Competencias en la promoción de la salud en las prácticas de educación ambiental de los agentes de salud comunitários

Santana, Kelly Fernanda Silva; Machado, Lucas Dias Soares; Machado, Maria de Fátima Antero Sousa; Dias, Maria do Socorro de Araújo; Silva, Lucilane Maria Sales da; Lopes, Maria do Socorro Vieira

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Revista Gaúcha de Enfermagem

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Original Article • Rev. Gaúcha Enferm. 42 • 2021 • https://doi.org/10.1590/1983-1447.2021.20200053 copiar

Competencias en la promoción de la salud en las prácticas de educación ambiental de los agentes de salud comunitários

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

Reconocer los dominios de competencias en promoción de la salud en las prácticas de educación ambiental llevadas a cabo por agentes comunitarios de salud.

Método:

Un estudio mixto, que adoptó el Developing Competencies and Profissional Standards for Health Promotion Capacity Building in Europe(CompHP) como referencia teórica, realizado en Crato, Ceará, con 16 agentes de salud comunitarios, basado en entrevistas semiestructuradas y organización de datos utilizando el software ALCESTE.

Resultados:

Se destacaron los siguientes dominios de competencias en la promoción de la salud: asociación, posibilidad de cambios y diagnóstico. Se reconoce evidencia que apunta a otros dominios, aunque con menos significancia estadística, tales como: comunicación, planificación e implementación, para el desarrollo de actividades de educación ambiental.

Consideraciones finales:

Se registra una movilización de una cantidad limitada de competencias de promoción de la salud en las prácticas de educación ambiental desarrolladas por agentes de salud comunitarios, todo lo cual es necesario para implementar prácticas de promoción de la salud y, por lo tanto, transformaciones positivas sobre el medio ambiente y la salud.

Palabras clave:
Promoción de la salud; Agentes comunitarios de salud; Salud ambiental; Atención Primaria de Salud; Ambiente

Domain of competences	Illustrative UEC
Partnership	The best to work with are the children, the great ally of the health agent in this issue of transformation, zeal, care for the environment. (UEC No. 172, q² 8) We invite several sectors, social action, Hemoce, representative of education. We invited education because we wanted them to pass on to teachers and directors. (UEC No. 290, q² 7)
Possibility of changes	They both do (the children) and they tell the parents, they correct the parents when they do wrong. (UEC No. 173, q² 8)

Domain of competences

Illustrative UEC

Partnership

The whole team has its difficulties, but thanks God when it comes to developing these educational activities, the nurse always participates, the one who is more difficult to go is the doctor. (UEC No. 115, q² 15) When there is some activity, we invite the NASF staff, they always help, but it is because they are in several teams that it is difficult to have this bond with the people. (UEC No. 56, q² 22)

Diagnosis

Each location has its own way of being, so the ways of working have to be different. [...] I have my way of working because I know the people, even the way they talk. (UEC No. 18, q² 27) I go to the houses when I'm doing the routine visit, so I see the focus of what I want, and identify the need for us to work. (UEC No. 64, q² 9)

Domain of competences	Illustrative UEC
Partnership	All the departments should be more aware that we should work in partnership, because if we worked in partnership, then everything would work out. Now alone we have no strength. (UEC No. 236, q² 31) We set up an action, the post team, the residents' association and the school, which is next to the association. Then it worked because all the sectors were working together. (UEC No. 193, q² 15)
Possibility of changes	I work like this: I show him, I guide him how it has to be done, because if they learn they start taking care of their house and of the neighbor's house. (UEC No. 84, q² 27)

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
E-mail: revista@enf.ufrgs.br

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[1] Corresponding author:
Lucas Dias Soares Machado E-mail: lucasdsmachado@hotmail.com