One of the essential functions of nursing professionals working in primary care, is to promote community partici- pation in health through a range of activities and inter- ventions that, should subsequently evaluated to determine whether or not to have achieved their goal. But, what is meant by community participation in health?, what nurs- ing interventions contribute to community participation in health?, how, when, where... develop these interventions? and finally, how to determine whether these interventions have been effective nursing? Through this article will attempt to answer these questions without forgetting the difficulty that entails, because right now no one knows exactly what is expected of nursing professionals working in primary care.

Key words. Consumer participation, health, community health nursing.

Learning objective. To publicize and promote the role of primary care nurses to cardiovascular secondary prevention.

Start having studies and clinical guidelines plasma where the basic work of the nurse in cardiovascular secondary prevention. This must pivot in self-care training in a comprehensive and holistic approach with both individual and group family. Highlights in addressing nurse are: promote a heart-healthy lifestyle, control of CVRF, help in adherence to treatment plan development and psychoemotional support.

Nursing care can start at the beginning of phase II, being necessary to know the level of risk to adapt care during the first twelve months. Several clinical trials show that nursing works, decreases the number of cardiovascular events and patient perception in improving their health, being higher in secondary prevention. The existence of a protocol or guide promotes manage these chronic patients in the nursing, with a focus on comprehensive cardiovascular care (CCVI).

Key words. Secondary prevention; ambulatory care; community health nursing; primary health care, cardiovascular.

One of the most accepted definition of pain is the proposal by the International Association for the Study of Pain, which defines it as "an unpleasant sensory and emotional experience that is associated with actual or potential injury to the tissues." This experience is always subjective, so we must accept and believe that pain intensity is what the person says.

Pain has a multidimensional perspective, and it affects not only the physical but also the psycho-emotional, social and spiritual development of the person who suffers. There are different tools that help us to know the intensity of pain, and its influence on other human spheres, instruments used for diagnosis and for monitoring the problem, or what is the same, to determine the effect of treatment.

Address the person with pain requires the work of a multidisciplinary team. In the daily community nurses we track scheduled medical treatment, but that sense of pain multidimensional and involvement in other problems (stress, insomnia, dependence, etc.), is appropriate to supplement with non-pharmacological interventions and care for the person and its surroundings, as well as boosting yourself. We refer to introduce other analgesic therapies in nursing visits primary care such as the use of TENS, relaxation, acupuncture, etc., treatments that help control pain and well-being of the person.

Key words. Chronic Pain, Primary Care Nursing, Pain Management.

Our health center has 51 professionals to attend 26.266 users. At the beginning of the project there was a lack of unification of criteria, bad labor enviroment and lack of organization. The settlement proposal that was made was based on applying the methodology of quality to work these problems.

Objectives.

• Improve the organization.
• Improve the working environment.

Method. For the achievement of the objectives we set up Commission on quality formed by professionals of different categories.
From here he worked in:

• Identification of areas of improvement: brainstorm.
• Prioritization/selection of problems: method Hanlon.
• Targets: communication plan and review of the organizational manual.
• Analysis of the causes.
• Planning of improvement actions.

Results. Communication and organization were prioritized as main points of labor. Communication plan has been developed, using corporate mail on a regular basis, and it has created a space for sharing information. All these actions have improved the level of communication.
The organizational manual for Commission on quality together with latest addition professionals was drawn up and presented to the staff for approval.

Conclusions. Often a poor organization and communication can worsen the working environment. Identify points of improvement; work on them with quality methodology does get results more efficiently. Involve all professionals is fundamental to improving.

Key words. Keywords. Organization, communication, quality management.

Background. In patients with Type 2 Diabetes Mellitus treated with insulin (2DM-i) it is important to maintain appropriate blood glucose levels. Nurse practitioners play a key role in patient follow-up. Therefore, their experiencebased knowledge is essential to achieve improvements on diabetes care.

Objective. To pose simple strategies to improve diabetes self-management in patients with 2DM-i.

Methods. Phase I (n = 746 nurse practitioners): 5-item questionnaire assessment on the ease of use of blood glucose meters globally and on the Contour XT meter (Bayer Healthcare) specifically.
Phase II (n = 150 nurse practitioners): definition of strategies to improve diabetes self-management, by means of the identification of problematic behaviours (based on 3 clinical cases) and the analysis of the benefits that different meter features may provide.

Results. Phase I: ease of use was considered to be highly important in meters; therefore, the analyzed meter got a positive assessment.
Phase II: three main problematic behaviours were identified (lack of knowledge on the effect of diet or exercise on glycaemia, consequences of bad habits and lack of motivation).
Based on these problematic behaviours, nurse practitioners proposed to increase patient education on diabetes in order to improve diabetes self-management. Also, it was pointed out that using an easy to use meter with easily adaptable features could help achieve this objective.

Conclusions. Glycemic control in people with diabetes can be improved using different strategies that are easy to implement on a day-to-day basis. One of them could be the use of a meter that fits the patient's individual needs.

Key words. Diabetes Mellitus Type 2, Blood Glucose Self-Monitoring, Insulin, Nursing.