Determinants of food and nutrition actions in primary healthcare clinics in the State of São Paulo, Brazil / Determinantes de las acciones de alimentación y nutrición en las clínicas de atención primaria en el estado de São Paulo, Brasil

The objective of the study was to test the link between the preparation of professionals and the operational conditions of food and nutrition actions in primary healthcare in the state of São Paulo, Brazil. This cross-sectional study involved 220 primary healthcare clinics in 65 municipalities of the state. Of the 1873 participating healthcare professionals, 71.8% reported having provided guidance on food and nutrition to different groups, ranging from 56% for pregnant women to 17% for families. Only 19% of the primary healthcare clinics employed nutritionists. Primary healthcare clinics with fewer than two partnerships with other institutions reported 28% and 41% fewer of food and nutrition actions for adults and for families, respectively. Among the variables applied to evaluate professional preparation and operational conditions, work guidance and community partnerships were important for food and nutrition actions, which remains incipient in primary healthcare.

El objetivo del estudio fue contrastar la asociación entre preparación profesional y condiciones operacionales de actuación con el ofrecimiento de acciones de alimentación y nutrición en la Atención Primaria a la Salud en el Estado de São Paulo, Brasil. Estudio transversal, incluyendo 220 unidades de Atención Primaria a la Salud de 65 municipios del Estado. De los 1873 profesionales de salud participantes, 71,8% relataron haber realizado acciones de alimentación y nutrición, variando de 56% para gestantes a 17% para las familias entre las unidades de salud. Apenas 19% de las unidades de salud contaban con nutricionistas. En unidades de salud con menos de dos convenios hubo prevalencia de 28% y 41% menos de oferta de acciones de alimentación y nutrición para adultos y familias, respectivamente. Entre las variables utilizadas para evaluar la preparación profesional y las condiciones operacionales, la orientación para el trabajo y los convenios en la comunidad fueron determinantes para la oferta de acciones de alimentación y nutrición, aun incipientes en la Atención Primaria a la Salud.

Preparing our future workforce: a qualitative exploration of dietetics practice educators' experiences.

BACKGROUND: Dietetics practice educators are instrumental in the development of future dietitians. The present study aimed to explore dietetics practice educators' experiences of, and challenges faced in, dietetics workforce preparation. METHODS: This study was guided by interpretive description methodology. Purposive and maximum variation sampling were used to recruit 18 dietetics practice educators from a variety of practice areas and locations across Australia. In-depth, semi-structured interviews were digitally recorded then transcribed verbatim and inductive coding of data was managed with nvivo (QSR International Pty Ltd, Doncaster, VIC, Australia). Multiple researchers analysed the data to develop preliminary themes using template analysis before final themes were identified. RESULTS: Three main themes were developed: nurturing others; seeing the flaws; and soldiering on. Practice educators take great satisfaction in witnessing students develop and are focused on cultivating future practitioners with authentic learning activities. However, they are impacted by perceived shortcomings of the systems in which they operate and consider that broadening the scope of dietetics placements to better align with contemporary practice could benefit graduates and the profession. Despite these challenges, practice educators are pragmatic in getting on with their roles and recognise the advantages gained from student placements. CONCLUSIONS: Despite facing numerous challenges, practice educators derive benefits from their role in workforce preparation. Evidence is required on how students can demonstrate competence in contemporary areas of practice and on how to enable the scope of student placements to be broadened. Such strategies could support practice educators to overcome challenges and help ensure the dietetics profession of tomorrow is relevant and responsive.

¿Es suficiente el recurso humano nutricionista en el sistema hospitalario público en Chile?: Una deuda pendiente / Adequacy of nutritionist (dietician) resources in Chilean public hospitals

Background: Human resource deficit is an important management problem in Chilean public hospitals. Aim: To analyze the adequacy of Nutritionist (Dietician) resources in public hospitals. Material and Methods: A questionnaire about Nutritionist resources was sent to head Nutritionists of all public Chilean hospitals, asking about the number of Nutritionists per service, number of hospital beds and number of daily rations served. Results were analyzed based on the Technical Guideline about Nutritional and Feeding Services of public hospitals issued by the Chilean Ministry of Health in 2005. Results: According to the guideline, there should be 1,396 nutritionists working in public hospitals and the results of the survey showed that there were only 603 professionals with a 57% deficit. Conclusions: There is a huge gap between the amount of Nutritionists (Dieticians) required and those effectively working in public hospitals.

Nutrición - de reparto a protagonista: un análisis de la formación y trayectoria profesional entre 2000 y 2013 en la región Sureste de Brasil / Nutrición -de department to protagonist: an análisis de la formación y trayectoria profesional entre 2000 y 2013 en la región Sureste de Brasil

OBJETIVO: Analizar la oferta de nutricionistas en la Región Sureste, Brasil, basado en cursos de graduación y registro del Consejo Profesional de Nutrición.MÉTODO: Estudio descriptivo a través de datos secundarios educativos proporcionados por el Ministerio de Educación (MEC) y procesados por el Sistema de Indicadores de Graduación en Salud (Sigras), una herramienta desarrollada por la estación de trabajo IMS / UERJ Red Observatorio de Recursos Humanos en Salud (ObservaRH); y datos profesionales facilitados por los Consejos Regional de Nutrición de los estados de Sao Paulo, Río de Janeiro y Espirito Santo. Datos del período 2000-2013 se analizaron mediante estadística descriptiva y son representados por gráficos. CONCLUSÃO: Conclusión Se observa gran capacidad ociosa en el número de vacantes, tal vez relacionada con el aumento de la cantidad de vacantes en las instituciones educativas privadas. Situación similar ocurre en la cantidad de egresados. Toma nota de una gran capacidad ociosa en el número de vacantes. Tal vez relacionado con el aumento de la cantidad de plazas en las instituciones educativas privadas. Una situación similar ocurre en la cantidad de graduados. Esto ha ido disminuyendo con el tiempo, y puede estar relacionado con la evasión o el aumento de la oferta de actividades extraescolares en la graduación. Cuando se trata de los registros profesionales, Río de Janeiro y Espirito Santo han aumentado los egresados con respecto a los nuevos registros profesionales. Probablemente esto está relacionado con el aumento de las áreas de actividad. Caso similar ocurre en São Paulo, donde las relaciones se pueden vincular.

Necesidades de nutrientes en la alimentación del niño con cáncer / Nutritional requirements in feeding the child with cancer

Los niños con cáncer se ven muy comprometidos en su alimentación en cuanto al consumo de proteínas y calorías. Las proteínas deben ser consumidas en cantidades suficientes de acuerdo a lo recomendado por la nutricionista infantil en su plan de alimentación. Las necesidades calóricas del niño con cáncer dependen de la edad, el peso, el estado nutricional, la actividad, el tipo de cáncer, las complicaciones y el estado del niño, entre otros, por lo que la nutricionista infantil junto con el pediatra, indicarán cómo ofrecer estas calorías al niño.

Children with cancer are very committed to their food in the consumption of protein and calories. Protein should be eaten in sufficient quantities in accordance with the recommendations of child nutrition in your food plan. Caloric needs of children with cáncer depends on age, weight, utritional status, type of cancer, complications and the child's condition, amongothers, so the child nutritionist with the pediatrician,tell you how to deliver these calories a child.

Brazilian dieticians: professional and demographic profiles

OBJECTIVE: The objective of this study was to analyze the difference in Brazilian dieticians' work activities in view of personal, demographic and work variables. METHODS: This study takes a cross-sectional, exploratory approach with random sample per grouping, and with an accuracy of 0.05 and confidence interval of 95.0 percent. The final sample was of 587 respondents among a total of 25,793 dieticians. Descriptive (mean, median, standard deviation) and variance (Kruskal Wallis, Spearman index and Chi-square) analysis were performed. RESULTS: 46.9 percent of the respondents lived in Southeast region of Brazil; 96.9 percent were women; 61.2 percent had a partner, and the average age was 34.8 years; 51.4 percent graduated from public universities, 63.9 percent accomplished some kind of post-graduation course; 55.9 percent worked in private institutions and 39.7 percent had worked in their current job for at least two years; 30.7 percent performed their activities in more than one area and 24.4 percent worked in food and nutrition units. Variance analysis indicated that there was significant difference in the stratified variables type of institution in which the dieticians graduated from, " year of graduation" , " type of organization" in which they work and " time working" stratified by geographic region. CONCLUSION: Typical dieticians are women, young, have a partner, live in the Brazilian Southeast, finished a post-graduate course, perform their activities in more than one area or in food and nutrition units and in private companies.

OBJETIVO: O objetivo deste trabalho foi analisar a diferença de atuação dos nutricionistas brasileiros em face das variáveis pessoais, demográficas e de trabalho. MÉTODOS: Trata-se de estudo transversal exploratório com amostra aleatória por agrupamento com precisão de 0,05 e intervalo de confiança de 95 por cento. A amostra final foi de 587 respondentes do total de 25.793 profissionais. Realizou-se análise descritiva (média, mediana e desvio-padrão) e de variância (Kruskal Wallis, Índice de Direção da Associação de Spearman e Qui-quadrado). RESULTADOS: Dos respondentes, 46,9 por cento residiam no Sudeste; 96,9 por cento eram do sexo feminino; 61,2 por cento referiram ter companheiro(a); a média de idade da amostra foi de 34,8 anos; 51,4 por cento graduaram-se em uma instituição pública; 63,9 por cento tinham algum tipo de pós-graduação; 55,9 por cento trabalhavam em empresas privadas; 39,7 por cento tinham até dois anos no emprego atual; 30,7 por cento desenvolviam suas atividades em mais de uma área e 24,4 por cento trabalhavam na Produção. As análises de Variância apontaram que há diferença significativa no " tipo de instituição" em que concluíram a graduação, " tempo de formado" , " tipo de organização" em que trabalha, e " tempo de trabalho" estratificado por região geográfica. CONCLUSÃO: O profissional nutricionista típico é mulher, jovem, com companheiro, morador do Sudeste, pós-graduado, atua em mais de uma área ou na produção de refeições e desenvolve suas atividades em empresas privadas.