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      The situation of nursing education in Latin America and the Caribbean towards universal health

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          Abstract

          Objective:

          to assess the situation of nursing education and to analyze the extent to which baccalaureate level nursing education programs in Latin America and the Caribbean are preparing graduates to contribute to the achievement of Universal Health.

          Method:

          quantitative, descriptive/exploratory, cross-sectional study carried out in 25 countries.

          Results:

          a total of 246 nursing schools participated in the study. Faculty with doctoral level degrees totaled 31.3%, without Brazil this is reduced to 8.3%. The ratio of clinical experiences in primary health care services to hospital-based services was 0.63, indicating that students receive more clinical experiences in hospital settings. The results suggested a need for improvement in internet access; information technology; accessibility for the disabled; program, faculty and student evaluation; and teaching/learning methods.

          Conclusion:

          there is heterogeneity in nursing education in Latin America and the Caribbean. The nursing curricula generally includes the principles and values of Universal Health and primary health care, as well as those principles underpinning transformative education modalities such as critical and complex thinking development, problem-solving, evidence-based clinical decision-making, and lifelong learning. However, there is a need to promote a paradigm shift in nursing education to include more training in primary health care.

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          Most cited references31

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          Health professionals for a new century: transforming education to strengthen health systems in an interdependent world.

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            A BEME systematic review of the effects of interprofessional education: BEME Guide No. 39.

            Interprofessional education (IPE) aims to bring together different professionals to learn with, from, and about one another in order to collaborate more effectively in the delivery of safe, high-quality care for patients/clients. Given its potential for improving collaboration and care delivery, there have been repeated calls for the wider-scale implementation of IPE across education and clinical settings. Increasingly, a range of IPE initiatives are being implemented and evaluated which are adding to the growth of evidence for this form of education.
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              Evaluating the Quality of Medical Care

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                Author and article information

                Journal
                Rev Lat Am Enfermagem
                Rev Lat Am Enfermagem
                rlae
                Revista Latino-Americana de Enfermagem
                Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
                0104-1169
                1518-8345
                11 May 2017
                2017
                : 25
                : e2913
                Affiliations
                [1 ]PhD, Regional Advisor on Nursing and Allied Health Personnel, Pan American Health Organization/World Health Organization (PAHO/WHO), Washington, DC, United States of America.
                [2 ]PhD, Professor Emeritus, School of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America.
                [3 ]MSc, International Consultant, Pan American Health Organization/World Health Organization (PAHO/WHO), Washington, DC, United States of America.
                [4 ]PhD, President, Asociación Latinoamericana de Escuelas y Facultades de Enfermería (ALADEFE), Ciudad de México, DF, Mexico.
                [5 ]MEd, Adjunct Professor, Escuela Nacional de Enfermería y Obstetricia, Universidad Nacional Autónoma de México, Ciudad de México, DF, Mexico. Director, PAHO/WHO Collaborating Centre for the Development of Professional Nursing, Ciudad de México, México.
                [6 ]PhD, Associate Professor, College of Nursing, University of Illinois at Chicago, Chicago, IL, United States of America. Co-Director, PAHO/WHO Collaborating Centre for International Nursing Development in Primary Health Care, Chicago, IL, United States of America.
                [7 ]MPH, Program Coordinator, PAHO/WHO Collaborating Centre for International Nursing, School of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States of America.
                [8 ]MEd, Associate Professor, Facultad de Enfermería y Rehabilitación, Universidad de la Sabana, Chía, Colombia. Executive Director, Asociación Colombiana de Facultades de Enfermería (ACOFAEN), PAHO/WHO Collaborating Centre for the Development of Innovative Methodologies in the Teaching-Learning in Primary Health Care, Bogotá, Colombia.
                [9 ]PhD, Volunteer (2014), Pan American Health Organization/World Health Organization (PAHO/WHO), Washington, DC, United States of America.
                [10 ]MHA, Project Administrator, Asociación Colombiana de Facultades de Enfermería (ACOFAEN), PAHO/WHO Collaborating Centre for the Development of Innovative Methodologies in the Teaching-Learning in Primary Health Care, Bogotá, Colombia.
                [11 ]MPH, Project Coordinator, Asociación Colombiana de Facultades de Enfermería (ACOFAEN), PAHO/WHO Collaborating Centre for the Development of Innovative Methodologies in the Teaching-Learning in Primary Health Care, Bogotá, Colombia.
                Author notes
                Corresponding Author: Silvia Helena De Bortoli Cassiani Pan American Health Organization/World Health Organization (PAHO/WHO) 525 23 rd St. NW, Office 620 20037, Washington, DC, USA E-mail: cassianis@ 123456paho.org
                Article
                00331
                10.1590/1518-8345.2232.2913
                5466053
                28513769
                416c0080-c022-4f7a-994b-48d8d400c2d0

                This is an open-access article distributed under the terms of the Creative Commons Attribution License

                History
                : 20 April 2017
                : 24 April 2017
                Page count
                Figures: 6, Tables: 12, Equations: 0, References: 21, Pages: 1
                Categories
                Original Article

                nursing,nursing education,primary health care,universal coverage,universal access to health care services,nursing education research.

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