Primary health care: Nurses’ meanings in a Colombian municipality
DOI:
https://doi.org/10.15649/cuidarte.2487Keywords:
Primary Health Care, Primary Prevention, Nurses, Professional Role, Professional PracticeAbstract
Highlights
- The meanings of the nursing professionals approach towards the essential elements that could strengthen the success of the purposes of the Integrated Health Care Policy.
- Primary health care is the gateway for users to the health system, and to other points of the care network according to their health needs.
- Current policies are a structural barrier that hinder the process of professional practice, as well as limit the development of an integrated health care system.
- The Colombian nurse in PHC develops two approaches: leadership and coordination of primary health care strategies and direct attention to the user in different scenarios oriented to this end.
Introduction: Primary health care is a strategy that involves the different health professionals and other agents in the system who can influence the social determinants that affect human wellbeing. Objective: To know the meanings about primary health care of nursing professionals practicing in this field in a municipality of Colombia. Materials and Methods: Qualitative, exploratory, descriptive study. The research was conducted in a State Social Company (ESE for its acronym in Spanish) that provides primary health care services. Data was collected through semi-structured interviews. The sample consisted of 13 professionals. IRaMuTeQ software was used to help data interpretation. Results: ‘Nurse’ was the most frequent word. The content analyzed was categorized into four classes: ‘Meanings about primary health care’, ‘nursing activities in primary health care’, ‘barriers encountered in primary health care’, ‘primary health care organization and work team’. Conclusions: Primary health care meaning is understood as the entry point of users into the health system and the one responsible for coordinating their passage through other points of the healthcare network according to users’ health needs. In addition, primary health care is understood as the level of care at which essential health actions focused on the early detection of health risks and complications are carried out, so that health interventions can be planned, implemented, and evaluated on that basis.
How to cite this article: Bernal-Ordoñez Lina Karina, Corpus-Quiguanás Juliana, Mondragón-Sánchez Edna Johana. Atención primaria en salud: significados de enfermeros de un municipio de Colombia. Revista Cuidarte. 2024;15(1):e2487. http://dx.doi.org/10.15649/cuidarte.2487
References
OPS. Declaración de Alma Ata. Alma alta.1978. https://www.paho.org/hq/dmdocuments/2012/Alma-Ata-1978Declaracion.pdf
Astana, Kazakhtan. Declaración de Astaná. Global Conference on Primary Health Care. 2018 https://www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration-sp
Zabalegui Yárnoz A. El rol del profesional en enfermería. Aquichan. 2003;3(1):16–20. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1657-59972003000100004&lng=en&tlng=es
Zug KE, de Bortoli Cassiani SH, Pulcini J, Bassalobre Garcia A, Aguirre-Boza F, Park J. Enfermería de práctica avanzada en Latinoamérica y el Caribe: regulación, educación y práctica. Rev Latino-Americana de Enfermería. 2016; 24. https://www.scielo.br/j/rlae/a/tBmKMVLd6jmxfsgvNvZgVhb/?format=pdf&lang=es
Bruno Rubio V, Bustamante Llinás M, Jiménez Hamburgen A, Maldonado Mendoza L, Segura Barrios I, Tuesca Molina R. Atención Primaria en Salud. Una mirada desde los profesionales de enfermería: Barreras, conocimientos y actividades. Barranquilla (Colombia). Rev Salud Uninorte Barranquilla. 2015;31(2):295–308. http://dx.doi.org/10.14482/
Poghosyan L, Shang J, Liu J, Poghosyan H, Liu N, Berkowitz B. Nurse practitioners as primary care providers: creating favorable practice environments in New York State and Massachusetts. Health care management review. 2015;40(1):46–55. https://pubmed.ncbi.nlm.nih.gov/24727678/
Límón E, Blay C, Ledesma A. Las necesidades poblacionales, una llamada a la transformación de la atención primaria. Atención Primaria. 2015;47(2):73–4. https://www.sciencedirect.com/science/article/pii/S0212656714002868?via%3Dihub
Bardin L. Análise de Conteúdo. Sao Paulo:Edições 70; 2011.
Corpus, J. Atención primaria en salud: significados de enfermeros de un municipio de Colombia (Entrevistas semi-estructuradas). Mendeley Data: V1. 2023.http://dx.doi.org/10.17632/nytjn5w4vh.1
Camargo BV, Justo AM. IRAMUTEQ: um software gratuito para análisede dados textuais. Temas em Psicologia. 2013;21(2):513–8. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1413-389X2013000200016&lng=pt&nrm=iso&tlng=pt
DesRoches CM, Buerhaus P, Dittus RS, Donelan K. Primary Care Workforce Shortages and Career Recommendations from Practicing Clinicians. Academic Medicine. 2015;90(5):671–7. https://journals.lww.com/academicmedicine/Fulltext/2015/05000/Primary_Care_Workforce_Shortages_and_Career.33.aspx
Organización Panamericana de la Salud. Ampliación del rol de las enfermeras y enfermeros en la atención primaria de salud. Washington, D.C.: OPS. 2018. https://iris.paho.org/handle/10665.2/34959
Ministerio de salud y proteccion social. Política de Atención Integral en Salud. Repositorio Institucional Digital Minsalud (RID) 2016 p. 97. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/modelo-pais-2016.pdf
Aguirre-Bozafa F. El rol de la enfermería de práctica avanzada en atención primaria en hile. Revista Médica Clínica Las Condes. 2018;29(3):343–6. https://www.sciencedirect.com/science/article/pii/S0716864018300646
Parra-Giordano D, González-Molina D, Pinto-Galleguillos D. Proceso de enfermería en un estudio de familia de persona adulta mayor en atención primaria de salud. Enfermería Universitaria. 2017;14(1):67–75. https://www.elsevier.es/es-revista-enfermeria-universitaria-400-articulo-proceso-enfermeria-un-estudio-familia-S1665706316300665
Gil-Girbau M, Pons-Vigués M, Rubio-Valera M, Murrugarra G, Masluk B, Rodríguez-Martín B, et al. Modelos teóricos de promoción de la salud en la práctica habitual en atención primaria de salud. Gaceta Sanitaria. 2021;35(1):48–59. https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112021000100048
Ministerio de Salud y Protección Social de Colombia. Resolución 3202 de 2016. 2016. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/resolucion-3202-de-2016.pdf
Rey-Gamero AC, Acosta-Ramírez N. El enfoque de competencias para los equipos de Atención Primaria en Salud. Una revisión de literatura. Gerencia y Políticas de Salud. 2013;12(25):28–39. https://revistas.javeriana.edu.co/index.php/gerepolsal/article/view/7125
Álvarez- Criado J, García Millán A, García Del Valle R, Jiménez Gregorio R. Atención primaria y equipos de trabajo. Medicina general y de familia. 2012;1(8):380–6. https://www.researchgate.net/publication/254555159_Atencion_primaria_y_equipos_de_trabajo
Mondragón Sánchez EJ, Bernal-Ordoñez LK, Corpus-Quiguanás J. Proceso de trabajo de enfermería en la atención primaria de salud: estudio observacional. Ciencia y Cuidado. 2021; 18(3):22–31. https://revistas.ufps.edu.co/index.php/cienciaycuidado/article/view/2850/3371
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