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Um modelo de educação sexual pelos pares em escolas portuguesas

Veríssimo, Lurdes; Carvalho, M. Carmo; Guimarães, Margarida Mesquita; Silva, Isolina Virgínia Pereira da; Aguiar, Filomena Frazão de; Caetano, Joaquim António Machado
Fonte: Universidade Católica Portuguesa Publicador: Universidade Católica Portuguesa
Tipo: Artigo de Revista Científica
Publicado em //2008 POR
Relevância na Pesquisa
46.19%
This article presents the National Peer Education Program, a sex education model which is being implemented by the Fundação Portuguesa A Comunidade Contra a Sida (Portuguese Foundation The Community Against AIDS) in Portuguese schools. Based on the epidemiological data and a review on the theoretical and empirical background to peer education, this text presents and discusses the main stages of intervention, and raises topical and controversial issues in the area of Sex Education, which continue to present a challenge for contemporary Education .

Attitudinal Changes Using Peer Education Training in the Prevention of HIV/AIDS: A Case Study of Youths in North Central Nigeria

Abu-Saeed, Muhammad Buhari; Abu-Saeed, Kamaldeen
Fonte: Tabriz University of Medical Sciences Publicador: Tabriz University of Medical Sciences
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.24%
Purpose: HIV/AIDS is a major public health issue. Studies have shown that young people between the ages of 15 to 24 years accounts for more than 40% of new HIV infections. However, new infections could be prevented if the desired impact is made on young people through interventions such as effective peer education program to improve their knowledge, attitude and practice. Therefore, this study is aimed at assessing the impact of peer education vis-a-vis attitudinal changes and practices on issues relating to HIV/AIDS among youths in North central Nigeria. Methods: This classical experimental study was carried out in three stages, that is: pre-intervention, intervention and post-intervention stages among students of Government High School, Ilorin between the ages of 15 and 24 years. The sample size was 80 students each for study and control groups. Proportional gender distribution was ensured in the selection and the sampling technique was multistage sampling technique. Data collection was through semi structured self administered pre and post evaluation questionnaire. Peer education training and forth night mentoring sessions was conducted for the study group. Impact of the intervention was assessed after eight weeks. Results: Analysis of the result shows that out of the sixteen questions asked on respondents’ attitude...

Process evaluation of school-based peer education for HIV prevention among Yemeni adolescents

Al-Iryani, Buthaina; Basaleem, Huda; Al-Sakkaf, Khaled; Kok, Gerjo; van den Borne, Bart
Fonte: Taylor & Francis Publicador: Taylor & Francis
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.34%
In 2005, a survey was conducted among all the 27 high schools of Aden, which revealed low levels of knowledge on major prevention measures, and a high level of stigma and discrimination towards people living with HIV (PLWH). The results served as a baseline for implementing a school-based peer education intervention for HIV prevention in the 27 schools of Aden. In 2008, and after 3 years of implementation, a quasi-experimental evaluation was conducted, which revealed that the peer education intervention has succeeded in improving HIV knowledge and skills; and in decreasing stigmatization of PLWH. This process evaluation aims to give a deeper understanding of the quasi-experimental evaluation which was conducted in the 27 high schools of Aden, and to highlight the factors that facilitated or inhibited school peer education in such a conservative Muslim setting. Qualitative methodologies were pursued, where 12 focus group discussions and 12 in-depth interviews were conducted with peer educators, targeted students, school principals, social workers, and parents of peer educators. Results revealed that school-peer education was well received. There was an apparent positive effect on the life skills of peer educators, but the intervention had a lesser effect on targeted students. Key enabling factors have been the high quality of training for peer educators...

Evaluation of the Effectiveness of Peer Education in Improving HIV Knowledge, Attitude, and Sexual Behaviours among In-School Adolescents in Osun State, Nigeria

Adeomi, Adeleye Abiodun; Adeoye, Oluwatosin Adediran; Asekun-Olarinmoye, Esther Olufunmilayo; Abodunrin, Olugbemiga Lanre; Olugbenga-Bello, Adenike Iyanuoluwa; Sabageh, Adedayo Olukemi
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.24%
Introduction. Young people are at the centre of the global HIV/AIDS epidemic. This study therefore aimed to evaluate the effectiveness of peer education in improving HIV knowledge, attitude, and preventive practices among in-school adolescents in Osun State, Nigeria. Methods. This was an intervention study that was carried out among in-school adolescents attending mixed secondary schools in Osun State, Nigeria. The study was in three stages: before intervention, intervention, and after intervention. The impact of peer education was evaluated twelve weeks after intervention. Data were collected using pretested semistructured questionnaires and data analysis was done with SPSS version 16. Results. At the preintervention stage, the study and control groups were similar in their sociodemographic characteristics, HIV knowledge, attitude, and preventive practices, including high risk behaviours for HIV/AIDS transmission. After the peer education intervention, those with good knowledge and positive attitudes towards HIV/AIDS increased significantly from 50.0% to 86.7% and from 49.0% to 85.6%, respectively (P < 0.05). Conclusion. The study showed that peer education is effective in improving knowledge, attitude, and some preventive practices towards HIV/AIDS among in-school adolescents. Educational programmes about HIV/AIDS should therefore be designed to target this age group putting into consideration their unique characteristics.

The Peer Education Approach in Adolescents- Narrative Review Article

Abdi, Fatemeh; Simbar, Masoumeh
Fonte: Tehran University of Medical Sciences Publicador: Tehran University of Medical Sciences
Tipo: Artigo de Revista Científica
Publicado em /11/2013 EN
Relevância na Pesquisa
46.24%
Adolescence is an important stage of human life span, which crucial developmental processes occur. Since peers play a critical role in the psychosocial development of most adolescents, peer education is currently considered as a health promotion strategy in adolescents. Peer education is defined as a system of delivering knowledge that improves social learning and provides psychosocial support. As identifying the outcomes of different educational approaches will be beneficial in choosing the most effective programs for training adolescents, the present article reviewed the impact of the peer education approach on adolescents. In this review, databases such as PubMed, EMBASE, ISI, and Iranian databases, from 1999 to 2013, were searched using a number of keywords. Peer education is an effective tool for promoting healthy behaviors among adolescents. The development of this social process depends on the settings, context, and the values and expectations of the participants. Therefore, designing such programs requires proper preparation, training, supervision, and evaluation.

A Sourcebook of HIV/AIDS Prevention Programs : Education Sector-Wide Approaches

Beasley, Michael; Valerio, Alexandria; Bundy, Donald A. P.
Fonte: Banco Mundial Publicador: Banco Mundial
Relevância na Pesquisa
46.26%
This sourcebook aims to support efforts by countries to strengthen the role of the education sector in the prevention of HIV/AIDS. It was developed in response to numerous requests for a simple forum to help countries share their practical experiences of designing and implementing programs that are targeted at school-age children. The sourcebook seeks to fulfill this role by providing concise summaries of programs, using a standard format that highlights the main elements of the programs and makes it easier to compare the programs with each other. All the programs are summarized in section two, which allows those seeking advice on program design to browse through the various options and identify those that might reward further study. The full program reports for each country are given in section three. Each program report follows the same format, so the reader can more easily find those aspects of the program that are of specific interest. The consistent design also allows for ease of comparison between programs. There are four main sections within each full program report. Part A gives an overview of the program...

The Link Between Health, Social Issues, and Secondary Education : Life Skills, Health, and Civic Education

Smith, Robert; Nesbakken, Guro; Wirak, Anders; Sonn, Brenda
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
EN_US
Relevância na Pesquisa
46.19%
This working paper is based on a literature review and country case studies in six Sub-Saharan African countries: Eritrea, Mali, Namibia, Senegal, South Africa, and Tanzania. It looks at the role of secondary education and training in promoting health, civics and life skills among the African youth. Specifically, this study focuses on examining which schooling programs are effective in equipping young people with life skills, which programs reduce dropout and increase participation and how schools can become agents in tackling health and social issues.

A educação pelos pares: críticas a uma estratégia de intervenção social

Silva, Mara
Fonte: CICS.NOVA-UMinho Publicador: CICS.NOVA-UMinho
Tipo: Artigo de Revista Científica
Publicado em //2015 POR
Relevância na Pesquisa
46.24%
A educação entre pares formalizada tem sido cada vez mais utilizada em projetos que visam a promoção da saúde e a mudança social. Apesar de, no geral, a produção científica que se debruça sobre a Educação pelos Pares efetuar uma apreciação positiva do seu uso, também lhe têm sido apontadas várias falhas. Com o objetivo de contribuir para um melhor conhecimento desta prática, e consequentemente para o melhoramento do seu uso social, procedeu-se a uma revisão teórica dos principais argumentos contra realizados até ao presente. Identificando-os, sintetizando-os e refletindo sobre eles, foi possível perceber que as principais críticas realizadas ao uso da Educação pelos Pares podem ser reunidas em dois grandes grupos: a) um de cariz teórico-concetual (considerado pouco robusto; ambíguo); b) e um de cariz operacional, com falhas diversas apontadas ao nível dos processos (onde se destaca a falta de atenção para com os constrangimentos sociais), e ao nível dos resultados. Conclui-se que as críticas elencadas no geral não serviram para abalar a disseminação da Educação pelos Pares, seguindo a resposta dos atores sociais no sentido/tentativa de integrar algumas das críticas produzidas.; Formalized Peer Education has been increasingly used in projects focused on health promotion and social change. Although overall scientific production on the use of Peer Education make a positive assessment of its use...

Peer observer feedback sheets: A tool for structured peer feedback

Khaw, C.; Tonkin, A.; Kildea, H.; Linn, A.
Fonte: Australasian and New Zealand Association for Medical Education Publicador: Australasian and New Zealand Association for Medical Education
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
Relevância na Pesquisa
46.26%
Background: Peer assisted learning in the form of peer feedback has been used in a range of settings for medical education and assessment. Clinical skills are an important and vital aspect of undergraduate medical education. Clinical skills learning has been enhanced by incorporating peer assisted learning in medical curricula. Aim: To assess the usefulness of peer observer feedback sheets as a tool for structured peer feedback in enhancing early undergraduate clinical skills learning. Method: An innovative tool enabling peer feedback in history taking and physical examination skills was distributed to small student groups in year 1 and year 2 undergraduate clinical skills tutorials throughout the 2008 academic year. A questionnaire regarding the usefulness of this tool in helping with clinical skills learning was then distributed to all first and second year medical students for evaluation at the end of the second semester in the 2008 academic year. Results: The results supported some usefulness of this tool in helping early undergraduate medical students with clinical skills tutorials. At the end of the academic year, 71.5% of year 1 and 62.4% of year 2 students found this tool 'useful' to 'extremely useful'. Conclusion: Peer observer feedback sheets were perceived by the majority of a cohort of first and second year medical students to be useful in clinical skills teaching and learning. Further research is needed to determine the effectiveness of this tool on actual student performance and how this will impact on low performing students.; C. Khaw...

Education and HIV / AIDS : A Window of Hope; Pendidikan dan HIV/AIDS suatu jendela harapan

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Publications & Research :: Publication; Publications & Research :: Publication
ENGLISH; EN_US
Relevância na Pesquisa
56.19%
The paper highlights that the education of children, and youth merits the highest priority in a world afflicted by HIV/AIDS, specifically because a good basic education ranks among the most effective - and cost-effective - means of HIV prevention. It also merits priority because the very education system that supplies a nation's future, is being greatly threatened by the epidemic, particularly in areas of high, or rising HIV prevalence. The paper confronts the destructive power of the epidemic, with the need to accelerate efforts towards achieving "education for all" goals, aiming at prioritizing education, because education is a major engine of economic, and social development, and, because education is a proven means to prevent HIV/AIDS. It aims at setting promising directions for such responsiveness, as revealed by a review of country experience to date: based on strategic planning in pursuit of educational goals, school-based prevention programs, and health education, focused on resources for effective school health (in partnership with the United Nations Educational...

A qualitative case study of the processes of peer education in a young adult tobacco control initiative, Leave the Pack Behind

Gartner, Tiffany.
Fonte: Brock University Publicador: Brock University
Tipo: Electronic Thesis or Dissertation
ENG
Relevância na Pesquisa
56.43%
Peer education involves peers offering credible and reliable information about sensitive life issues through the means of an informal peer group setting (Topping & Ehly, 1998). The purpose of this instrumental case study was to examine the processes of peer education through the exploration of two teams within a young adult tobacco control initiative, Leave the Pack Behind (LTPB). This qualitative case study examined two peer education teams over an eight-month period. Interviews, focus groups and observations were conducted with 12 participants across two peer education teams. Findings show the complexities of the processes of peer education including a connection between the stages of change and the changing role of the peer educator across stages of the empowerment process. Peer education teams and factors in the macro environment were also found to impact the process of peer education. This study provides a new definition for the process of peer education: peer education is a fluid process of knowledge exchange in which peer educators adopt different styles of facilitation as people move through stages of empowerment and change. This study contributes to the academic hterature upon the processes of peer education by providing a definition...

WHAT AND HOW UNIVERSITY STUDENT LEADERS LEARNED IN ONE PEER EDUCATION PROGRAM

Parsons, ELIZABETH
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado
EN; EN
Relevância na Pesquisa
66.4%
The purpose of my study was to explore what and how university students learned from their experiences working as peer educators. In my study, I was only interested in investigating peer educators working in formal peer education programs within the post-secondary setting. I defined learning as “a comprehensive, holistic, transformative activity that integrates academic learning and student development” (italics in original, ACPA & NASPA, 2004, p. 2). I used a modified version of the CAS 2009 learning outcomes framework to understand what peer educators learned. Those six CAS learning outcomes are: knowledge acquisition, construction, integration, and application; cognitive complexity; intrapersonal development; interpersonal competence; humanitarianism and civic engagement; and practical competence. I adopted a qualitative, descriptive, exploratory approach to the study of the content and context of peer educators’ learning. I selected participants for my study from a pool of peer educators of a student affairs’ learning assistance peer education program at a mid-sized Ontario university. I conducted face-to-face, in-depth interviews with seven peer educators. My research revealed what peer educators in a single peer education program learned; it also provided insight into their experience of learning within the peer education program...

A peer education program to promote the use of conflict resolution skills among at-risk school age males.

Giuliano, J D
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //1994 EN
Relevância na Pesquisa
46.28%
Violence is devastating the lives of children in America's major cities. The problem of violence is particularly acute among disadvantaged young urban males. This program focuses on violence prevention in school-age boys using creative educational techniques and community partnership. The goal of this school-based program is to decrease the incidence of violent episodes in the school by teaching conflict resolution skills. Conflict resolution skills are taught in the health education component of the school health program. Skills are taught using a peer education model supervised by the school health nurse and planned in partnership with a Violence Prevention Advisory Board. Peer education teams consisting of fifth and sixth grade boys are trained and serve as peer educators for the boys in grades K-4. The violence prevention peer education program stresses primary prevention and targets at-risk school age males. The proposal uses a model that promotes the development of student leadership skills and self esteem. The proposal suggests ways to promote school and community involvement using an advisory board made up of student, community, and school leaders. The peer education program is cost effective and demonstrates how existing resources can be used creatively within the school setting.

Evaluation of STD/HIV/AIDS peer-education and danger: a local perspective

Laperrière,Hélène
Fonte: ABRASCO - Associação Brasileira de Saúde Coletiva Publicador: ABRASCO - Associação Brasileira de Saúde Coletiva
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2008 EN
Relevância na Pesquisa
66.24%
An evaluation of peer-education projects with sex workers, men who have sex with men and marginalized adolescents, was introduced in a remote region of Brazil. The context of varied limits of predictability made it difficult to conduct inquiry. To go beyond available epidemiological surveys and questionnaires on sexual behavior, a self-evaluation aimed at increasing pragmatic knowledge about prevention in a challenging socio-political context. During five-months, a participatory-action research explored participant observation; individual and collective exchanges with users, peer-educators, coordinators, administrators, politicians and regional health professionals. Collective understanding of peer-education in prostitution zones underlines the reality of unforeseen social repercussions and confluence/divergence of multiple actors' perspectives. It identifies meaningful dimensions at a community-level, such as the collective history and dangerous working conditions. Nurses face complex struggles and negotiations over multiple actors in their practice. This study suggests that nurses have a role to play in the conceptualization of participatory evaluation. It also underlines the threats to their physical and social safety, which they might share with peer-educators.

Plantões jovens: acolhimento e cuidado por meio da educação entre pares para adolescentes e jovens nos Centros de Testagem e Aconselhamento - CTA; Youths on duty: reception and care for adolescents and young people at testing and counselling centres

Calazans, Gabriela; Kiss, Lígia; Cappellini, Silvana; Sequeira, Daniela; Vieira, Rosangela Mendes; França Junior, Ivan
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 01/04/2006 POR
Relevância na Pesquisa
46.24%
O Brasil encontra-se com a maior população jovem de sua história. Há um fator agravante para a difícil situação que enfrentam os jovens brasileiros, pois eles vivem em regiões de maior vulnerabilidade social. Estes jovens têm necessidades específicas e devem ser desenvolvidas políticas públicas que respondam a sua especificidade, dentro de uma perspectiva que encoraje a participação. Uma estratégia inovadora na perspectiva da educação entre pares foi desenvolvida no âmbito dos Centros de Testagem e Aconselhamento (CTA) vinculados à Secretaria Municipal da Saúde de São Paulo, denominada Plantão Jovem (PJ). Os PJ são formados por jovens entre 16 e 24 anos, que atuam junto a seus pares em ações de acolhimento, aconselhamento, oferta de insumos e de palestras educativas. Este artigo descreve os PJ, na perspectiva de seus jovens agentes, buscando compreender como estes compreendem o seu trabalho de educação entre pares. Foram desenvolvidos 3 grupos focais com os plantonistas de quatro CTA implantados em regiões periféricas e de alta exclusão social. Os discursos dos plantonistas valorizam a identidade com os jovens de sua comunidade no desenvolvimento de ações individuais e coletivas, a ênfase no aprendizado prático...

Pontos positivos e negativos observados em uma experiência prática com pares educativos em prevenção de aids numa escola secundária em São Paulo, Brasil; Strengths and weakness observed on a practical experience with peer educators for AIDS prevention in a Secondary school in São Paulo, Brazil

Strazza, Leila; Massad, Eduardo; Carvalho, Heráclito Barbosa de
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ART. Formato: application/pdf
Publicado em 07/12/2008 POR
Relevância na Pesquisa
56.24%
Peer education is an important educational tool used internationally presenting good ratings of its effectiveness. This article aims to understand the implementation process of Peer Education as a Brazilian’s Prevention Program rolled in a model periphery São Paulo’s school among its students during 2003 and 2004. This study was enrolled into phases: Identification of the main problems facing the school to the epidemic HIV / AIDS, to elaborate and apply a questionnaire on 115 students, and implementation of workshops on safe sex. They were then highlighted the strengths and weakness of the process. As strengths highlighted are: development of the supplement to the questionnaire, acceptance of the materials used in workshops and routines adopted with emphasis on the use of condoms. As weakness highlighted are: resistance from school imposing limits in the process, obstruction in the inclusion of questions in the questionnaire, indication of peer education and lack of time for their staff.; Pares educativos são uma importante ferramenta educativa utilizada internacionalmente com boas avaliações na eficácia. O presente estudo tem por objetivo avaliar o processo de implantação de pares educativos como programa de prevenção em uma escola modelo da periferia de São Paulo...

Peer education, gender and the development of critical consciousness : participatory HIV prevention by South African youth

Campbell, Catherine; MacPhail, Catherine
Fonte: London School of Economics and Political Science Research Publicador: London School of Economics and Political Science Research
Tipo: Article; PeerReviewed Formato: application/pdf
Publicado em /07/2002 EN; EN
Relevância na Pesquisa
46.27%
Despite the growing popularity of participatory peer education as an HIV-prevention strategy worldwide, our understandings of the processes underlying its impact on sexual norms are still in their infancy. Starting from the assumption that gender inequalities play a key role in driving the epidemic amongst young people, we outline a framework for conceptualising the processes underlying successful peer education. We draw on the inter-locking concepts of social identity, empowerment (with particular emphasis on Freire's account of critical consciousness) and social capital. Thereafter we provide a critical case study of a schools-based peer education program in a South African township school, drawing on a longitudinal case study of the program, and interviews and focus groups with young people in the township. Our research highlights a number of features of the program itself, as well as the broader context within which it was implemented, which are likely to undermine the development of the critical thinking and empowerment which we argue are key preconditions for program success. In relation to the program itself, these include peer educators' preference for didactic methods and biomedical frameworks, unequal gender dynamics amongst the peer educators...

The social conditions for successful peer education: a comparison of two HIV prevention programs run by sex workers in India and South Africa

Cornish, Flora; Campbell, Catherine
Fonte: Springer Netherlands Publicador: Springer Netherlands
Tipo: Article; PeerReviewed Formato: application/pdf
Publicado em /09/2009 EN; EN
Relevância na Pesquisa
46.28%
Peer education is a community-based intervention being implemented worldwide as an approach to HIV prevention. However, its results are inconsistent, with little consensus on why some projects succeed while others fail. Considering peer education as an ‘intervention-incontext’, we systematically compare the context and the implementation of two peer education interventions run by sex workers, one in India and one in South Africa, which produced contrasting outcomes. In so doing, we aim to identify key factors in the projects’ successes or failures that may inform future peer education efforts. The Indian project’s relative success was facilitated (1) by a more stable and supportive social, material and political context, and (2) by a community development ethos which devoted significant resources to sex workers’ involvement, ownership and empowerment, as opposed to a biomedical approach which marginalised sex workers’ concerns. We conclude with lessons learned and implications for current trends in peer education.

A peer-led approach to promoting health education in schools: The views of peers

Frantz,JM
Fonte: South African Journal of Education Publicador: South African Journal of Education
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2015 EN
Relevância na Pesquisa
46.27%
Peer-led health promotion strategies in schools have been found to be effective in promoting healthy behaviours amongst youth. This study aimed to evaluate the views of the peer educators in implementing a health education programme using a qualitative approach. Informal discussions and eight in-depth interviews were used to explore the views of the 10 peer educators. Information from the interviews was transcribed verbatim, analysed, and coded thematically. The themes that emerged from the analysis of the informal discussion and in-depth interviews were grouped into categories, which included peer educators' experience of implementing the intervention, personal growth and experience with interacting with young people, and personal reflection on the presentation of the intervention. The role of peer educators was shown to be crucial to the success of peer-led programmes, but it is clear that equipping and supporting them through the process of implementation is essential.

Evaluation of STD/HIV/AIDS peer-education and danger: a local perspective

Laperrière,Hélène
Fonte: ABRASCO - Associação Brasileira de Saúde Coletiva Publicador: ABRASCO - Associação Brasileira de Saúde Coletiva
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2008 EN
Relevância na Pesquisa
66.24%
An evaluation of peer-education projects with sex workers, men who have sex with men and marginalized adolescents, was introduced in a remote region of Brazil. The context of varied limits of predictability made it difficult to conduct inquiry. To go beyond available epidemiological surveys and questionnaires on sexual behavior, a self-evaluation aimed at increasing pragmatic knowledge about prevention in a challenging socio-political context. During five-months, a participatory-action research explored participant observation; individual and collective exchanges with users, peer-educators, coordinators, administrators, politicians and regional health professionals. Collective understanding of peer-education in prostitution zones underlines the reality of unforeseen social repercussions and confluence/divergence of multiple actors' perspectives. It identifies meaningful dimensions at a community-level, such as the collective history and dangerous working conditions. Nurses face complex struggles and negotiations over multiple actors in their practice. This study suggests that nurses have a role to play in the conceptualization of participatory evaluation. It also underlines the threats to their physical and social safety, which they might share with peer-educators.