Universal Access to Health and Universal Health Coverage: identification of nursing research priorities in Latin America

Abstract

Objective:To estabilish a regional list for nursing research priorities in health systems and services in the Region of the Americas based on the concepts of Universal Access to Health and Universal Health Coverage. Method: five-stage consensus process: systematic review of literature; appraisal of resulting questions and topics; ranking of the items by graduate program coordinators; discussion and ranking amongst a forum of researchers and public health leaders; and consultation with the Ministries of Health of the Pan American Health Organization's member states. Results: the resulting list of nursing research priorities consists of 276 study questions/ topics, which are sorted into 14 subcategories distributed into six major categories: 1. Policies and education of nursing human resources; 2. Structure, organization and dynamics of health systems and services; 3. Science, technology, innovation, and information systems in public health; 4. Financing of health systems and services; 5. Health policies, governance, and social control; and 6. Social studies in the health field. Conclusion: the list of nursing research priorities is expected to serve as guidance and support for nursing research on health systems and services across Latin America. Not only researchers, but also Ministries of Health, leaders in public health, and research funding agencies are encouraged to use the results of this list to help inform research-funding decisions.

Caracterização do trabalho de enfermeiros e profissionais do Núcleo de Apoio à Saúde da Família na Atenção Primária

“…Entretanto, a comparação dos resultados com estudos atuais possibilitou verificar que não houve mudanças nas características do trabalho, com concepção de mérito. Apesar dessas limitações os achados apresentam contribuição importante em dois âmbitos: para as políticas e formação de recursos humanos de enfermagem, uma das seis categorias principais de prioridades de pesquisa em enfermagem na América Latina 28 ; e para a gestão do trabalho e educação em saúde, parte da agenda de prioridades de pesquisa em saúde no Brasil 29 .…”

Research priorities for specialized nursing practice in the United Arab Emirates

“…Delphi studies vary in terms of the sample size and type of participants, with similar studies reporting sample sizes of 18-741 participants, including staff nurses, academics and nurse clinicians (Butler et al 2009;Schoenly 2015;Sun et al 2015;Wielenga et al 2015). general, non-clinical) that identified nursing research priorities in health services and systems in the United States included academics, World Health Organization (WHO) collaborating centres and local health authorities as experts (Cassiani et al 2015). The inclusion of nursing staff in different specialties and grades and from diverse clinical settings across the UAE is congruent with similar studies and enhances the clinical relevance of the present study.…”

“…This supports the sampling approach in this study. Although the study was regional, the identified priorities would be difficult for nurse researchers to translate into clinical research projects (Cassiani et al 2015). The modified Delphi technique contributed to the robustness of the study, especially in achieving the goal of producing clinically relevant research priorities that can be directly translated into clinical research.…”

“…This supports the sampling approach in this study. The inclusion of nursing staff in different specialties and grades and (Cassiani et al 2015). The outcomes of that study were priorities pertaining to nurse education, human resources, governance and health policies.…”

“…Published Delphi studies have included variable sample sizes and participant types, with sample size in similar studies ranging from 18 to 741 participants (Butler et al 2009;Cassiani et al 2015;Schoenly 2015;Scott et al 2016). This supports the approach to sampling in this study.…”