Abstract
To analyze the production of meanings on interventions considered as Harm Reduction in the discourses of nursing professionals working in Primary Health Care. Qualitative study based on the theoretical-methodological framework of French Discourse Analysis. Semi-structured interviews were conducted with 14 nursing professionals working in Primary Health Care, from February to October 2019. Most Harm Reduction practices performed by nursing professionals aim to minimize risks and physical damage. Harm Reduction actions that require welcoming, non-judgment and qualified listening were observed. Some nursing professionals perform Harm Reduction actions, but do not recognize them as such. The production of meanings in the discourses of nursing professionals presented evidence of biomedical and/or disease discursive formations, health prevention, interpersonal relationships and health promotion.
Highlights
The Harm Reduction (HR) strategy in the context of the use of psychoactive substances aims to minimize risks and damages, respecting the autonomy of the individual and considering the social, cultural and economic d eterminants involved in psychoactive substance use[1]
The discursive block addressed the production of effects of meaning that evidenced discursive formations in HR from a biomedical and/or disease-associated perspective, health prevention interventions, interpersonal relationships and health promotion
The study can support educational proposals on HR interventions in the training and qualification of nursing professionals, and it demonstrates the relevance of maintaining this strategy as a health policy
Summary
The Harm Reduction (HR) strategy in the context of the use of psychoactive substances aims to minimize risks and damages, respecting the autonomy of the individual and considering the social, cultural and economic d eterminants involved in psychoactive substance use[1]. HR in Primary Health Care (PHC) is established as a strategy built in cooperation with the user and with no repressive approaches that only require complete abstinence It promotes new possibilities of life and treatment and reduces prejudices related to people who use psychoactive substances[4]. This way, nursing professionals who work on PHC centers have an essential role in population health care and are able to identify community contexts that affect the health process and develop strategies for health prevention, protection and promotion[5]. These professionals have the skills to recognize the needs arising from psychoactive substance use and to promote favorable moments, both individually and collectively, to provide guidance and develop HR strategies[6]
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