Formación en salud comunitaria: retos, amenazas y oportunidades. Informe SESPAS 2018

Pérez, Blanca Valls; Larrañaga, Sara Calderón; Cerdá, Joan Carles March; Rodríguez, Enrique Oltra

doi:10.1016/j.gaceta.2018.07.007

Cited by 12 publications

(5 citation statements)

References 7 publications

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“…16 Although training in community health promotion is envisaged within the Spanish national General Practice (GP) training programme, 21 current investment of time and resources in these activities is highly heterogenous and, generally, limited. 22 The development and implementation of an educational programme on asset-based community development (ABCD) could potentially contribute to reduce current training deficiencies and strengthen the community orientation of PC. ABCD exercises could allow GP trainees to identify health assets within the communities and populations they serve and use this knowledge to promote social prescribing amongst their patients.…”

Section: Open Accessmentioning

confidence: 99%

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Development and evaluation of a training programme on asset-based community development aimed at general practice trainees: protocol for a mixed-method multilevel and multicentric action research study

et al. 2021

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IntroductionAsset-based community development (ABCD) is a strategy aimed at strengthening communities of interest through the identification and enhancement of those protective resources (also called ‘health assets’) that contribute to improve population health. Although primary care is specially well placed to contribute to ABCD by facilitating patients’ access to community health assets, the implementation of ABCD approaches is limited, in part due to training deficiencies amongst general practitioners. In this study, we will develop a training programme on ABCD aimed at general practice trainees and evaluate its implementation and scale-up in Andalusia, Spain. We will also investigate whether the programme may contribute to strengthen the community orientation of the primary care practices involved in the study.Methods and analysisWe will undertake a mixed methods, multilevel and multicentric action research study drawing on theoretical frameworks relevant to learning (pedagogy) and community health promotion. The intervention will be implemented and evaluated in eight different study areas over 48 months. It will comprise a classroom-based session and a practical exercise, which will involve general practice trainees producing a map of community health assets relevant to common health conditions. In each study area, we will set up a stakeholder group to guide our study. We will run the intervention sequentially across the eight study areas, and modify and refine it iteratively by incorporating the findings from the evaluation. We will employ qualitative (interviews and focus groups with general practice trainees, primary care workers, members of the teaching units and policymakers) and quantitative methods (self-administered questionnaires with an approximate sample of 157 general practice trainees and 502 primary care workers).Ethics and disseminationEthics approval from the Andalusian Regional Health Council has been granted (6/2020). It is envisaged that this research will provide relevant, evidence-based guidance on how best to incorporate learning on ABCD into the general practice training curriculum. Findings will be disseminated in an ongoing manner and will target the following audiences: (1) general practice trainees, primary care workers and members of the teaching units, (2) policymakers and strategic decision makers and (3) the academic community.

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Section: Open Accessmentioning

confidence: 99%

“…Training in community health promotion delivered across MPTUs is highly heterogenous and, generally, scarce. 22 …”

Section: Setting and Contextmentioning

confidence: 99%

Development and evaluation of a training programme on asset-based community development aimed at general practice trainees: protocol for a mixed-method multilevel and multicentric action research study

et al. 2021

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“…Recent research indicates that advancements in curriculum innovation and research within community nursing have been limited (21)(22)(23).…”

Section: Introductionmentioning

confidence: 99%

Tree of Life in Community Nursing Practices: Curriculum Analysis of Five Universities

Orozco-Castillo,

Betancurth-Loaiza,

Pico-Merchán

2024

Hacia Promoc. Salud

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Objective: To interpret community academic practices based on the analysis of the curricula of nursing programs from five universities located in the Eje Cafetero (Coffeee Region), Colombia 2021-2022. Method: Qualitative hermeneutic study with a documentary review of curricular elements in nursing programs related to community practices. The document analysis was conducted using a spiral process of preconceived interpretation. The curricular components were examined to gain insight and depict them within the metaphorical framework of the tree of life. Results: From the analysis, an emerging pattern is identified, represented through the metaphor of the tree of life: “the being” (the roots), where the student’s lived experience is essential for comprehensive learning for self and others’ care; “the knowledge” (the trunk), where research and knowledge connect with “the reflective practice” (the branches), which emerge in the context of care in various settings through collaborative and sociopolitical work. Conclusions: Community academic practices are developed by considering three key components: “the being” with ethical commitment and critical thinking, “the knowledge” through sociopolitical knowledge and human social development, and “reflective practice,” a result of the skills acquired by students.

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“…A challenge that these organizational cultures must face is incorporating new members that do not share, accept or know the culture [3,5], provoking conflicts within the group [5]. In PC, the incorporation, recruitment and retention of nurses is influenced by factors such as role and professional autonomy of nurses [13,14,15], work satisfaction [15], low expectation of staff promotion [3,15], absence of specialized training in primary care [16], age and years of experience of nurses [11,17,18], and culture of the shared workplace (values and beliefs of the mission of the staff in the same) [11,15].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Health Human Resources Policies in Primary Care Nursing: A Qualitative Study

Madrazo-Pérez

Parás‐Bravo

Rayón-Valpuesta

et al. 2019

IJERPH

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Background: Organizational culture plays a key role regarding organizational outcomes and determining strategies, goals, and modes of operating which is associated with higher rates of worker morale, turnover and lower adverse events related to patient quality of care issues. Aim: to describe the impact of the relocation of nurses from hospitals and other contexts to primary care from the perspective of primary care nurses. Methods: A qualitative, focused ethnographic study. Site: Cantabro Health Service, Cantabria, Spain. Purposeful sampling methods were used to include nurses who were working in primary care during the study, and who had previous experience of at least one year in primary care. Observation (385 hours, 7 months) and in-depth interviews (17) were used to collect data. A thematic analysis was applied. Results: Four themes emerged from the data: (a) staff policies applied, (b) beliefs regarding the newly incorporated nursing staff, (c) reasons for relocation to primary care, and (d) concern for the future. Conclusions: In primary care, the relocation of non-qualified nursing professionals who are at the end of their career may have a negative impact on the organizational culture. It is necessary to research the most appropriate measures for guaranteeing a satisfactory work environment based on nurses who are qualified in primary health care settings.

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Formación en salud comunitaria: retos, amenazas y oportunidades. Informe SESPAS 2018

Cited by 12 publications

References 7 publications

Development and evaluation of a training programme on asset-based community development aimed at general practice trainees: protocol for a mixed-method multilevel and multicentric action research study

Development and evaluation of a training programme on asset-based community development aimed at general practice trainees: protocol for a mixed-method multilevel and multicentric action research study

Tree of Life in Community Nursing Practices: Curriculum Analysis of Five Universities

The Impact of Health Human Resources Policies in Primary Care Nursing: A Qualitative Study

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