Development of a taxonomy of activities in health prevention and promotion for primary care

Abstract

Aim: To develop a taxonomy of activities in health prevention and promotion for primary care.Background: Despite health promotion being considered a keystone for population health and health care sustainability, its implementation remains insufficient.Customized evaluation tools are needed to address prevention and promotion omissions in primary care. Method:A taxonomy was designed using documentary analysis. Documents describing frontline primary care professionals' health prevention and promotion activities or omissions were identified and analysed using framework analysis. Results: The 'Taxonomy of Activities in Health Prevention and Promotion for Primary Care' (TaxoPromo) includes 43 activities grouped into eight categories: planification, situational analysis, capacity building, development of awareness/public opinion, advocacy, development of networks, development of partnerships and intervention strategies. Conclusion: By contrasting the usual practices with the activities collected in theTaxoPromo, opportunities for improvement can be unveiled. Implications for Nursing Management:The TaxoPromo can be used at organisational and system levels to identify actions to integrate health prevention and promotion activities into a systematic, data-driven process; design implementation plans and tailor-made strategies for capacity building; enable benchmarking; and address omissions. The TaxoPromo can serve as a catalyst tool for the clarification and expansion of the nursing role in health prevention and promotion.

Building capacity for health promotion by addressing nurses' role confusion: Study protocol of a pilot clustered randomised controlled trial

“…This information is vital if any action is needed to rectify the difficulties faced by those who should execute the role (Biddle, 2013). For the present study, a standardized instrument reflecting primary care nurses' expected role in HP was constructed based on the Ottawa Charter, as it represents a legitimate and ideal portrait of practice in the HP field (Pumar‐Méndez et al, 2020).…”

“…2.9.5 | Changes in nurses' agreement on their role in HPNurses' agreement on their role in HP will be measured with the 'Nurses' Role in Health Promotion Questionnaire', built using the taxonomy of activities in HP and prevention (TaxoPromo) for primary care. TaxoPromo represents a catalogue of 43 activities that should be carried out by frontline health professionals to fully develop HP and prevention in primary care and is based on the Ottawa Charter(Pumar-Méndez et al, 2020). The content of TaxoPromo has been validated by an expert panel including health professionals, managers or planners and academics or researchers with influence and experience in the fields of HP, public health and patient safety(Mujika et al, 2020).The design of the 'Nurses' Role in Health Promotion Questionnaire' paid attention to the editing of the items, following the checklist proposed by De Vaus (2014).…”