RESUMO
A survey was conducted among 110 Schools of Nursing in USA and 5 Schools in Latin America and the Caribbean (LAC) to identify the international health (IH) component in nursing education, practice and research. A significant part of U.S. schools and all 5 LAC schools have international activities, and this interest has started basically in the last 5 to 10 years. There was difference in the structure of IH activities among U.S. and LAC nursing schools, but they were similar in the type of support offered to IH initiatives. IH content in nursing education among U.S. schools was related to culture, health systems and community health; in LAC schools, IH content was related to health promotion, health policy and strategies and nursing perspectives. U.S. and LAC schools with international activities have only 10% of their faculty and students involved with IH initiatives. The nursing schools still lack courses and activities that the Schools of Public Health have implemented to deal with IH. The article observes areas that need to be strengthened so that nursing professionals can expand their leadership roles in research and practice in international health.
Assuntos
Currículo , Educação em Enfermagem/organização & administração , Saúde Global , Escolas de Enfermagem/organização & administração , Humanos , América Latina , Avaliação das Necessidades , Pesquisa em Educação em Enfermagem , Inquéritos e Questionários , Estados UnidosRESUMO
The length of delay in seeing a physician was related to perceived difficulty in access to services and to scepticism and doubt about the effectiveness of medical care. Attention is called to the importance of the doctor-patient relationship in fostering prompt patient action.
PIP: This study was conducted on the Brazilian working class to identify why sick people delayed in seeking medical attention despite free health services. The study was performed in a shanty-town community located on the urban fringe of Brasilia. 245 residents were interviewed by health professionals. Demographic data collected included the floor space of the houses, number of residents, age of head of household, monthly family income, and educational status of interviewee. The interviewee were asked to describe their last visit to a doctor, motives for their visit, and the time span between recognition of a medical symptom and seeing a doctor. The results of the study suggested that the vast majority waited for more than 3 months before seeking medical attention. In addition, the length of time a client waited to see a doctor was not related to the motive of the visit and most people made their own decision as to when they should see a doctor. The most common reason for delay in seeking medical attention was the inconvenience involved in making the initial contact with a doctor; this either involved waiting too long in line to be seen at an outpatient clinic or it was too much trouble to be seen by a doctor. From this study it seemed clear that efforts to promote the timeliness of medical care in this community should focus on the doctor-patient relationship and not just on the material side of health services.
Assuntos
Serviços de Saúde/estatística & dados numéricos , Atitude Frente a Saúde , Brasil , Atenção à Saúde/economia , Atenção à Saúde/tendências , Serviços de Saúde/economia , Acessibilidade aos Serviços de Saúde/economia , Acessibilidade aos Serviços de Saúde/tendências , Humanos , Cooperação do Paciente , Relações Médico-Paciente , Classe Social , Fatores de TempoRESUMO
One hundred and thirty-three children from birth to 1 year of age were studied to investigate the value of breast milk as a solution to the infant nutrition problem. Fifteen per cent of the children were being fed exclusively breast milk, 44 (44.4%) were fed breast milk plus cow's milk and 40.6% were fed only cow's milk. Thirty-three per cent of the breast fed children, 44.4% of those on mixed feeding and 47% of those on cow's milk alone, were malnourished.