The nurse as peacebuilder: Intersections of health and peace

Srof, Brenda

doi:10.1111/phn.13113

Cited by 5 publications

(8 citation statements)

References 20 publications

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“…With regard to the third area, peace has been considered a necessary resource for strengthening the health of the communities, starting from the model of social determinants of health, which seeks to create and sustain the appropriate processes for transforming con ict -which occurs where conditions of vulnerability are exacerbated by violence, war, economic disparities, among other factors-into peaceful and sustainable relationships through public health and health policy actions [40]. These contribute to «bien-vivir» at the individual and collective levels, as well as with nature [41].…”

Section: Discussionmentioning

confidence: 99%

The Close Relationship between Health Actions and Peacebuilding for «Bien-Vivir» of Communities Affected by Armed Conflict in Colombia

González¹,

Duarte

Muñoz³

et al. 2023

Preprint

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Background: The aim of this study is to present the design of a proposal for the implementation of the Comprehensive Health Care Routes (RIAS, by its Spanish acronym) in the municipality of Vista Hermosa (Meta, Colombia). We are trying to get a real and broad view of the health context in the municipality; identify the health assets, problems, and needs, as well as the enablers and barriers for the implementation of the RIAS; and draft a series of recommendations for the implementation of the RIAS. The fieldwork was developed with people living in the urban area of Vista Hermosa and in the rural settlement of Santo Domingo. Methods: This is a quasi-experimental with quantitative and qualitative methods developed in four phases. In the first, we identified the area and worked on the bases. In the second, we conducted community-based research to characterize the population; identify health beliefs, values, and needs, as well as enablers and barriers to accessing the health system; and evaluate the implementation of the RIAS for Health Promotion and Maintenance and the RIAS for Maternal-Perinatal Health in the municipality. In the third, we designed a methodology for implementing the RIAS, and developed six health interventions with their respective deliverables. In the fourth, we transferred the constructed knowledge to the local community, the Health Care Talent (HCT) and the government authorities in Vista Hermosa. Results: We made a diagnosis of the health of the residents of Vista Hermosa and specifically, of the study participants, based on the RIAS for Health Promotion and Maintenance, and the RIAS for Maternal-Perinatal Health. We also developed a compendium of their values and beliefs about health, grouped into five categories: health and disease processes; health, body, and territory; health care; care networks; and barriers to access. Finally, we mapped the municipality's capacity to implement the RIAS. We divided it into three categories: key actors, resources, and facilitators. Discussion: This study made important contributions in three areas: a) the communities located in the urban areas of Vista Hermosa and Santo Domingo; b) the ongoing implementation of the RIAS in Vista Hermosa; and c) the field of research on peacebuilding health interventions. Finally, we identified challenges and limitations that may affect the implementation of the RIAS, as well as some recommendations to address the latter.

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Section: Discussionmentioning

confidence: 99%

The Close Relationship between Health Actions and Peacebuilding for «Bien-Vivir» of Communities Affected by Armed Conflict in Colombia

González¹,

Duarte

Muñoz³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Concerning the third area, we have considered peace as a necessary resource for strengthening the health of communities, starting from the model of social determinants of health, which seeks to create and sustain the appropriate processes for transforming con ict, which occurs where conditions of vulnerability are exacerbated by violence, war, economic disparities, among other factors, into peaceful and sustainable relationships through public health and health policy actions [40]. These contribute to "bien-vivir" at the individual and collective levels and with nature [41].…”

Section: Discussionmentioning

confidence: 99%

The Close Relationship between Health Actions and Peacebuilding for the “Bien-Vivir” of Communities Affected by Armed Conflict in Colombia

González¹,

Duarte

Muñoz³

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: This study aims to present the design of a proposal for implementing the Comprehensive Health Care Routes in the municipality of Vista Hermosa (Meta, Colombia). We are trying to obtain an accurate and broad view of the health context in the municipality; identify the health assets, problems, and needs, as well as the enablers and barriers for implementing RIAS; and draft a series of recommendations for the implementation of the RIAS. We developed the fieldwork with people living in the urban area of Vista Hermosa and the rural settlement of Santo Domingo. Methods: We developed this quasiexperimental study with quantitative and qualitative methods in four phases. First, we identified the area and worked on the bases. Second, we conducted community-based research to characterize the population; identify health beliefs, values, and needs, as well as enablers and barriers to accessing the health system; and evaluate the implementation of the RIAS for Health Promotion and Maintenance and the RIAS for Maternal-Perinatal Health in the municipality. Third, we designed a methodology for implementing the RIAS and developed six health interventions with their respective deliverables. Fourth, we transferred the constructed knowledge to the local community, the Health Care Talent, and the government authorities in Vista Hermosa. Results: We made a diagnosis of the health of the residents of Vista Hermosa and specifically of the study participants based on the RIAS for Health Promotion and Maintenance and the RIAS for Maternal-Perinatal Health. We also developed a compendium of their values and beliefs about health, grouped into five categories: health and disease processes; health, body, and territory; health care; care networks; and barriers to access. Finally, we mapped the municipality's capacity to implement the RIAS and divided it into three categories: key actors, resources, and facilitators. Discussion: This study made essential contributions in three areas: a) the communities in the urban areas of Vista Hermosa and Santo Domingo; b) the ongoing implementation of the RIAS in Vista Hermosa; and c) the field of research on peacebuilding health interventions. Finally, we identified challenges and limitations that may affect the implementation of the RIAS, as well as some recommendations to address the latter.

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“…Examples of interdisciplinary collaboration in peace and health are described by Srof (2022). Additional dialog is needed within the health professions to reflect on the meaning of peacebuilding from the perspective of the ethics of care.…”

Section: Discussionmentioning

confidence: 99%

“…Nursing is historically well‐situated for addressing social injustices that create inequities in healthcare. In her work in the early 20th century with immigrant populations in New York City, Lillian Wald exemplified caring practices, community engagement, and political advocacy relevant to nursing practice today (Srof, 2022; Wald, 1915). In the latter half of the 20th century, Nancy Milio's work as a visiting nurse inspired the development of grassroots community organizations and scholarly work connecting health disparities with poor health outcomes (Milio, 1975, 2006; Women in Medicine Legacy Foundation, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…In 2022, the director-general of the WHO, Tedros Adhanom Ghebreyesus, stated, "There cannot be health without peace, and there cannot be peace without health" (World Health Organization [WHO)], 2022, para 1). Interweaving concepts of health and peace is evidenced in communities, as lack of access to healthcare and social resources contributes to increasing community violence and, in turn, poor health outcomes (Srof, 2022).…”

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confidence: 99%

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Nurses' lived experience of peacebuilding

Srof,

Lagerwey,

Liechty

2023

Nursing Inquiry

Self Cite

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Nursing has a unique opportunity to address issues of structural violence that contribute to poor health outcomes. Models for designing nursing care relative to the social determinants of health can be adapted from the discipline of peace studies and the phenomenon of peacebuilding. The aim of this qualitative study was to describe the lived experience of peacebuilding from the perspective of community or public health nurses. Interviews were conducted with eight participants. Attributes of the peacebuilder included fostering human relationships that value the inherent worth and dignity of others, nurturing a character of humility and moral courage, and contemplating the personal cost of engaging in prolonged processes of peacebuilding. Practices of peacebuilding included mediating conflict through multilayered processes, accompanying others to places of empowerment, and utilizing interdisciplinary teaching and learning to build capacity for change. Increasing an understanding of the lived experience of peacebuilding by nurses is relevant to nursing research, theory, and practice, and adds to a broader understanding of peacebuilding.

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The nurse as peacebuilder: Intersections of health and peace

Cited by 5 publications

References 20 publications

The Close Relationship between Health Actions and Peacebuilding for «Bien-Vivir» of Communities Affected by Armed Conflict in Colombia

The Close Relationship between Health Actions and Peacebuilding for «Bien-Vivir» of Communities Affected by Armed Conflict in Colombia

The Close Relationship between Health Actions and Peacebuilding for the “Bien-Vivir” of Communities Affected by Armed Conflict in Colombia

Nurses' lived experience of peacebuilding

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