Possibilidades de formação em enfermagem rural: revisão integrativa
Author(s)Lima, Ângela Roberta Alves
Siles González, José
Heck, Rita Maria
Contributor(s)Universidad de Alicante. Departamento de Enfermería
Enfermería y Cultura de los Cuidados (EYCC)
Rural population health
Educación en enfermería
Salud de la población rural
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AbstractObjetivo: Conhecer o processo de formação em enfermagem rural internacional e as repercussões na formação e prática no Brasil. Métodos: Revisão integrativa composta por seis etapas. Os dados foram coletados no mês de março de 2018, nas bases PubMed, Direct Science, com o descritor “Rural nursing” e a palavra-chave “formation”, com a combinação dos operadores booleanos “AND” e “OR”. Foram elegíveis artigos dos últimos 10 anos, originais, nos idiomas: português, espanhol e inglês, coadunando aos critérios de inclusão e exclusão. Realizou-se análise qualitativa com a construção de subconjuntos e tópicos. Resultados: Totalizou-se 13 artigos abordando: graduação em enfermagem, cursos de graduação à distância; estágios curriculares em serviços de saúde rural e atividade simulada com casos de famílias rurais. Pós-graduação: estágio de pós-graduando em unidade de saúde rural, curso de prática de enfermagem avançada com ênfase no contexto rural e a necessidade de atividade de educação permanente em enfermagem rural. Conclusão: Os estudos analisados evidenciam que as estratégias de qualificação dos profissionais de saúde rural podem ser realizadas de diferentes formas, com a utilização de várias metodologias e tecnologias associadas, conforme a necessidade e disponibilidade dos profissionais, apresentando-se como um leque de possibilidades a serem discutidas e desenvolvidas pela enfermagem, para a qualificação e consolidação da prática da enfermagem rural no Brasil.
Objective: To understand the formation process in international rural nursing and the repercussions on formation and practice in Brazil. Methods: Integrative review composed of six stages. Data were collected in March 2018 in PubMed and Direct Science with the descriptor ‘Rural nursing’ and the keyword ‘formation’ by combining the Boolean operators ‘AND’ and ‘OR’. Original articles from the previous ten years in in Portuguese, Spanish and English that met the inclusion criteria were eligible. Qualitative analysis was performed with the construction of subsets and topics. Results: Inclusion of 13 articles addressing: nursing undergraduate course, distance learning undergraduate courses; curricular internships in rural health services and simulated activity with cases of rural families. Post-graduation: postgraduate internship in rural health unit, advanced nursing practice (ANP) course with emphasis on the rural setting, and the need for continuing education activity in rural nursing. Conclusion: The analysis of studies demonstrated that strategies of qualification of rural health professionals can be applied in different ways, with use of several methodologies and associated technologies according to professionals’ needs and availability. A range of possibilities can be discussed and developed by nursing for the qualification and consolidation of rural nursing practice in Brazil.
Objetivo: Conocer el proceso de formación en enfermería rural internacional y las repercusiones en la formación y práctica en Brasil. Métodos: Revisión integrativa compuesta por seis etapas. Los datos fueron recolectados en el mes de marzo de 2018, en las bases PubMed, Direct Science, con el descriptor “Rural” y la palabra clave “formation”, con la combinación de los operadores booleanos “AND” y “OR”. Eran artículos elegibles de los últimos 10 años, los documentos en los idiomas: portugués, español e inglés, conciliaron los criterios de inclusión y exclusión. Se realizó un análisis cualitativo con la construcción de subconjuntos y tópicos. Resultados: Un total de 13 artículos abordando: graduación en enfermería, cursos de graduación a distancia; las prácticas curriculares en servicios de salud rural y la actividad simulada con casos de familias rurales. Postgrado: etapa de postgrado en unidad de salud rural, curso de práctica de enfermería avanzada con énfasis en el contexto rural y la necesidad de actividad de educación permanente en enfermería rural. Conclusión: Los estudios analizados evidencian que las estrategias de calificación de los profesionales de salud rural pueden ser realizadas de diferentes formas, con la utilización de varias metodologías y tecnologías asociadas, según la necesidad y disponibilidad de los profesionales, presentándose como un abanico de posibilidades que podrán ser discutidas y desarrolladas por la enfermería, para la cualificación y consolidación de la práctica de la enfermería rural en Brasil.
Acta Paulista de Enfermagem. 2019, 32(1): 113-119. doi:10.1590/1982-0194201900016
Copyright/LicenseLicencia Creative Commons Reconocimiento 4.0
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The Rural Investment Climate : Analysis and FindingsWorld Bank (Washington, DC, 2013-03-11)Interest in investment climates has emerged relatively recently. In the 1960s and 1970s, governments in many countries believed they should play a direct role in rural credit, input supply, production, trade, transport, distribution, and even marketing. However, in the 1980s and 1990s, government-dominated systems fell into disgrace because of poor performance. For the rural sector, the primary focus had traditionally been on agriculture, particularly commercial agriculture and agribusiness, which were perceived to be the main drivers of rural growth. This study's essential findings and policy implications are organized into the following six chapters. Annexes provide supporting material. Chapter two presents an overview of related work and of the literature; it also describes the subsequent chapters' methodological framework, including new ways of addressing questions of endogeneity in these kinds of surveys while seeking to isolate cause and effect. Chapter three, by applying econometric analysis, measurably extends the examination of enterprise performance and investment climate constraints initiated in RIC1 (first rural investment climate). A rigorous examination of enterprise dynamics and entrepreneurial choice is developed in chapter four. Aiming to highlight the differing effects on Rural Nonfarm Enterprises (RNFEs), chapter five draws together the main implications RIC2 findings on the rural investment climate in the three country pilots. Community-level influences also matter, and chapter six examines how the local IC and other community characteristics shape the environment for economic activity. Conclusions and recommendations appear in chapter seven, including suggestions for using RIC results for policy reform and for targeting the rural public expenditures needed to foster improvements in the rural investment climate. The annexes describe the databases employed and the methodologies used in the study, as well providing detailed regression results.
Reducing Inequality for Shared
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findings of the eight chapters and one policy note. It is
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people through more equitable service delivery in compulsory
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