Na presente dissertação discute-se o profissional de Educação Física formado na Escola de Artes, Ciências e Humanidades da Universidade de São Paulo. Por meio de uma pesquisa exploratória, com interpretação qualitativa, traçou-se um paralelo entre a estrutura curricular do curso e o Projeto Político-Pedagógico, para estabelecer equivalência com as disciplinas, os projetos, os grupos de pesquisa, as ações de extensão e a vivência cotidiana no curso Bacharelado em Educação Física e Saúde. Como parâmetro utilizou-se a Portaria GM Nº 154 de 24 de janeiro de 2008, que criou o NASF, para a escolha das palavras-chave na construção das categorias que balizaram o curso, na tentativa de compreender se o profissional formado atende as demandas conceituais e práticas da relação SUS/Saúde/Educação Física. Diante da inserção de profissionais de Educação Física nas equipes dos sistemas de saúde, ocorreu a expectativa de repensar a formação deste profissional e, fez-se, portanto, a pergunta: \'Que profissional de Educação Física queremos para atuar no SUS?\'. Dentre as 70 disciplinas do curso de Bacharelado em Educação Física e Saúde, obrigatórias e optativas eletivas, apenas 6 não contemplaram os critérios estabelecidos em seus objetivos ou resumos com os termos do NASF. Tendo em vista esta colocação, pode-se inferir que há alinhamento junto ao Projeto Político-Pedagógico para a formação e atuação do profissional de Educação Física e Saúde para a área da saúde pública. Com a análise questiona-se o programa oficial, o que não proporciona diretamente o aprofundamento sobre o aluno, pois, este pode não escolher as disciplinas optativas ou mesmo não optar pelo estágio no SUS, assim como nas disciplinas de formação ativa, escolher temas que não têm nenhuma relação com saúde. No entanto, com base nos resultados obtidos nesse estudo, acredita-se que o curso avança no sentido de proporcionar potencialidades na área da saúde voltada aos objetivos do SUS, mas este avanço só se fortalecerá caso haja investimento público em contratar profissionais de Educação Física / In the present dissertation, we talk about the Physical Education professional graduated from School of Arts, Sciences and Humanities, University of São Paulo. Through an exploratory research with a qualitative interpretation, we compared the curricular structure of the course to the political-educational process to establish an equivalence for the disciplines, the projects, the research groups, extension actions and the daily experience from the Bachelor of Health and Physical Education course. As a baseline, it was adopted the \"Portaria GM Nº 154\" from January, 24th, 2008, which created NASF, on the keywords triage for the categories constructions which defined the course, in the attempt to understand if the graduated professional meets the conceptual and practical requirements demanded by the complex relationship between SUS, Health and Physical Education. With the Physical Education professional insertion in healthcare groups, it has emerged an expectation to rethink this professionals education, so, we should ask ourselves: \'Which Physical Education professional we want to have in an important role on SUS?\'. Among the 70 disciplines of Bachelor of Health and Physical Education course (including all mandatory and elective subject areas), only 6 of them do not contemplate the requirements established on their objectives regarding NASF\'s terms. So, we can imply through those facts that it does exist an alignment with the political-education project to impact the formation and the acts of the Health and Physical Education professional on public health. With this analysis, we aim to enquire the official program, which doesn\'t directly provide any further development about the student, because he can choose to reject the elective disciplines or even to not make the SUS internship, as well as choose subjects that don\'t have any correlation with healthcare. However, based on the results of this study, the course advance in providing potentialities, oriented to the SUS healthcare objectives, what would only thrive if we have more public investment to hire those Health and Physical Education professionals

Na presente dissertação discute-se o profissional de Educação Física formado na Escola de Artes, Ciências e Humanidades da Universidade de São Paulo. Por meio de uma pesquisa exploratória, com interpretação qualitativa, traçou-se um paralelo entre a estrutura curricular do curso e o Projeto Político-Pedagógico, para estabelecer equivalência com as disciplinas, os projetos, os grupos de pesquisa, as ações de extensão e a vivência cotidiana no curso Bacharelado em Educação Física e Saúde. Como parâmetro utilizou-se a Portaria GM Nº 154 de 24 de janeiro de 2008, que criou o NASF, para a escolha das palavras-chave na construção das categorias que balizaram o curso, na tentativa de compreender se o profissional formado atende as demandas conceituais e práticas da relação SUS/Saúde/Educação Física. Diante da inserção de profissionais de Educação Física nas equipes dos sistemas de saúde, ocorreu a expectativa de repensar a formação deste profissional e, fez-se, portanto, a pergunta: \'Que profissional de Educação Física queremos para atuar no SUS?\'. Dentre as 70 disciplinas do curso de Bacharelado em Educação Física e Saúde, obrigatórias e optativas eletivas, apenas 6 não contemplaram os critérios estabelecidos em seus objetivos ou resumos com os termos do NASF. Tendo em vista esta colocação, pode-se inferir que há alinhamento junto ao Projeto Político-Pedagógico para a formação e atuação do profissional de Educação Física e Saúde para a área da saúde pública. Com a análise questiona-se o programa oficial, o que não proporciona diretamente o aprofundamento sobre o aluno, pois, este pode não escolher as disciplinas optativas ou mesmo não optar pelo estágio no SUS, assim como nas disciplinas de formação ativa, escolher temas que não têm nenhuma relação com saúde. No entanto, com base nos resultados obtidos nesse estudo, acredita-se que o curso avança no sentido de proporcionar potencialidades na área da saúde voltada aos objetivos do SUS, mas este avanço só se fortalecerá caso haja investimento público em contratar profissionais de Educação Física / In the present dissertation, we talk about the Physical Education professional graduated from School of Arts, Sciences and Humanities, University of São Paulo. Through an exploratory research with a qualitative interpretation, we compared the curricular structure of the course to the political-educational process to establish an equivalence for the disciplines, the projects, the research groups, extension actions and the daily experience from the Bachelor of Health and Physical Education course. As a baseline, it was adopted the \"Portaria GM Nº 154\" from January, 24th, 2008, which created NASF, on the keywords triage for the categories constructions which defined the course, in the attempt to understand if the graduated professional meets the conceptual and practical requirements demanded by the complex relationship between SUS, Health and Physical Education. With the Physical Education professional insertion in healthcare groups, it has emerged an expectation to rethink this professionals education, so, we should ask ourselves: \'Which Physical Education professional we want to have in an important role on SUS?\'. Among the 70 disciplines of Bachelor of Health and Physical Education course (including all mandatory and elective subject areas), only 6 of them do not contemplate the requirements established on their objectives regarding NASF\'s terms. So, we can imply through those facts that it does exist an alignment with the political-education project to impact the formation and the acts of the Health and Physical Education professional on public health. With this analysis, we aim to enquire the official program, which doesn\'t directly provide any further development about the student, because he can choose to reject the elective disciplines or even to not make the SUS internship, as well as choose subjects that don\'t have any correlation with healthcare. However, based on the results of this study, the course advance in providing potentialities, oriented to the SUS healthcare objectives, what would only thrive if we have more public investment to hire those Health and Physical Education professionals

Aim: The overall aim of this thesis is to follow up, describe and generate a tentative theory on ongoing processes of change in health care. This will be done at a macro level, through the study of hospital mergers as well as a micro level through studies of shared leadership. Method: ”Hospital Mergers” is based on a qualitative approach; Grounded Theory, with interviews of health professionals (I, II). ”Shared leadership” considered a change of the leadership model with interviews (III-IV) and questionnaires (V) as methods for data collection. Health professionals’ conceptions of leadership were described by a phenomenographical approach (III). In addition, two nurse managers’ experiences of working together as equal partners within a shared leadership model have also been presented by Grounded Theory (IV). In the last paper (V), a quantitative method has been used by means of a questionnaire. Some of these questions are included in the QPSNordic focusing on health professionals’ approach to work, leadership and shared leadership. Results: Participation and balancing involvement in a change process was emphasised by the health professionals. Leadership was highlighted as an important factor for healthcare organisations in change. Nurse leadership was seen as an ideal image by the health professionals and emphasised the importance for being present and available in order to provide support and feedback to improve practice. Supportive ”two-getherness” in a shared leadership are described as a relationship based on trust and confidence. Shared leadership made it possible to share responsibilities and tasks, which gave nurse managers a good working environment. Health professionals believe that shared leadership contributes to increased availability of committed nurse managers in day-to-day work. Conclusion: Two empirical models; committed leadership and supporting ”two-getherness” were developed. Committed leadership is built on participation through support in a caring culture. Supporting ”two-getherness” uses concepts such as common value and confident relationship. Moreover, the theory of Caritative Leadership was further developed from another perspective which is that of the relationship between managers. This relationship is known as supporting ”two-getherness”. / Syfte: Avhandlingen syftar till att följa upp, beskriva samt generera tentativ teori om pågående förändringsprocesser inom hälso- och sjukvården på såväl makronivå genom studier av sjukhusfusioner som mikronivå genom studier av delat ledarskap. Metod: ”Sjukhusfusioner” beskriver två genomförda sjukhussammanslagningar utifrån en kvalitativ ansats, Grounded Theory med intervjuer av vårdpersonal (I, II). ”Delat ledarskap” utgår från en förändrad ledarskapsmodell på en intensivvårdsavdelning med intervjuer (III-IV) samt frågeformulär (V) som datainsamlingsmetod. Vårdpersonalens uppfattningar av ledarskap redovisas genom en fenomenografisk ansats (III). Vidare beskrivs två avdelningschefers upplevelser av att ha arbetat i ett delat ledarskap genom Grounded Theory (IV). I den sista delstudien (V) används en kvantitativ metod i form av ett frågeformulär. En del av dessa frågor ingår i instrumentet QPSNordic som belyser vårdpersonalens åsikter om arbete, ledarskap och delat ledarskap. Resultat: Vårdpersonalen uttryckte behov av delaktighet och balans mellan olika behov och krav i ett förändringsarbete. Ledarskapets betydelse lyftes fram som en framgångsfaktor för att utveckla hälso- och sjukvårdsorganisationer i förändring. Vårdpersonalens idealbild av sjuksköterskans ledarskap utgjordes av en chef som var närvarande och tillgänglig i den dagliga verksamheten. Begreppet stödjande tvåsamhet lyftes fram som kärnan i delat ledarskap. Stödjande tvåsamhet, en tillitsfull relation mellan avdelningscheferna, bidrog till en god arbetsmiljö då ansvar och befogenheter delades av aktuellt ledarpar. Vårdpersonalen hade en positiv syn på sitt arbete och ledarskapet. De ansåg att det delade ledarskapet ökade avdelningschefernas möjligheter att vara engagerade och tillgängliga i det dagliga arbetet. Konklusion: Resultatet har bildat underlag för två empiriskt grundade modeller; engagerat ledarskap och stödjande tvåsamhet. Engagerat ledarskap utgår från begreppen delaktighet och stöd i en vårdande kultur. Stödjande tvåsamhet bygger på en gemensam värdegrund och olikheter i kompetens hos ledarparet som ligger till grund för utveckling av en tillitsfull relation. Vidare har teorin om det caritativa ledarskapet vidareutvecklats genom begreppet stödjande tvåsamhet som belyser relationen chef till chef i en vårdande kultur.

Syfte: Avhandlingen syftar till att följa upp, beskriva samt generera tentativ teori om pågående förändringsprocesser inom hälso- och sjukvården på såväl makronivå genom studier av sjukhusfusioner som mikronivå genom studier av delat ledarskap. Metod: ”Sjukhusfusioner” beskriver två genomförda sjukhussammanslagningar utifrån en kvalitativ ansats, Grounded Theory med intervjuer av vårdpersonal (I, II). ”Delat ledarskap” utgår från en förändrad ledarskapsmodell på en intensivvårdsavdelning med intervjuer (III-IV) samt frågeformulär (V) som datainsamlingsmetod. Vårdpersonalens uppfattningar av ledarskap redovisas genom en fenomenografisk ansats (III). Vidare beskrivs två avdelningschefers upplevelser av att ha arbetat i ett delat ledarskap genom Grounded Theory (IV). I den sista delstudien (V) används en kvantitativ metod i form av ett frågeformulär. En del av dessa frågor ingår i instrumentet QPSNordic som belyser vårdpersonalens åsikter om arbete, ledarskap och delat ledarskap. Resultat: Vårdpersonalen uttryckte behov av delaktighet och balans mellan olika behov och krav i ett förändringsarbete. Ledarskapets betydelse lyftes fram som en framgångsfaktor för att utveckla hälso- och sjukvårdsorganisationer i förändring. Vårdpersonalens idealbild av sjuksköterskans ledarskap utgjordes av en chef som var närvarande och tillgänglig i den dagliga verksamheten. Begreppet stödjande tvåsamhet lyftes fram som kärnan i delat ledarskap. Stödjande tvåsamhet, en tillitsfull relation mellan avdelningscheferna, bidrog till en god arbetsmiljö då ansvar och befogenheter delades av aktuellt ledarpar. Vårdpersonalen hade en positiv syn på sitt arbete och ledarskapet. De ansåg att det delade ledarskapet ökade avdelningschefernas möjligheter att vara engagerade och tillgängliga i det dagliga arbetet. Konklusion: Resultatet har bildat underlag för två empiriskt grundade modeller; engagerat ledarskap och stödjande tvåsamhet. Engagerat ledarskap utgår från begreppen delaktighet och stöd i en vårdande kultur. Stödjande tvåsamhet bygger på en gemensam värdegrund och olikheter i kompetens hos ledarparet som ligger till grund för utveckling av en tillitsfull relation. Vidare har teorin om det caritativa ledarskapet vidareutvecklats genom begreppet stödjande tvåsamhet som belyser relationen chef till chef i en vårdande kultur. / Aim: The overall aim of this thesis is to follow up, describe and generate a tentative theory on ongoing processes of change in health care. This will be done at a macro level, through the study of hospital mergers as well as a micro level through studies of shared leadership. Method: ”Hospital Mergers” is based on a qualitative approach; Grounded Theory, with interviews of health professionals (I, II). ”Shared leadership” considered a change of the leadership model with interviews (III-IV) and questionnaires (V) as methods for data collection. Health professionals’ conceptions of leadership were described by a phenomenographical approach (III). In addition, two nurse managers’ experiences of working together as equal partners within a shared leadership model have also been presented by Grounded Theory (IV). In the last paper (V), a quantitative method has been used by means of a questionnaire. Some of these questions are included in the QPSNordic focusing on health professionals’ approach to work, leadership and shared leadership. Results: Participation and balancing involvement in a change process was emphasised by the health professionals. Leadership was highlighted as an important factor for healthcare organisations in change. Nurse leadership was seen as an ideal image by the health professionals and emphasised the importance for being present and available in order to provide support and feedback to improve practice. Supportive ”two-getherness” in a shared leadership are described as a relationship based on trust and confidence. Shared leadership made it possible to share responsibilities and tasks, which gave nurse managers a good working environment. Health professionals believe that shared leadership contributes to increased availability of committed nurse managers in day-to-day work. Conclusion: Two empirical models; committed leadership and supporting ”two-getherness” were developed. Committed leadership is built on participation through support in a caring culture. Supporting ”two-getherness” uses concepts such as common value and confident relationship. Moreover, the theory of Caritative Leadership was further developed from another perspective which is that of the relationship between managers. This relationship is known as supporting ”two-getherness”.