560
I. N. Carlotto et al.
can, through transdisciplinarity, strengthen relationships and produce health, wellbeing and quality of life in HEIs, relevant indicators in public health. The university
environment is a complex social system in its entirety, with several pulsating interrelationships between parts and the whole. This system is extremely dynamic, with
its elements affected by constantly moving feedback loops.
When applied to health in HEIs, this theory illustrates that healthy structures (e.g.,
strategic plan adoption and managerial commitment) are a prerequisite for healthy
processes (e.g., effective communication and efficient management are prerequisites
for health outcomes and therefore health determinants (Dooris et al. 2017; Carlotto
and Dinis 2018b).
The results of this study indicate that, in addition to the principles of HP generally identified in the literature (Tsouros et al. 1998), such as accessibility, equity,
transdisciplinarity, and holism, other principles were identified. Concepts such as
solidarity, public trust, autonomy, resilience, individual and community well-being,
global health, shared commitment and environmental sustainability were evoked,
whose principles are aligned with environmental bioethics and SR, impacting on
general health, the well-being individual and collective, and in the social justice of
HEIs. Universities act as research and learning sites for SD and SR, stimulating
HP activities. On the other hand, the diffusion of ecosalutogenic models in health
is presented as a transdisciplinary and principled alternative that seeks to reflect on
the qualified health processes in HE. From this perspective, the transdisciplinarity
proposed by environmental bioethics becomes a tool for the recognition of shared
goals, the need to consider plural knowledge and the reflection of practices. The principles of bioethics and ecological models are integrated in order to aim at building a
more humanized and socially responsible HP model (Carlotto and Dinis 2019a).
Stimulating healthy work and learning environments leads to educational
processes SD and knowledge exchange, as well as increased health and well-being,
reinforcing the commitment to HP in HEIs. Thus, bioethics acts as a useful intervention tool, and reflects on how it is possible to contribute to stimulate appropriate and
inclusive health actions in the academic environment, viewing health as an integral
part of the culture, structure and processes of HEIs (Carlotto and Dinis 2017).
7 Conclusions
HEIs have a vital role to play. Universities act as research and learning sites for SD,
stimulating HP’s activities. In this proposal, environmental bioethics, as an analytical
and principle-based activity, seeks to reflect on the impact of environments on HP
in HE, contributing to the construction of qualified health action processes, with
the essential conceptual and transdisciplinary clarity that characterises the processes
bioethical.
Using the methodology proposed in this research is this possible to verify the
importance of the ecosystemic and salutogenic approach in the planning of health
I. N. Carlotto et al.
can, through transdisciplinarity, strengthen relationships and produce health, wellbeing and quality of life in HEIs, relevant indicators in public health. The university
environment is a complex social system in its entirety, with several pulsating interrelationships between parts and the whole. This system is extremely dynamic, with
its elements affected by constantly moving feedback loops.
When applied to health in HEIs, this theory illustrates that healthy structures (e.g.,
strategic plan adoption and managerial commitment) are a prerequisite for healthy
processes (e.g., effective communication and efficient management are prerequisites
for health outcomes and therefore health determinants (Dooris et al. 2017; Carlotto
and Dinis 2018b).
The results of this study indicate that, in addition to the principles of HP generally identified in the literature (Tsouros et al. 1998), such as accessibility, equity,
transdisciplinarity, and holism, other principles were identified. Concepts such as
solidarity, public trust, autonomy, resilience, individual and community well-being,
global health, shared commitment and environmental sustainability were evoked,
whose principles are aligned with environmental bioethics and SR, impacting on
general health, the well-being individual and collective, and in the social justice of
HEIs. Universities act as research and learning sites for SD and SR, stimulating
HP activities. On the other hand, the diffusion of ecosalutogenic models in health
is presented as a transdisciplinary and principled alternative that seeks to reflect on
the qualified health processes in HE. From this perspective, the transdisciplinarity
proposed by environmental bioethics becomes a tool for the recognition of shared
goals, the need to consider plural knowledge and the reflection of practices. The principles of bioethics and ecological models are integrated in order to aim at building a
more humanized and socially responsible HP model (Carlotto and Dinis 2019a).
Stimulating healthy work and learning environments leads to educational
processes SD and knowledge exchange, as well as increased health and well-being,
reinforcing the commitment to HP in HEIs. Thus, bioethics acts as a useful intervention tool, and reflects on how it is possible to contribute to stimulate appropriate and
inclusive health actions in the academic environment, viewing health as an integral
part of the culture, structure and processes of HEIs (Carlotto and Dinis 2017).
7 Conclusions
HEIs have a vital role to play. Universities act as research and learning sites for SD,
stimulating HP’s activities. In this proposal, environmental bioethics, as an analytical
and principle-based activity, seeks to reflect on the impact of environments on HP
in HE, contributing to the construction of qualified health action processes, with
the essential conceptual and transdisciplinary clarity that characterises the processes
bioethical.
Using the methodology proposed in this research is this possible to verify the
importance of the ecosystemic and salutogenic approach in the planning of health
