Descriptive Study of Children’s Nutritional Status and Identification of Community-Level Nursing Diagnoses in a School Community in Africa
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Título: | Descriptive Study of Children’s Nutritional Status and Identification of Community-Level Nursing Diagnoses in a School Community in Africa |
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Autor/es: | Melo, Pedro | Sousa, Maria Isabel | Mabui Dimande, Matilde | Taboada, Sónia | Nogueira, Maria Assunção | Pinto, Carlos | Figueiredo, Maria Henriqueta | Nguyen, Tam H. | Martínez-Riera, José Ramón |
Grupo/s de investigación o GITE: | Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia | Salud Pública |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia |
Palabras clave: | Nutritional surveillance | Public health | Community health nursing | Public health nursing | Children’s health | Community participation |
Área/s de conocimiento: | Enfermería |
Fecha de publicación: | 21-ago-2020 |
Editor: | MDPI |
Cita bibliográfica: | Melo P, Sousa MI, Dimande MM, Taboada S, Nogueira MA, Pinto C, Figueiredo MH, Nguyen TH, Martínez-Riera JR. Descriptive Study of Children’s Nutritional Status and Identification of Community-Level Nursing Diagnoses in a School Community in Africa. International Journal of Environmental Research and Public Health. 2020; 17(17):6108. https://doi.org/10.3390/ijerph17176108 |
Resumen: | 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. |
URI: | http://hdl.handle.net/10045/108767 |
ISSN: | 1661-7827 (Print) | 1660-4601 (Online) |
DOI: | 10.3390/ijerph17176108 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
Revisión científica: | si |
Versión del editor: | https://doi.org/10.3390/ijerph17176108 |
Aparece en las colecciones: | INV - SALUD - Artículos de Revistas INV - SP - Artículos de Revistas |
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