O enfermeiro na promoção da saúde: articulações entre unidades de saúde e educação básica
Notice bibliographique
Résumé
Health is built by taking care of each other with oneself and with others, the ability to make decisions and the control of one's own life.This idea stems from the concept of Health Promotion, brought from the Ottawa international conference, held in 1986.Since then, the concept of health has been expanded, the subject has come to be seen in its uniqueness, as being complex, considering their living conditions and their role in the construction of knowledge and of themselves, according to their sociohistorical process, surpassing the way of seeing guided only in the biological and physical aspects.In this sense, the National Health Promotion Policy (PNPS) in Brazil was institutionalized, one of the actions to promote greater articulation between health sectors and policies was the institution of the Health at School Program (PSE), which aims at the integration and permanent articulation of education and health.With public policy on health and education moving towards integration between sectors, the present work aims to understand the role of nurses in the articulation between health units and schools of basic education, within the scope of health promotion.It is a qualitative, exploratory research, based on Vigotski's historical-cultural approach.Interviews were conducted with 19 nurses, one from each health unit in the north and west district of a medium-sized city in the interior of São Paulo.The results were organized into four themes: 1-Conceptions about Health Promotion; 2-Health promotion in the unit; 3-Health promotion at school and 4-The nurse at school.The nurses' conceptions about health and health promotion were focused on the disease and its prevention, few nurses presented an expanded concept of health, related to the social determinants of health.Health promotion at school is carried out when there is an agreement between the health unit and the schools, through the PSE, which occurs in 16 of the units surveyed.The actions are consistent with the concepts: focused on disease prevention.Most reported not obtaining knowledge about public health and education policies, recognizing only the PSE.They pointed out the role of the nurse as an articulator of the school community and the multidisciplinary team.Nurses showed concern about how they are working in schools and expressed the need for greater engagement, bringing the importance of intersectoriality and the multidisciplinary team.The planning and execution of the programs, with the participation of the different sectors, is still a challenge.In this sense, it is necessary to better define the roles of each one, so that this work can flow better.The relationship between health units and schools, involving health professionals, teachers, students and the community can and must be expanded and strengthened, to result in the construction of a more just, participatory and healthy society.
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Prédiction machine sur la base complète
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Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,012 | 0,011 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,005 | 0,006 |
| Études des sciences et des technologies | 0,007 | 0,025 |
| Communication savante | 0,016 | 0,009 |
| Science ouverte | 0,002 | 0,007 |
| Intégrité de la recherche | 0,004 | 0,005 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».