ABSTRACT
AIM: Evaluate the effectiveness of an intervention to incorporate group and community activities on a sustained basis in all the Basic Health Zones (ZBS) of a health area. DESIGN: During January and February 2019, two members of the research team traveled to each ZBS to interview the medical and nursing coordinators who had previously received an ad hoc initial assessment questionnaire (QAI) by email. PLACE: The scope is the 11 ZBS of a health area. PARTICIPANTS: The study population is the ZBS and the respective teams represented by the medical and nursing coordinations. INTERVENTIONS: Promote a community health commission, carry out training actions, record activities in clinical history and incorporate management objectives. MAIN MEASUREMENTS: Quantitative and qualitative analysis was carried out pre and post after the first year of intervention. RESULTS: In the pre-evaluation: 6 primary care teams (EAP) reported having group activities, 4 were participating in local action projects, 4 had a professional referent for community activities, 3 participated in projects with populations in vulnerable situations and 4 stated have specific meetings on community health. After the intervention: 11 EAPs had group activities, 8 had a reference professional, 6 were participating in local action projects, 4 collaborated in projects with vulnerable populations and 5 held meetings on community health. CONCLUSIONS: The intervention proved effective after its first year of implementation, since all the EAPs carried out group activities and collaborated with the local councils in the area; the majority had leading professionals in community care and, to a lesser extent, participation in local action projects and in vulnerable populations increased.
ABSTRACT
Este artículo tiene como objetivo presentar elementos de reflexión y análisis de la realidad desde el inicio de la Atención Primaria de salud en 1978, centrándose en la Comunitat Valenciana. Se destaca la influencia de las políticas sanitarias en todos los aspectos referenciados, que afecta directamente al pleno desarrollo de la Atención Primaria (AP) desde la integración de la asistencia, la implicación de las direcciones sanitarias, el desarrollo de la formación universitaria de Enfermería y la Especialidad de Enfermería Familiar y Comunitaria (EEFyC), la cobertura de plazas en AP, el aumento de técnicas derivadas del hospital a la AP, hasta las dificultades para implicar a la enfermería de AP en actividades comunitarias. A su vez, presentamos proyectos que se están llevando a cabo con la ciudadanía con un liderazgo de enfermeras comunitarias (EC) y con el apoyo institucional. La enfermería comunitaria actualmente es una parte minúscula de nuestra realidad; sigue siendo un mito
This article aims to present elements of reflection and analysis of the reality since the beginning of primary health care in 1978. This essay will focus on the Valencia Community. The influence of the health policies in all the referenced aspects is highlighted, as it which directly affects the full development of Primary Care (PC), from the integration of care, the involvement of the health directorates, the development of nursing university training and the Specialty of Family and Community Nursing (SFCN), the coverage of places in primary care, the increase in techniques derived from the hospital to the PC, to the difficulties in implicating the PC nursing in community activities. We also present projects that are being conducted in the citizenship by a clear leadership of nurses and with institutional support. Community nursing is currently a tiny part of our reality; it is still a myth
