De vuelta a Lipsky el caso del Programa Estructural en Areas de Riesgo (PEAR) del Municipio de Belo Horizonte (Brasil)

Salej, Silvio; Ardila, Ana; Bragato, Josiane

doi:10.5477/cis/reis.154.119

Cited by 3 publications

(1 citation statement)

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“…El grupo focal se celebró de manera virtual en julio del 2023, con una duración aproximada de dos horas. El grupo fue conducido por dos investigadores con amplia experiencia en la realización de estudios sobre políticas públicas y salud, utilizando preguntas orientativas elaboradas por expertos en análisis de políticas, que tienen en cuenta: condiciones de trabajo, pautas de comportamiento y conflictos ( 15 ). La reunión se grabó para la posterior transcripción y análisis de las intervenciones de los participantes.…”

Section: Materiales Y Métodosunclassified

El papel de los profesionales de enfermería en el desarrollo y atención de la salud adolescente en Honduras

De Bortoli Cassiani,

Moreno Dias,

Meléndez Romero

et al. 2024

Revista Panamericana De Salud Pública

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Objetivo. Identificar y analizar el papel de los profesionales de enfermería en el desarrollo y la atención de la salud adolescente en Honduras, por medio del análisis de los contenidos de la formación de los estudiantes de enfermería y de las políticas relacionadas con la salud de los adolescentes. Métodos. Estudio de métodos mixtos, con enfoque explicativo secuencial, desarrollado de mayo a julio del 2023 por medio de encuesta con escuelas de enfermería, análisis de los documentos políticos, encuesta con profesionales de enfermería y grupo focal. Datos cuantitativos analizados mediante estadística descriptiva y datos cualitativos analizados mediante el marco teórico de Walt y Gilson. Resultados. Durante la investigación, se analizaron 18 documentos y participaron siete escuelas de enfermería, 141 enfermeras y 10 actores clave en posición de liderazgo. Los resultados apuntan a la necesidad de actualizar y difundir el marco normativo, garantizar recursos y estructura para implementar programas intersectoriales y sostenibles, y capacitar a los profesionales. La escuela representa un espacio importante para la implementación de acciones, contexto en el que la adopción de la enfermera escolar puede ser provechosa. Las enfermeras fueron identificadas como protagonistas en la aplicación de los programas y deben ser consideradas en el desarrollo de políticas dirigidas a este público. Conclusiones. Las enfermeras participan en diversas etapas del proceso de implementación de políticas y pueden hacer importantes contribuciones a la salud escolar en el primer nivel de salud. Para ello, es necesario aumentar la capacidad de las enfermeras y docentes de enfermería en temas actuales y relevantes en la atención a los adolescentes.

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Section: Materiales Y Métodosunclassified

El papel de los profesionales de enfermería en el desarrollo y atención de la salud adolescente en Honduras

De Bortoli Cassiani,

Moreno Dias,

Meléndez Romero

et al. 2024

Revista Panamericana De Salud Pública

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The role of nurses in implementation of public policy on adolescent health in Colombia, Ecuador, and Peru

De Bortoli Cassiani,

Moreno Dias,

Rivera

et al. 2024

Health Res Policy Sys

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Background In Latin America, interventions aimed at adolescents’ health suffer from a shortfall of investment and lack of sustainability. Nurses, as an integral part of health services and systems, can lead the implementation and development of public health policies to improve adolescent health. Objective To identify and analyze the role of nurses in the development and implementation of public policies and in the provision of health care to adolescents in Colombia, Ecuador, and Peru. Methods The research was carried out in three phases: a documentary analysis, an online survey, and semi-structured focus groups. A total of 48 documents were analyzed, 288 nurses participated in the survey, and 29 nurses participated in the focus groups. Results State policies aim to guarantee rights, with special protection for children and adolescents. It is an incremental process, with greater involvement of civil society and governments. Participants reported a lack of synergy between law and practice, as well as differences in regulatory compliance in rural areas and in populations of different ethnicities and cultures. Their perception was that the protection of adolescents is not specifically enshrined in the legal bases and regulatory structures of the countries, meaning that there are both protective factors and tensions in the regulatory framework. While nurses are highly committed to different actions aimed at adolescents, their participation in policy development and implementation is low, with barriers related to a lack of specialized training and working conditions. Conclusions Given nurses’ involvement in different actions aimed at adolescents, they could play a fundamental role in the development of policies for adolescents and ensure their effective implementation. Policymakers should consider revising the budget to make compliance viable, incorporating and using monitoring indicators, and increasing the involvement of educational institutions and the community.

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Implementación de políticas públicas. Perspectiva de los <i>Street Level Bureaucrats</i>. Una (re)visión

Rouquaud,

Rodríguez García,

Herrera Gutiérrez

2022

Reforma y Democracia

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The problems of public policy implementation, which arose in the North American school, have been and are a topic of concern for academics and scholars, giving rise to several approaches of analysis. The common denominator is the gap between policy objectives and their achievements. This gave rise to the so-called first-generation studies, which originate in the hierarchical or “top-down” view, based on the policy-administration dichotomy. The second generation of studies inverts the focus of the previous analysis and places it at the base of the organizational pyramid, giving rise to the “bottom-up” perspective. This is where the interest of this study is oriented, specifically from the proposal of Lipsky (1971 and 1980), who characterizes and defines public administration personnel at the base level as Street Level Bureaucrats (SLBs), defining the meeting space between bureaucrats and citizens (State and society), where public policies are considered to be executed. From there, multiple studies were generated, mainly in the United States and Northern Europe. However, in Latin America, empirical research on the subject is scarcer. The importance of the approach lies in the possibility of giving visibility to the problem of distribution of social services in a regional context with the need to overcome growing poverty and the problems of public management of most countries in low-income contexts. The paper proposes to review the Street Level Bureaucracy approach and of the most outstanding empirical works in relation to the implementation of social policies, both in the most widely applied countries such as the United States, the United Kingdom and Northern Europe, as well as in Latin American countries. The main interest is focused on the different institutional contexts of application of the theory and its divergences. The conclusions show the different trajectories, the evolution and expansion over time of the original version of the approach. Also, the need to expand research in Latin America, with adaptations to the context, without resigning institutional aspects.

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De vuelta a Lipsky el caso del Programa Estructural en Areas de Riesgo (PEAR) del Municipio de Belo Horizonte (Brasil)

Cited by 3 publications

References 10 publications

El papel de los profesionales de enfermería en el desarrollo y atención de la salud adolescente en Honduras

El papel de los profesionales de enfermería en el desarrollo y atención de la salud adolescente en Honduras

The role of nurses in implementation of public policy on adolescent health in Colombia, Ecuador, and Peru

Implementación de políticas públicas. Perspectiva de los <i>Street Level Bureaucrats</i>. Una (re)visión

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