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Published on: May 31, 2021
[Participative action research; self-care education for the mature adult, a dialogic and empowered process]
Sheila Sanchez Gomez1, José Luis Medina Moya2, Beatriz Mendoza Pérez de Mendiguren3
1Centro de Salud de Zaramaga, Comarca Araba, Vitoria-Gasteiz, España. Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Araba, Vitoria-Gasteiz, España.
Objective:
Explore and transform dialogic-reflexive learning processes oriented to self-care, capacitation, empowerment and health promotion for "mature-adult" collective.
Design:
Participative action research on a qualitative and sociocritic approach. Data generation methods are SITE: Field work focuses on the development of the educational program "Care is in your hands" that takes place in two villages (Primary Care. Comarca Araba).
Participants:
Through a theoretical sampling involved people who are in a "mature-adult" life stage and three nurses with extensive experience in development health education programs.
Methods:
Participant observation where health education sessions are recorded in video and group reflection on action. To triangulate the data, have been made in-depth interviews with 4 participants. Carried out a content and discourse analysis.
Results:
Participant and nurses' Previous Frameworks, and these last ones' discourses as well, reveal a current technical rationality (unidirectional, informative,.) yet in practice that perpetuates the role of passive recipient of care. Educational keys constructed from a viewpoint of Dialogic Learning emerge as elements that facilitate overcoming these previous frames limitations. Finally, Reflective Learning launched, has provided advance in professional knowledge and improve health education.
Conclusions:
Dialogical learning emerges as key to the training and empowerment, where we have seen how practical-reflexive, and not technical, rationality is meanly useful confronting ambiguous and complex situations of self-care practice and education.
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