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Pico-Merchán ME, Orozco-Castillo L, Betancurth-Loaiza DP. Transitioning Community Practices in Nursing Programmes: University Faculty Perceptions. Hacia Promoc. Salud [Internet]. 2025 May 1 [cited 2025 Dec. 15];30(2):9-19. Available from: https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/11301
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Abstract
Introduction: Community nursing practices often emphasise disease prevention and individualised, instrumental health education within health centres. This limits engagement with communities and collectives. Objective: To interpret nursing educators’ perceptions of community practices within the framework of primary healthcare. Dates and locations: Universities in the Eje Cafetero region of Colombia, 2021–2023. Methods: Qualitative research with a critical ethnographic orientation was conducted through participant observation and ethnographic interviews with twelve educators from five universities. Data analysis followed a spiral process of coding, categorisation and identification of relationships in two stages: first within each university and second through an interpretive synthesis of all findings. The study adhered to qualitative research rigour criteria and ethical standards. Results: The central cultural theme identified was the transition to community care through health education. This was based on two cultural patterns: the transition from theoretical frameworks to the practical dimensions of community care, which converged towards risk-centred health education; and the planned praxis for culturally comprehensive family and community nursing care. Conclusions: Health education constitutes the structural axis of community care. It enables actions to be mobilised across diverse contexts and new knowledge to be constructed, grounded in concepts of knowledge, practice and praxis. This contributes scientific foundations to the field of community nursing.
References
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33. students’ opinions. FEM: Revista de la Fundación Educación Médica [Internet]. 2021 [cited 2024 Nov 1];24(5). Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S2014-98322021000500263
34. Navarrete Romero ES, Zambrano Pinargote ND, Loor Vinueza GM, Gómez León JI. The role of nursing in community health. Recimundo [Internet]. 2024 Mar 5;8(1):445–53. doi: http://dx.doi.org/10.26820/recimundo/8.(1).ene.2024.445-453
35. Marx K. Tesis sobre Feuerbach [Internet]. 1845 [cited 2024 Sep 4]. Available from: https://www.marxists.org/espanol/me/1840s/45-feuer.htm
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37. Almeida SLP, Primo CC, Almeida MV de S, Freitas P de SS, Lucena A de F, Lima E de FA, et al. Guide for Systematization of Care and Nursing Process: educational technology for professional practice. Rev Bras Enferm [Internet]. 2023;76(suppl 4).doi: https://doi.org/10.1590/0034-7167-2021-0975
38. Betancurth-Loaiza DP, Pico-Merchán ME, Orozco-Castillo L. Community practice in nursing programs in the context of primary health care. Entramado [Internet]. 2023 Nov 18;20(1):1–14. Available from: https://revistas.unilibre.edu.co/index.php/entramado/article/view/10286
39. Velazquez-Moreno E, González-Velázquez MS, De la Peña-León B. Design and validation of didactic materials for a nursing educational intervention to primary caregivers. Enferm Univ [Internet]. 2021 May 3;17(4):390–402. doi: http://dx.doi.org/10.22201/eneo.23958421e.2020.4.787
40. Castaño Pineda Y, Lopera Uribe GE, Betancurth Loaiza DP, Villa Vélez L, Vásquez Velázquez AM, Escobar Paucar GM, et al.Popular Education and Child Rearing: Contributions of an Experience. Pedagogía y Saberes [Internet]. 2023 Jan 1 [cited 2024 Nov 1];(58):187–200. doi: https://doi.org/10.17227/pys.num58-16295
41. Nassar Tobón AC. Health education: Health intervention models from critical pedagogy. Inv Educ Med [Internet]. 2025 Jan 5;14(53):115–22. doi: http://dx.doi.org/10.22201/fm.20075057e.2025.53.24597
42. Villa-Vélez L. Education for health and social justice based on the focus on capabilities: An opportunity for public health development. Ciên Saúde Colet [Internet]. 2020 Apr [cited 2024 Nov 1];25(4):1539–46. doi: https://doi.org/10.1590/1413-
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45. López-Cárdenas WI, Soto-Mora BH. Epistemological contributions to bridge the nursing theory-practice gap in Colombia. Rev Cienc Cuid [Internet]. 2020 [cited 2024 Nov 1];17(1):112–22. doi: https://doi.org/10.22463/17949831.1550
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2. Watson J, Horseman Z, Fawcett T, Hockley J, Rhynas S. Care home nursing: Co-creating curricular content with student nurses. Nurse Educ Today [Internet]. 2020 Jan 1 [cited 2024 Sep 4]; 84:1–17. doi: https://doi.org/10.1016/j.nedt.2019.104233
3. Devido JA, Doswell WM, Braxter BJ, Terry MA, Charron-Prochownik D. Exploring the Experiences, Challenges, and Approaches of Parish Nurses in Their Community Practice. J Holist Nurs [Internet]. 2019 Jun 29 [cited 2024 Nov 1];37(2):121–9. doi: https://doi.org/10.1177/0898010118801414
4. Trejo SE. Enseñanza y aprendizaje en la práctica de Enfermería en Salud Comunitaria. Yachay [Internet]. 2023 [cited 2024 Sep 4];1:1–16. Available from: https://fhu.unse.edu.ar/yachay/RYN3ART03_2023.pdf
5. Orozco-Castillo L, Betancurth-Loaiza DP, Pico-Merchán ME. Tree of Life in Community Nursing Practices: Curriculum Analysis of Five Universities. Hacia la Promoción de la Salud [Internet]. 2024 Jan 23 [cited 2024 Nov 1];28(2):124–37. doi:https://doi.org/10.17151/hpsal.2023.28.2.9
6. Albarrán Y, Guajardo A, Macías A, Méndez AC, Narro S. Economic development, competitiveness and globalization in modern times. Munich Personal RePEc Archive [Internet]. 2020 may 19 [cited 2024 Sep 4];20(05):1–14. Available from: https://mpra.ub.uni-muenchen.de/100500/1/MPRA_paper_100500.pdf
7. Siles Moriana S, Castillejo Higueras M. The neighborhood party as a hybrid practice between art, education, community health and research. Tercio Creciente [Internet]. 2020 Nov 30 [cited 2024 Nov 1];75–83. doi: https://doi.org/10.17561/rtc.extra3.5732
8. Congreso de la República de Colombia. Law 100 of 1993 [Internet]. 23 Dec. Bogotá D.C., Colombia; 1993 [cited 2024 Sep 4]. p. 1–65. Available from: https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=5248
9. Ministerio de Salud y Protección Social. Plan Decenal de Salud Pública 2022 - 2031 [Internet]. Bogotá D.C.; 2020 [cited 2024 Sep 4]. p. 188. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/PSP/documentoplan-decenal-salud-publica-2022-2031.pdf
10. Gadamer HG. Verdad y Método I. Fundamentos de una hermenéutica filosófica [Internet]. Salamanca, España. Sígueme Publishers. 1975 [cited 2024 Sep 4]. Available from: https://archive.org/details/hans-georg-gadamer-verdad-y-metodo-tomo-1-octava-edicion/mode/2up
11. Díaz Domínguez M. Habermas and the Evolution of Critical Theory: The
12. Impulses of Philosophical Hermeneutics. Latin American Journal of Humanities and Educational Divergences [Internet]. 2023. doi: http://dx.doi.org/10.5281/ZENODO.10790361
13. Pérez JJ, Nieto-Bravo JA, Santamaría-Rodríguez JE. Hermeneutics and phenomenology in Human and Social Sciences research. Civilizar [Internet]. 2019 Jul 2 [cited 2024 Sep 4];19(37):21–30. doi: https://doi.org/10.22518/usergioa/jour/ccsh/2019.2/a09
14. Hagues R. Conducting critical ethnography: Personal reflections on the role of the researcher. Br J Soc Work [Internet]. 2021 May 3 [cited 2024 Sep 4];64(3):438–43. doi: https://doi.org/10.1177/0020872818819731
15. Paño Yáñez P. Critical ethnographies of participatory action. A proposal for the confluence of ethnography and participatory action research methodologies. Rev Latinoam Metod Cienc Soc [Internet]. 2022 Dec 1;12(2):e114. doi: http://dx.doi.org/10.24215/18537863e114
16. Hall S, Liebenberg L. Qualitative description as an introductory method to qualitative research for master’s-level students and research trainees. Int J Qual Methods [Internet]. 2024 Jan;23. doi: http://dx.doi.org/10.1177/16094069241242264
17. Restrepo E. Etnografía: alcances, técnicas y éticas [Internet]. Universidad Nacional Mayor de San Marcos. Lima; 2018. 1–145 p. Available from: https://www.aacademica.org/eduardo.restrepo/3.pdf
18. Ortega-Bastidas J. How to saturate the data? An analytical proposal “from” and “for” qualitative research. Interciencia [Internet]. 2020 [cited 2024 Sep 4];45(6):293–9. Available from: https://www.redalyc.org/journal/339/33963459007/
19. McFarland MR, Wehbe-Alamah HB. Leininger’s Theory of Culture Care Diversity and Universality: An Overview With a Historical Retrospective and a View Toward the Future. J Transcult Nurs [Internet]. 2019 Nov 13 [cited 2024 Sep 4];30(6):540–57. doi: https://doi.org/10.1177/1043659619867134
20. Sousa-Duarte F, Brown P. (Dis)trust in the care of work-related mental health problems in Brazil: Between multiple systems and shared lifeworlds. Soc Sci Med [Internet]. 2025 Mar; 369:117827. doi: http://dx.doi.org/10.1016/j.socscimed.2025.117827
21. Santa Cruz Terán FF, Obando Peralta EC, Reyes Pastor GE, Rodríguez-Balcázar SC. Qualitative Research: a Look at its Validation from the Perspective of Triangulation Methods. Revista de Filosofía [Internet]. 2022 Jun 17 [cited 2024 Sep 4];39(101):59–72. doi: https://doi.org/10.5281/zenodo.6663103
22. Ministerio de Salud y Protección Social (Colombia). Resolution 8430 of 1993. 1993 [cited 2024 Jan 22]; Available from: https://www.redjurista.com/Documents/resolucion_8430_de_1993.aspx#/
23. Martínez Trujillo N, Díaz Bernal Z, Martínez Boloña Y, Chao Flores M, Dandicourt Thomas C, Vera Rodríguez JE, et al. Health Nursing Model for Interdisciplinary Care Practices. Rev Cubana Enferm [Internet]. 2020 [cited 2024 Sep 6];36(3):1–12. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03192020000300015&lng=es&nrm=iso&tlng=es
24. Zea Bustamante LE, Múnera Gaviria HA. Community practices in Nursing as a promoted scenario for teaching-learning processes. Av Enferm [Internet]. 2024 Aug 1;42(1):1–11. doi: http://dx.doi.org/10.15446/av.enferm.v42n1.112807
25. Wheeler KJ, Miller M, Pulcini J, Gray D, Ladd E, Rayens MK. Advanced practice nursing roles, regulation, education, and practice: A global study. Ann Glob Health [Internet]. 2022 Jun 16;88(1):42. doi: http://dx.doi.org/10.5334/aogh.3698
26. Ocampo-Restrepo D, Betancurth-Loaiza DP, Orozco-Castillo L, Pico-Merchán ME. The recognition of community practices: perceptions of nursing students in the Eje Cafetero, Colombia. Index de Enferm [Internet]. 2025 Feb 21; e15527. doi: http://dx.doi.org/10.58807/indexenferm20257151
27. Rojas Verdugo EP, Cajamarca Naula RS, Andrade Encalada HA, Ochoa Maldonado KM. The role of nursing in family health: a systematic review. Pro Sciences: Revista de Producción, Ciencias e Investigación [Internet]. 2022 Mar 31 [cited 2024 Sep 4];6(42):225–38. Available from: https://journalprosciences.com/index.php/ps/article/view/481
28. Vargas Muñoz N, Orozco Castro C. Mediación pedagógica y evaluación: Una mirada desde un modelo de marco abierto en educación inicial. Actualidades Investigativas en Educación [Internet]. 2020 Aug 31 [cited 2024 Nov 1];20(3):1-33. doi:https://doi.org/10.15517/aie.v20i3.43672
29. Martínez Pineda MC, Guachetá Gutiérrez E. Educar para la emancipación. Hacia una praxis crítica desde el sur [Internet]. CLACSO. Bogotá: Universidad Pedagógica Nacional; 2020 [cited 2024 Sep 4]. 1–280 p. Available from: https://biblioteca.clacso.edu.ar/clacso/se/20201006122520/educar-emancipacion.pdf
30. Freire P. Pedagogía de la esperanza: un reencuentro con la pedagogía del oprimido [Internet]. 21st Century Publishing House. Ciudad de México; 1993. Available from:
31. https://redclade.org/wp-content/uploads/Pedagogía-de-la-Esperanza.pdf
32. Muñoz-Samaín M, Illesca-Pretty M, Gallegos-Soto J, Cabezas-González M, Hernández-Díaz A, Godoy-Pozo J. Learning experience using the comprehensive family and community health model: Chile’s nursing
33. students’ opinions. FEM: Revista de la Fundación Educación Médica [Internet]. 2021 [cited 2024 Nov 1];24(5). Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S2014-98322021000500263
34. Navarrete Romero ES, Zambrano Pinargote ND, Loor Vinueza GM, Gómez León JI. The role of nursing in community health. Recimundo [Internet]. 2024 Mar 5;8(1):445–53. doi: http://dx.doi.org/10.26820/recimundo/8.(1).ene.2024.445-453
35. Marx K. Tesis sobre Feuerbach [Internet]. 1845 [cited 2024 Sep 4]. Available from: https://www.marxists.org/espanol/me/1840s/45-feuer.htm
36. Luitel BC, Dahal N. Conceptualising Transformative Praxis. J Transform Praxis [Internet]. 2020 Oct 3;1(1):1–8. Available from: https://www.nepjol.info/index.php/jrtp/article/view/31756
37. Almeida SLP, Primo CC, Almeida MV de S, Freitas P de SS, Lucena A de F, Lima E de FA, et al. Guide for Systematization of Care and Nursing Process: educational technology for professional practice. Rev Bras Enferm [Internet]. 2023;76(suppl 4).doi: https://doi.org/10.1590/0034-7167-2021-0975
38. Betancurth-Loaiza DP, Pico-Merchán ME, Orozco-Castillo L. Community practice in nursing programs in the context of primary health care. Entramado [Internet]. 2023 Nov 18;20(1):1–14. Available from: https://revistas.unilibre.edu.co/index.php/entramado/article/view/10286
39. Velazquez-Moreno E, González-Velázquez MS, De la Peña-León B. Design and validation of didactic materials for a nursing educational intervention to primary caregivers. Enferm Univ [Internet]. 2021 May 3;17(4):390–402. doi: http://dx.doi.org/10.22201/eneo.23958421e.2020.4.787
40. Castaño Pineda Y, Lopera Uribe GE, Betancurth Loaiza DP, Villa Vélez L, Vásquez Velázquez AM, Escobar Paucar GM, et al.Popular Education and Child Rearing: Contributions of an Experience. Pedagogía y Saberes [Internet]. 2023 Jan 1 [cited 2024 Nov 1];(58):187–200. doi: https://doi.org/10.17227/pys.num58-16295
41. Nassar Tobón AC. Health education: Health intervention models from critical pedagogy. Inv Educ Med [Internet]. 2025 Jan 5;14(53):115–22. doi: http://dx.doi.org/10.22201/fm.20075057e.2025.53.24597
42. Villa-Vélez L. Education for health and social justice based on the focus on capabilities: An opportunity for public health development. Ciên Saúde Colet [Internet]. 2020 Apr [cited 2024 Nov 1];25(4):1539–46. doi: https://doi.org/10.1590/1413-
81232020254.19052018
43. Di Marco ME. The Meaning of Education From a Human Perspective: Remarks From Martha Nussbaum and Francisco Ruiz Sánchez. Revista Electrónica Educare [Internet]. 2020 Jan 1 [cited 2024 Nov 1];24(1):1–18. doi: https://doi.org/10.15359/ree.24-1.15
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