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Perceptions of barriers and facilitators to implement programs for prevention of mother-to-child transmission of HIV-Mozambique
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Buleza Lamucene, Olimpia

; Bernales, Margarita

; Irarrázabal Vargas, Lisette

; Ferrer Lagunas, Lilian

Revista da Escola de Enfermagem da USP

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2022, Volume 56 elocation e20210353

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo: Compreender as perspectivas das mulheres grávidas ou puérperas vivendo com HIV em Sofala, Moçambique, sobre as barreiras e facilidades para seguir as recomendações para a Prevenção da Transmissão Materno-Infantil (PMTCT). Método: estudo qualitativo realizado em três centros de saúde e com um grupo de apoio de pares de mulheres vivendo com HIV, entre outubro de 2020 e março de 2021. Aplicou-se amostra intencional, entrevistas semiestruturadas e análise de conteúdo. Resultados: O estigma social associado a ser HIV positivo e o medo da discriminação, efeitos colaterais dos medicamentos, barreiras econômicas e negação do diagnóstico/tratamento surgiram como barreiras. Como fatores facilitadores: redes de apoio e inspiração dos pares, preocupação inata com a saúde e a família. Finalmente, eles recomendam que a comunidade se eduque mais sobre o HIV. Conclusão: Os resultados deste estudo proporcionam uma compreensão ampla da experiência das mulheres que vivem com o HIV nesta província, possibilitando centrarse em estratégias para melhorar o atendimento às mulheres nos programas de PTMI em Moçambique.

Abstract Objective: To understand the perspectives of pregnant and postpartum women living with HIV in Sofala, Mozambique, regarding barriers and facilitators to following Prevention of Mother-to-Child Transmission (PMTCT) recommendations. Method: Qualitative study conducted in three health centers and with a peer support group of women living with HIV, between October 2020 and March 2021. We applied purposeful sampling, semi-structured interviews, and content analysis. Results: Among the barriers that emerged were the social stigma associated with HIV-positive status and fear of discrimination, side effects of medications, economic barriers, and denial of diagnosis/treatment. As facilitating factors: peer support networks and inspiration, innate concern for health and family. Finally, they recommend that the community should become more educated about HIV. Conclusion: The results of this study give a broad understanding of the experience of women living with HIV in this province, making it possible to focus strategies in improving the care of women in PMTCT programs in Mozambique.

RESUMEN Objetivo: Comprender las perspectivas de las mujeres embarazadas o en posparto viviendo con VIH en Sofala, Mozambique, respecto a las barreras y facilitadores para seguir las recomendaciones para la Prevención de Transmisión Materno Infantil (PTMI). Método: estudio cualitativo realizado en tres centros de salud y con un grupo de apoyo entre pares de mujeres viviendo con VIH, entre octubre de 2020 y marzo de 2021. Aplicamos muestreo intencional, entrevistas semiestructuradas y análisis de contenido. Resultados: Surgieron como barreras el estigma social que conlleva la condición de ser VIH positivo y el miedo a la discriminación, los efectos secundarios de los medicamentos, barreras económicas y la negación al diagnóstico/tratamiento. Como factores facilitadores: redes de apoyo e inspiración de pares, innata preocupación por la salud y la familia. Finalmente, ellas recomiendan que la comunidad se eduque más en materia de VIH. Conclusión: Los resultados de este estudio dan una comprensión amplia acerca de la experiencia de mujeres viviendo con VIH en esta provincia, posibilitando focalizar estrategias para mejorar la atención de las mujeres en los programas de PTMI en Mozambique.

https://doi.org/10.1590/1980-220x-reeusp-2021-0353

Sexual and gender minority health in Chile: findings from the 2016–2017 Health Survey
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Lagunas, Lilian Ferrer

; Caceres, Billy

; Silva, Margarita Bernales

; Passi-Solar, Alvaro

; Delgado, Jaime Barrientos

; López-Salvo, Francisca

; Shah, Ruby

; Hughes, Tonda L.

Revista de Saúde Pública

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2022, Volume 56 elocation 96

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE To expose visibility of the health concerns of sexual and gender minority groups in Chile, as well as to provide a platform to advocate for policies that support the health and well-being of sexual and gender minority people in the country. METHODS The health conditions and risk factors of participants identified as sexual and gender minority were compared to those identified as cisgender heterosexual using data from the 2016-2017 National Health Survey. RESULTS Despite reporting higher self-rated health than heterosexual men, gay men had a higher risk of lifetime diagnosis of sexually transmitted infections. Compared to heterosexual women, the prevalence of depression was higher among bisexual women, who were also less likely to have been tested for HIV. Moreover, transgender participants were more likely to report depression and worse self-rated health than cisgender heterosexual participants. CONCLUSION Small sample sizes of sexual and gender minority subgroups might have obscured some differences that would have been observable in larger samples. Despite this, we found statistically significant sexual and/or gender identity differences in several health areas, especially mental, sexual, and overall health.

https://doi.org/10.11606/s1518-8787.2022056004086

Sexual and gender minority health in Chile: findings from the 2016–2017 Health Survey
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Lagunas, Lilian Ferrer

; Caceres, Billy

; Silva, Margarita Bernales

; Passi-Solar, Alvaro

; Delgado, Jaime Barrientos

; López-Salvo, Francisca

; Shah, Ruby

; Hughes, Tonda L.

Revista de Saúde Pública

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2022, Volume 56 elocation 96

Abstract: En | Text: En | PDF: En

https://doi.org/10.11606/s1518-8787.2022056004086

Differences in children and adolescents with SARS-CoV-2 infection: a cohort study in a Brazilian tertiary referral hospital
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Marques, Heloisa Helena de Sousa

; Pereira, Maria Fernanda Badue

; Santos, Angélica Carreira dos

; Fink, Thais Toledo

; Paula, Camila Sanson Yoshino de

; Litvinov, Nadia

; Schvartsman, Claudio

; Delgado, Artur Figueiredo

; Gibelli, Maria Augusta Bento Cicaroni

; Carvalho, Werther Brunow de

; Odone Filho, Vicente

; Tannuri, Uenis

; Carneiro-Sampaio, Magda

; Grisi, Sandra

; Duarte, Alberto José da Silva

; Antonangelo, Leila

; Francisco, Rossana Pucineli Vieira

; Okay, Thelma Suely

; Batisttella, Linamara Rizzo

; Carvalho, Carlos Roberto Ribeiro de

; Brentani, Alexandra Valéria Maria

; Silva, Clovis Artur

; Eisencraft, Adriana Pasmanik

; Rossi Junior, Alfio

; Fante, Alice Lima

; Cora, Aline Pivetta

; Reis, Amelia Gorete A. de Costa

; Ferrer, Ana Paula Scoleze

; Andrade, Anarella Penha Meirelles de

; Watanabe, Andreia

; Gonçalves, Angelina Maria Freire

; Waetge, Aurora Rosaria Pagliara

; Silva, Camila Altenfelder

; Ceneviva, Carina

; Lazari, Carolina dos Santos

; Abellan, Deipara Monteiro

; Santos, Emilly Henrique dos

; Sabino, Ester Cerdeira

; Bianchini, Fabíola Roberta Marim

; Alcantara, Flávio Ferraz de Paes

; Ramos, Gabriel Frizzo

; Leal, Gabriela Nunes

; Rodriguez, Isadora Souza

; Pinho, João Renato Rebello

; Carneiro, Jorge David Avaizoglou

; Paz, Jose Albino

; Ferreira, Juliana Carvalho

; Ferranti, Juliana Ferreira

; Ferreira, Juliana de Oliveira Achili

; Framil, Juliana Valéria de Souza

; Silva, Katia Regina da

; Kanunfre, Kelly Aparecida

; Bastos, Karina Lucio de Medeiros

; Galleti, Karine Vusberg

; Cristofani, Lilian Maria

; Suzuki, Lisa

; Campos, Lucia Maria Arruda

; Perondi, Maria Beatriz de Moliterno

; Diniz, Maria de Fatima Rodrigues

; Fonseca, Maria Fernanda Mota

; Cordon, Mariana Nutti de Almeida

; Pissolato, Mariana

; Peres, Marina Silva

; Garanito, Marlene Pereira

; Imamura, Marta

; Dorna, Mayra de Barros

; Luglio, Michele

; Rocha, Mussya Cisotto

; Aikawa, Nadia Emi

; Degaspare, Natalia Viu

; Sakita, Neusa Keico

; Udsen, Nicole Lee

; Scudeller, Paula Gobi

; Gaiolla, Paula Vieira de Vincenzi

; Severini, Rafael da Silva Giannasi

; Rodrigues, Regina Maria

; Toma, Ricardo Katsuya

; Paula, Ricardo Iunis Citrangulo de

; Palmeira, Patricia

; Forsait, Silvana

; Farhat, Sylvia Costa Lima

; Sakano, Tânia Miyuki Shimoda

; Koch, Vera Hermina Kalika

; Cobello Junior, Vilson

Clinics

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2021, Volume 76 elocation e3488

Abstract: En | Text: En | PDF: En

OBJECTIVES: To compare demographic/clinical/laboratory/treatments and outcomes among children and adolescents with laboratory-confirmed coronavirus disease 2019 (COVID-19). METHODS: This was a cross-sectional study that included patients diagnosed with pediatric COVID-19 (aged <18 years) between April 11, 2020 and April 22, 2021. During this period, 102/5,951 (1.7%) of all admissions occurred in neonates, children, and adolescents. Furthermore, 3,962 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection samples were processed in patients aged <18 years, and laboratory-confirmed COVID-19 occurred in 155 (4%) inpatients and outpatients. Six/155 pediatric patients were excluded from the study. Therefore, the final group included 149 children and adolescents (n=97 inpatients and 52 outpatients) with positive SARS-CoV-2 results. RESULTS: The frequencies of sore throat, anosmia, dysgeusia, headache, myalgia, nausea, lymphopenia, pre-existing chronic conditions, immunosuppressive conditions, and autoimmune diseases were significantly reduced in children and adolescents (p<0.05). Likewise, the frequencies of enoxaparin use (p=0.037), current immunosuppressant use (p=0.008), vasoactive agents (p=0.045), arterial hypotension (p<0.001), and shock (p=0.024) were significantly lower in children than in adolescents. Logistic regression analysis showed that adolescents with laboratory-confirmed COVID-19 had increased odds ratios (ORs) for sore throat (OR 13.054; 95% confidence interval [CI] 2.750-61.977; p=0.001), nausea (OR 8.875; 95% CI 1.660-47.446; p=0.011), and lymphopenia (OR 3.575; 95% CI 1.355-9.430; p=0.010), but also had less hospitalizations (OR 0.355; 95% CI 0.138-0.916; p=0.032). The additional logistic regression analysis on patients with preexisting chronic conditions (n=108) showed that death as an outcome was significantly associated with pediatric severe acute respiratory syndrome (SARS) (OR 22.300; 95% CI 2.341-212.421; p=0.007) and multisystem inflammatory syndrome in children (MIS-C) (OR 11.261; 95% CI 1.189-106. 581; p=0.035). CONCLUSIONS: Half of the laboratory-confirmed COVID-19 cases occurred in adolescents. Individuals belonging to this age group had an acute systemic involvement of SARS-CoV-2 infection. Pediatric SARS and MIS-C were the most important factors associated with the mortality rate in pediatric chronic conditions with COVID-19.

https://doi.org/10.6061/clinics/2021/e3488

Estudos de Saúde Mental publicados nos últimos 25 anos na Revista Ciência & Saúde Coletiva
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Campos, Rosana Onocko

; Santos, Deivisson Vianna Dantas dos

; Diaz, Alberto Velzi

; Emerich, Bruno

; Trape, Thiago

; Gama, Carlos Alberto Pegolo da

; Amaral, Carlos Eduardo Menezes

; Poderoso, Rosana Evangelista

; Ferrer, Ana Luiza

; Miranda, Lilian

; Pereira, Mariana Barbosa

; Surjus, Luciana Togni

Ciência & Saúde Coletiva

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dec 2020, Volume 25 N. 12 Pages 4771 - 4790

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Realizou-se revisão sistemática de 25 anos de produção da Revista Ciência & Saúde Coletiva sobre a temática de Saúde Mental buscando responder se essa produção tinha se modificado ao longo do tempo. Perguntou-se se essas mudanças guardariam alguma relação com a implementação de um novo marco regulatório e legal para essa área assim como com a expansão de serviços públicos e com os estímulos à investigação do tema por Agencias Públicas de financiamento. Analisaram-se 278 artigos originais, apresentados a partir das categorias: transformações socioculturais relacionadas à loucura e sua abordagem; mudanças legislativas; implantação, capilaridade e funcionamento da rede de serviços substitutivos; clínica/cuidado desenvolvido nos serviços substitutivos; o papel e as possibilidades da atenção básica; problemas relacionados ao uso de drogas; saúde mental de crianças e adolescentes; estudos epidemiológicos/categorias psiquiátricas; e outros - nas quais foram incluídas as questões étnico-raciais, de violência, acerca da população idosa, suicídio, bullying e migração. Pode ser observada relação cronológica entre o aumento de publicações e os editais de pesquisa e a expansão de serviços, não parecendo ser da mesma forma em relação ao tema dos cuidados a pessoas com problemas com álcool e outras drogas.

Abstract A systematic review of the 25-year Mental Health production of Journal Ciência & Saúde Coletiva was performed to identify whether this production had changed over time. We investigated whether these changes would have any relationship with the implementation of a new regulatory and legal framework for this field and the expansion of public services and the promotion of public funding agencies’ investigation on the subject. A total of 278 original papers were analyzed from the following categories: sociocultural transformations related to madness and its approach; legislative changes; implantation, coverage range and operation of the network of substitute services; clinic/care developed in substitute services; the role and possibilities of primary care; drug use-related problems; mental health of children and adolescents; epidemiological studies/psychiatric categories; and others - which included ethnic-racial issues, violence, about the elderly population, suicide, bullying, and migration. A chronological relationship can be observed between the increase in publications and research notices and the expansion of services, not seemingly in the same way concerning care for people with alcohol and other drug problems.

https://doi.org/10.1590/1413-812320202512.27932020 1838 downloads

Estudos de Saúde Mental publicados nos últimos 25 anos na Revista Ciência & Saúde Coletiva
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Campos, Rosana Onocko

; Santos, Deivisson Vianna Dantas dos

; Diaz, Alberto Velzi

; Emerich, Bruno

; Trape, Thiago

; Gama, Carlos Alberto Pegolo da

; Amaral, Carlos Eduardo Menezes

; Poderoso, Rosana Evangelista

; Ferrer, Ana Luiza

; Miranda, Lilian

; Pereira, Mariana Barbosa

; Surjus, Luciana Togni

Ciência & Saúde Coletiva

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dec 2020, Volume 25 N. 12 Pages 4771 - 4790

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-812320202512.27932020

Determinantes sociales como factores contextuales de la obesidad: construcción de significado y valoración del estado nutricional según nivel socioeconómico
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Thomas-Lange, Jeffrey

; Ferrer, Lilian

Revista chilena de nutrición

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dec 2020, Volume 47 N. 6 Pages 983 - 990

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT The objective of the study was to explore the influence of socio-economic status (SES), as a structural social determinant of health, in the construction of the meaning and value attached to obesity. To do so, we conducted semi-structured interviews with obesity care users from two health centres, targeting socio-economic differences amongst participants. Using thematic content analysis, the findings were organised into four inductively constructed categories, labelled as: 1) the meaning attached to suffering from obesity; 2) awareness of the impact of obesity on one’s health; 3) the search for alternatives while being obese; 4) attributed origin of obesity. Obesity was understood as a medical category, varied in meaning as well as in the way it was problematized depending on SES, acquiring contradictory meanings. Healthism is incorporated in a heterogeneous way among different socioeconomic groups, reproduced via specific lifestyles. Thus, SES, intertwined with other structural social determinants of health, was not only a ‘cause’ of the outcome but also contextually in the mechanisms through which health status and the value of health were defined. Considering this differential effect of social determinants of health would be important in designing appropriate health interventions.

RESUMEN El objetivo fue explorar la influencia del nivel socioeconómico (NSE), como determinante estructural de la salud, sobre la construcción de significados y valor atribuidos a la obesidad. Se realizaron entrevistas semiestructuradas a usuarios de programas de obesidad de dos centros de salud, procurando diferencias en el NSE del público objetivo. A partir del análisis de contenido temático, los resultados se organizaron en cuatro categorías construidas inductivamente: 1) significado atribuido de vivir con obesidad, 2) conciencia manifiesta del impacto de la obesidad sobre la propia salud, 3) búsqueda vivida de alternativas ante la obesidad y 4) origen atribuido de la obesidad. Se observó que la obesidad, entendida como categoría médica, varió según NSE tanto en significado como en la forma en que es problematizada, tomando sentidos incluso contradictorios. El salutismo se incorporó de manera heterogénea entre distintos grupos socioeconómicos, reproduciéndose como estilo de vida. Así, el NSE, entrelazado con otros determinantes sociales estructurales de la salud, pudo influir no sólo en los resultados de salud de manera ‘causal’, sino también -a través de mecanismos donde participaron contextualmente- en la definición del estado de salud y en el valor atribuido a la salud. Considerar este efecto diferencial de los determinantes sociales de la salud en la obesidad, sería importante para el logro de intervenciones efectivas en salud.

1481 downloads

Invasão de ligustro no sub-bosque de um remanescente de floresta com araucária: uma abordagem demográfica
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Nunes, Amanda da Silva

; Higuchi, Pedro

; Silva, Ana Carolina da

; Kilca, Ricardo de Vargas

; Silva, Mariele Alves Ferrer da

; Rosa, Angélica Dalla

; Soboleski, Vanessa Fátima

; Dallabrida, Juliana Pizutti

; Souza, Karine

; Cruz, Aline Pereira

; Lima, Carla Luciane

; Stedille, Lilian Iara Bet

; Lemos, Angela Camila

Ciência Florestal

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sep 2020, Volume 30 N. 3 Pages 620 - 631

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Espécies invasoras têm ocasionado a perda de biodiversidade no mundo todo por ocuparem o lugar de nativas. O presente estudo objetivou avaliar a regeneração natural ao longo do tempo em um fragmento florestal invadido por Ligustrum lucidum W.T. Aiton e Ligustrum sinense Lour. no sul do Brasil, a fim de quantificar essa invasão. Para isso, foram alocadas cinco transecções em um fragmento de Floresta Ombrófila Mista em Lages (SC), sendo cada transecção dividida em parcelas com diferentes setores de distâncias da borda e em subparcelas para avaliação do componente regenerativo. Em 2012, os regenerantes de espécies arbóreas que se encontravam nas subparcelas foram identificados, plaqueteados e divididos nas seguintes classes: classe 1 _ plantas com altura entre 10 cm e 1 m; classe 2 _ plantas com altura entre 1 e 3 m; classe 3 _ plantas com altura maior que 3 m e diâmetro medido à altura do peito (DAP) menor que 5 cm. Em 2014, esses indivíduos foram reavaliados, contabilizando os indivíduos mortos e recrutas e enquadrando os sobreviventes e recrutas nas atuais classes. Foram calculadas as taxas de mortalidade, recrutamento, mudanças de classe e mudança líquida. Os dados foram analisados por meio de uma análise de componentes principais (ACP) e tabela de contingência. Conclui-se que as espécies superaram a fase inicial do processo de invasão, demonstrando elevado incremento populacional na área estudada. Ainda, ficou evidenciado o particionamento espacial entre as espécies nativas e as exóticas, o que sugere a existência de competição interespecífica, cuja consequência pode ser a extinção local de representantes do grupo autóctone.

Abstract The replacement of native species by invasive species has caused a worldwide loss of biodiversity. This study aimed to evaluate the natural regeneration over time in a forest fragment invaded by Ligustrum lucidum W.T. Aiton and Ligustrum sinense Lour. in southern Brazil, in order to quantify this invasion. To do so, five transects were allocated in a fragment of Araucaria Forest in Lages, Santa Catarina state, with each transect divided into plots in different categories of distance from the edge and into sub-plots for the evaluation of the regenerative component. In 2012, the regenerating tree species identified in the sub-plots were tagged and classified according to height classes: Class 1, plants with height between 10 cm and 1 m; class 2, plants with height between 1 and 3 m; and Class 3, plants with a height greater than 3 m and DBH (diameter measured at breast height) less than 5 cm. In 2014, these individuals were re-evaluated, counting the dead and recruited individuals and classifying the survivors and recruits into the existing height classes. Rates of mortality, recruitment, net change, and height class changes were calculated. The data were analyzed by a Principal Component Analysis (PCA) and contingency table. It was concluded that the species overcame the early stage of the invasion process, demonstrating great population growth in the study area. Also, a spatial partitioning between native and exotic species was observed, suggesting the existence of interspecific competition, the result of which may be the local extinction of species from the autochthonous group.

https://doi.org/10.5902/1980509820718 388 downloads

International Interinstitutional PhD Program in Nursing: a successful experience between Brazil and Chile
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Pimenta, Cibele Andrucioli de Mattos

; Lagunas, Lilian Ferrer

; Bertolozzi, Maria Rita

; Secoli, Silvia Regina

Revista da Escola de Enfermagem da USP

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dec 2019, Volume 53 elocation e03467

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1980-220x2019ed0103467 11 downloads

10.

Strengthening universal health: development of a nursing and midwifery education quality improvement toolkit
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Markaki, Adelais

; Moss, Jacqueline

; Shorten, Allison

; Selleck, Cynthia

; Loan, Lori

; McLain, Rhonda

; Miltner, Rebecca

; Patrician, Patricia

; Theus, Lisa

; Ferrer, Lilian

; Góes, Fernanda dos Santos Nogueira de

; Valenzuela-Mujica, Maria Teresa

; Zarate-Grajales, Rosa

; Cassiani, Silvia Helena De Bortoli

; Harper, Doreen

Revista Latino-Americana de Enfermagem

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2019, Volume 27 elocation e3188

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Objetivo: apresentar o desenvolvimento de um kit de ferramentas para melhoria da qualidade da educação em saúde universal e na atenção primária à saúde em escolas de enfermagem e obstetrícia na América Latina e no Caribe. Métodos: um grupo de especialistas realizou uma revisão sistemática da literatura, selecionou conteúdos-chave e desenvolveu uma versão preliminar do kit, através de uma abordagem iterativa de consenso. Posteriormente, esta versão foi submetida a revisão por parceiros internacionais. Foram efetuadas análise dos dados obtidos em entrevista cognitiva, seguida da integração de revisões e de novas ferramentas até a se alcançar a aprovação da versão final. Resultados: vinte e dois estudos foram identificados e mapeados como recursos. O Modelo de Melhoria - uma abordagem baseada em dados para a análise de desempenho - foi selecionado devido a sua ampla difusão e simplicidade na execução das seguintes fases: 1) formação de uma equipe, 2) avaliação das melhorias necessárias na educação em saúde universal e atenção primária à saúde, 3) determinação de objetivos/metas e definição de prioridades com base numa matriz, 4) estabelecimento de métricas, 5) identificação de mudanças, 6) realização de uma série de ciclos de aprendizagem Planeje-Faça-Estude-Atue, e 7) manutenção das mudanças. Conclusões: o Kit de Ferramentas para Melhoria da Qualidade da Educação, desenvolvido a partir do consenso entre as partes envolvidas, representa uma abordagem sistemática, potencialmente adaptável às diversas culturas, para aprimorar aspectos do corpo discente, do corpo docente e de programas de educação relacionados com a cobertura e o acesso à saúde universal.

Objective: to present the development of a toolkit for education quality improvement in universal health and primary health care, targeting schools of nursing and midwifery in Latin American and Caribbean countries. Methods: an expert work group conducted a systematic literature review, selected key content and completed toolkit drafting, using an iterative consensus approach. International partners reviewed the toolkit. Cognitive debriefing data were analyzed, revisions and new tools were integrated, and the final version was approved. Results: twenty-two articles were identified and mapped as resources. The Model for Improvement, a data-driven approach to performance analysis, was selected for its widespread use and simplicity in carrying out the following steps: 1) organize a team, 2) assess improvement need regarding universal health and primary health care education, 3) set an aim/goal and identify priorities using a matrix, 4) establish metrics, 5) identify change, 6) carry out a series of Plan-Do-Study-Act learning cycles, and 7) sustain change. Conclusions: the Education Quality Improvement Toolkit, developed through stakeholder consensus, provides a systematic, and potentially culturally adaptable approach to improve student, faculty, and program areas associated with universal health coverage and access.

Objetivo: presentar el desarrollo de un kit de herramientas para la mejora de la calidad de la educación en salud universal y atención primaria de salud, dirigido a las escuelas de enfermería y obstetricia en los países de América Latina y el Caribe. Métodos: un grupo de trabajo de expertos realizó una revisión sistemática de la literatura, seleccionó el contenido clave y redactó las herramientas, utilizando un consenso iterativo. Socios internacionales revisaron el kit de herramientas. Se analizaron los datos de la entrevista cognitiva, se integraron las revisiones y las nuevas herramientas, y se aprobó la versión final. Resultados: veintidós artículos fueron identificados y registrados como recursos. Se seleccionó el Modelo para Mejoramiento, un enfoque basado en datos para el análisis del desempeño, por su uso generalizado y sencillez para realizar los siguientes pasos: 1) organizar un equipo, 2) evaluar la necesidad de mejora con respecto a la educación universal en salud y atención primaria de salud, 3) establecer el objetivo e identificar las prioridades utilizando una matriz, 4) establecer métricas, 5) identificar el cambio, 6) llevar a cabo una serie de ciclos de aprendizaje Planear-Hacer-Estudiar-Actuar, y 7) mantener el cambio. Conclusiones: el Kit de Herramientas para la Mejora de la Calidad de la Educación, desarrollado mediante el consenso de las partes interesadas, proporciona un enfoque sistemático y culturalmente adaptable en potencia para mejorar las áreas de los estudiantes, profesores y programas que se encuentran asociados con el acceso y cobertura universal de salud.

https://doi.org/10.1590/1518-8345.3229.3188 2424 downloads

11.

Strengthening universal health: development of a nursing and midwifery education quality improvement toolkit
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Markaki, Adelais

; Moss, Jacqueline

; Shorten, Allison

; Selleck, Cynthia

; Loan, Lori

; McLain, Rhonda

; Miltner, Rebecca

; Patrician, Patricia

; Theus, Lisa

; Ferrer, Lilian

; Góes, Fernanda dos Santos Nogueira de

; Valenzuela-Mujica, Maria Teresa

; Zarate-Grajales, Rosa

; Cassiani, Silvia Helena De Bortoli

; Harper, Doreen

Revista Latino-Americana de Enfermagem

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2019, Volume 27 elocation e3188

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

https://doi.org/10.1590/1518-8345.3229.3188 6 downloads

12.

International Interinstitutional PhD Program in Nursing: a successful experience between Brazil and Chile
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Pimenta, Cibele Andrucioli de Mattos

; Lagunas, Lilian Ferrer

; Bertolozzi, Maria Rita

; Secoli, Silvia Regina

Revista da Escola de Enfermagem da USP

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2019, Volume 53 elocation e03467

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/s1980-220x2019ed0103467 983 downloads

13.

Índice del dolor postratamiento endodóntico
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Toledo Reyes, Lilian

; Cabrera García, Katherin

; González Ferrer, Vielka

; Machado Martínez, Miriam

Revista Cubana de Estomatología

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dec 2018, Volume 55 N. 4 Pages 1 - 14

Abstract: Es | Text: Es | PDF: Es

14.

SALUD GLOBAL, NUEVOS DESAFÍOS PARA INVESTIGACIÓN EN ENFERMERÍA
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Ferrer, Lilian

; Sutherland, Melissa

Ciencia y enfermería

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apr 2017, Volume 23 N. 1 Pages 7 - 10

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

1549 downloads

15.

La comprensión de textos con fines específicos en el estudiantado de los cursos preparatorios de las Ciencias de la Salud
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Pérez Hurtado, Nora Esther

; Carbonell Ferrer, Norma

; Gutiérrez Jacomino, Hildelisa Lilián

; Penichet Díaz, Vilma Victoria

Humanidades Médicas

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dec 2015, Volume 15 N. 3 Pages 452 - 473

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Between the principals objectives of teaching second languages, it´s the development of communication activities to base for the correct understanding. Diagnose done to the students of the ¨Preparatory Filial in Health Science of Morón¨ we could watched limitations of this resource, because isn´t capable to understand the text textually, to summarize it, comment the information neither make judgments and opinions. By the way this project has like primary objective make a bibliographic revision of the fundamental aspects about the importance has de development of texts compression with specifics purposes in the students in preparatory courses of health ´s science.

Entre los objetivos primordiales de la enseñanza de segundas lenguas está el desarrollo de habilidades comunicativas como base para la correcta comprensión. En el diagnóstico realizado al estudiantado de la Filial Preparatoria de las Ciencias de la Salud de Morón se evidenciaron limitaciones en dicho componente, porque no es capaz de comprender literalmente el texto, resumirlo, comentar la información ni emitir juicios y criterios. Por tal motivo este trabajo tiene como objetivo analizar aspectos esenciales del desarrollo de la comprensión de textos con fines específicos en el estudiantado de los cursos preparatorios de las ciencias de la salud.

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