scholarly journals Taking a look to promoting health and complications' prevention: differences by context

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Rosa Maria de Albuquerque Freire ◽  
Maria José Lumini Landeiro ◽  
Maria Manuela Ferreira Pereira da Silva Martins ◽  
Teresa Martins ◽  
Heloísa Helena Ciqueto Peres
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Nursing Interventions ◽  
Quality Practices ◽  
Primary Health ◽  
Systematic Fashion ◽  
Potential Problems ◽  
Ethical Committee Approval ◽  
Convenience Sampling ◽  
Prevention Activities

ABSTRACT Objectives: to acknowledge and compare the health promotion and complications' prevention practices performed by nurses working in hospital and primary health care contexts. Methods: descriptive, exploratory and crosscutting study, performed with 474 nurses selected by convenience sampling. It was used a form that encompassed two categories of descriptive statements about quality in the professional exercise of nurses. This study had ethical committee approval. Results: the nurses' population was mainly women (87,3%) with an average age of 35,5 years. There was more practices of the hospital's nurses related to the identification of potential problems of the patient (p=0.001) and supervision of the activities that put in place the nursing interventions and the activities that they delegate (p=0.003). Conclusion: the nurses perform health promotion and complications' prevention activities, however not in a systematic fashion and professional practices differ by context. This study is relevant as it may promote the critical consciousness of the nurses about the need of stressing quality practices.

Preparing nurses for primary health care futures: how well do Australian nursing courses perform?

2010 ◽  
Vol 16 (3) ◽  
pp. 211 ◽  
Author(s):  
Helen Keleher ◽  
Rhian Parker ◽  
Karen Francis
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Chronic Disease ◽  
Curriculum Reform ◽  
Community Settings ◽  
Educational Preparation ◽  
Undergraduate Nursing ◽  
Primary Health ◽  
Prevention And Health Promotion

Health reform is increasingly targeted towards strengthening and expansion of primary health systems as care is shifted from hospitals to communities. The renewed emphasis on prevention and health promotion is intended to curb the tide of chronic disease and sustain effective chronic disease management, as well as address health inequities and increase affordable access to services. Given the scope of nurses’ practice, the success of Australia’s health system reforms are dependent on a nursing workforce that is appropriately educated and prepared for practice in community settings. This article reports on the results of an Australian national audit of all undergraduate nursing curricula to examine the extent of professional socialisation and educational preparation of nurses for primary health care. The results of the audit are compared with Australian nursing standards associated with competency in primary health care. The findings indicate that Australian nursing competencies are general in their approach to skills and knowledge, not specifying any particular competencies for primary health care, while undergraduate student preparation for practice in primary health and community settings is patchy and not keeping pace with reform agendas that promote expanded roles for nurses in primary health care, prevention and health promotion. The implication for nursing curriculum reform is that attention to achieving nursing graduate capacity for primary health care and health promotion is a priority.

scholarly journals The National Mental Health Strategy: Redefining Promotion and Prevention in Mental Health?

2007 ◽  
Vol 13 (3) ◽  
pp. 77 ◽  
Author(s):  
Julie Henderson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Mental Health Promotion ◽  
Health Prevention ◽  
Policy Documents ◽  
Primary Health ◽  
Health Strategy ◽  
National Mental Health

This paper explores policy documents published as part of the National Mental Health Strategy for ideas about mental health promotion and prevention, to determine the extent to which these documents adopt a primary health care approach. Discourse analysis was undertaken of key policy documents to discover the manner in which they discuss mental health promotion and prevention. Three points of departure are identified. The first of these is a focus on social and biological risk factors that manifest at an individual rather than at a social level, effectively drawing attention away from social inequalities. These documents also primarily target a population that is viewed as being "at risk" due to exposure to risk factors, shifting attention from strategies aimed at improving the health of the population as a whole. A final difference is found in the understanding of primary health care. Recent policy documents equate primary health care with the first level of service delivery in the community, primarily by general practitioners, shifting the focus of care from mental health promotion with the community to early intervention with those experiencing mental health problems. This is supported by the incorporation of a biomedical understanding into mental health prevention. While recent mental health policy documents re-assert the need for early intervention and health prevention, the form of mental health prevention espoused in these documents differs from that which informed the Declaration of Alma Alta, Ottawa Charter for Health Promotion and World Health Organization's Health for All strategy.

scholarly journals Pharmaceutical care in Brazil’s primary health care

2017 ◽  
Vol 51 (suppl.2) ◽  
Author(s):  
Patricia Sodré Araújo ◽  
Ediná Alves Costa ◽  
Augusto Afonso Guerra Junior ◽  
Francisco de Assis Acurcio ◽  
Ione Aquemi Guibu ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Pharmaceutical Care ◽  
Health Care Services ◽  
Cross Sectional ◽  
Educational Activities ◽  
Health Team ◽  
Care Services ◽  
Primary Health

OBJECTIVE: To characterize the activities of clinical nature developed by pharmacists in basic health units and their participation in educational activities aiming at health promotion. METHODS: This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015), a cross-sectional and exploratory study, of evaluative nature, consisting of a survey of information in a representative sample of cities, stratified by the Brazilian regions that constitute domains of study, and a subsample of primary health care services. The interviewed pharmacists (n=285) were responsible for the delivery of medicines and were interviewed in person with the use of a script. The characterization of the activities of clinical nature was based on information from pharmacists who declared to perform them, and on participation in educational activities aiming at health promotion, according to information from all pharmacists. The results are presented in frequency and their 95% confidence intervals. RESULTS: From the interviewed subjects, 21.3% said they perform activities of clinical nature. Of these, more than 80% considered them very important; the majority does not dispose of specific places to perform them, which hinders privacy and confidentiality in these activities. The main denominations were “pharmaceutical guidance” and “pharmaceutical care.” The registration of activities is mainly made in the users’ medical records, computerized system, and in a specific document filed at the pharmacy, impairing the circulation of information among professionals. Most pharmacists performed these activities mainly along with physicians and nurses; 24.7% rarely participated in meetings with the health team, and 19.7% have never participated. CONCLUSIONS: Activities of clinical nature performed by pharmacists in Brazil are still incipient. The difficulties found point out to the professionals’ improvisation and effort. The small participation in educational activities of health promotion indicates little integration of pharmacists with the health team and of pharmaceutical services with other health actions

An Oral Health Promotion Module for the Primary Health Care Nursing Course in Acornhoek, South Africa

1999 ◽  
Vol 16 (5) ◽  
pp. 351-358 ◽  
Author(s):  
Eyitope O. Ogunbodede ◽  
Michael J. Rudolph ◽  
Norma M. Tsotsi ◽  
Helen A. Lewis ◽  
Jonathan I. Iloya
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Oral Health ◽  
Oral Health Promotion ◽  
Primary Health ◽  
Nursing Course ◽  
Care Nursing

scholarly journals Patients’ experiences of the caring encounter in health promotion practice: a qualitative study in Swedish primary health care

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Kristina Lundberg ◽  
Mats Jong ◽  
Miek C. Jong ◽  
Lisbeth Porskrog Kristiansen
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Content Analysis ◽  
Primary Health Care ◽  
Organizational Structures ◽  
Main Theme ◽  
Primary Health ◽  
Essential Components ◽  
District Nurses ◽  
Health Promotion Practice

Abstract Background Previous studies have reported that organizational structures and cultures in primary health care are obstacles to district nurses doing successful work in health promotion practice (HPP). Because organizational structures are not easily changed, Jean Watson’s Attending Nurse Caring Model (ANCM) was introduced and piloted at a primary health care center in Sweden, aiming to transform HPP so as to empower district nurses and increase their work satisfaction. Aim To investigate patients’ experiences of the caring encounter in HPP after introduction of the ANCM in Swedish primary health care, the aim being to explore the essential components of the caring encounter between patients and district nurses. Methods A descriptive and qualitative research design was used. Data collection was performed using individual face-to-face interviews with twelve patients at risk for developing CVD. Data analysis consisted of both deductive content analysis, using a categorization matrix based on the ANCM and, subsequently, inductive latent content analysis. Results The findings were abstracted into three themes: 1.‘Feeling the deepest essence of being cared for’: to be respected and being put at the center of the encounter; 2. ‘Feeling acceptance and worth’: being treated with openness and permissive attitudes, 3. ‘Being in a supportive atmosphere that promotes hope’: to feel trust and being trusted in the encounter, and being empowered by hope. The unifying main theme of the caring encounter was abstracted as ‘Experiencing human dignity’. Conclusion The present study revealed that the essence of the caring encounter between patients and district nurses in HPP is to be unconditionally accepted in an environment that inspires hope and encouragement. The ANCM seems to be a promising model to use for strengthening the caring encounter and supporting CVD patients in making healthy lifestyle choices. However, further studies of qualitative and quantitative designs are needed to investigate what the ANCM can contribute to HPP in Swedish primary health care.

Evaluating health promotion projects in primary care: recent experiences in Scotland

1995 ◽  
Vol 54 (2) ◽  
pp. 226-240 ◽  
Author(s):  
Cora Shiroyama ◽  
Lorna McKee ◽  
Linda McKie
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Care Setting ◽  
Health Care Team ◽  
Team Members ◽  
Primary Health ◽  
Academic Researchers ◽  
Health Care Fund ◽  
Evaluation Approaches

The evaluation of health promotion in primary health care has been brought to the forefront of debates in Scotland with the introduction of an evaluation component in every project funded under the Development of Health Care Fund scheme. The level of skills and empathy with evaluation approaches and research methods varies considerably between primary health care team members, and consequently academic researchers are increasingly being drawn into NHS debates on evaluation and health promotion in primary health care. In this article the authors draw upon their respective experiences as evaluators to highlight specific issues and concerns in the evaluation of health promotion in a primary health care setting.

scholarly journals Práticas integrativas e complementares e a interface com a promoção da saúde: revisão integrativa/Integrative and complementary practices and the interface with the health promotion: integrative review

2017 ◽  
Vol 16 (3) ◽  
Author(s):  
Indiara Sartori Dalmolin ◽  
Ivonete Teresinha Schülter Buss Heidemann
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Complementary Therapies ◽  
Integrative Review ◽  
Electronic Library ◽  
Primary Health

As práticas integrativas e complementares (PIC) possuem uma interface com a promoção da saúde, especialmente por estimular uma visão holística e empoderadora sobre o ser humano. Este estudo teve como objetivo identificar as produções sobre as PIC na Atenção Primária e sua interface com a promoção da saúde. Trata-se de uma revisão integrativa realizada nas bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde, Índice Bibliográfico Espanhol em Ciências da Saúde, Sistema Online de Busca e Análise de Literatura Médica, Biblioteca Cochrane e Scientific Electronic Library Online, com a utilização da combinação dos descritores: Complementary Therapies and Health Promotion and Primary Health Care, nos idiomas português, espanhol e inglês, de 2005 a 2014. A análise dos dados seguiu a modalidade temática. Da busca emergiram 25 artigos, sendo incluídos quatro para análise e discussão. Desses, chegou-se a três categorias: Saber popular versus saber científico: implicações na saúde; As PIC e a invisibilidade no campo da promoção da saúde; Formação em saúde: necessidade de pensar os modelos e prioridades de ensino. Concluiu-se que as PIC possuem pouca visibilidade pelos profissionais, no que tange à promoção da saúde, e constituem um modelo incipiente na formação em saúde.

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