Teaching of the Integrated Management of Childhood Illness
               strategy in undergraduate nursing programs

Fujimori, Elizabeth; Higuchi, Cinthia Hiroko; Cursino, Emília Gallindo; Veríssimo, Maria De La Ó Ramallo; Borges, Ana Luiza Vilela; Mello, Débora Falleiros de; Nascimento, Lucila Castanheira; Behn, Verónica; Wilson, Lynda Law

doi:10.1590/S0104-11692013000300002

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Revista Latino-Americana de Enfermagem

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Original Articles • Rev. Latino-Am. Enfermagem 21 (3) • June 2013 • https://doi.org/10.1590/S0104-11692013000300002 copy

Teaching of the Integrated Management of Childhood Illness strategy in undergraduate nursing programs¹ 1 Supported by Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico (CNPq), process # 479475/2010-5.

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

To describe and analyze the teaching of the Integrated Management of Childhood Illness (IMCI) strategy on Brazilian undergraduate nursing programs.

METHOD:

Integrating an international multicentric study, a cross-sectional online survey was conducted between May and October 2010 with 571 undergraduate nursing programs in Brazil

RESULTS:

Responses were received from 142 programs, 75% private and 25% public. 64% of them included the IMCI strategy in the theoretical content, and 50% of the programs included IMCI as part of the students' practical experience. The locations most used for practical teaching were primary health care units. The 'treatment' module was taught by the fewest number of programs, and few programs had access to the IMCI instructional manuals. All programs used exams for evaluation, and private institutions were more likely to include class participation as part of the evaluation. Teaching staff in public institutions were more likely to have received training in teaching IMCI.

CONCLUSION:

In spite of the relevance of the IMCI strategy in care of the child, its content is not addressed in all undergraduate programs in Brazil, and many programs do not have access to the IMCI teaching manuals and have not provide training in IMCI to their teaching staff.

Integrated Management of Childhood Illness; Child Health (Public Health); Nursing; Education, Higher

Regions of Brazil	Undergraduate nursing courses
Regions of Brazil	N	n	%
South	101	37	36.6
Southeast	251	63	25.1
Center-West	64	16	25.0
Northeast	122	24	19.7
North	33	2	6.0
Total	571	142	100.0

Theory teaching		Public institutions			Private institutions			Total
Theory teaching		N	n	%	N	n	%	N	n	%
Incorporation of IMCI		33	23	69.7	98	61	62.2	131	84	64.1
Teaching strategy
	Theory lessons	22	22	100.0	60	60	100.0	82	82	100.0
	Case studies	17	16	94.1	53	52	98.1	70	68	97.1
	Bibliographic research	16	14	87.5	47	39	83.0	63	53	84.1
	Group study	14	11	78.6	52	44	84.6	66	55	83.3
	Individual study	14	11	78.6	44	36	81.8	58	47	81.0
	Seminars	11	7	63.6	46	35	76.1	57	42	73.7
	Videos	14	10	71.4	48	33	68.8	62	43	69.4
Evaluative strategies
	Theory tests	19	19	100.0	54	54	100.0	73	73	100.0
	Participation in theory lessons^* * p<0.05 (Fisher's exact test)	17	14	82.4	55	55	100.0	72	69	95.8
	Case studies	18	16	88.9	56	53	94.6	74	69	93.2
	Group study	15	11	73.3	51	47	92.2	66	58	87.9
	Individual work	11	9	81.8	48	38	79.2	59	47	79.7

Practical teaching		Public institutions			Private institutions				Total
Practical teaching		N	n	%	N	n	%		N	n	%
Incorporation of IMCI		32	18	56.3	93	45	48.4		125	63	50.4
Practical activities
	General evaluation	18	18	100.0	44	44	100.0		62	62	100.0
	Questions to carer	18	18	100.0	44	44	100.0		62	62	100.0
	Guidance on general care	17	17	100.0	44	44	100.0		61	61	100.0
	Guidance as to treatment	17	17	100.0	42	41	97.6		59	58	98.3
	Classification of the problems^* * p<0.05 (Fisher's exact test)	17	14	82.4	44	44	100.0		61	58	95.1
	Determination of treatment	17	15	88.2	41	30	73.2		58	45	77.6
	Carrying out of treatment	16	9	56.3	40	29	72.5		56	38	67.9
Places of teaching
	Family Health Units	16	16	100.0	43	39	90.7		59	55	93.2
	Primary Care Units	16	15	93.8	39	36	92.3		55	51	92.7
	Hospitals	11	9	81.8	37	35	94.6		49	40	81.6
	Day cares or kindergartens^* * p<0.05 (Fisher's exact test)	12	7	58.3	37	33	89.2		49	40	81.6
	People's homes	12	10	83.3	36	27	75.0		48	37	77.1
	Outpatient centers	12	8	66.7	31	20	64.5		43	28	65.1
	Centers of excellence	8	3	37.5	30	20	66.7		38	23	60.5
	Emergency Room	11	5	45.5	28	15	53.6		39	20	51.3
	Community centers	8	2	25.0	30	17	56.7		38	19	50.0
Evaluative strategies
	Participation in practical activities	18	17	94.4	54	50	92.6		72	67	93.1
	Interaction of students in the practice	15	15	100.0	53	47		88.7	68	62	91.2

Characterization of the resources	Public institutions			Private institutions			Total
Characterization of the resources	N	n	%	N	n	%	N	n	%
Having a trained lecturer^* * p<0.05 (Fisher's exact test)	33	21	63.6	104	33	31.7	137	54	39.4
Trained instructor (field)	32	4	12.5	101	15	14.8	133	19	14.3
Having an IMCI manual in the libraries	31	8	25.8	98	29	29.6	129	37	28.7
Lecturer researching child health	33	15	45.4	104	39	35.7	137	54	39.4
Interest in the manual	32	32	100.0	105	103	98.0	137	135	98.5

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Elizabeth Fujimori Universidade de São Paulo. Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 Bairro: Cerqueira César CEP: 05403-000, São Paulo, SP, Brasil E-mail: efujimor@usp.br

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Teaching of the Integrated Management of Childhood Illness strategy in undergraduate nursing programs1 1 Supported by Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico (CNPq), process # 479475/2010-5.

OBJECTIVE:

METHOD:

RESULTS:

CONCLUSION:

Teaching of the Integrated Management of Childhood Illness strategy in undergraduate nursing programs¹ 1 Supported by Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico (CNPq), process # 479475/2010-5.