Natália de Cássia Horta

Formação do Enfermeiro: desafios para a promoção da saúde

Estudo qualitativo, descritivo-exploratorio, realizado em dois cursos de Enfermagem com o objetivo de analisar os referenciais de promocao da saude na formacao do enfermeiro. Foram entrevistados 19 coordenadores, docentes, estudantes e profissionais de servicos envolvidos na formacao do enfermeiro. Os resultados indicam imprecisao conceitual entre promocao da saude e prevencao de agravos na formacao do enfermeiro. As concepcoes de promocao da saude reveladas estao associadas a praticas que incidem sobre qualidade de vida sustentada em um conceito amplo e complexo de saude e que sao incipientes nos cenarios da atencao a saude. Conclui-se que a promocao da saude e tomada como decisao politica para mudanca na formacao do enfermeiro, explicitada nos projetos pedagogicos das instituicoes cenario do estudo. Entretanto, esta incorporacao e incipiente e heterogenea quanto a formulacao teorica, indicando a necessidade de ampliacao dos espacos de analise conceitual nas relacoes que proporcionam a producao de saude e do processo formativo.This was a descriptive/exploratory study of qualitative character carried out in two Nursing Schools in the State of Minas Gerais. The goal was to analyze the referential of nurses regarding health promotion. Nineteen course coordinators, faculty members, students and professionals of the health services involved in nurse training were interviewed. The results indicate a conceptual imprecision about health promotion and disease prevention. Revealed conceptions of health-promoting practices are associated to practices that affect the quality of life, which lies on a broad and complex concept of health, and are incipient in the current health care scenario. The conclusion is that health promotion is taken as political decision for a change in nurse training, as made explicit in the pedagogical projects of the institutions taking part in the study. However, such incorporation is incipient and heterogeneous in terms of its theoretical formulation, thus indicating the need for widening the space for a conceptual analysis in the relations that allow for the production of health and of a training process.

Promoção da saúde como decisão política para a formação do enfermeiro

It is a descriptive-exploratory study with a qualitative approach that has the objective of analyzing the health promotion in training nurses. The setting of the research was two nursing undergraduate courses in the State of Minas Gerais, Brazil. The results show that both schools used settings favorable to a health promotion approach in this training. They anchor this approach in the need to provide students experiences of learning from an immersion in the reality of professional life. It is prevalent on formation a tension between good educational pratices for health promotion were revealed those become into the daily of the service and practices that arrest the subjects on their ways of thinking. It is concluded that health promotion is recognized as a political decision in nursing education, although this is yet incipient and has a mixed theoretical formulation, indicating the need to increase opportunities for conceptual and operational discussion.It is a descriptive-exploratory study with a qualitative approach that has the objective of analyzing the health promotion in training nurses. The setting of the research was two nursing undergraduate courses in the State of Minas Gerais, Brazil. The results show that both schools used settings favorable to a health promotion approach in this training. They anchor this approach in the need to provide students experiences of learning from an immersion in the reality of professional life. It is prevalent on formation a tension between good educational pratices for health promotion were revealed those become into the daily of the service and practices that arrest the subjects on their ways of thinking. It is concluded that health promotion is recognized as a political decision in nursing education, although this is yet incipient and has a mixed theoretical formulation, indicating the need to increase opportunities for conceptual and operational discussion.

The everyday health of the young individuals of a popular neighborhood of Belo Horizonte, Minas Gerais, Brazil

Se objetivo evaluar la salud como objeto en el cotidiano de jovenes no contemplados en acciones sanitarias, para analizar su modo de vida entendiendo significados y sentidos de la salud en su rutina. Investigacion cualitativa, fundamentada en la dialectica, con aporte sociologico; desarrollada en barrio popular de Belo Horizonte, estructurada en fase exploratoria e interpretativa, sobre diecinueve jovenes. Tesis confirmada mediante hermeneutica y dialectica. Las acciones de cuidado presentes y cotidianas de los jovenes orbitan en derredor a su condicion juvenil, poco contemplada en las propuestas del area sanitaria. La salud se expresa a traves del bienestar y las condiciones basicas para el camino de la vida. La concepcion prevalente de salud se centra en comportamientos y corporeidad. Para promocion sanitaria entre jovenes debe observarse su modo de vida e interactuar en su cotidianeidad. Resulta importante proponer acciones de cuidado en espacios y territorios propios de la condicion juvenil.

A saúde no cotidiano de jovens residentes em um bairro popular de Belo Horizonte, MG, Brasil

Se objetivo evaluar la salud como objeto en el cotidiano de jovenes no contemplados en acciones sanitarias, para analizar su modo de vida entendiendo significados y sentidos de la salud en su rutina. Investigacion cualitativa, fundamentada en la dialectica, con aporte sociologico; desarrollada en barrio popular de Belo Horizonte, estructurada en fase exploratoria e interpretativa, sobre diecinueve jovenes. Tesis confirmada mediante hermeneutica y dialectica. Las acciones de cuidado presentes y cotidianas de los jovenes orbitan en derredor a su condicion juvenil, poco contemplada en las propuestas del area sanitaria. La salud se expresa a traves del bienestar y las condiciones basicas para el camino de la vida. La concepcion prevalente de salud se centra en comportamientos y corporeidad. Para promocion sanitaria entre jovenes debe observarse su modo de vida e interactuar en su cotidianeidad. Resulta importante proponer acciones de cuidado en espacios y territorios propios de la condicion juvenil.

PROMOÇÃO DA SAÚDE E INTERSETORIALIDADE NA REDE DE ATENÇÃO AO IDOSO

the need for changes in service structures, health programs, and professional education. OBJECTIVE: To analyze the relation between health promotion in care networks and the intersectorial perspective on senior care. METHODS: This descriptiveexploratory research project was carried out in the Metropolitan Region of Belo Horizonte (RMBH), Minas Gerais, Brazil. Among the 34 cities considered, 10 met the inclusion criteria and took part in the study, i.e. cities with two or more long-stay institutions for seniors (ILPI) in their region. RESULTS: An analysis of interviews enabled the establishment of two categories: “policies and healthcare network for seniors” and “the articulation of health promotion and intersectoriality in senior care.” The analyses pointed out differences between the cities with regard to the implementation of national policies and the existence of a guiding document, the difficulty of including seniors in the healthcare network, the decrease in health promotion, and the difficulties and propensities for intersectoriality. CONCLUSIONS: Even though regulation laws for seniors have significantly advanced during the last few years, they were not properly implemented in most of the researched cities. In addition, there is no specific health network for senior care, which is done through Primary Healthcare. With regard to health promotion, actions focused on seniors are specific and isolated, which come from a conceptual reduction of this term.

Dimensions assigned to Long Term Care Facilities by managers and health professionals: interfaces and contradictions

1 Pontifícia Universidade Católica de Minas Gerais, Núcleo de Pesquisa Processos Heurísticos e Assistenciais em Saúde e Enfermagem (PHASE). Belo Horizonte, MG, Brasil. 2 Pontifícia Universidade Católica de Minas Gerais, Instituto de Ciências Biológicas e de Saúde, Departamento de Medicina. Belo Horizonte, MG, Brasil. 3 Universidade Federal de Minas Gerais, Escola de Enfermagem. Belo Horizonte, MG, Brasil. 4 The College of New Jersey, Department of Public Health. New Jersey, USA.

Characterization of long-term care facilities for the elderly in the metropolitan region of Belo Horizonte

1 Pontifícia Universidade Católica de Minas Gerais (PUC-MG), Instituto de Ciências Biológicas e de Saúde, Departamento de Fisioterapia. Betim, MG, Brasil. 2 Pontifícia Universidade Católica de Minas Gerais (PUC-MG), Instituto de Ciências Biológicas e de Saúde, Departamento de Enfermagem. Belo Horizonte, MG, Brasil. 3 The College of New Jersey, Department of Public Health, School of Nursing, Health and Exercise Science. New Jersey, USA. 4 Pontifícia Universidade Católica de Minas Gerais (PUC-MG), Instituto de Ciências Biológicas e de Saúde, Departamento de Nutrição. Belo Horizonte, MG, Brasil. 5 Pontifícia Universidade Católica de Minas Gerais (PUC-MG), Escola de Enfermagem, Núcleo de Pesquisa Processos Heurísticos e Assistenciais em Saúde e Enfermagem (PHASE).

La salud en el cotidiano de jóvenes residentes en un barrio popular de Belo Horizonte, MG, Brasil

Se objetivo evaluar la salud como objeto en el cotidiano de jovenes no contemplados en acciones sanitarias, para analizar su modo de vida entendiendo significados y sentidos de la salud en su rutina. Investigacion cualitativa, fundamentada en la dialectica, con aporte sociologico; desarrollada en barrio popular de Belo Horizonte, estructurada en fase exploratoria e interpretativa, sobre diecinueve jovenes. Tesis confirmada mediante hermeneutica y dialectica. Las acciones de cuidado presentes y cotidianas de los jovenes orbitan en derredor a su condicion juvenil, poco contemplada en las propuestas del area sanitaria. La salud se expresa a traves del bienestar y las condiciones basicas para el camino de la vida. La concepcion prevalente de salud se centra en comportamientos y corporeidad. Para promocion sanitaria entre jovenes debe observarse su modo de vida e interactuar en su cotidianeidad. Resulta importante proponer acciones de cuidado en espacios y territorios propios de la condicion juvenil.

La formación del enfermero: retos para la promoción de la salud

Estudo qualitativo, descritivo-exploratorio, realizado em dois cursos de Enfermagem com o objetivo de analisar os referenciais de promocao da saude na formacao do enfermeiro. Foram entrevistados 19 coordenadores, docentes, estudantes e profissionais de servicos envolvidos na formacao do enfermeiro. Os resultados indicam imprecisao conceitual entre promocao da saude e prevencao de agravos na formacao do enfermeiro. As concepcoes de promocao da saude reveladas estao associadas a praticas que incidem sobre qualidade de vida sustentada em um conceito amplo e complexo de saude e que sao incipientes nos cenarios da atencao a saude. Conclui-se que a promocao da saude e tomada como decisao politica para mudanca na formacao do enfermeiro, explicitada nos projetos pedagogicos das instituicoes cenario do estudo. Entretanto, esta incorporacao e incipiente e heterogenea quanto a formulacao teorica, indicando a necessidade de ampliacao dos espacos de analise conceitual nas relacoes que proporcionam a producao de saude e do processo formativo.This was a descriptive/exploratory study of qualitative character carried out in two Nursing Schools in the State of Minas Gerais. The goal was to analyze the referential of nurses regarding health promotion. Nineteen course coordinators, faculty members, students and professionals of the health services involved in nurse training were interviewed. The results indicate a conceptual imprecision about health promotion and disease prevention. Revealed conceptions of health-promoting practices are associated to practices that affect the quality of life, which lies on a broad and complex concept of health, and are incipient in the current health care scenario. The conclusion is that health promotion is taken as political decision for a change in nurse training, as made explicit in the pedagogical projects of the institutions taking part in the study. However, such incorporation is incipient and heterogeneous in terms of its theoretical formulation, thus indicating the need for widening the space for a conceptual analysis in the relations that allow for the production of health and of a training process.

Nurse training: challenges for health promotion

Estudo qualitativo, descritivo-exploratorio, realizado em dois cursos de Enfermagem com o objetivo de analisar os referenciais de promocao da saude na formacao do enfermeiro. Foram entrevistados 19 coordenadores, docentes, estudantes e profissionais de servicos envolvidos na formacao do enfermeiro. Os resultados indicam imprecisao conceitual entre promocao da saude e prevencao de agravos na formacao do enfermeiro. As concepcoes de promocao da saude reveladas estao associadas a praticas que incidem sobre qualidade de vida sustentada em um conceito amplo e complexo de saude e que sao incipientes nos cenarios da atencao a saude. Conclui-se que a promocao da saude e tomada como decisao politica para mudanca na formacao do enfermeiro, explicitada nos projetos pedagogicos das instituicoes cenario do estudo. Entretanto, esta incorporacao e incipiente e heterogenea quanto a formulacao teorica, indicando a necessidade de ampliacao dos espacos de analise conceitual nas relacoes que proporcionam a producao de saude e do processo formativo.This was a descriptive/exploratory study of qualitative character carried out in two Nursing Schools in the State of Minas Gerais. The goal was to analyze the referential of nurses regarding health promotion. Nineteen course coordinators, faculty members, students and professionals of the health services involved in nurse training were interviewed. The results indicate a conceptual imprecision about health promotion and disease prevention. Revealed conceptions of health-promoting practices are associated to practices that affect the quality of life, which lies on a broad and complex concept of health, and are incipient in the current health care scenario. The conclusion is that health promotion is taken as political decision for a change in nurse training, as made explicit in the pedagogical projects of the institutions taking part in the study. However, such incorporation is incipient and heterogeneous in terms of its theoretical formulation, thus indicating the need for widening the space for a conceptual analysis in the relations that allow for the production of health and of a training process.