2020, Number 36
Development of Competencies in Feeding of Children Less than Two Years Old Among Pediatric Interns
Language: Spanish
References: 19
Page: 78-86
PDF size: 524.97 Kb.
ABSTRACT
Introduction: Growth and nutrition are basic topics in pediatrics; Although its content is part of undergraduate education, there is limited evidence of the acquisition of knowledge and skills achieved.Objective: Evaluate competencies developed to promote adequate nutrition and growth in the first two years of life in pediatric interns rotating in two hospitals with different educational processes.
Method: A quasi-experimental study with intervention developed at the Medical School of Universidad Mayor de San Andrés, La Paz, Bolivia. It included 17 interns from hospital one, which did not have scheduled educational activities for feeding and growth, and 24 from hospital two, which had scheduled educational activities on these topics, with seven theoretical hours and 25 practical, individually and in groups, face-to-face and online. Competencies were evaluated with four objective structured clinical evaluation stations that assessed counseling, breastfeeding, complementary feeding, and growth. The data were analyzed in SPSS. To identify differences between the two comparison groups the Student’s t test was used. Normality and homogeneity of variances were verified, and Student’s t value adjusted if less than 0.05.
Results: The results showed that the group of hospital two had a better response in the objective structured clinical evaluation, obtained 23.86 more percentual points in knowledge (p 0.000 95% CI –33.07 to –14.63) and a difference of 15.02% in the rubric (p 0.000 95% CI –20.68 to –9.35) in relation to the group of hospital one.
Conclusions: The differentiated teaching-learning process improves the knowledge and skills of the pediatric interns. The limiting factors for acquiring skills were: the interns’ lack of time, the allocation of non-educational activities and the lack of opportunity to apply preventive and promotional care in hospitals; and the facilitating factor is the mandatory fulfillment of theoretical and practical activities.
REFERENCES
Aguilar LAM, Casanovas VMC, Alejo-Pocoma J. Impacto de la enseñanza teórico práctica estructurada de universitarios en su conocimiento y prácticas en alimentación de menores de dos años. Revista Cuadernos. 2016;57:9-17. [Consultado: 20 abril 2020]. Disponible en: http://www.scielo.org.bo/scielo. php?pid=S1652-67762016000100002&script=sci_arttext.
Aguilar LAM, Casanovas VMC, Alejo-Pocoma J, Vargas MG. Comparación de dos métodos de enseñanza universitaria en alimentación en los dos primeros años de vida. Revista Cuadernos. 2018;59:29-40. [Consultado: 20 abril 2020]. Disponible en: http://www.scielo.org.bo/scielo.php?script=sci_ arttext&pid=S1652-67762018000100004&lng=es&nrm=iso &tlng=es
Organización Mundial de la Salud. La alimentación del lactante y del niño pequeño: Capítulo Modelo para libros de texto dirigidos a estudiantes de medicina y otras ciencias de la salud. Geneva: WHO; 2010. [Consultado: 20 abril 2020]. Disponible en: https://www.who.int/maternal_child_adolescent/ documents/9789241597494/es/
Aguilar LAM, Casanovas VMC, Mazzi GPE, Vargas MG. Enseñanza digital semipresencial en alimentación del menor de dos años en la Cátedra de Pediatría. Facultad de Medicina UMSA. En: Mazzi GPE, Sandoval MO, Peñaranda ARM et al. (Ed.) Texto de la cátedra de Pediatría, 2018/2019. 8va ed. La Paz: Elite Impresiones; 2017. p. 335-43.
Facultad de Medicina, Enfermería, Nutrición y Tecnología Médica, Universidad Mayor de San Andrés. Reglamento Internado Rotatorio. La Paz: Elite Impresiones; 2007. [Consultado: 20 abril 2020]. Disponible en: http://medicina.fment.umsa.bo/ documents/10204/214489/1+Reglamento+Internado+Rotato rio.pdf/8db94150-3f49-45ad-a5ee-4cfd407c2b62.
World Health Organization & United Nations Children’s Fund (UNICEF). Protección, promoción y apoyo de la lactancia natural: la función especial de los servicios de maternidad / declaración conjunta OMS/UNICEF. Ginebra: Organización Mundial de la Salud; 1989. [Consultado 20 abril 2020]. Disponible en: https://apps.who.int/iris/handle/ 10665/41246
Gary AJ, Erin E, Birmingham EE, Jones LB. Improving breastfeeding medicine in undergraduate medical education: A student survey and extensive curriculum review with suggestions for improvement. Educ Health 2017; 30: 163-8. [Consultado 20 abril 2020]. Disponible en: http://www.educationforhealth. net/article.asp?issn=1357-6283;year=2017;v olume=30;issue=2;spage=163;epage=168;aulast=Gary