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

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.

Promoção da saúde de adolescentes e Programa Saúde na Escola: complexidade na articulação saúde e educação

“…Contrary to what was observed in the professional discourses, who understood that health promotion for adolescents occurs through preventive procedures (3) and healthy behavior orientation, without associating them with the socio-cultural context of the students and the development of criticality. But one of the components of the SHP has the purpose of promoting permanent education for the workers involved in the program (7) , thus bringing a possibility of improving training in a problematic and critical perspective.…”

“…A study performed in Portugal showed that the majority of nurses identify the health situations of the population and the resources of the patient, family and community, taking advantage of hospitalization to promote healthy lifestyles and to provide information generating cognitive learning and new abilities for this patient (3) .…”

“…A study carried out in Portugal (3) warns that the concept of health promotion can be confused with that of disease prevention, the latter being related to the potential problems of the patient and the individuals' intrinsic or extrinsic risk factors. This way of conceiving health promotion is usually applied in actions directed towards adolescents.…”

<b>Saúde, doença e cuidado: significados para jogadores de voleibol de alto rendimento/ Health, disease and care: meanings for high performance volleyball players<b>

“…A promoção da saúde corresponde ao processo de capacitação de indivíduos e grupos para atuar na melhoria da sua qualidade de vida e saúde, incluindo uma participação maior no controle desse processo (15)(16) . A promoção da saúde não pode ser confundida com a prevenção de complicações decorrentes dos problemas potenciais e dos fatores de risco intrínsecos ou extrínsecos ao indivíduo (15)(16)(17)(18) .…”

“…Nesse contexto de possível confundimento, tem-se a reestruturação das práticas profissionais a Cienc Cuid Saude 2019 Out-Dez 18(4) e43864 partir da substituição da ênfase no paradigma biomédico pelo paradigma salutogênico visando a um cuidado coletivo, que considere as múltiplas e complexas relações e interações sociais. Esse processo requer adaptação individual e desenvolvimento de competências profissionais para promover nos sujeitos conhecimento, habilidades, atitudes e consciência necessários para um autocuidado eficiente (17)(18)(19) .…”