Occupational health nurses' perceptions of their education and training needs to meet the new public health agenda using the nominal group technique

2001 ◽  
Vol 20 (4) ◽  
pp. 314-325 ◽  
Author(s):  
Margaret Bamford ◽  
Judith Warder
2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Špoljar Vržina

Abstract Critical medical anthropology has been active throughout the decades (Baer, Susser, Singer 1986; Lock, Nichter, 2002; Lupton, 1995. 2000, 2015) in proving that public health is not only an addition to equations of equity in health care but rooted in cultures of people globally (Špoljar Vržina 2003, 2007, 2008; 2011, 2013, 2021; Špoljar Vržina, Rudan, 2009). Italian anthropologist codified the postmodern 'doing good only in states of emergencies' (Pandolfi, 2010). In times of Corona Covid 19 -2020 epidemiological freights we are urged to take this further into account, especially since witnessing racial stigmatizing on the basis of ethnicity and nationality. Paradoxically, Italy as one of the cradles of quarantines is facing the potential permanent closure of neighbouring borders rather than experiencing a historically practiced cooperation, as in the case with Croatia, over centuries (Blažina, Blažina 2015). If there should be a New Public Health (Baum 2016, 2019; Lupton 1997, 2000) it should be recalibrated by anthropological findings that re- focus towards the good of people, cultures and their cooperation. The work of this paper presents this urgent challenge. This anthropological research is a long-term follow up of Croatian medicine system dismantling (Špoljar Vržina, 2008 onwards) through a continuous analyses of micro (people), intermediary (governmental) and macro (international) changes (Bear et al. 1986), departures from functioning for the benefit of people and finding entry points for ethical corrective interventions. The analysis proved an existing switch of the public health paradigm from global health into states of neoliberal sickness, with clear possibilities of returning to 'health for all' if disengaging from the politics of culture/public health. Public health enhancements need to be based on the recalibration towards knowledges of populational and cultural realities. Key messages Reintroducing the ‘innovative’ wisdom of doing good for all regardless of emergencies is the core of a new public health agenda. The new public health agenda is based on recognizing cultures as pillars of communities and global societies that matter.


1994 ◽  
Vol 5 (2) ◽  
pp. 4-10 ◽  
Author(s):  
Graham Scambler ◽  
Anita Goraya

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K A Nogales Crespo ◽  
A Abrantes ◽  
S Dias

Abstract Background As a science and normative framework, sustainable development attempts to comprehend and regulate the interaction between the global economy, society, and environment. The connection between health and sustainable development is widely recognized by the Sustainable Development Goals (SDGs), challenging the way we understand and do public health. In the absence of operationalizing tools, the SDGs would have limited value. Using policy documents (PDs), this study aims to diagram a new public health agenda for sustainable development in the WHO European Region. Methods 32 PDs ranging from 2010 to 2018 were identified and selected using the contents of the 2015-2018 Sessions of the Regional Committee for Europe. Based on the alignment of PDs and health-related SDG targets, a content analysis was used to characterize a new public health agenda. Results Preliminary results show several pathways of bidirectional contribution between heath, the environment, and economy. Closing the health inequity gap demands upstream measures to combat behavioral risk factors using a life-course and gender approach and a mix of cost-effective universal and target interventions. A transformative process of health and health delivery systems to provide people-centered, demand drive interventions are necessary. Addressing the determinants of health requires strong leadership in the health sector and partnerships for policy coherence. Preparedness to human and environmental induced emergencies requires tackling the root causes of climate change and violence and investing in systems and individual's resilience. Conclusions A public health agenda under the SDGs invites stakeholders to re-think policymaking, understanding health as a pattern of relations intertwined with the environment and economy. Moving beyond the treatment of diseases, this agenda calls for upstream interventions to tackle the determinants of health and improve health delivery systems to close the gap on health equity. Key messages The SDGs challenge the way we understand and do public health. A public health agenda for the SDGs conceives health as a shared responsibility across governance levels and policy sectors.


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