Ramos-Morcillo Antonio Jesús, Ruzafa-Martínez María, Fernández-Salazar Serafín, del-Pino-Casado Rafael, Armero Barranco David
Facultad de Enfermería, Universidad de Murcia, Murcia, España.
Facultad de Enfermería, Universidad de Murcia, Murcia, España.
Aten Primaria. 2014 Nov;46(9):483-91. doi: 10.1016/j.aprim.2014.02.002. Epub 2014 Apr 25.
To determine the attitudes of physicians and registered nurses in the Andalusian Public Health System towards preventive and health promotion (PHP) interventions in the context of Primary Health Care and the relationship with occupational variables and self-reported competence in PHP.
Multicenter, observational, descriptive study.
Primary Health Care (PHC), Andalusia, Spain.
A total of 282 professionals (physicians and nurses) from 22 Healthcare centers of the Andalusian public health system and who participated in the validation of CAPPAP were included.
The attitude of physicians and registered nurses towards PHP activities consisted of five dimensions: improvements necessary, perception of peers attitude, importance, obstacles, and improvement opportunities. The validated CAPPAP questionnaire was used. Occupational variables and questions about self-reported competence in PHP were also included.
All dimensions of CAPPAP exceeded the midpoint of the scale (2.5), with their values varying between 3.06 (SD: 0.76) in "improvement necessary", and 4.39 (SD: 0.49) in "importance". The self-declared social, occupational, and competences variables have a statistically significant relationship with the dimensions of the attitude of the professionals except: job experience in PHC, training and implementation of scheduled PHP activities.
The attitudes of physicians and registered nurses towards PHP activities are acceptable, and work must be done to sustain it. Healthcare organizations should implement interventions adapted to different professional profiles. They should also increase activities to improve professional skills in order to provide the appropriate care.
确定安达卢西亚公共卫生系统中的医生和注册护士对初级卫生保健背景下的预防和健康促进（PHP）干预措施的态度，以及与职业变量和自我报告的PHP能力之间的关系。
多中心、观察性、描述性研究。
西班牙安达卢西亚的初级卫生保健（PHC）机构。
纳入了来自安达卢西亚公共卫生系统22个医疗中心且参与CAPPAP验证的282名专业人员（医生和护士）。
医生和注册护士对PHP活动的态度包括五个维度：必要的改进、对同行态度的认知、重要性、障碍和改进机会。使用经过验证的CAPPAP问卷。还纳入了职业变量以及关于自我报告的PHP能力的问题。
CAPPAP的所有维度均超过量表中点（2.5），其值在“必要的改进”维度中为3.06（标准差：0.76），在“重要性”维度中为4.39（标准差：0.49）。自我宣称的社会、职业和能力变量与专业人员态度的维度存在统计学上的显著关系，但以下除外：PHC工作经验、定期PHP活动的培训和实施。
医生和注册护士对PHP活动的态度是可接受的，必须努力维持这种态度。医疗保健组织应实施适应不同专业概况的干预措施。它们还应增加活动以提高专业技能，以便提供适当的护理。
