Descriptive Study of Children's Nutritional Status and Identification of Community-Level Nursing Diagnoses in a School Community in Africa.

Effectively responding to children's nutritional status and eating behaviors in Mozambique requires a community-based care approach grounded in sound nursing research that is evidence-based. The Community Assessment, Intervention, and Empowerment Model (MAIEC) is a nursing theoretical model that is based upon clinical decision-making for community health nurses using communities as a unit of care. We used the MAIEC to identify a community-based nursing diagnosis to address children's nutritional status and eating behaviors in Mozambique. OBJECTIVES: (1) to conduct a descriptive study of children's nutritional status and eating behaviors in a school community in Mavalane, Mozambique, and (2) to identify a community-based nursing diagnosis using the MAIEC clinical decision-making matrix in the same school community. METHOD: a cross-sectional, quantitative study was conducted to assess the nutritional status of children using anthropometric data, including brachial perimeter and the tricipital skinfold, and standard deviation for the relation of weight-height, in a sample of 227 children. To assess community management of the problem and identify a community-based nursing diagnosis, we surveyed 176 parents/guardians and 49 education professionals, using a questionnaire based on the MAIEC clinical decision matrix as a reference. RESULTS: malnutrition was identified in more than half of the children (51.3%). We also identified a community-based nursing diagnosis of impaired community management related to the promotion of child health and healthy eating evidenced by the lack of community leadership, participation, and processing among more than 70% of the community members (parents/guardians and education professionals). CONCLUSION: a nursing diagnosis and diagnostic criteria for nutritional status and community management were identified. The need to intervene using a multidisciplinary public health approach is imperative, with the school community as the unit of care. In addition, reliable anthropometric data were identified as important criteria to complement the nursing diagnosis and guide future public health interventions.

Tradução para portuguêse validação cultural da Empowerment Assessment Rating Scale / Translation to Portuguese and cultural validation of the Empowerment Assessment Rating Scale

Introduction: To assess the level of community empowerment, Laverack proposes an instrument called the Empowerment Assessment Rating Scale (EARS), which has nine assessment domains related to community empowerment. Objectives: Translate to Portuguese and culturally validate the EARS for an ACeS community, a hospital community, a business community, and a school community. A review of the Portuguese translation was developed, a review group was set up to analyze the resulting document, by consensus a new scale called the Escala de Avaliação do Empoderamento Comunitário (EAvEC) was developed, and the retroversion was developed. Same review group conducted a new evaluation of the resulting version, comparing them with the original in English. The study was carried out at a Hospital in the Azores Archipelago, three Health Centers Organizations in the North of Portugal, an Education-oriented Company in Greater Porto and a School Community in Mozambique, where the focus group scale was applied based on a problematic chosen for intervention. Results: EVaEC retained the nine evaluation domains of the original scale and its translated version did not change after its cultural adaptation. The level of community empowerment was identified in each of the communities, analyzed in the form of a radar chart, with the clustered image of all domains. Discussion / Conclusions: EVaEC is a useful tool for community intervention and is being used to assess community empowerment in the MAIEC project of theCentre for Interdisciplinary Research in Health at Universidade Católica Portuguesa

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A qualidade de gestao de formacia e a prestacao de cuidados de saude: o caso da farmacia do servico de urgencias do Hospital Central de Maputo / The quality of training management and the provision of health care: the case of the emergency room pharmacy at the Maputo Central Hospital

A descoberta de novas doenças e o ressurgimento de outras, concomitantes às inovações tecnológicas emergentes no sector da saúde, conduzem ao longo dos tempos a um aumento da diversidade de medicamentos que determinam alterações no binómio complexidade /eficácia dos tratamentos médicos. No processo de assegurar o acesso aos medicamentos, e garantir a execução integral da assistência farmacêutica, a Organização Mundial de Saúde desenvolveu Indicadores do Uso de Medicamentos que permitem descrever e avaliar os aspectos que afectam a prática farmacêutica. Qualquer limitação na gestão da farmácia e particularmente dos stocks contribui para que ocorra um ineficaz uso dos recursos com particular ênfase para os financeiros. Tal facto sublinha a necessidade de se dispor de uma capacidade de gestão que permita garantir através da eficiência e eficácia dos serviços farmacêuticos a excelência na qualidade de prestação dos serviços de saúde.