Person: Pumar Méndez, María Jesús
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Pumar Méndez
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María Jesús
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Ciencias de la Salud
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0000-0003-3284-5588
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812013
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Publication Open Access Theory based capacity building intervention for intersectoral action for health at local governments: an exploratory pilot study(Wiley, 2022) Hernantes Colias, Naia; Bermejo-Martins, Elena; Øvergård, Kjell Ivar; Pumar Méndez, María Jesús; López de Dicastillo Sáinz de Murieta, Olga; Iriarte Roteta, Andrea; Antoñanzas Baztán, Elena; Mujika Zabaleta, Agurtzane; Ciencias de la Salud; Osasun ZientziakAim: To design, implement and evaluate a nurse- led capacity building intervention (PromoGOB) for intersectoral action for health at local governments. Design: The programme was based on theories of the policy process and organizational change and facilitated by a nurse developing a health broker role. A complex intervention perspective was adopted in carrying out the study. The intervention was evaluated using a mixed method embedded design. Methods: Quantitative component relied on a specific questionnaire. This tool, designed and piloted ad hoc, measured the capacity in terms of knowledge, awareness, resources, skills, and commitment, both at sectoral and government levels. For the qualitative component, semi-structured interviews were conducted. These explored the perceived capacity and feasibility and acceptability issues. The programme was initiated at the end of October 2019, and it lasted a total of 5 weeks. Nineteen individuals representing various sectors at a local government in northern Spain participated in the study. The data analysis was concluded by the end of March 2020. Findings: PromoGOB positively influenced participants' capacity for addressing health promotion. Awareness component, intersectoral work and the nurse as health broker were essential in the programme. The necessity of political participation was identified as an issue to be prioritized in future studies. Conclusion: This study highlights the relevance of capacity building at local governments and the role that nurses can play in it. Further work should be undertaken to continue developing Health in All Policies approach at local level. Impact: This study offers a starting point for nurses to get involved in the policy process of health promotion, performing a specific role as health brokers, building capacity at local governments for addressing social determinants of health, and delving into theories and concepts of the Health in All Policies field.Publication Open Access Estrategias para impulsar la implementación de promoción de salud en Atención Primaria: dos grupos nominales(Asociación de Enfermería Comunitaria, 2020) Mujika Zabaleta, Agurtzane; Pumar Méndez, María Jesús; Bermejo-Martins, Elena; Hernantes Colias, Naia; Antoñanzas Baztán, Elena; López de Dicastillo Sáinz de Murieta, Olga; Ciencias de la Salud; Osasun ZientziakObjeto: identificar recomendaciones para impulsar la implementación de la promoción de salud en Atención Primaria. Método: se realizaron dos grupos nominales, con la participación de 15 expertos en promoción de la salud, Salud Pública, Atención Primaria y seguridad del paciente. Se llevaron a cabo dos rondas de trabajo, combinando trabajo personal, puesta en común y discusión entre panelistas sobre los elementos identificados, así como su puntuación. Este proceso dio lugar a una lista de ítems priorizados por los participantes. Resultados: consenso alcanzado por expertos sobre estrategias para implementar una taxonomía de actividades de prevención y promoción de salud dirigida a identificar omisiones en este campo; y a elementos críticos para implementar estrategias de promoción de salud en Atención Primaria. Entre ellos, destacan la consideración de la implementación de la promoción de salud como proceso; la interpelación a otros agentes; y la necesidad de una apuesta clara y firme por la promoción de salud en el ámbito institucional. Conclusión: el impulso de la promoción de salud en Atención Primaria requiere de una apuesta clara y firme, acompañada de la adopción de un enfoque de creación de capacidad y de un marco de implementación.Publication Open Access Mapping health promotion practices across key sectors and its intersectoral approach at the local level: study protocol(Wiley, 2024) Pumar Méndez, María Jesús; López de Dicastillo Sáinz de Murieta, Olga; Hernantes Colias, Naia; Antón-Solanas, Isabel; Zabaleta del Olmo, Edurne; Rodríguez- Roca, Beatriz; Subirón-Valera, Ana Belén; Juvinyà-Canal, Dolors; Mujika Zabaleta, Agurtzane; Ciencias de la Salud; Osasun Zientziak; Universidad Pública de Navarra / Nafarroako Unibertsitate PublikoaAims: This study outlines a protocol aimed at identifying and mapping health promotion practices in need of development from the perspectives of key sectors responsible for it at the local level and from an intersectoral perspective across four Spanish regions. Design: A complementary multi-method study combining survey methods and qualitative interviews will be adopted. Methods: Purposive snowball sampling will be employed to select potentially rich informants from city councils, primary care centres, primary and secondary schools, and public health and civil society organizations in 12 municipalities sensitive to local health. Data on the degree of execution of health promotion activities, the level of intersectorality in their implementation, and their origins will be collected using PromoACTIVA questionnaires, an intersectoral typology model and an interview protocol. A parallel mixed analysis encompassing descriptive statistics and a ‘framework analysis’ will be performed. Discussion: This study is expected to yield thorough and reliable insights into health promotion practices and omissions at the local level by focusing on key stakeholders, both individually and collaboratively. This information can enhance health promotion planning and improve its effectiveness, efficiency and contextual relevance. The development and testing of a methodology for the integration and interpretation of these data will ensure sustainable capacity building. Impact: Managers and practitioners interested in health promotion planning in the researched settings can benefit from a comprehensive map of the current state of their practices and insights into the starting points of collaboration. In addition, planners from other local settings will gain access to tools and methodologies to replicate and expand these maps to their own contexts. Stakeholder Engagement: Engaging key stakeholders with experience working in or with primary care centres, public health organizations, primary and secondary schools, civil society organizations, and city councils was vital to ensure the study's relevance and feasibility.Publication Open Access "Missed nursing care" in health promotion: raising awareness(Wiley, 2020) López de Dicastillo Sáinz de Murieta, Olga; Zabaleta del Olmo, Edurne; Mujika Zabaleta, Agurtzane; Antoñanzas Baztán, Elena; Hernantes Colias, Naia; Pumar Méndez, María Jesús; Ciencias de la Salud; Osasun ZientziakAim(s): This commentary aims to raise awareness of the possible causes of “missed nursing care” in health promotion and to propose possible solutions. Background: Although health promotion is an essential function of nursing practice, “missed nursing care” has been scarcely studied in this area. It is crucial to know both its causes and possible strategies to prevent it. Evaluation: We used evidence to identify possible causes of “missed nursing care” in health promotion, and we classified them into categories. We suggested the concept of capacity building to address its underlying causes. Key issue(s): Four main factors are involved in “missed nursing care” in health promo-tion, that is intrapersonal, interpersonal, organisational and cultural. Capacity build-ing, including the development of knowledge, skills, commitment, structures, systems and leadership, could reduce missed care. Conclusion(s): “Missed nursing care” in health promotion is complex and is multifac-torial in its origins. Capacity building could be a way to address its causes. Implications for Nursing Management: Nursing care in health promotion is para-mount and a long-term investment that can contribute to the sustainability of the health system. Organisations and managers could view capacity building processes as a tool to prevent “missed nursing care” in health promotion.Publication Open Access Building capacity for health promotion by addressing nurses' role confusion: study protocol of a pilot clustered randomised controlled trial(Wiley, 2021) Iriarte Roteta, Andrea; López de Dicastillo Sáinz de Murieta, Olga; Mujika Zabaleta, Agurtzane; Antoñanzas Baztán, Elena; Hernantes Colias, Naia; Galán Espinilla, María José; Pumar Méndez, María Jesús; Ciencias de la Salud; Osasun Zientziak; Gobierno de Navarra / Nafarroako GobernuaAim: To describe the protocol for the pilot phase of a complex intervention, designed to address primary care nurses' role confusion in health promotion. Design: A pilot clustered randomized controlled trial, with control and intervention groups. Methods: The study will be conducted in a primary care setting. Participants will be nurses from the primary care health service working in a primary care team (PCT, 15 control group; 15 intervention group). Nurses in the experimental group will receive the ROLE-AP programme over a 3-week period. The control group will continue with the normal routine. The pilot will help determine the intervention's feasibility, acceptability, fidelity and quality of the programme components. Data collected preintervention, postintervention and 3 months after intervention will provide estimates of the intervention's preliminary effects on the main variable, nurses' degree of agreement concerning their expected role in health promotion. The study received funding from the local government in December 2019. Discussion: Role confusion is promoting primary care nurses' omissions in their health-promoting practice, which is far from the ideal portrayed by the Ottawa Charter. Interventions are needed that reveal the most appropriate mechanisms for addressing role confusion, which requires reaching an intraprofessional agreement about the expectations for role activities. Healthcare organisations could benefit from the incorporation of a programme of these characteristics into standard practice. Impact: This study will produce a novel and comprehensive complex intervention that is expected to build nurses' capacity in primary healthcare organizations for health promotion, which is key to increasing the quality, efficiency and sustainability of the National Health System. The programme evaluation and feasibility study will reveal how to better use existing resources in a full-scale clinical trial.Publication Open Access Development of a taxonomy of activities in health prevention and promotion for primary care(Wiley, 2022) Pumar Méndez, María Jesús; López de Dicastillo Sáinz de Murieta, Olga; Hernantes Colias, Naia; Iriarte Roteta, Andrea; Belintxon, Maider; García-Iriarte, Antonio; Mujika Zabaleta, Agurtzane; Ciencias de la Salud; Osasun ZientziakAim: To develop a taxonomy of activities in health prevention and promotion for primary care. Background: Despite health promotion being considered a keystone for popula-tion health and health care sustainability, its implementation remains insufficient. Customized evaluation tools are needed to address prevention and promotion omis-sions in primary care. Method: A taxonomy was designed using documentary analysis. Documents describ-ing frontline primary care professionals' health prevention and promotion activities or omissions were identified and analysed using framework analysis. Results: The ‘Taxonomy of Activities in Health Prevention and Promotion for Primary Care’ (TaxoPromo) includes 43 activities grouped into eight categories: planification, situational analysis, capacity building, development of awareness/public opinion, advocacy, development of networks, development of partnerships and intervention strategies. Conclusion: By contrasting the usual practices with the activities collected in the TaxoPromo, opportunities for improvement can be unveiled. Implications for Nursing Management: The TaxoPromo can be used at organisational and system levels to identify actions to integrate health prevention and promotion activities into a systematic, data-driven process; design implementation plans and tailor-made strategies for capacity building; enable benchmarking; and address omis-sions. The TaxoPromo can serve as a catalyst tool for the clarification and expansion of the nursing role in health prevention and promotion.