Developing research priorities for palliative care in Colombia: a priority setting partnership approach.

BACKGROUND: A recent Lancet commission called for more research on palliative care in low- and middle-income (LMIC) countries such as Colombia. A research priority setting approach has been recommended by The Global Forum for Health Research to address the huge gap in research output between LMIC and high-income countries, with influential health service bodies recommending the active involvement of non-research expert stakeholders in establishing research priorities to address service user needs. METHOD: Priority setting partnership (PSP) following the four stages of the James Lind Alliance methodology; establishing the partnership, identifying evidence uncertainties, refining questions and uncertainties, and prioritization. Data from MS forms were analysed using descriptive statistics. RESULTS: A total of 33 stakeholders attended an online PSP workshop and completed the Mentimeter exercise in Microsoft Teams. A total of 48 attended the subsequent in person prioritisation exercise in urban Bogota (n = 22) and rural Popayan (n = 25). The stakeholders were a diverse group of health professionals (physicians, medical students, nurses, dentists, physiotherapists, nutritionist, occupational and speech therapists), financial and administrative staff and patients with life-limiting illness and caregivers. Top research priorities included patient and caregiver needs, service provider education and training, and better integration of palliative care with cancer and non-cancer services. The key challenges included a lack of interest in palliative care research, along with funding, time and resource constraints. Key solutions included collaboration across disciplines and settings, highlighting benefits of palliative research to help secure adequate resources, and multicentre, mixed method research, with patient involvement from the research development stage. CONCLUSION: The findings of this PSP should be disseminated among palliative care associations worldwide to inform international multicentre studies, and among governmental and nongovernmental organisations that promote research in Colombia. A focus on patient and family caregiver palliative care needs in Colombia should be prioritised.

One step at a time. Shaping consensus on research priorities and terminology in telehealth in musculoskeletal pain: an international modified e-Delphi study.

BACKGROUND: Telehealth has emerged as an alternative model for treatment delivery and has become an important component of health service delivery. However, there is inconsistency in the use of terminologies and a lack of research priorities in telehealth in musculoskeletal pain. The purpose of this international, multidisciplinary expert panel assembled in a modified three-round e-Delphi survey is to achieve a consensus on research priorities and for the standard terminology for musculoskeletal pain telehealth practice. METHODS: In this international modified e-Delphi survey, we invited an expert panel consisting of researchers, clinicians, consumer representatives, industry partners, healthcare managers, and policymakers to participate in a three-round e-Delphi. Expert panels were identified through the Expertscape website, PubMed database, social media, and a snowball approach. In Round 1, potential research priorities and terminologies were presented to panel members. Panel members rated the agreement of each research priority on a 5-point Likert scale and an 11-point numerical scale, and each terminology on a 5-point Likert scale for the "telehealth in musculoskeletal pain " field over rounds. At least 80% of the panel members were required to agree to be deemed a consensus. We analyzed the data descriptively and assessed the stability of the results using the Wilcoxon matched-pairs signed rank test. RESULTS: We performed an international e-Delphi survey from February to August 2022. Of 694 invited people, 160 panel members participated in the first round, 133 in the second round (83% retention), and 134 in the third round (84% retention). Most of the panel members were researchers 76 (47%), clinicians 57 (36%), and consumer representatives 9 (6%) of both genders especially from Brazil 31 (19%), India 22 (14%), and Australia 19 (12%) in the first round. The panel identified fourteen telehealth research priorities spanned topics including the development of strategies using information and communication technology, telehealth implementation services, the effectiveness and cost-effectiveness of telehealth interventions, equity of telehealth interventions, qualitative research and eHealth literacy in musculoskeletal pain conditions from an initial list of 20 research priorities. The consensus was reached for "digital health" and "telehealth" as standard terminologies from an initial list of 37 terminologies. CONCLUSION: An international, multidisciplinary expert consensus recommends that future research should consider the 14 research priorities for telehealth musculoskeletal pain reached. Additionally, the terms digital health and telehealth as the most appropriate terminologies to be used in musculoskeletal telehealth research. REGISTER: Open Science Framework ( https://osf.io/tqmz2/ ).

Prioridades nacionales de investigación en salud bucal, Perú 2022-2026: proceso, experiencias y perspectivas / National priorities for oral health research, Peru 2022-2026: process, experiences and perspectives

El Instituto Nacional de Salud, ha llevado a cabo por primera vez el proceso de identificación de Prioridades Nacionales de Investigación en Salud Bucal a cargo de la Subdirección de Investigación y Laboratorios de Enfermedades No Transmisibles del Centro Nacional de Salud Pública con la asesoría técnica de la Dirección de Investigación e Innovación en Salud y en coordinación con la Dirección Ejecutiva de Salud Bucal de la Dirección General de Intervenciones Estratégicas en Salud Pública del Ministerio de Salud mediante metodología participativa de tres actores claves: investigadores/especialistas, expertos y decisores. El objetivo de este artículo es describir el proceso seguido para la identificación de estas prioridades, el cual comprendió cinco fases: i) identificación de objetivos estratégicos del MINSA, ii) identificación de necesidades de investigación en salud bucal, iii) revisión por expertos y valoración de las necesidades según criterios, iv) priorización (valoración de la lista de prioridades según calificación) y v) presentación de las prioridades. Como resultado se obtuvieron las 12 prioridades que posteriormente fueron aprobadas por Resolución Ministerial N.° 262-2022/MINSA, con un periodo de vigencia 2022-2026. Además, se brindaron recomendaciones para futuros procesos.

The National Institute of Health has, for the first time, identified National Priorities for Oral Health Research, this process was carried out by the Subdirectorate of Research and Laboratories of Noncommunicable Diseases of the National Center for Public Health with the technical advice of the Directorate of Research and Innovation in Health and in coordination with the Executive Directorate of Oral Health of the General Directorate of Strategic Interventions in Public Health of the Ministry of Health, using a participatory methodology with three key actors: researchers/specialists, experts and decision-makers. This article aims to describe the process used to identify these priorities, which consisted of five phases: i) identification of the strategic objectives of the Ministry of Health, ii) identification of needs in oral health research, iii) review by experts and assessment of needs according to criteria and v) presentation of the priorities. As a result, 12 priorities were obtained, which were subsequently approved by Ministerial Resolution No. 262-2022/MINSA, for a period of 2022-2026. In addition, we provide recommendations for future processes.

Critérios de seleção de patologias para investigação em Saúde / Pathology selection criteria for research in Health / Criterios de selección de patología para la investigación en Salud

Procuramos identificar os critérios que conduzem à seleção para investigação de determinadas patologias. O objetivo é verificar se tais critérios são adequados às necessidades de investigação em saúde e respondem aos problemas globais de saúde pública. Tentámos confrontar o que diz a informação científica publicada com a nossa experiência na Comissão de Ética para a Investigação Clínica. Na maioria dos repositórios consultados, há poucas referências a prioridades ou seleção de prioridades, reportando-se a aspetos concretos de patologias específicas. O motor de busca EuropePMC identifica perto de 40 milentradas, sendo o mais significativo que encontrámos. Analisámos alguns dos artigos pela abordagem ética, metodológica para a investigação médica e suas prioridades, nomeadamente, a participação dos pacientes. A interação entre medicamentos antirretrovirais e o consumo de drogas injetáveis e a inclusão de pacientes utilizadores de injetáveis (UDI) em ensaios clínicos só foram investigadas pelas companhias farmacêuticas (e pelos próprios investigadores), pelo confronto e pressão dos principais Community Advisory Boards (CAB), nomeadamente o European CAB. A seleção e arbitragem entre patologias para a investigação não parecem despertar muito interesse por parte de investigadores e da Academia. São os financiadores da investigação, entidades, públicas ou privadas, com ou sem fins lucrativos, que selecionam as áreas a investigar. Nas empresas farmacêuticas, é o retorno económico: doenças de países e regiões de baixos recursos ou raras não têm um mercado. Têm sido as organizações multilaterais e fundações de âmbito global, com os seus financiamentos, a definir as prioridades das investigações em áreas de maior impacto global e social.

We try to identify the criteria leadingto the selection for investigation of certain pathologies. Its goal is to verify whether these criteria are adequate to the global health research needs and respond to the main global public health problems.We tried to confrontwhat the published scientific information says with our own experience as a member of the Ethics Committee for Clinical Research.Most of the open access repositories consulted, refers, mostly, to specificpathologies, with few references to priorities or selection of priorities.The EuropePMC search engine, the most significant of which wehave found,identifies nearly 40.000 entries. We analyzed some of the articles by the ethical, methodological approach to medical research and its priorities, namely, patient participation.Interactionsbetween antiretroviral drugs and injecting drug use and the inclusion of drug user patients in clinical trials where only be investigated by pharmaceutical companies (and the researchers themselves), with the confrontation and pressure from the main Community Advisory Boards(CAB), in particular European CAB.The selection and arbitration between pathologies for research does not seem, comparatively, to raiseinterest on the part of researchers and the Academy. The research funders define the financeable areas.In pharmaceutical companies, it is the economic return, with little interest and social impact of the research results. Diseases in low-resource or rare countries and regions are not an interestingmarket.Multilateral organizations and global foundations have been responsible for prioritizing funding for research in areas of greatest global and social impact.

Buscamos identificar los criterios conducentesa la selecciónpara la investigación de determinadas patologías. Su objetivo último es verificar si dichos criterios son adecuados a las necesidades de investigación en salud y a los problemas de salud pública global.Intentamos confrontarlo que dice la información científica publicada con nuestra experiencia en el Comité de Ética para la Investigación Clínica.La mayoría de los repositorios de acceso abierto consultadosse refieren a patologías concretas,contienen pocas referencias a prioridades o selección de prioridades.El motor de búsqueda EuropePMC,lo más significativoque hemosencontrado,identifica cerca de 40.000 entradas. Analizamos algunos de los artículos por el enfoque ético, metodológico de la investigación médica y sus prioridades, a saber, la participación de los pacientes. Lasinteraccionesentre los medicamentos antirretrovirales y el uso de drogas inyectables y la inclusión de pacientes UDI enensayos clínicos solo fueron investigadas por loenfrentamiento ypresión de los principales Community Advisory Boards(CAB), en particular European CAB.La selección y arbitraje entre patologías para la investigación no parecedespertar mucho interés por parte de los investigadores y de la Academia. Los financiadores de investigación definen las áreas financiables.En las empresas farmacéuticas es el retorno económico, con poco interés e impacto social de los resultados de la investigación. Los países y regiones de recursos escasos o raros no tienen interés económico, no tienen mercado.Las organizacionesy fundaciones multilaterales a nivel global se han encargado de priorizar la financiación de la investigación en áreas de mayor impacto global y social.

Cancer Research in the Time of COVID-19: A Colombian Narrative.

Cancer research is deficient in Colombia and efforts and resources diverted due to the COVID-19 pandemic could worsen the situation. We explore the impact of the pandemic on cancer research funding, output, and conduct. We sought information at national level and used the experience of an academic reference center to contrast the impact at institutional level. We searched databases and official documents of national governmental institutions, trial registries, hospital registries, and the Web of Science. We interviewed principal investigators (PIs) to retrieve information on the conduct of cancer research. A decline in resource availability and new proposals was observed at the national level with a shift to COVID-19 related research. However, at institutional level there was no decline in the number of cancer research proposals. The predominance of observational studies as opposed to the preponderance of clinical trials and basic science in high-income countries may be related to the lower impact at institutional level. Nevertheless, we found difficulties similar to previous reports for conducting research during the pandemic. PIs reported long recovery times and a great impact on research other than clinical trials, such as observational and qualitative studies. No significant impact on research output was observed. Alternatives to ensure research continuity such as telemedicine and remote data collection have scarcely been implemented given limited access and low technology literacy. In this middle-income setting the situation shows a notable dependency of international collaborations to develop research on COVID-19 and cancer and to overcome challenges for cancer research during the pandemic.

[Reflections on translational health research and the COVID-19 case in Argentina]. / Reflexiones sobre la investigación traslacional en salud y el caso COVID-19 en la Argentina.

CONICET's Translational Health Research Network is coordinating efforts to advance in translational medicine. Health researchers initiate and focus their research with the aim of improving the health and quality of life of the population. An efficient research system should address health problems relevant to the population resulting in interventions and outcomes important for patients and health professionals. Recommendations to achieve this involve large thematic areas like (a) to set research priorities; (b) to improve research methodology; (c) to make research management and regulation transparent; (d) to increase accessibility to all results; and (e) to improve research dissemination. The recent COVID-19 pandemic has been a clear demonstration of how the country's research system has united the most diverse disciplines to jointly provide solutions to address it. An active and transparent mechanism to identify priorities in the country and to unite funding and research efforts to provide solutions to those priorities is proposed. Translational health research means the joint work of the most diverse health research disciplines in order to jointly obtain efficient and effective interventions to improve the health and quality of life of the population.

La Red de Investigación Traslacional en Salud del CONICET está coordinando esfuerzos para avanzar en la medicina traslacional. Los investigadores en salud comienzan y dirigen sus investigaciones con el objetivo de mejorar la salud y calidad de vida de la población. Un sistema de investigación eficiente debe abordar los problemas de salud de importancia para las poblaciones y las intervenciones y resultados que los pacientes y los profesionales de la salud consideren importantes. Las recomendaciones tienen que ver con grandes grupos temáticos que son (a) explicitar la relevancia de la investigación y, por tanto, sus prioridades (b) mejorar la metodología de investigación (c) transparentar la gestión y regulación de la investigación (d) aumentar la accesibilidad a todos los resultados relevantes, y (e) mejorar la manera en que se difunde la investigación. La reciente pandemia de COVID-19 ha sido una clara demostración de cómo el sistema de investigación del país ha unido las más diversas disciplinas para, en forma conjunta, brindar soluciones para enfrentarla. La reciente experiencia consolida que haya un mecanismo activo y transparente de identificación de prioridades en el país y la unión de esfuerzos de financiamiento y de investigadores en brindar soluciones a dichas prioridades. La investigación traslacional en salud significa el trabajo mancomunado de las más diversas disciplinas de investigación en salud para, en forma conjunta, obtener intervenciones efi caces y efectivas que impacten en la mejoría de la salud y la calidad de vida de la población.

Reflexiones sobre la investigación traslacional en salud y el caso COVID-19 en Argentina / Reflections on translational health research and the COVID-19 case in Argentina

La Red de Investigación Traslacional en Salud del CONICET está coordinando esfuerzos para avanzar en la medicina traslacional. Los investigadores en salud comienzan y dirigen sus investigaciones con el objetivo de mejorar la salud y calidad de vida de la población. Un sistema de investigación eficiente debe abordar los problemas de salud de importancia para las poblaciones y las intervenciones y resultados que los pacientes y los profesionales de la salud consideren importantes. Las recomendaciones tienen que ver con grandes grupos temáticos que son (a) explicitar la relevancia de la investigación y, por tanto, sus prioridades (b) mejorar la metodología de investigación (c) transparentar la gestión y regulación de la investigación (d) aumentar la accesibilidad a todos los resultados relevantes, y (e) mejorar la manera en que se difunde la investigación. La reciente pandemia de COVID-19 ha sido una clara demostración de cómo el sistema de investigación del país ha unido las más diversas disciplinas para, en forma conjunta, brindar soluciones para enfrentarla. La reciente experiencia consolida que haya un mecanismo activo y transparente de identificación de prioridades en el país y la unión de esfuerzos de financiamiento y de investigadores en brindar soluciones a dichas prioridades. La investigación traslacional en salud significa el trabajo mancomunado de las más diversas disciplinas de investigación en salud para, en forma conjunta, obtener intervenciones eficaces y efectivas que impacten en la mejoría de la salud y la calidad de vida de la población.

CONICET's Translational Health Research Network is coordinating efforts to advance in translational medicine. Health researchers initiate and focus their research with the aim of improving the health and quality of life of the population. An efficient research system should address health problems relevant to the population resulting in interventions and outcomes important for patients and health professionals. Recommendations to achieve this involve large thematic areas like (a) to set research priorities; (b) to improve research methodology; (c) to make research management and regulation transparent; (d) to increase accessibility to all results; and (e) to improve research dissemination. The recent COVID-19 pandemic has been a clear demonstration of how the country's research system has united the most diverse disciplines to jointly provide solutions to address it. An active and transparent mechanism to identify priorities in the country and to unite funding and research efforts to provide solutions to those priorities is proposed. Translational health research means the joint work of the most diverse health research disciplines in order to jointly obtain efficient and effective interventions to improve the health and quality of life of the population.

Introduction to cuban space physiology meeting and gravity of exercise for a mission to Mars

In order to develop effective countermeasures to maintain the health and well-being of crew members during prolonged spaceflight, such as a mission to Mars, an integrated physiologic view is necessary. Future spacecraft to deep space will be constrained by limited volume, food, water, shelter and other resources. Thus, it's important to understand the highest risks and to direct research into these areas. This review paper examines important risks during a 2-3 year mission to Mars with a view to provide devices and methods to integrate across many physiologic systems in an attempt to reproduce activities of daily living on Earth. Because effective hardware for artificial gravity by centrifugation may be decades away, we propose use of lower body negative pressure (LBNP) as means to simulate multiple beneficial effects of gravitational stress including blood and fluid shifts towards the feet and mechanical loading of the body. LBNP-devices are reconfigurable as wearable suits to reduce mass or combined with exercise devices to increase efficacy of exercise in weightlessness.

Para desarrollar contramedidas efectivas para mantener la salud y el bienestar de los miembros de la tripulación durante un vuelo espacial prolongado, como una misión a Marte, es necesaria una visión fisiológica integrada. Las naves espaciales futuras al espacio profundo estarán limitadas por un volumen limitado, alimentos, agua, refugio y otros recursos. Por lo tanto, es importante comprender los riesgos más altos y dirigir la investigación en estas áreas. Este documento de revisión examina riesgos importantes durante una misión de 2-3 años a Marte con el fin de proporcionar dispositivos y métodos para integrarse en muchos sistemas fisiológicos en un intento de reproducir las actividades de la vida diaria en la Tierra. Debido a que el hardware efectivo para la gravedad artificial por centrifugación puede estar a décadas de distancia, proponemos el uso de la presión negativa de la parte inferior del cuerpo (LBNP) como un medio para simular múltiples efectos beneficiosos del estrés gravitacional, incluidos los cambios de sangre y fluidos hacia los pies y la carga mecánica del cuerpo. Los dispositivos LBNP son reconfigurables como trajes portátiles para reducir la masa o combinados con dispositivos de ejercicio para aumentar la eficacia del ejercicio en la ingravidez.

Establishing research priorities in prevention and control of vector-borne diseases in urban areas: a collaborative process.

BACKGROUND: In 2015, following a call for proposals from the Special Programme for Research and Training in Tropical Diseases (TDR), six scoping reviews on the prevention and control of vector-borne diseases in urban areas were conducted. Those reviews provided a clear picture of the available knowledge and highlighted knowledge gaps, as well as needs and opportunities for future research. Based on the research findings of the scoping reviews, a concept mapping exercise was undertaken to produce a list of priority research needs to be addressed. METHODS: Members of the six research teams responsible for the "VEctor boRne DiseAses Scoping reviews" (VERDAS) consortium's scoping reviews met for 2 days with decision-makers from Colombia, Brazil, Peru, Pan-American Health Organization, and World Health Organization. A total of 11 researchers and seven decision-makers (from ministries of health, city and regional vector control departments, and vector control programs) completed the concept mapping, answering the question: "In view of the knowledge synthesis and your own expertise, what do we still need to know about vector-borne diseases and other infectious diseases of poverty in urban areas?" Participants rated each statement on two scales from 1 to 5, one relative to 'priority' and the other to 'policy relevance', and grouped statements into clusters based on their own individual criteria and expertise. RESULTS: The final map consisted of 12 clusters. Participants considered those entitled "Equity", "Technology", and "Surveillance" to have the highest priority. The cluster considered the most important concerns equity issues, confirming that these issues are rarely addressed in research on vector-borne diseases. On the other hand, the "Population mobility" and "Collaboration" clusters were considered to be the lowest priority but remained identified by participants as research priorities. The average policy relevance scores for each of the 12 clusters were roughly the same as the priority scores for all clusters. Some issues were not addressed during the brain-storming. This is the case for governance and for access and quality of care. CONCLUSIONS: Based on this work, and adopting a participatory approach, the concept mapping exercise conducted collaboratively with researchers from these teams and high-level decision-makers identified research themes for which studies should be carried out as a priority.

Percepção de estudantes de doutorado em enfermagem sobre planejamento de carreira e prioridades de pesquisa / Percepción de estudiantes de doctorado en enfermería sobre planificación de carrera y prioridades de investigación / Nursing doctoral students views about career planning and research priorities

Resumo Objetivo: O objetivo deste estudo foi descrever os pontos de vista de estudantes de doutorado em enfermagem antes do início e durante o doutorado sobre mudanças no planejamento da carreira e prioridades de pesquisa. Métodos: O estudo foi de natureza qualitativa, tendo sido realizado com 16 entrevistas no Instituto de Ciências da Saúde, Faculdade de Enfermagem. Foram realizadas entrevistas individuais com 16 estudantes de doutorado matriculados em diferentes especialidades acadêmicas. Após as entrevistas, as gravações de áudio foram primeiramente transcritas e depois categorizadas. Os dados foram submetidos a análise de conteúdo. Resultados: Após análise de conteúdo, três temas principais ("mudanças no planejamento da carreira", "prioridades de pesquisa" e "desenvolvimento") e seis categorias foram formuladas a partir dos dados obtidos. Os participantes afirmaram ter consciência de ter feito várias mudanças nos planos de carreira ao iniciar seu projeto de doutorado, e o trabalho no projeto mudou o desenvolvimento profissional e melhorou as habilidades acadêmicas. Conclusão: Nossos resultados indicam que os estudantes de doutorado devem ser apoiados para serem eficazes na carreira, e a formação no período pós-doutoral também deve ser apoiada. Políticas efetivas em relação ao aperfeiçoamento de enfermeiros doutorandos também devem ser desenvolvidas e implementadas com base em evidências sólidas da utilidade desses suportes.

Resumen Objetivos: El objetivo de este estudio fue describir los puntos de vista de estudiantes de doctorado en enfermería sobre cambios en la planificación de la carrera y prioridades de investigación antes del inicio y durante el doctorado. Métodos: El estudio fue de naturaleza cualitativa, habiendo sido realizado con 16 entrevistas en el Instituto de Ciencias de la Salud, Facultad de Enfermería. Se realizaron entrevistas individuales con 16 estudiantes de doctorado matriculados en diferentes especialidades académicas. Después de las entrevistas, las grabaciones de audio fueron transcritas, en primer lugar, y luego categorizadas. Los datos fueron sometidos a análisis de contenido. Resultados: Después del análisis de contenido y, a partir de los datos obtenidos, se formularon tres temas principales ("cambios en la planificación de la carrera", "prioridades de investigación" y "desarrollo") y seis categorías. Los participantes afirmaron tener conciencia de haber hecho varios cambios en los planes de carrera al iniciar su proyecto de doctorado: el trabajo en el proyecto cambió el desarrollo profesional y mejoró las habilidades académicas. Conclusión: Nuestros resultados indican que los estudiantes de doctorado deben ser apoyados para ser eficaces en la carrera, igualmente, también es necesario apoyar la formación en el período postdoctoral. Las políticas efectivas en relación con el perfeccionamiento de enfermeros doctorandos también deben ser desarrolladas e implementadas con base en evidencias sólidas de la utilidad de esos soportes.

Abstract Objective: The aim of this study was to describe the views of nursing doctoral student before beginning and during training doctoral programs about career planning changes and research priorities. Methods: The study was of qualitative design. The study was carried out with 16 interviews with Health Sciences Institute Faculty of Nursing. Individual interviews were with 16 doctoral students enrolled in different academic specialties following the interviews, the audio recordings were first transcribed and then categorized. The data were analyzed by content analysis. Results: Data was analyzed by content analysis and then three main themes, namely "changes in career planning," "research priorities," and "development," and six categories were formulated from the data obtained. The participants stated that upon starting their doctoral program, they were aware that they had made various changes in their career plans also doctoral program had affected their professional development and improved their transferable skills. Conclusion: This study's results suggest that doctoral students should be supported so that they can be effective in their careers, and that post-doctoral education should also be supported. Effective policies concerning the improvement of doctoral nurses should also be developed and implemented based on evidence demonstrating the usefulness of these supports.

Innovation in creating a strategic plan for research within an academic community.

Strategic planning for research priorities in schools of nursing requires consensus building and engagement of key stakeholders. However, traditional approaches to strategic planning using work groups and committees sometimes result in low rates of faculty participation and fail to engage other important stakeholders. The purpose of this article is to describe the unique low-cost, high-yield processes that contributed to the rapid development of our school's strategic research plan over the course of 1 month. Using the name recognition of the National Collegiate Athletic Association's annual basketball tournament, we were able to encourage high levels of participation by faculty, doctoral students, and postdoctoral fellows in not only developing a consensus around eight broad lines of inquiry but also offering tangible recommendations for accomplishing those goals within the next 5 years. Other schools of nursing seeking to evaluate their research enterprise and align their science with national priorities could easily replicate this approach.

Prioridades de pesquisa em enfermagem e as linhas de pesquisa: dando continuidade ao debate / Nursing research priorities and research lines: an on-going discussion / Prioridades de investigación en enfermería y las líneas de investigación: dando continuidad al debate

Objetivou-se apresentar uma proposta de Agenda de Prioridades de Pesquisa em Enfermagem e uma reflexão sobre a importância dessa agenda para a redefinição das linhas de pesquisa. Parte-se da Agenda Nacional de Prioridades de Pesquisa em Saúde e de documentos da Área de Enfermagem para essa proposição, organizada em torno dos seguintes eixos: Saúde, Ambiente, Trabalho e Biossegurança; Avaliação de Tecnologias de Enfermagem e Economia da Saúde; Investigação Clínica; Gestão do Trabalho e Educação em Saúde; Sistemas e Políticas de Saúde; Cuidado à Saúde do Adulto e Idoso; Cuidado à Saúde da Mulher; Cuidado à Saúde da Criança e do Adolescente; Cuidado à Saúde Mental; Cuidado às Doenças Transmissíveis; Cuidado às Doenças Não-Transmissíveis. Conclui-se que as prioridades de pesquisa enfermagem implicam ajustar o foco naquilo que é essencial para dar visibilidade ao saber próprio constituído na área, de forma a definir as facetas disciplinar e interdisciplinar desse campo de conhecimentos...

This study aimed at presenting a preliminary Agenda of Research Priorities in Nursing and at debating the importanceof this agenda to redefining research lines. This proposal is based on the Agenda of National Priorities in HealthResearch as well as on nursing-based documents and is organized around the following axes: Health, Environment, Labor and Biosafety; Assessment of Nursing Technology and Health Economics; Clinical Research; Work Management and Health Education; Health Systems and Policies; Adult and Elderly Health Care; Women’s Health Care; Child and Adolescent Health Care; Mental Health Care; Communicable Diseases Care; Noncommunicable Diseases Care. Conclusions show that research priorities in nursing imply adjusting the focus to essentials to enhance the specific knowledge in the area so that disciplinaryand interdisciplinary limits of this field of knowledge can be defined...

Este estúdio tuvo como objetivo presentar una propuesta de Agenda de Prioridad de Investigación en Enfermería y una reflexión sobre la importancia de esa agenda para redefinir las líneas de investigación. Esta propuesta fue basada en la Agenda Nacional de Prioridades de Investigación en Salud y en documentos de la área de enfermería, fue organizada en torno a los siguientes temas: Salud, Medio Ambiente, Trabajo y Segurança; Evaluación de Tecnologías de Enfermería y Economía de la Salud; Investigación Clínica; Gestión de Trabajo y Educación en Salud; Sistemas y Políticas de Salud; Cuidado de Salud para el Adulto y el Anciano; Atención a la Salud de la Mujer; Cuidado del Niño y del Adolescente; Atención a la Salud Mental; Cuidado a las Enfermedades Transmisibles; Cuidado a las Enfermedades no Transmisibles. Se concluy que las prioridades de investigación en enfermería implican ajustar el enfoque en lo que es esencial para dar visibilidad a los conocimientos alcanzados para definir los aspectos disciplinarios e interdisciplinarios de ese campo del conocimiento...

Agenda Nacional de Prioridades na Pesquisa em Saúde no Brasil (ANPPS): foco na subagenda 18 – Promoção da Saúde / National Agenda of Priorities in Health Research (NAPHR): focus on agenda 18 – Health Promotion

A Agenda Nacional de Prioridades de Pesquisa em Saúde tem como pressuposto “respeitar as necessidades nacionais e regionais de saúde e aumentar a indução seletiva para a produção de conhecimentos...” A ANPPS está composta por 24 subagendas de pesquisa em saúde. O presente artigo narra o processo desenvolvido em 2010 para revisar a ANPPS publicada em 2006 no que concerne à subagenda 18 – Promoção da Saúde. Os resultados do processo de priorização são narrados de maneira incremental, buscando mostrar os passos trilhados por meio do relato dos fatos, acontecimentos e diálogos efetuados entre pesquisadores e gestores. Oitenta e seis pessoas foram convidadas a participar, das quais 34 pessoas não responderam e 52 aceitaram o convite e participaram. Foram desenvolvidos dez passos para o processo de priorização, sendo definidos cinco eixos temáticos e 34 linhas de pesquisa e 10 prioridades foram definidas. São analisadas as consequências em curto, médio e longo prazo desse processo de priorização...

One of the aims of the National Agenda of Priorities in Health Research (NAPHR) is “to respect national and regional health needs and increase the selective induction for producing knowledge ...”. The NAPHR is composed of 24 sub-agendas for health research. This article shows the process developed in 2010 to review the ANPPS published in 2006 regarding sub-agenda 18 – Health Promotion. The results of the prioritization process are narrated incrementally in order to show the steps taken by reporting the facts, events and dialogues that took place between researchers and managers. A total of 86 people were invited to take part, 34 of whom did not respond and 52 accepted the invitation and participated fully. We developed 10 steps in the process of prioritizing, with five priority themes, 34 lines of research and ten priorities defined. The consequences in the short-, medium- and long term of this prioritizing process are analyzed...

Prioridades de pesquisas para o sus no estado da Bahia / Research priorities for the unique health system in the state of Bahia / Prioridades en las investigaciones para el sus en el estado de la Bahia

Ao entender que a Ciência e a Tecnologia são importantes indutores paraa melhora nas condições de vida da população, o Brasil, por meio do Ministério da Saúde, formulou a Política Nacional de Ciência, Tecnologia e Inovação em Saúde, a Agenda Nacional de Prioridade de Pesquisas em Saúde. Com estas ações espera-se que a produção de conhecimento científico subsidie as Políticas de Saúde. O Programa de Pesquisa para o SUS, Gestão Compartilhada em Saúde (PP/SUS), objetiva financiar pesquisas em temas prioritários de saúde. A Secretaria de Saúde do Estado da Bahia (Sesab), em parceria com a Fundação de Amparo à Pesquisa do Estado da Bahia (Fapesb), tem desenvolvido ações para a definição de prioridades de pesquisa no estado. Em 2008, foram realizados quatro seminários com participação de gestores do SUS, profissionais de saúde, Conselheiros de Saúde, professores e pesquisadores da área de saúde. Foram identificadas as prioridades de pesquisa, tendo em vista as cinco Linhas de Ação da Política Estadual de Saúde para o período 2008/2011. Como resultado, a Fapesb lançou o edital PPSUS 2008/2009, permitindo aos pesquisadores apresentarem projetos com linhas de pesquisa identificadas como prioritárias para a Bahia.

Brazil implemented the National Policy on Science, Technology, and Innovation in Health through the Ministry of Health as part of the National Agenda of Priorities in Health Research. This action was a result of the understanding that science and technology are important for the improvement of life conditions in Brazil. It is expected that through these actions the scientific knowledge production subsidize the politics on health. The ResearchI Plan for the Unified Health System (SUS), a joint venture in health (PP/SUS) aims to finance research in priority themes for health. The Health Department of Bahia (SESAB) together with the Foundation for Research of The State of Bahia (FAPESB) have been developing actions to define the priorities of research in Bahia. In 2008 four seminars were done with the participation of SUS, health care professionals, health counseling, professors and researchers.The priorities for research were identified taking into account the five line of actions of the state politics for health for 2008/2011. As a result FAPESB launched the public announcement PPSUS 2008/2009, which allowed the researchers to present projects with the lines of actions,identified as priorities for Bahia.

Al entender que la ciencia y la tecnología son importantes inductores paramejorar las condiciones de vida de la población, Brasil, a través del Ministerio da la Salud, formuló la Política Nacional de Ciencia, Tecnología e Innovación en Salud y la Agenda Nacional de Prioridades en Investigaciones en Salud. Con estas acciones se espera quela producción del conocimiento científico subsidie las políticas de salud. El Programa de Investigaciones para el SUS, Gestión Compartida en Salud (PP/SUS), objetiva financiar investigaciones en temas prioritarios en salud. La Secretaría de la Salud del Estado de la Bahía (Sesab), en convenio con la Fundación de Amparo a la Investigación del Estado de la Bahía(Fapesb), ha desarrollado acciones para la definición de prioridades en las investigaciones en el estado. En 2008 fueron realizadas cuatro seminarios con la participación de gestores del SUS, profesionales de la salud, consejeros de la salud, profesores e investigadores del área de la salud. Fueron identificadas las prioridades de la investigación, llevando en consideración las cinco Líneas de Acción de la Política Estadual de Salud para el período 2008/20011. Como resultado la Fapesb publicó la convocatoria PPSUS 2008/2009, permitiendo a los investigadores presentar proyectos dentro de las líneas de investigación identificadas como prioritarias para la Bahía.

Priority targets for environmental research in the Sinos River basin / Metas prioritárias para as pesquisas ambientais na bacia do Rio dos Sinos

The Sinos River Basin is often mentioned as a highly degraded watershed. A series of impacts on water quality, soil and air has been reported in this environment on a recurring basis over the years. This situation of environmental degradation has its origins in a process of huge economic development uncoupled from environmental conservation concerns. The intense consequent urbanization observed for the municipalities within the watershed was not preceded by urban planning proper zoning. The time has arrived for initiatives in scientific research in the Sinos River basin that are applicable to a more efficient and integrated management and recovery of the basin. In this article, a set of targets for research is suggested which the authors consider as the main priorities for the next few years, aiming for better knowledge and better management of the watershed. Some are still in course, while others have to be initiated as soon as possible.

A bacia hidrográfica do Rio dos Sinos é frequentemente citada como altamente degradada. Uma série de impactos sobre a qualidade da água, do solo e do ar tem sido relatada neste ambiente de forma recorrente ao longo dos anos. Esta situação de degradação ambiental tem suas origens em um processo de grande desenvolvimento econômico, desacoplado de preocupações com a conservação ambiental. A intensa urbanização observada para os municípios dentro da bacia hidrográfica não foi precedida pelo zoneamento e planejamento urbano adequados. É chegado o momento para iniciativas no domínio da investigação científica na bacia do Rio dos Sinos que tragam resultados aplicáveis a uma gestão mais eficiente e integrada da recuperação da bacia. Neste artigo, um conjunto de metas para a pesquisa são sugeridas como as principais prioridades para os próximos anos, visando um melhor conhecimento e uma melhor gestão da bacia. Alguns já estão em curso, enquanto outros têm de ser iniciados o mais rapidamente possível.

Priority targets for environmental research in the Sinos River basin

The Sinos River Basin is often mentioned as a highly degraded watershed. A series of impacts on water quality, soil and air has been reported in this environment on a recurring basis over the years. This situation of environmental degradation has its origins in a process of huge economic development uncoupled from environmental conservation concerns. The intense consequent urbanization observed for the municipalities within the watershed was not preceded by urban planning proper zoning. The time has arrived for initiatives in scientific research in the Sinos River basin that are applicable to a more efficient and integrated management and recovery of the basin. In this article, a set of targets for research is suggested which the authors consider as the main priorities for the next few years, aiming for better knowledge and better management of the watershed. Some are still in course, while others have to be initiated as soon as possible.

A bacia hidrográfica do Rio dos Sinos é frequentemente citada como altamente degradada. Uma série de impactos sobre a qualidade da água, do solo e do ar tem sido relatada neste ambiente de forma recorrente ao longo dos anos. Esta situação de degradação ambiental tem suas origens em um processo de grande desenvolvimento econômico, desacoplado de preocupações com a conservação ambiental. A intensa urbanização observada para os municípios dentro da bacia hidrográfica não foi precedida pelo zoneamento e planejamento urbano adequados. É chegado o momento para iniciativas no domínio da investigação científica na bacia do Rio dos Sinos que tragam resultados aplicáveis a uma gestão mais eficiente e integrada da recuperação da bacia. Neste artigo, um conjunto de metas para a pesquisa são sugeridas como as principais prioridades para os próximos anos, visando um melhor conhecimento e uma melhor gestão da bacia. Alguns já estão em curso, enquanto outros têm de ser iniciados o mais rapidamente possível.

Análise dos investimentos do Ministério da Saúde em pesquisa e desenvolvimento do período 2000-2002: uma linha de base para avaliações futuras a partir da implementação da agenda nacional de prioridades de pesquisa em saúde / An analysis of the Ministry of Health of Brazil investments in research and development between 2000-2002: a base line towards future valuations beginning with the implementation of the national health research priority agenda

O trabalho examinou os investimentos em pesquisa e desenvolvimento em saúde (P&D/S) do Ministério da Saúde (MS) durante 2000-2002, buscando confrontá-los com os itens da Agenda Nacional de Prioridades de Pesquisa em Saúde, de modo a estabelecer uma linha de base que possibilite posteriores avaliações de seu papel indutor. Utilizaram-se os dados procedentes de pesquisa realizada com a finalidade primária de mensurar os recursos investidos em P&D/S no país no período, sendo considerados apenas os investimentos oriundos do próprio MS. As pesquisas foram categorizadas, independentemente, por dois pesquisadores, segundo as 24 subagendas que compõem a agenda. O volume de recursos aplicados no período foi de R$ 199,3 milhões. A maior proporção de dispêndios esteve relacionada a pesquisas nas áreas de doenças transmissíveis (31,5 por cento), sistemas e políticas de saúde (16,3 por cento), e comunicação e informação em saúde (8,6 por cento). Condições que representam significativa carga de doença (doenças não transmissíveis, saúde mental, violência, acidentes e traumas) receberam volumes relativamente pequenos de financiamento. O trabalho pretende estabelecer um marco zero, a partir do qual os gestores da política científico-tecnológica possam avaliar a progressiva capacidade indutora da agenda e a redução dos desequilíbrios identificados.

The aim of this paper is to examine the Ministry of Health of Brazil investments in research and development in health (R&D/H) between the years of 2000-2002, trying to contrast them with the items of the National Health Research Priority Agenda, in order to attempt a base line that makes capable future evaluations on the inductor role. The data was collected by a research carried out with the main goal of measure resources invested in R&D/H in the country on the period, considering only the Ministry of Health investments. The researches were independently categorized by 2 researchers based on 24 subdivisions which compose the Agenda. The amount of the resources invested by the Ministry of Health on the period was of R$ 199.3 millions. Most of the expense was related to researches in transmittable diseases (31.5 percent), followed by systems and policies in health (16.3 percent) and communication and information in health (8.6 percent). Conditions that represent a substantial disease burden (non transmittable diseases, mental health, violence, accidents and traumas, elderly person health) received relative small amount of resource. The work establishes a starting point from which managers of scientific and technological policy may assess the progressive influence of the Agenda and the reduction of the identified imbalances.

Priority targets for environmental research in the Sinos River basin

The Sinos River Basin is often mentioned as a highly degraded watershed. A series of impacts on water quality, soil and air has been reported in this environment on a recurring basis over the years. This situation of environmental degradation has its origins in a process of huge economic development uncoupled from environmental conservation concerns. The intense consequent urbanization observed for the municipalities within the watershed was not preceded by urban planning proper zoning. The time has arrived for initiatives in scientific research in the Sinos River basin that are applicable to a more efficient and integrated management and recovery of the basin. In this article, a set of targets for research is suggested which the authors consider as the main priorities for the next few years, aiming for better knowledge and better management of the watershed. Some are still in course, while others have to be initiated as soon as possible.

A bacia hidrográfica do Rio dos Sinos é frequentemente citada como altamente degradada. Uma série de impactos sobre a qualidade da água, do solo e do ar tem sido relatada neste ambiente de forma recorrente ao longo dos anos. Esta situação de degradação ambiental tem suas origens em um processo de grande desenvolvimento econômico, desacoplado de preocupações com a conservação ambiental. A intensa urbanização observada para os municípios dentro da bacia hidrográfica não foi precedida pelo zoneamento e planejamento urbano adequados. É chegado o momento para iniciativas no domínio da investigação científica na bacia do Rio dos Sinos que tragam resultados aplicáveis a uma gestão mais eficiente e integrada da recuperação da bacia. Neste artigo, um conjunto de metas para a pesquisa são sugeridas como as principais prioridades para os próximos anos, visando um melhor conhecimento e uma melhor gestão da bacia. Alguns já estão em curso, enquanto outros têm de ser iniciados o mais rapidamente possível.

Epidemias em escala mundial e no Brasil / Epidemics on a world scale and in Brazil

Epidemias devem ser consideradas não como um tipo especial de doença, mas sim como parte de um complexo processo de distribuição de patologias no tempo e no espaço. Diversas classificações de doenças existem, sendo oficial a CID atualmente em sua décima versão. As cartas de controle, empregadas pelo serviço de saúde, permitem uma aproximação à fase, endêmica ou epidêmica, em que se encontram especialmente doenças sujeitas a vigilância em todo o mundo, as quarentenáveis. O conceito de surto deve ser encarado como um indício de concentração de episódios que merece estudo mais profundo. As mais importantes doenças transmissíveis no mundo em desenvolvimento são chamadas negligenciadas e merecem atenção especial das agências de fomento de pesquisa por não serem tidas como prioritárias pela indústria farmacêutica. No Brasil, a Agenda de Prioridades de Pesquisa em Saúde inclui diversas doenças dessa natureza e tem sido contempladas em editais do CNPq e do Ministério da Saúde.