Hierdie navorsing het die bevordering van die regering se gesondheidsbevorderingsdoelwitte soos vervat in die Witskrif vir die Transformasie van die Gesondheidstelsel in Suid-Afrika, Kennisgewing 667 van 1997 (White Paper for the Transformation of the Health System in South Africa Notice 667 of 1997) ten doel. 'n Verdere doel was om die behoefte na beroepsgesondheidsbevorderende programme in geselekteerde beroepsituasies vanuit 'n verpleegkundige perspektief vas te stel. Die resultate van hierdie navorsing het aangedui dat daar wel 'n behoefte bestaan aan beroepsgesondheidsbevorderende programme in geselekteerde beroepsituasies. Hierdie behoefte is vasgestel deur middel van die literatuurstudie en deur die versameling van inligting deur middel van 'n opname. 'n Holistiese en bemagtigingsbenadering tot beroepsgesondheidsbevorderende, asook 'n gesondheidsbevorderende verplegingsbenaderingsraamwerk word voorgestel. Addisioneel word riglyne vir die ontwikkeling en implementering van beroepsgesondheidsbevorderingsprogramme asook 'n gesondheidsbevorderende verpleegopleidingsprogram voorgestel. Daar word aanbeveel dat gesondheidsbevorderende verpleegkunde ingesluit word in alle verpleegkunde praktyke en verpleegkunde kurrikula. Aanbevelings ten opsigte van toekomstige navorsing sentreer rondom 'n ondersoek na die huidige status van beroepsgesondheidsbevordering, navorsing met betrekking tot die gesondheidsbevorderende werkplek en kampus - wat alle belanghebbendes insluit - die status van gesondheidsbevorderende opleiding; en navorsing gelyksoortig aan hierdie een in ander streke van Suid-Afrika. Die skeiding tussen beroeps- en primere gesondheidsorg in werkplekke behoort ook ondersoek te word. / This research is aimed at furthering the health promotion and occupational health objectives of the government as is set out in the "The White Paper for the Transformation of the Health System in South Africa Notice 667 of 1997". The aim of this research was to determine the need for occupational health promotion programmes in selected occupational settings from a nursing perspective. The overall outcome of this research demonstrated that a need exists for occupational health promotion programmes in selected occupational settings. This was illustrated by the literature study and by the information collected through a survey. Three frameworks are proposed, namely a holistic approach to an occupational health promotion programme, an empowerment occupational health promotion approach, and a health promoting nursing framework. In addition, guidelines for the development and implementation of an occupational health promotion programme and a health promotion and health promoting nursing training programme are recommended. It is also recommended that health promoting nursing be included in all nursing practice and nursing training curricula. Recommendations for future research centred on the investigation of the present status of occupational health promotion, research regarding the health promoting workplace and campus that involves all stakeholders, the status of health promotion training, and research similar to this one in other regions of South Africa. The division of occupational health and primary health care in occupational health settings needs to be investigated as well. / Health Studies / M.A. (Advanced Nursing Sciences)

Hierdie navorsing het die bevordering van die regering se gesondheidsbevorderingsdoelwitte soos vervat in die Witskrif vir die Transformasie van die Gesondheidstelsel in Suid-Afrika, Kennisgewing 667 van 1997 (White Paper for the Transformation of the Health System in South Africa Notice 667 of 1997) ten doel. 'n Verdere doel was om die behoefte na beroepsgesondheidsbevorderende programme in geselekteerde beroepsituasies vanuit 'n verpleegkundige perspektief vas te stel. Die resultate van hierdie navorsing het aangedui dat daar wel 'n behoefte bestaan aan beroepsgesondheidsbevorderende programme in geselekteerde beroepsituasies. Hierdie behoefte is vasgestel deur middel van die literatuurstudie en deur die versameling van inligting deur middel van 'n opname. 'n Holistiese en bemagtigingsbenadering tot beroepsgesondheidsbevorderende, asook 'n gesondheidsbevorderende verplegingsbenaderingsraamwerk word voorgestel. Addisioneel word riglyne vir die ontwikkeling en implementering van beroepsgesondheidsbevorderingsprogramme asook 'n gesondheidsbevorderende verpleegopleidingsprogram voorgestel. Daar word aanbeveel dat gesondheidsbevorderende verpleegkunde ingesluit word in alle verpleegkunde praktyke en verpleegkunde kurrikula. Aanbevelings ten opsigte van toekomstige navorsing sentreer rondom 'n ondersoek na die huidige status van beroepsgesondheidsbevordering, navorsing met betrekking tot die gesondheidsbevorderende werkplek en kampus - wat alle belanghebbendes insluit - die status van gesondheidsbevorderende opleiding; en navorsing gelyksoortig aan hierdie een in ander streke van Suid-Afrika. Die skeiding tussen beroeps- en primere gesondheidsorg in werkplekke behoort ook ondersoek te word. / This research is aimed at furthering the health promotion and occupational health objectives of the government as is set out in the "The White Paper for the Transformation of the Health System in South Africa Notice 667 of 1997". The aim of this research was to determine the need for occupational health promotion programmes in selected occupational settings from a nursing perspective. The overall outcome of this research demonstrated that a need exists for occupational health promotion programmes in selected occupational settings. This was illustrated by the literature study and by the information collected through a survey. Three frameworks are proposed, namely a holistic approach to an occupational health promotion programme, an empowerment occupational health promotion approach, and a health promoting nursing framework. In addition, guidelines for the development and implementation of an occupational health promotion programme and a health promotion and health promoting nursing training programme are recommended. It is also recommended that health promoting nursing be included in all nursing practice and nursing training curricula. Recommendations for future research centred on the investigation of the present status of occupational health promotion, research regarding the health promoting workplace and campus that involves all stakeholders, the status of health promotion training, and research similar to this one in other regions of South Africa. The division of occupational health and primary health care in occupational health settings needs to be investigated as well. / Health Studies / M.A. (Advanced Nursing Sciences)

Arbetsplatsen definieras ofta som den viktigaste miljön för att främja hälsa. Samtidigt är ett hälsofrämjande ledarskap till stor del inte beskrivet eller definierat i relation till hur och varför det främjar medarbetarnas hälsa. Studiens syfte var att belysa hur chefer med personalansvar arbetar pedagogiskt med hälsofrämjande arbete i praktiken. Studien har en hermeneutisk utgångspunkt med en abduktiv ansats. Nio semistrukturerade intervjuer genomfördes och har analyserats med en kvalitativ innehållsanalys. Studiens teoretiska referensram utgår ifrån den hälsopedagogiska teorin känsla av sammanhang samt lärandeteorin communities of practice. Resultatet visade att chefer arbetar hälsofrämjande genom ett pedagogiskt ledarskap där de främst använder kommunikation för att främja delaktighet samt att skapa goda relationer och dialoger på arbetet. Resultatet visade att nyckelfaktorer som anses vara viktiga för ett hälsofrämjande ledarskap är delaktighet för ökat engagemang och förtroende, relationsskapande för öppen dialog samt anpassningsbart ledarskap för balanserade krav med ett pedagogiskt förhållningssätt. Slutligen beskrivs uppkomna situationer mellan chef och medarbetare som en del av en gemensam utveckling där gruppen utvecklar sitt lärande genom det sociala mötet. Genom att öka dimensionerna av hanterbarhet, delaktighet och meningsfullhet får medarbetarna möjligheten att utveckla känsla av sammanhang för en bättre hälsa. / Workplace is frequently described as one of the most valuable environments for health promotion contributions. Tough leadership is described as a valuable part of workplace health promotion there is yet a gap in knowledge of how a promoting leadership is defined and what kind of impact this might have on promoting employee’s health. The aim of this study was to illustrate how managers, responsible of employee’s, work pedagogically with health promotion in practice. The study has a hermeneutic starting point with an abductive approach. Nine semi-structured interviews were conducted and analyzed with a qualitative content analysis. The theoretical frame of this study is based on the health pedagogy theory sense of coherence and the learning theory communities of practice. The result showed that managers managed health promotion through a pedagogical leadership mainly through communication to promote participation and create good relationships and dialogues with employees. Key factors that are considered to be important for health promotion leadership are participation to increased commitment and trust, promoting relationship to encourage an open dialogue and adaptive leadership for balanced demands with a pedagogical approach. Finally, situations that arise between manager and employees are described as part of a mutual development where the group develops its learning through the social meeting. By increasing the dimensions of manageability, participation and meaningfulness, employees will obtain ability to develop a sense of coherence for a better health.

Made available in DSpace on 2011-05-04T12:36:30Z (GMT). No. of bitstreams: 0 Previous issue date: 2009 / Este estudo analisa o processo de implementação do Subsistema Integrado de Atenção à Saúde do Servidor SIASS no município do Rio de Janeiro, através de um estudo de caso, realizado em duas instituições públicas federais, sediadas no município do Rio de Janeiro. Tendo como hipótese que o grau de participação dos gestores e trabalhadores e suas concepções sobre a relação saúde e trabalho são determinantes na configuração do modelo de atenção e organização dos serviços de saúde, o objetivo desta pesquisa é identificar como vem sendo implementada a política de Saúde dos Trabalhadores, nas instituições públicas federais do Município do Rio de Janeiro e em que medida este processo tem facilitado ou dificultado a consolidação do modelo de atenção integral à saúde do trabalhador, preconizado pela PNSST. O trabalho apresenta uma revisão teórica que contemplou as diferenças de enfoque dos conceitos das relações saúde/trabalho, a organização e luta dos trabalhadores e a história e regulação da saúde do trabalhador no Brasil seguido de um estudo empírico que procurou retratar experiências vividas na perspectiva de gestores e trabalhadores. A análise dos dados permitiu concluir que as equipes dos serviços de saúde do trabalhador das duas instituições estão capacitadas e envolvidas com a temática, têm visão de necessidade de mudança do Programa e buscam substituir a prática de saúde em suas organizações que se constitui em uma estratégia baseada em ações fragmentadas por uma de visão integral da ST. Como pontos críticos, destacam-se a falta de orçamento destinado à saúde, equipe pequena em relação à demanda, além de entraves políticos e administrativos. Os trabalhadores dos setores responsáveis pela ST nas organizações estudadas acabam por realizar um trabalho aquém das diretrizes da Política Nacional e Segurança e Saúde do Trabalhador e de suas próprias convicções que dizem respeito a um modelo pautado num conceito amplo da saúde no trabalho, que envolve o trabalhador e seu processo de trabalho. / This study analyzes the process of implementation of the “Integrated Sub-system Health Assistance to Public Servers” – (Subsistema Integrado de Atenção à Saúde do Servidor - SIASS, in Portuguese) – in the Municipality of Rio de Janeiro through a case study performed in two federal public institutions situated in Rio de Janeiro. By assuming the hypothesis that the degree of participation of administrators and servers and their conceptions in relation to health and work are determiners in the configuration of a model of assistance and organization of health services, our objective in this research was to identify how a politics for Servers’ Health has been implemented in these public federal institutions in Rio de Janeiro and, in which way this process has either facilitated or made it difficult the consolidation of an integral model of assistance for the workers’ health, as established by the PNSST (National Policy for Workers’ Security and Health). The work presents a literature review which contemplates the different approaches to concepts of the relationship between health/work, the workers’ organization and struggle, and a history and regulation of worker’s health assistance in Brazil. Furthermore, it presents an empirical study which seeks to portray lived experiences under the perspective of both administrators and workers. The data have allowed us to conclude that workers’ services teams in both institutions are able and involved with the issue; they also have a vision of the needs for change within the Program, and search to replace a health assistance practice in their organizations which is constituted by a strategy based on fragmented actions for one which considers an integral perspective to Workers’ Health Assistance. As points for concern, we can pinpoint the lack of a budget specifically addressed to health issues, small groups of practitioners in relation to demand, and also political and administrative barriers. Workers in the sectors responsible for health assistance in the organizations we have studied end up performing a job which is under the standards of the National Policy for Workers’ Security and Health and their on beliefs with respect to a model conceived under a broader concept of workplace health assistance, which involves both the worker and his/her working process.