Promoção de saúde na atenção terciária: a atuação do profissional de enfermagem em um hospital de Uberaba (MG)

• Autor(a) principal: Alves, Marlúcio Anselmo
• Data de Publicação: 2008
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório do Centro Universitário Braz Cubas
• Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/842
• topic: Atenção trerciária; Enfermeiro; Educação em saúde; Promoção de saúde; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA

Health promotion is centered on healthy public policies, development of healthfavoring environments, intensification of public actions, empowerment, development of personal skills and some proposals for new health services, such as integrated strategies aimed at a positive intervention in the set of health determinants. Assuming that the conduction of health education, disease prevention and citizenship should be the differential in innovative practices, tertiary care may be considered an important and appropriate issue for health promotion through health educational practice. It is a chance to develop a practice based on the holistic view of the human being and their competency to take care of themselves relying on their own knowledge, by exchanging experiences of new health practices. In this descriptive study, we describe how a tertiary care nurse has developed his/her educational practice and the amount of time he/she has put into this practice in a university hospital. A non-participative, passive observation was carried out from January to April, 2008. The results showed that the nurse has spent little time, approximately 10 minutes of his/her workday, providing patient and family with information. This procedure has followed a technicist and prescriptive approach; the educational activities were carried out in two fields of study: health education to both, patients and nursing professionals. Technical and administrative activities have been prioritized in the nurse´s daily practice. His/her educational practice in relation to patient and family members is more frequent at admission and discharge from the ward units than during nursing care, when advising and providing patient and family with information about health status. The results showed that this professional has neglected meeting new ways of health promotion by fostering individual actions. Health care practices have been greatly focused on the disease, the healing assistance and the drug intervention. The nurse has acted with authoritative prescriptive practices of ‘ideal’ procedures, disconnected with reality and disassociated from the social subject, who is then turned into a passive object of interventions. Moreover, he/she has carried out activities that do not connect with the extended concept of health with the patient and his/her family´s concept of health and their integration with other social institutions. Key words: tertiary care; nurse; health education; health promotion.