[Integration of health promotion in the field of nursing]. / L'intégration de la promotion de la santé au sein de la discipline infirmière.

Health promotion is one of many strategies deployed by nurses. Documents and field experience suggest a partial integration of such interventions. A detailed analysis of available literature shows that such an assertion might be premature for three reasons: 1) the integration of health promotion in nursing has been the subject of only a limited number of empirical studies, 2) definitions of health promotion developed through nursing are some of the most frequently quoted and 3) elements of contemporary discourse are often enclosed in these definitions. The discussion examines the gap between the discourse and the practice of health promotion. This analysis concludes to a pluralism of paradigms in nursing; a situation due to the width of the grounds covered by the discipline. Recommendations and stakes are addressed.

[Conditions linked to the integration of the ecologic approach to the programming of prevention-promotion offered to elderly clients by the CSSS of Quebec: a case study]. / Les conditions liées à l'intégration de l'approche écologique dans la programmation de prévention-promotion offerte à la clientèle aînée par les CSSS du Québec: une étude de cas.

This multiple case study investigates conditions influencing the integration of the ecological approach in disease prevention and health promotion (DPHP) programs offered to older adults by local health organizations in Quebec. Scheirer's (1981) implementation model guided the study of five Centres de Santé et Services Sociaux chosen in line with the ecological dimension of their DPHP programs. Documentary analyses were conducted along with thirty-eight semi-structured interviews among professionals and managers. Three categories of factors were explored: professional, organizational and environmental factors. Results indicate the ecological dimension of programs is influenced by organizational norms, competing priorities, team structure, external partnerships, preconceived ideas regarding DPHP for older adults, along with professional interest and training. These results provide levers for action toward optimizing services offered to the older population through disease prevention and health promotion programs.