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ISSN 1527-3172 (Electronic)

2012, Number 3

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MEDICC Review 2012; 14 (3)

Developing nursing capacity for Health Systems and Services Research in Cuba, 2008–2011

Martínez N

Language: English
References: 43
Page: 12-18
PDF size: 253.69 Kb.


ABSTRACT

Introducción: Health systems and services research by nursing personnel could inform decisionmaking and nursing care, providing evidence concerning quality of and patient satisfaction. Such studies are rather uncommon in Cuban research institutes, where clinical research predominates.
Objetive: Assess the results of a strategy implemented between 2008 and 2011 to develop nursing capacity for health systems and services research in 14 national research institutes based in Havana.
Methods: The study comprised four stages: description of approaches to health systems and services research by nurses worldwide and in Cuba; analysis of current capacities for such research in Cuba; intervention design and implementation; and evaluation. Various techniques were used including: literature review, bibliometric analysis, questionnaire survey, consultation with experts, focus groups, and workshops for participant orientation and design and followup of research projects. Qualitative information reduction and quantitative information summary methods were used. Initially, 32 nursing managers participated; a further 105 nurses from the institutes were involved in research teams formed during intervention implementation.
Results: Of all published nursing research articles retrieved, 8.9% (185 of 2081) concerned health systems and services research, of which 26.5% (49 of 185) dealt with quality assessment. At baseline, 75% of Cuban nurses surveyed had poor knowledge of health systems and services research. Orientation, design and followup workshops for all institute teams developed individual and institutional capacity for health systems and services research. Post-intervention, 84.7% (27) of nurses reached good knowledge and 14.3% (5) fair; institutional research teams were formed and maintained in 9 institutes, and 13 projects designed and implemented (11 institutional, 2 addressing ministerial-level priorities) to research nursing issues at selected centers.
Conclusions: A systematic strategy to build nursing capacity for health systems and services research can be effective in involving nurses in such research and in developing institutional support for it, fostering compliance with Cuban and international professional development priorities for nursing, as well as contributing to quality of patient services.


REFERENCES

  1. Rojas F. Salud Pública. Medicina Social. Havana: Editorial Ciencias Médicas; 2009. p. 24. Spanish.

  2. Funciones esenciales de la salud pública. Fortalecimiento de los Sistemas de Salud en América Latina y el Caribe [Internet]. Washington: Pan American Health Organization; 2008 [cited 2010 Feb 12]. Available from: http://www.paho.org/ spanish/dpm/shd/hp/FESP.htm. Spanish.

  3. Frenk J. La nueva Salud Pública. In: La crisis de la Salud Pública: refl exiones para el debate. Washington: Pan American Health Organization; 1992. Spanish.

  4. Carel J. Human resources for Health research. Proceedings of the Symposium at the Swiss Tropical Institute; 2007 March; Switzerland.

  5. Lansang MA, Dennis R. Building capacity in health research in the developing world. Bull World Health Organ. 2004 Oct;82(10):764–70.

  6. Nchinda TC. Research capacity strengthening in the South. Soc Sci Med. 2002 Jun;54(11):1699–711.

  7. Strategic directions for strengthening nursing and midwifery services 2011–2015 [Internet]. Geneva: World Health Organization. Department of Human Resources for Health; 2011 Jan [cited 2011 Jun 13]. 31 p. Available from: http://whqlib doc.who.int/hq/2010/WHO_HRH_HPN_10.1 _eng.pdf

  8. Martínez N, Torres M, Urbina O, Otero M. Los Proyectos de ISSS de Enfermería para la toma de decisiones. Una mirada refl exiva. Rev Infodir. 2008;(6). Spanish.

  9. Strengthening of research on health systems and services (HSSR) within PAHO’s technical cooperation. [Internet]. Washington: Pan American Health Organization; 1998 May [cited 2012 May 17]. 13p. Available from: http://www.paho .org/English/HDP/HDR/doc456.pdf

  10. Martínez N, Torres M, Urbina O, Otero M. La brecha entre Investigación en Sistemas y Servicios y la práctica de enfermería. Posibles causas. Rev Cubana Enfermer. 2010;26(3):161–8. Spanish.

  11. Rojo N, Caraballoso M, Martínez S, Pérez B, Pérez J, Resik P, et al. Programa Ramal Investigación en Sistemas y Servicios de Salud. Documento Rector 2003–2006. Havana: National School of Public Health (CU); 2003. Spanish.

  12. Caraballoso M, Rojo N, Martínez S, Pérez B, Bayarre H, Hernández E. Proyecto Estrategia de capacitación para las investigaciones en servicios y salud en Cuba. Havana: National School of Public Health (CU); 2006. Spanish.

  13. Alliance for Health Policy and System Research. Building and Strengthening Partnerships – Annual report 2010. Geneva: World Health Organization; 2010.

  14. Silva LC. Diseño razonado de muestras y captación de datos para la investigación sanitaria. Madrid: Ediciones Díaz de Santos, S.A; 2000. 332 p. Spanish.

  15. Martínez N. Las Investigaciones en sistemas y servicios de salud por enfermería en las revistas científi cas. Rev Cubana Enf. 2011;27(3):228–38. Spanish.

  16. Callejo J. Introducción al proceso de análisis e interpretación. In: El grupo de discusión: introducción a una práctica de investigación. Barcelona: Colección Ariel Ciencias Políticas; 2001. p. 147–59. Spanish.

  17. El análisis de los datos cualitativos. In: Ulin PR, Robinson ET, Tolley EE, editors. Investigación aplicada en Salud Pública. Métodos cualitativos. Washington DC: Pan American Health Organization; 2006 Apr. 286 p. Spanish.

  18. Generalidades. In: Bayarre Vea H, Pérez Piñero J, Castañeda Abascal I, Ranero Aparicio V, editors. La Investigación en Sistemas y Servicios de Salud. Material Docente de la Residencia de Bioestadística. Havana: National School of Public Health (CU); 2005. Spanish.

  19. Bacallao Gallestey J. Fragmentos del dossier bibliográfi co del módulo Investigación Educacional. Havana: National School of Public Health (CU); 2002. Chapter 3: El proyecto científi co. p. 15–8. Spanish.

  20. El protocolo de la investigación. In: Bayarre Vea H, Horsford Saing R, editors. Métodos y técnicas aplicadas a la investigación en Atención Primaria de Salud. Havana: Ediciones Finlay; 2000. p. 61–8. Spanish.

  21. Pérez Piñero J. El proceso de investigación científi ca. Havana: National School of Public Health (CU); 2002.

  22. Artiles L, Otero J, Barrios I. Metodología de la investigación para la Ciencias de la Salud. Havana. Editorial Ciencias Médicas; 2008. p. 104–135. Spanish.

  23. Torres E. Metodología para defi nir funciones profesionales (DEFUN). Rev Cubana Salud Pública. 2008;34(4). Spanish.

  24. Carnota O. Biblioteca virtual para formación post graduada directivos del sector salud. Versión 2007. [CD-ROM] Havana: CEDISAP; 2007. Spanish.

  25. Zall J, Rist R. Ten steps to a results- based monitoring and evaluation system. 3rd ed. Washington: World Bank; 2010.

  26. Alarcón A, Astudillo P. La investigación en enfermería en revistas latinoamericanas. Rev Ciencia y Enfermería. 2007;XIII(2):25–31. Spanish.

  27. Ergul S, Ardahan M , Temel AB, Yildirim BÖ. Bibliometric review of references of nursing research papers during the decade 1994–2003 in Turkey. Int Nurs Rev. 2010;57(1):49–55.

  28. Johansson P, Oléni M, Fridlund B. Patient satisfaction with nursing care in the context of health care: a literature study. Scand J Caring Sci. 2002 Dec;16(4):337–44.

  29. Schreiber C. A closer look: Patients explain what they think makes excellent nursing. Health Week. 1999;7:14–5.

  30. Patient Satisfaction Survey. South Bend: Press Ganey Association; 2002.

  31. Abramowitz S, Coté AA, Berry E. Analyzing patient satisfaction: A multi-analytic approach. QRB Qual Rev Bull. 1987 Apr;13(4):122–30.

  32. Greeneich D. The link between new and return business and quality care: patient satisfaction. ANS Adv Nurs Sci. 1993 Sep;16(1):62–72.

  33. Maslow AH. Motivation and Personality. 2nd ed. New Tork: Harper & Row; 1970. 369 p.

  34. Lu H, While AE, Barriball KL. Job satisfaction among nurses: a literature review. Int J Nurs Stud. 2005 Feb;42(2):211–27.

  35. Zangaro GA, Soeken KL. A meta-analysis of studies of nurse’s job satisfaction. Rev Nurs Health. 2007 Aug;30(4):445–58.

  36. Alliance HPSR. Strategic Plan 2011–2015 – Bridging the worlds of research and policy. Geneva: World Health Organization; 2011. 32 p.

  37. Díaz Benavente M. Estructuras de investigación de Enfermería en Andalucía y perspectivas de futuro [Internet]. Rev Salud y Cuidados. 2003 May [cited 2007 Jul 20];23(5). Available from: http://www.saludycuidados.net/numero5/invesandalucia1. htmISSN 1578–9128. Spanish.

  38. Sánchez M. Análisis de los proyectos de investigación de enfermería presentados al FIS desde el año 1989 al 1992. Rev Enf Clín. 1995;5(2):69– 71. Spanish.

  39. Resolución 44 / 2012 [Internet]. Havana: Ministry of Science Technology and the Environment (CU); 2012 Feb 27 [cited 2012 May 20]. 10 p. Available from: http://fi les.sld.cu/sccs/ fi les/2012/03/ministerio-de-ciencia-tecnologia-y -medio-ambiente-res-4412.pdf. Spanish.

  40. Edwards N, Webber J, Mill J, Kahwa E, Roelofs S. Building capacity for nurse-led research. Int Nursing Rev. 2009 Mar;56(1):88–94.

  41. Formarier M. Réfl exions sur la recherche en soins infi rmiers aujourd’hui. [Internet]. Rech Soins Infi rm. 2010 Mar [cited 2010 Nov 23];100. Available from: http://fulltext.bdsp.ehesp.fr/ Rsi/100/111.pdf. French.

  42. Wietrich L, Regnier JC. L’initiation a la recherche en soins infi rmiers: outil de construction de l’identité professionnelle infi rmière. Rev Rech Soins Infi rmières. 2005 Mar;80(3):87–103. French.

  43. Purkis J, Jackson JA, Hundt G, Stockman C. Increasing nursing research capacity in the workplace. Nurs Times. 2008 Sep;104(37):28–31.




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