Harm reduction in the context of psychoactive substances: nursing discourses in primary health care

Rev Esc Enferm USP. 2021 Sep 17:55:e20200529. doi: 10.1590/1980-220X-REEUSP-2020-0529. eCollection 2021.
[Article in English, Portuguese]

Abstract

Objective: To analyze the production of meanings on interventions considered as Harm Reduction in the discourses of nursing professionals working in Primary Health Care.

Method: 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.

Results: 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.

Conclusion: 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.

MeSH terms

  • Harm Reduction*
  • Humans
  • Primary Health Care*
  • Qualitative Research