the practice environment within Primary Health Care. Method: cross-sectional and correlational study addressing 150 nursing workers: 75 nurses and 75 nursing aides of 13 Basic Health Units located in the south of São Paulo, SP, Brazil. The Brazilian version of the Practice Environment Scale, Questionário de Autopercepção do Enfermeiro no Exercício da Liderança [Questionnaire on Self-Perception of Nurses of Exercise of Leadership], and Questionário de Percepção de Técnicos e Auxiliares de Enfermagem no Exercício da Liderança [Questionnaire on Perception of Nurse Technicians and LPNs of Exercise of Leadership] were applied between January and May 2019. Univariate and Multivariate Analyses, and the Pearson’s Correlation test (p<0.05) were used, besides Rosenthal effect size. Results: two significant correlations were found among the nurses between the instruments’ domains: communication and nursing foundations for quality care (r=0.265; p=0.022) and communication and collegial nurse-physician relationships (r=0.263; p=0.023). The following stand out among the nursing aides: communication and nursing foundations for quality care (r=0.416) and the total score obtained in the Questionnaire on Perception of Nurse Technicians and LPNs of Exercise of Leadership and collegial nurse-physician relationships (r=0.409). Conclusion: for the nurses, communication contributed to a better perception of quality care and good relationships with physicians. For the nursing aides, all the domains of coaching leadership collaborate for environments that favor their practice within PHC.

Ambiente Da Prática Profissional Da Enfermagem Em Hospital Universitário Frente À Covid-19

“…Com a chegada da pandemia, a enfermagem conseguiu tornar-se mais evidente, mostrando a importância desses profissionais não só nos cuidados diretos com os pacientes, mas também exercendo papéis de liderança. Uma participação ativa dos enfermeiros nos assuntos da instituição levou ao empoderamento desses profissionais 5,[17][18] .…”

The Nursing Practice Environment in a University Hospital During the Covid-19 Pandemic

“…Nursing workers became more evident during the pandemic, showing their relevance not only in providing direct care to patients but also in occupying leadership positions. The active participation of nurses in institutions' affairs empowered these professionals 5,[17][18][19] .…”

“…A Brazilian study found a mean of 3.4 for this subscale, considering it is a private and accredited hospital focused on leadership development 9 . Participative leadership within the frontline team ensures workers feel safer and free to discuss situations that can be improved, especially in times of uncertainty, such as a pandemic 18 .…”

Cuidar para descuidar, confrontar, arrepiar: negatividade como crítica do estereótipo da “cuidadora natural” na enfermagem

“…Com isso, reduzimos o cuidado a procedimentos biomédicos, ao invés de experimentá-lo como cura. Cindimos o prazer e a dor sob fórmulas infalíveis das ciências positivas da razão instrumental (coaching, psicologia cognitiva, outros) (27) . Sobrevivemos mutiladas(os) sob o discurso positivista que ratifica a histórica contradição entre cuidado e capitalismo, qual seja: para acumular, o capital depende do trabalho reprodutivo que desvaloriza e estigmatiza (5) .…”