Distriktssköterskan ska bedriva hälsofrämjande arbete både på individ, grupp- och samhällsnivå. Hälsosamtalet kan vara en del av distriktssköterskans arbetsuppgift för att nå fram till patienten med hälsoinformation. Syftet med vår studie är att undersöka patientens erfarenheter av hälsosamtalet. Vi har använt oss av kvalitativ metod genom att intervjua sex patienter, som deltagit i planerade hälsosamtal på vårdcentral. Intervjuerna spelades in på band och texten skrevs ut ordagrant av författarna. Data bearbetades enligt kvalitativ innehållsanalys och genom det framkom då tre kategorier. Att få stöd till livsstilsförändringar, Att bli motiverad till att ta eget ansvar för sin hälsa, Att ha behov av ytterligare stöd och fyra underkategorier. Resultatet visar, att genom hälsosamtalet får patienterna en ökad insikt om att de behöver ändra levnadsvanor för att motverka ohälsa. Distriktssköterskans kompetens och stöd gör, att motivationen till att vilja förändra livsstil underlättas för patienterna. Förändringen är lättare att genomföra om distriktssköterskan ger patienterna en möjlighet att återkomma för uppföljning. Distriktssköterskan får möjlighet att förmedla kunskaper om levnadsvanor på ett pedagogiskt sätt genom hälsosamtalet. Vidare måste distriktssköterskan vara medveten om att utgå från patientens perspektiv vid ett hälsosamtal, för att lyckas motivera till en förändring av levnadsvanor. / Program: Specialistsjuksköterskeutbildning med inriktning mot distriktssköterska

Background: Indonesia is a republic in Southeast Asia, consisting of approximately 13 600 islands and is the home for 239 million inhabitants. The country was governed by a dictator but has since 1998 had democratic elections. The majority of the population, 88 percentages, are Muslims which makes the country the largest Muslim nation in the world. The structure of the health system in Indonesia is built on districts with sub-districts which are supported by sub-centres. Problem: The health care is improving and more women are attended by professional health care workers when giving birth, despite this child birth still is a common problem. Yet there is a lack of human resources which contributes to the problem. Since the children are the future of Indonesia it is important that the health development policy is adequate and that it has a great compliance in order for the children to stay healthy. Aim: The aim of the study was to describe nurses/midwives work with health promoting education to parents to prevent ill-health among children in the district of Yogyakarta, Indonesia. Method: The method that has been used for the seven interviews is a qualitative content analysis. The interviews were carried out in the Dr. Sardjito Central General Hospital in Yogyakarta and in Puskesmas NGAWEN, Gungng Kidul district, Yogyakarta Province and Puskesmas Mlati II, Sleman district which are placed in the rural areas of Yogyakarta. Result: The result shows that there is a constant work with increasing the knowledge level among nurses and health workers on grassroots level in the district of Yogyakarta, to prevent ill-health among the children. Regarding the health promoting education a crucial finding was made that revealed the most common reason why parents did not apply the health implications that they received, was related to culture and tradition. Positively, there is a great will among health workers and nurses to learn more and increase the health level among the children. Nurses and midwives in the hospital had to rely on their experience when educating the parents while the nurses and midwives working in the puskesmas used the Mother and Child health handbook as a guideline. Discussion: To increase the chance of implementation among the families the health promoting education has to include culture and socioeconomic factors. / Program: Sjuksköterskeutbildning

Fysisk inaktivitet är ett folkhälsoproblem som växer i omfattning och människor världen över dör för tidigt i följdsjukdomar som hjärt-kärlsjukdomar och diabetes. Fysisk aktivitet förbättrar människors fysiska och psykiska hälsa och är behandling vid flera ohälsotillstånd som till exempel högt blodtryck och psykisk ohälsa. Distriktssköterskor arbetar hälsopreventivt och detta är en betydelsefull del av distriktssköterskors arbete på barnavårdscentralen (BVC). Föräldrar och deras utövande av fysisk aktivitet är ett forskningsområde som är otillräckligt utforskat. Studiens syfte var därför att belysa fysisk aktivitet ur ett föräldraperspektiv. En induktiv ansats användes i studien och kvalitativa öppna forskningsintervjuer genomfördes med nio föräldrar i Västsverige. Datamaterialet analyserades genom kvalitativ innehållsanalys. Välbefinnande framträdde som analysresultatets tema. Resultatet av studien visade att föräldraskapet medförde förändringar som gav upphov till nya förutsättningar för utövande av fysisk aktivitet. Den organiserade träningen utövades i mindre grad än tidigare, men i gengäld räknades vardagssysslor som innebar fysisk aktivitet in i den dagliga fysiska aktiviteten. Fysisk aktivitet, framförallt i form av promenader uppskattades av föräldrarna och bidrog till en känsla av välbefinnande. Genom att vara fysiskt aktiva upplevde de högre kapacitet fysiskt och psykiskt som medförde att de lättare kunde hantera sin tidspressade vardag. Föräldrarna önskade även att kunna föra vidare aktiva vanor till sina barn. Studiens kliniska implikationer består av att införa fysisk aktivitet som samtalsområde på BVC, eftersom det främjar föräldrarnas hälsa. / Program: Specialistsjuksköterskeutbildning med inriktning mot distriktssköterska

Essa tese de doutorado em cotutela analisa a formação em enfermagem a partir do lugar da promoção da saúde e da prevenção de doenças no Brasil e na França. Para tanto, desenvolvemos um dispositivo de pesquisa a partir de abordagem socioclínica institucional (MONCEAU, 2012) do referencial da análise institucional (LOURAU, 1995) que pudesse fazer dialogar as similaridades, as diferenças, as contradições, as tensões da formação em um Curso de Graduação em Enfermagem de um estabelecimento de ensino superior do Estado de São Paulo (Brasil) e em um Curso de Graduação em Enfermagem de um Institut de Formation en Soins Infirmier (IFSI) da região parisiense. Após a aprovação do Comitê de Ética em Pesquisa (CEP) da EERP-USP protocolo nº 31343814.8.3001.5504 iniciamos o trabalho de campo. No Brasil, a pesquisa socioclínica foi promovida entre julho a dezembro de 2014 e na França entre janeiro a julho de 2015. As técnicas utilizadas na produção de dados foram: análise documental, entrevistas, observações participantes e restituições. Constatamos que apesar de origens sócio históricas diferentes existe uma forte influência do modelo nightingaleano na Enfermagem e na formação em enfermagem. No Brasil, ainda hoje temos uma clara divisão de classes demarcada pelas categorias do enfermeiro, técnico de enfermagem e auxiliar de enfermagem. Na França, essa divisão encontra-se na prática e na formação do Infirmière e do Aide-Soignante. Também temos em comum uma identidade fortemente vinculada ao hospital e materializada em atos: \"ato privado do enfermeiro\" no Brasil e \"rôle propre et rôle prescrit de l\'infirmier\" na França. A Enfermagem e a formação do enfermeiro nos dois países são marcadas por profundas diferenças associadas ao Sistema de Saúde e ao processo de universitarização com o advento da pesquisa e da pós- graduação. Consideramos que esse contexto sócio histórico define as práticas profissionais em enfermagem e a formação ao mesmo tempo que é definido por elas. A universitarização foi desenvolvida em tempos e espaços diferentes nos dois países, demarcando uma certa distância entre as duas realidades. Em particular, os enfermeiros franceses e brasileiros não carregam a mesma identidade, papel e status. Evidenciamos que existe na França como no Brasil um lugar anunciado na formação do enfermeiro para a promoção e a prevenção, mas constatamos uma distância entre a formação prescrita e a formação realizada, que é distinta nas duas realidades. A partir de tensões entre o prescrito e o real são produzidos novos saberes e fazeres de educação e de promoção da saúde. Os professores brasileiros têm desenvolvido práticas com uma abordagem transdisciplinar na pesquisa e, sobretudo, na extensão. Os dispositivos extensionistas provocam movimentos de desterritorialização e desestratificação, criando linhas de fuga (DELEUZE; GUATTARI, 1995) na rigidez da estrutura curricular. Para alguns formadores dos IFSI da França, as práticas de promoção e de prevenção são desenvolvidas prioritariamente no espaço extra hospitalar (creches, escolas, dispensários), no entanto, priorizam os estágios no hospital. Colocar em análise essas contradições permite-nos concluir que embora sejam chamadas com o mesmo nome - enfermagem e enfermeiros - existem práticas profissionais e formações distintas nos dois países / This cotutorial doctorate thesis analyzes the nursing education from the place occupied by the health promotion and disease prevention in Brazil and France. For this purpose we develop a strategy of research from the institutional socio clinical approach (MONCEAU, 2012) of institutional analysis referential that could make dialogue the similarities, differences, contradictions and tensions in a undergraduate course in Nursing of an institution of higher education in the state of São Paulo (Brazil) and a Graduate Program in Nursing of an Institut de Formation en Soins Infirmier (IFSI) of the Paris region. After the approval of the Ethics Research Committee of EERP-USP protocol nº 31343814.8.3001.5504 we start the field work. In Brazil, the social clinical research was promoted from July to December of 2014 and in France from January to July of 2015. The techniques used in data production were: documental analysis, interviews, participating observations and restitutions. We found that despite of different origins socio-historical there is a strong influence of Nightingale model in the profession of Nursing and the Nursing training. Today in Brazil we still have a clear class division demarcated by categories of nurse, nursing technician and nursing assistant. In France this division is found in the practical and formation of nurse and the nurse assistant. We also have in common an identity strongly linked to the hospital and materialized by acts: private act of nurse in Brazil and self role and prescript role of nursing in France. The Nursing and the Nursing training in both countries are marked by profound differences associated with the Health Sistem and by the universitarization process with the coming of research and postgraduate. We consider that social historical context define the professional practices in nursing and training in the same time that is defined by them. The universitarization are developed in different times and spaces in these two countries marking a distance between these two realities. Particularly the French and Brazilian nurses do not carry the same identity, role or status. We noted that there in France as in Brazil, a place advertised in nursing education for health promotion and prevention but we found a distance between the prescribed formation and the realized formation, which is distinct in those two realities. In this clash between the prescribed and the real new knowledge and practices of education and health promotion are produced. Brazilian professors have developed practices with transdisciplinary approach in research and especially on extension. Extension strategies cause deterritorialization and destratification movements creating escape lines (DELEUZE; GUATTARI, 1995) in rigidity of curricular structure. For some trainers from the IFSI of France the promotion and prevention practices are developed primarily in outside spaces of the hospital (kindergartens, schools, dispensaries), however they prioritize the stages in the hospital. Analyze these contradictions, allow us to conclude that although they are called by the same name - nursing and nurses - there are different professionals and formation practices in these two countries

O objetivo geral deste estudo foi caracterizar e analisar as práticas desenvolvidas pelos grupos de promoção à saúde do Centro de Saúde Escola (CSE) Vila Tibério como estratégia de fortalecimento da atenção básica. Como objetivos específicos, elegemos: descrever a dinâmica de funcionamento destes grupos realizados no CSE com ênfase na caracterização sociodemográfica dos integrantes; analisar as ações desenvolvidas nos grupos de promoção à saúde na ótica dos seus participantes; identificar e analisar os registros no CSE Vila Tibério e no nível central da Secretaria Municipal de Saúde de Ribeirão Preto que oficializam o trabalho prático do desenvolvimento dos grupos de promoção. O referencial teórico utilizado foi o da promoção da saúde com análise temática, que compreendeu os seguintes fundamentos: a equidade, a autonomia, a participação social, a intesetorialidade, a sustentabilidade e a integralidade. O estudo é de abordagem qualitativa de natureza descritiva e utilizou como instrumento de coleta de dados entrevista semiestruturada, grupo focal e fonte documental. Elegemos como sujeitos pessoas que participavam dos grupos de promoção de saúde maiores de 18 anos, com frequência mínima de 06 meses nesses grupos e um técnico da Secretaria Municipal da Saúde de Ribeirão Preto com atuação no sistema de informação. Na caracterização dos sujeitos participantes do grupo focal, encontramos 93,75% do sexo feminino e 68,7% foi a faixa etária de maiores de 60 anos. Quanto à escolaridade, 43,8% possuíam ensino médio completo e, sobre o tempo de participação nos grupos de promoção, identificamos 53,6% que referiram frequentar os grupos num período de 02 a 05 anos. A partir do referencial teórico proposto, passamos a analisar como os fundamentos da promoção da saúde estavam presentes na ótica dos participantes do grupo focal e, nesse movimento de articular o referencial teórico e os depoimentos dos participantes do grupo focal, elegemos a categoria empírica modelo de assistência e esta foi sustentada a partir de unidades temáticas que emergiram da análise, sendo elas: integralidade; participação social; sustentabilidade; intersetorialidade e equidade. Em relação ao sistema de informação, analisamos que o mesmo privilegia a produtividade quantitativa em saúde. Assim, não oportuniza o sentido desses registros para os profissionais que trabalham com grupos de promoção. Consideramos que os grupos de promoção à saúde podem contribuir como uma prática em direção à mudança de modelo assistencial; para o fortalecimento da atenção primária à saúde como principal porta de entrada do Sistema Único de Saúde, utilizando-se de premissas da estratégia de Saúde da Família; e para favorecer a adesão e o vínculo da comunidade aos serviços de saúde, principalmente através dos agentes comunitários de saúde. Os grupos de promoção à saúde também poderão compor de maneira sistematizada as ações na agenda de serviços da atenção básica de saúde de forma que sua produção seja incluída nos setores de informação e resulte, além de maior visibilidade do trabalho, uma importante ferramenta na composição do financiamento para a gestão municipal de saúde / The general objective of this study was to characterize and analyze the practices developed by groups of health promotion of the Health School Center (CSE) of Vila Tibério as a strengthening strategy of primary care. As specific objectives, we elected: describe the working dynamics of these groups performed in the CSE with an emphasis on socio-demographic characteristics of the members; analyze the actions developed in the health promotion groups from the viewpoint of its participants; identify and analyze the records in the CSE Vila Tibério and at the central level the Municipal Health Secretary of Ribeirão Preto that formalize the practical work of development of the promotion groups. The theoretical reference used was the health promotion with thematic analysis that included the following grounds: equity, autonomy, social participation, intersectoriality, sustainability and comprehensiveness. The study is a qualitative approach of descriptive character and used as instrument the data collected through semi-structured interview, focus groups and documentary source. We elected as subjects, people who participated in the health promotion groups and was aged over 18 years with minimum frequency of 06 months in these groups and a technician from the Municipal Health Secretary of Ribeirão Preto with expertise in the information system. The characterization of the subjects that participated in the focus group, we found 93.75% female, 68.7% was aged over 60 years. As for education, 43.8% had completed high school and regarding time of participation in promotion groups, we identified 53.6% who reported attending the groups over a period of 02 to 05 years. From the proposed theoretical reference, we analyzed how the fundamentals of health promotion were present in the view of the focus group participants and in this movement to articulate the theoretical reference and the statements of the focus group participants, we elected Assistance Model as empirical category and this was sustained from the thematic units that emerged from the analysis, as comprehensiveness; social participation; sustainability; intersectoriality and equity. Regarding the information system we analyzed that it focuses on quantitative productivity in health matter. Thus, it does not favor the meaning of these records to the professionals who work with promotion groups. We consider that health promotion groups can contribute as a practice towards the change of healthcare model, the strengthening of primary health care as the main gateway to the National Health System (SUS), using assumptions of the Family Health Program strategy, promotes adhesion and the bond of the community to health services, mainly through community healthcare agents. The health promotion groups can also compose in a systematic way the actions in the primary care service health agenda so that its production is included in the sectors of information and results, in addition to a greater visibility of the work, an important tool in the composition of financing for the municipal health administration

Diversas alterações no âmbito social, cultural, político e econômico no Brasil repercutiram na forma como os serviços de saúde têm se organizado para atender às demandas atuais. A psicologia da saúde tem contribuído para iniciativas de promoção da saúde e o diálogo entre esses dois campos parece promissor. O objetivo deste estudo foi examinar criticamente um processo de grupo de aconselhamento para reeducação alimentar, em curso no Centro de Promoção da Saúde do Serviço de Clínica Geral do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Este estudo qualitativo utilizou: uma entrevista estruturada no início da atividade do grupo, a observação das sessões de grupo, uma entrevista semi-estruturada ao final, e um grupo focal 10 meses depois dos grupos encerrados. A análise dos resultados foi realizada através da categorização do material colhido no diário de campo, nos relatórios e transcrição de grupos e entrevistas, organizados através da análise de conteúdo. A análise crítica dos modos de realização do modelo proposto no serviço foi orientada pelos quadros teóricos da vulnerabilidade (individual, programática e social) e da emancipação psicossocial, e inspirada na metodologia de “cenas", tal como desenvolvida no campo da prevenção do HIV e da aids. Nos resultados descreveu-se: o perfil dos participantes; as motivações, as definições de saúde e de promoção de saúde, com percebem o HC; o estabelecimento do setting e da coordenação; a linguagem e a dinâmica da interação; o compartilhamento e a importância dos outros significativos; as cenas de adesão ou não adesão às recomendações e o contexto sócio-cultural. Conclui-se com sugestões para a reorganização do programa, o treinamento continuado de profissionais envolvidos na promoção da saúde e para novos estudos relevantes para intervenções afins. / Several changes at the Brazilian social, cultural, political and economical scope have influenced the way health services have been organized in order to attend the present demand. Health psychology has contributed for health promotion initiatives and the dialogue between these areas seems promising. The objective of this study was to critically examine the group counseling process for nutrition reeducation held in the Center of Health Promotion of the General Clinic Service of Medicine School of the University of São Paulo, regarding its aims and the progress as seen by its participants. This qualitative study began with a structured interview at the beginning of the group activities, followed by the observation of all group sessions, a semi-structured interview at the end, and a focus group ten months after the groups were finished. The analysis used the categorization of data collected on the field journal, the reports and the transcription of group sessions and interviews, organized through content analysis. The frameworks for critical analysis of the implementation of the proposed model were the notion of vulnerability (individual, programmatic and social) linked to a psychosocial emancipatory approach, inspired by the use of scenes as a data collection and intervention procedure, as in the field of HIV/aids prevention. The results sessions described: the participants’ profile; the motivations and the definitions of health and health promotion, and how they perceive the HC; the setting establishment and the coordination; the language and the interaction dynamic; the sharing and the relevance of significant others; adherence and non- adherence scenes and the socio-cultural context. The present study concluded with suggestions for the reorganization of the program, for the ongoing training of professionals involved in health promotion, and for new studies aiming similar interventions.

RESUMO Há uma polêmica em torno da produção de conhecimentos em promoção da saúde, seja quanto a sua natureza, sua finalidade ou seu alcance, que expressa sintomas de um problema cuja etiologia ainda está por ser mais bem apreendida. O objeto desta pesquisa foi a identificação das bases teóricas e filosóficas dessa produção, as relações que esta estabelece com a experiência social contemporânea e, por fim, o lugar que reserva aos sujeitos na produção de saúde. Um estudo do pormenor epistemológico explorou as noções de dinâmica social presentes no material de pesquisa composto de uma amostra de Teses de Doutorado e Dissertações de Mestrado sobre promoção da saúde. Verificase que existem modelos de compreensão da dinâmica social elaborados há mais de um século que influenciam no momento presente a produção de conhecimentos na área da promoção da saúde. Existem também modelos elaborados contemporaneamente que aproveitam os desenvolvimentos científicos mais recentes, tanto quanto as críticas ao cientificismo. Em todos os casos, a noção de dinâmica social revela paradigmas, sendo sensível às variações das racionalidades empregadas na produção de conhecimentos e às variações dos quadros mentais das culturas no que diz respeito ao projeto da modernidade. Realizou-se uma análise objetiva das razões e progressão dos argumentos apresentados nas teses e dissertações o seu tempo lógico , que foi sobreposta por uma análise genetico-etiológica que apreende as implicações contextuais dessas argumentações o seu tempo histórico. Tais análises permitiram a elaboração de perfis epistemológicos da noção de dinâmica social, em uma adaptação ao modelo proposto por Gaston Bachelard, que sugerem a existência de um processo em curso de tensão e transição paradigmáticas na produção de conhecimentos dessa área. Permitiram também verificar que as racionalidades empregadas e as visões da contemporaneidade condicionam a noção de dinâmica social e esta, por sua vez, condiciona o entendimento a respeito do lugar que ocupam ou devem ocupar os sujeitos na produção de saúde. Tais análises permitiram, por fim, constatar que nessa amostra prevalece o entendimento acerca de uma hipossuficiência do sujeito, o que parece um problema a ser enfrentado pela promoção da saúde / ABSTRACT There is a controversy surrounding the production of knowledge in health promotion, be around nature, its purpose or scope, which expressed symptoms of a problem whose etiology is still to be better understood. The object of this research was to identify the theoretical and philosophical bases of production, the relations it establishes with the contemporary social experience and, finally, the place reserved for subjects in the production of health. A study of the \"epistemological detail\" explored the notions of social dynamics present in the research material consists of a sample of Thesis and Masters Dissertations. It appears that there are models of understanding of social dynamics developed over a century that currently influence the production of knowledge in the area of health promotion. There are also models developed contemporaneously that leverage the latest scientific developments as far as the criticism of scientism. In all cases, the notion of social dynamics reveals paradigms, being sensitive to variations of the rationalities used to produce knowledge and to changes in mindsets of cultures in relation to the project of modernity. We carried out an \"objective\" analysis of reasons and progression of the arguments presented in the theses and dissertations - their \"logical time\" - which has been superimposed by a genetic-etiological analysis that captures the contextual implications of these arguments - their \"historical time. Such analysis allowed the development of \"epistemological profiles\" of the concept of social dynamic in adapting the model proposed by Gaston Bachelard, suggesting the existence of an ongoing process of tension and paradigmatic transition in the production of knowledge in this area. They also check that the rationalities employed and the visions of the contemporary condition the notion of social dynamics and this in turn affects the understanding about the role does or should take the subjects in the production of health. Such analysis allowed finally, note that this sample the prevailing understanding of a subject\'s hypo-sufficiency, therefore, a problem be faced by health promotion. Keywords: Health Promotion. Social Dynamic. Rationalities. Epistemology

O presente estudo teve como objetivo identificar o nível de conhecimento, prática e recomendação da atividade física dos profissionais de saúde do Sistema Único de Saúde (SUS) do município de São Caetano do Sul - São Paulo. Os profissionais foram divididos em dois grupos (com formação e sem formação universitária). Também foi realizada a associação entre o nível de atividade física e o nível de conhecimento com o nível de recomendação da atividade física. Foram avaliados 110 profissionais de saúde do Sistema Único de Saúde (SUS) do município de São Caetano do Sul. O grupo foi constituído por profissionais de saúde (médicos, enfermeiros, psicólogos, fisioterapeutas, assistentes sociais e auxiliares de enfermagem) que atendem os usuários do Sistema Único de Saúde no município de São Caetano do Sul, localizado na Região da Grande São Paulo, no Estado de São Paulo. Esses profissionais responderam a um questionário sobre o nível de conhecimento, nível de atividade física e nível de recomendação da atividade física. Para a análise estatística foram utilizados o agrupamento das respostas semelhantes e o cálculo percentual. Para a associação foi utilizado o teste Qui-quadrado. Após a análise das respostas foi concluído que: a) não foram observadas diferenças significativas entre os profissionais com e sem formação universitária nas variáveis: nível de conhecimento, nível de atividade física e nível de recomendação. Os profissionais de saúde responderam adequadamente às questões relativas a duração e intensidade, mas inadequadamente em relação à freqüência e modo; b) o índice de profissionais considerados fisicamente inativos foi 8,9 por cento, insuficientemente ativos 16,5 por cento e fisicamente ativos 74,7 por cento; c) cerca de 62 por cento dos profissionais recomendam a atividade física aos seus pacientes; d) houve uma associação significativa entre o nível de conhecimento, quando analisado mediante o número de questões adequadas e o nível de recomendação. Não encontramos associação significativa entre o nível de atividade física e o nível de recomendação / The purpose of the present study was to identify the level of knowledge, level of physical activity and recommendation of physical activity delivery by health professionals from the Unified System of Health (SUS) of São Caetano do Sul SP. The professionals were divided in two groups (with and without university level). The association among level of physical activity and level of knowledge with the level physical activity recommendation was also established. Sample comprised 110 health professionals of the Unified System of Health (SUS) of São Caetano do Sul. The group was constituted by health professionals (physicians, nurses, psychologists, physiotherapists, social assistants, and nurses assistants) who attend the Unified System of Health (SUS) of the municipality of São Caetano do Sul, located in the Metropolitan region of São Paulo in the São Paulo state. All subjects answered a questionnaire about the level of knowledge, level of physical activity and recommendation of physical activity. Data were analyzed using percentage of answers and Chi Square test. Results permitted to concluded that: a- there were any significant difference among the professionals with and without university level considering the variables analyzed: level of knowledge, level of physical activity and recommendation of physical activity. Health professionals answer correctly the questions related to duration and intensity, but uncorrected for frequency and mode; b- the prevalence of physical inactivity was 8.9 per cent, insufficiently active 16.5 per cent, and physically active 74.7 per cent; c- about 62 per cent of the professionals related to recommend physical activity to their patients; d- there was a significant association between the level of knowledge when it was analyzed the number of right questions and the recommendation level. There was no association between the level of physical activity and the level of physical activity recommendation

Background: In November 2011, prisoner healthcare in Scotland became the combined responsibility of a partnership between the Scottish Prison Service and the National Health Service. Very little is known about the experience of male prisoners with regard to their health care while in prison and immediately following release. Aim: Against the backdrop of organisational restructure, the purpose of this study was to investigate the experiences of male prisoners in order that future policy developments can be more grounded in their experience. Methodology: The study was conducted from a phenomenological perspective. Data was gathered from semi-structured interviews with male ex-prisoners in the community. Interviews were audio-recorded and transcribed where consent was given; detailed field notes were made in interviews where consent was not given for audio-recording. Transcripts of the recorded interviews and field notes were analysed using inductive phenomenological analysis. Findings: Twenty-nine ex-prisoners participated in semi-structured interviews. Nine consented to being audio-recorded. Analysis revealed the following themes: 1. The meaning of health. Participants experienced their own health predominantly as a physical phenomenon related to their ability to function physically in the world. Mental ill-health had been experienced and was spoken about in terms of stigma and ensuring/maintaining personal safety. Substance misuse was not seen as a health issue but more as an issue of poor service provision. 2. Access to and use of healthcare provisions in prison and the outside community. Problems were experienced regarding medication and the prescribing practices of doctors. Participants’ experience of accessing healthcare services in prison was of a difficult and frustrating process that was controlled by nurses whose attitudes and use of power were perceived as a major factor in prisoners’ ability to access and use the services available. All participants described professionals' high level of mistrust in them and the issues surrounding their health status as a result of the phenomenon known as the credibility gap. This appeared to impact upon their perceived ability to access health care whilst in prison and the outside community. 3. Difficulties in interagency communication of care. Participants expressed experience of an increasingly bureaucratic process of access to health services characterised by form-filling. This was perceived to disadvantage and discourage prisoners with literacy difficulties. Participants expressed that new complaints procedures were not explained and appeared to be designed in a way to deliberately discourage and delay complaints. Participants expressed that the access arrangements for healthcare appointments were also bureaucratic, slow, and perceived to be designed to discourage them from accessing the healthcare services. 4. Vulnerability and hope. The role of the family and the support that they provide following liberation was stated to be important and helpful in preventing relapse into former health threatening behaviours. Such support was also described as helping to prevent participants from becoming embroiled in a revolving door syndrome of release and reoffending. The important mechanisms were identified as a source of accommodation and a permanent address, which was essential to access a number of healthcare services and benefits. Planned, consistent throughcare and opportunities were identified as helpful, especially those from the third sector. Discussion: This study provides a voice to the participants. Healthcare in prison was largely experienced in terms of physical health; mental health is seemingly experienced as stigmatising. Ex-prisoners experience a communication failure among services. Access to healthcare in prison is experienced as overly bureaucratic. Conclusion: Ex-prisoner participants' experiential accounts raise problematic issues relating to the effectiveness of 2011 policy changes that were intended to ensure equity in health services for prisoners and ensure that they received improved opportunities to benefit from NHS care. The changes have not translated into an improved experience for prisoners during and following their incarceration a renewed commitment to providing equivalency of opportunity in healthcare for prisoners is required.

This study looks at school children´s intersectional experience with weight norms and tries to give insights on the issue of body normativities, from a feminist sport scientist point of view. Its purpose is to inform good practice in juvenile health education on the one hand and to contribute with intersectional feminist insights to the interdisciplinary dialogue on body weight and health on the other. The here presented research project has been conceived as a pilot study for the juvenile health program The Club of Strong Friends. It aims to answer the question how troubled subject positions in a curricular setting come to be and how children use their intersectional corporeality to navigate in and out of different positionings. Using workshops as a method, a workshop series called Self-worth, Body Weight and Health was carried out with children between 11 and 13 in 3 different public schools in the most eastern province of Austria in spring 2015. Four of these sessions constitute the material for the analysis which has been realized by using Staunaes´ conceptualisation of intersectionality and troubled subject positions. Results: It has been found that many children who conformed to normative body weight ideals drew attention to this fact. This was inter alia to claim an untroubled position within the group or overshadow a troubled position as an ethnic minority in a dominant Austrian school context. Being of non-normative body weight on the other hand often hindered children to connect with others and aggravated the participation in in-group activities. The data demonstrate that body weight plays a significant role in negotiating one´s intersectional position within the peer group. Non-normative body weight can thereby be a barrier for children to take part in a learning community. The findings also suggest that a variety of intersections that constitute children´s corporeal experiences within educational contexts are overlooked or insufficiently addressed within educational environments. Conclusion: Given this study´s findings, it is recommended to start incorporating intersectionality as an analytical tool and methodology in health promotion and health education in order to address pupils´ differences and intersections in a valuing non-oppressive way.