4 results
Search Results
2. Moving towards universal health coverage: advanced practice nurse competencies.
- Author
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Honig, Judy, Doyle-Lindrud, Susan, and Dohrn, Jennifer
- Subjects
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CLINICAL competence , *CONSENSUS (Social sciences) , *CURRICULUM planning , *NATIONAL health insurance , *NURSE practitioners , *NURSES , *NURSING education , *SURVEYS , *LEADERS , *DESCRIPTIVE statistics - Abstract
Objective: this paper aims to describe the first phase of a project whose general goal was to develop a consensus-based set of advanced practice nurse competencies applicable to Latin American countries and, based on these competencies, produce an advanced practice nurse curricular prototype adapted to Latin American countries. The project was framed in a competency-based approach to advanced practice nursing education. The specific aims of the first phase of the project described in this paper were: 1) to identify a set of potential advanced practice nurse competencies that would serve as the template for Core Advanced Practice Nurse Competencies in Latin American countries and 2) to establish consensus for Core Advanced Practice Nurse Competencies in Latin American countries. Method: advanced practice nurse competencies were derived from a comprehensive review of published competencies and informed the development of a survey designed to assess the relevance of advanced practice nurse competencies in Latin American countries. The survey was distributed to nurse leaders and nurse educators. Data were analyzed using descriptive statistics. Results: consensus for Core Competencies was established. Conclusion: the Core Advanced Practice Nurse Competencies presented can provide a structured framework to build educational programs aligned to the needs of the regional environment. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
3. Identifying patterns of unhealthy diet and physical activity in four countries of the Americas: a latent class analysis.
- Author
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Graf, Sahara and Cecchini, Michele
- Subjects
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AGE distribution , *DIET , *HEALTH behavior , *HEALTH status indicators , *INTERVIEWING , *MEDICAL protocols , *SEX distribution , *SURVEYS , *MULTIPLE regression analysis , *RESIDENTIAL patterns , *SOCIOECONOMIC factors , *STRUCTURAL equation modeling , *SEDENTARY lifestyles , *PHYSICAL activity - Abstract
Objectives. To determine clusters of individuals who present similar health behaviors in terms of diet, physical activity, and sedentarism, in four countries of the Americas: Brazil (2013), Chile (2009), Mexico (2012), and the United States of America (2013). This makes it possible to determine which of these behaviors occur simultaneously, as well as the demographic and sociodemographic characteristics associated with each cluster. Methods. The individual-level data analyzed were drawn from national health interviews and health examination surveys in Brazil, Chile, Mexico, and the United States, for different time periods. Using international physical activity guidelines and national dietary guidelines, the health behaviors of each individual were assessed. A latent class analysis was conducted to classify individuals into clusters based on these behaviors, and was followed by multinomial regressions to determine the characteristics of those in each class. Results. Overall, most individuals belonged to the classes characterized by average or unhealthy diets but sufficient amounts of physical activity. However, large differences exist across countries and population groups. Men with higher socioeconomic characteristics were globally more likely to belong to the least healthy class in each country. Conclusions. Findings from this analysis support the implementation of more refined policy actions to target specific unhealthy behaviors in different population groups, defined by gender, age group, socioeconomic status, and, to some extent, place of residence. The at-risk populations identified through this paper are those that should be targeted by upcoming interventions. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
4. Latin American Study of Nutrition and Health (ELANS): rationale and study design.
- Author
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Fisberg, M., Kovalskys, I., Gómez, G., Rigotti, A., Cortés, L. Y., Herrera-Cuenca, M., Yépez, M. C., Pareja, R. G., Guajardo, V., Zimberg, I. Z., Filho, A. D. P. Chiavegatto, Pratt, M., Koletzko, B., Tucker, K. L., Chiavegatto Filho, A D P, and ELANS Study Group
- Subjects
OBESITY -- Nutritional aspects ,MICRONUTRIENTS ,FOOD consumption ,PUBLIC health ,CROSS-sectional method ,CLINICAL trials ,COMPARATIVE studies ,DIET ,FOOD habits ,HEALTH status indicators ,INGESTION ,RESEARCH methodology ,MEDICAL cooperation ,RESEARCH ,SURVEYS ,PILOT projects ,EVALUATION research ,NUTRITIONAL status ,STANDARDS - Abstract
Background: Obesity is growing at an alarming rate in Latin America. Lifestyle behaviours such as physical activity and dietary intake have been largely associated with obesity in many countries; however studies that combine nutrition and physical activity assessment in representative samples of Latin American countries are lacking. The aim of this study is to present the design rationale of the Latin American Study of Nutrition and Health/Estudio Latinoamericano de Nutrición y Salud (ELANS) with a particular focus on its quality control procedures and recruitment processes.Methods/design: The ELANS is a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample of urban populations from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Perú and Venezuela). A standard study protocol was designed to evaluate the nutritional intakes, physical activity levels, and anthropometric measurements of 9000 enrolled participants. The study was based on a complex, multistage sample design and the sample was stratified by gender, age (15 to 65 years old) and socioeconomic level. A small-scale pilot study was performed in each country to test the procedures and tools.Discussion: This study will provide valuable information and a unique dataset regarding Latin America that will enable cross-country comparisons of nutritional statuses that focus on energy and macro- and micronutrient intakes, food patterns, and energy expenditure.Trial Registration: Clinical Trials NCT02226627. [ABSTRACT FROM AUTHOR]- Published
- 2016
- Full Text
- View/download PDF
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