NURSING CARE FOR INDIVIDUALS WITH OVERWEIGHT AND OBESITY: CONTRIBUTIONS OF A REMOTE SPECIALIZATION COURSE

Lindner, Sheila Rubia; Coelho, Elza Berger Salema; Campos, Dalvan Antonio de; Warmling, Deise; Faust, Sabrina Blasius; Conceição, Thays Berger; Bolsoni, Carolina Carvalho; Colussi, Claudia Flemming

doi:10.1590/1980-265X-TCE-2023-0297en

Sheila Rubia Lindner

Study design

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Saúde Coletiva. Florianópolis, SC, Brasil.

https://orcid.org/0000-0001-9724-1561

Elza Berger Salema Coelho

Study design

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Saúde Coletiva. Florianópolis, SC, Brasil.

https://orcid.org/0000-0001-7407-6786

Dalvan Antonio de Campos

Study design

Data collection

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Saúde Coletiva. Florianópolis, SC, Brasil.

Universidade do Planalto Catarinense, Programa de Pós-Graduação em Ambiente e Saúde. Lages, SC, Brasil.

https://orcid.org/0000-0001-6914-1184

Deise Warmling

Study design

Data collection

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Saúde Coletiva. Florianópolis, SC, Brasil.

https://orcid.org/0000-0001-9235-6271

Sabrina Blasius Faust

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Saúde Coletiva. Florianópolis, SC, Brasil.

https://orcid.org/0000-0003-2904-7964

Thays Berger Conceição

Study design

Data collection

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Saúde Coletiva. Florianópolis, SC, Brasil.

https://orcid.org/0000-0002-9445-3427

Carolina Carvalho Bolsoni

Study design

Data collection

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Saúde Coletiva. Florianópolis, SC, Brasil.

https://orcid.org/0000-0003-1246-0218

Claudia Flemming Colussi

Study design

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Saúde Coletiva. Florianópolis, SC, Brasil.

https://orcid.org/0000-0002-3395-9125

CORRESPONDING AUTHOR
Dalvan Antonio de Campos. dalvandecampos@gmail.com

CONFLICT OF INTEREST

There is no conflict of interest.

EDITORS

Associated Editors: Glilciane Morceli, Ana Izabel Jatobá de Souza. Editor-in-chief: Elisiane Lorenzini.

Dimensions	Sub-dimensions	Specialization		Self-instructional
Dimensions	Sub-dimensions	Indicators	Measures	Indicators	Measures
I - Course characteristics and educational resources	(S1) Curriculum structure	5	16	3	6
	(S2) Information and communication technologies	4	17	3	9
	(S3) Pedagogical strategies	4	12	2	5
	(S4) Educational resources	4	10	5	7
	(S5) Pedagogical team	3	5	-	-
	(S6) Interactive processes	3	13	-	-
II - Institutional aspects	(S1) Technical-administrative management of the course	3	9	4	7
II - Institutional aspects	(S2) Course monitoring and evaluation	2	3	-	-
III - Outcomes	(S1) Training	2	2	2	2
	(S2) Professional qualification	2	6	1	3
	(S3) Technical-scientific production	1	2	-	-
	(S3) Work process qualification	-	-	1	4
	(S4) Student satisfaction	1	2	1	2
	(S5) Knowledge, practices, and perceptions related to overweight and obesity	3	15	1	3
3	13	37	112	23	48

Indicators and measures	Parameter	Source
Indicator 1 - Knowledge about overweight and obesity
M1 - Recognizes the magnitude and consequences of overweight and obesity on individuals, families, communities, and the healthcare system.	Good=(5.0 to 4.0) Fair=(3.9 to 2.1) Poor=(2.0 to 1.0)	Student
M2 - Recognizes the multiple determinants of the health-disease process related to overweight and obesity.
M3 - Knows the norms defining the guidelines for organizing the Care Line for Overweight and Obesity.
Indicator 2 - Practices related to overweight and obesity
M1 - Conducts anthropometric assessment in users	Good=(5.0 to 4.0) Fair=(3.9 to 2.1) Poor=(2.0 to 1.0)	Student
M2 - Conducts dietary intake assessment in users
M3 - Uses the Food and Nutritional Surveillance System for recording anthropometric and/or dietary intake data
M4 - Uses information from the Food and Nutritional Surveillance System for health action planning in the territory
M5 - Conducts individual approach for caring for individuals with overweight and obesity in different life stages (child, adolescent, adult, elderly)
M6 - Conducts group approach for health promotion, prevention, and management of overweight and obesity
M7 - Encourages intersectoral coordination for health promotion, prevention, and control of overweight and obesity in the territory
M8 - Collaborates in the implementation of the Care Line for Overweight and Obesity	Good=75% or more YES; Fair=74% to 26% YES; Poor=25% or less YES
Indicator 3 - Perceptions related to overweight and obesity
M1 - Recognizes overweight and obesity as relevant conditions in their work context	Good=(5.0 to 4.0) Fair=(3.9 to 2.1) Poor=(2.0 to 1.0)	Student
M2 - Feels capable of intervening and collaborating in actions for the prevention and control of overweight and obesity
M3 - Considers their team capable of intervening in the care of individuals with overweight and obesity treated at their Basic Health Unit (UBS)
M4 - Considers their team capable of intervening in actions for the prevention and control of overweight and obesity, as well as health promotion activities developed in their territory

Variable	Pre-course (n=289)	Post-course (n=187)
Variable	n (%)	n (%)
Gender
Female	249 (86.1)	154 (82.3)
Male	40 (13.9)	33 (17.7)
Age group
24-29	28 (9.7)	9 (4.8)
30-39	149 (51.5)	92 (49.2)
40-49	93 (32.2)	71 (38.0)
50+	19 (6.6)	15 (8.0)
Region of residence
North	23 (7.9)	16 (8.6)
Northeast	86 (29.8)	56 (29.9)
Southeast	101 (34.9)	67 (35.8)
South	57 (19.8)	36 (19.3)
Midwest	22 (7.6)	12 (6.4)
Type of team
Specialized care	13 (4.5)	16 (8.6)
Primary Health Care	249 (86.2)	149 (79.7)
Management	17 (5.9)	14 (7.5)
Others	10 (3.4)	3 (1.6)
Not working	-	5 (2.6)
Employment contract
Scholarship/Resident	4 (1.4)	-
Commissioned position	24 (8.3)	18 (9.7)
Employment contract under the Consolidation of Labor Laws	44 (15.2)	26 (13.9)
Temporary contract in the public administration	59 (20.4)	33 (17.6)
Statutory public servant	158 (54.7)	104 (55.6)
Not currently working	-	6 (3.2)

Knowledge, practices, and perceptions related to overweight and obesity	Pre-course means	Post-course means	p-value*
Knowledge about overweight and obesity
Recognizes the magnitude and consequences of overweight and obesity on individuals, families, communities, and the healthcare system	4.82	4.96	0.02
Recognizes the multiple determinants of the health-disease process related to overweight and obesity	4.49	4.82	0.0005
Knows the norms that define the guidelines for organizing the Care Line for Overweight and Obesity	3.38	4.56	<0.001
Practices related to overweight and obesity
Conducts anthropometric assessment in users	3.87	4.47	<0.001
Conducts dietary intake assessment in users	3.19	4.06	<0.001
Uses the Food and Nutritional Surveillance System to record anthropometric and/or dietary intake data	2.58	3.81	<0.001
Uses information from the Food and Nutritional Surveillance System for health action planning in the territory	2.38	3.7	<0.001
Conducts individual approach for caring for individuals with overweight and obesity in different life stages (child, adolescent, adult, elderly)	3.53	4.39	<0.001
Conducts group approach for health promotion, prevention, and management of overweight and obesity	3.18	4.16	<0.001
Encourages intersectoral coordination for health promotion, prevention, and control of overweight and obesity in the territory	3.29	4.19	<0.001
Collaborates in the implementation of the Care Line for Overweight and Obesity	0.75	0.96	0.0001
Perceptions related to overweight and obesity
Recognizes overweight and obesity as relevant conditions in their work context	4.84	4.93	0.24
Feels capable of intervening and collaborating in actions for the prevention and control of overweight and obesity	3.64	4.7	<0.001
Considers their team capable of intervening in the care of overweight and obese individuals attended at their UBS	3.25	3.95	<0.001
Considers their team capable of intervening in actions aimed at preventing and controlling overweight and obesity, as well as promoting health within their community.	3.28	3.97	<0.001

A priori categories	Analytical dimensions
Knowledge about overweight	General knowledge, diagnosis, and comprehensive approach to overweight Understanding the (multi)professional work process
Practices related to overweight	Food and Nutritional Surveillance Planning, organization of workflow, and Care Line for Overweight and Obesity Multiprofessional teamwork Individual, collective, and intersectoral approach from a comprehensive perspective
Perceptions related to overweight	Raising awareness about the issue of overweight Expanded view of overweight and recognizing it as a chronic non-communicable disease

[1] CORRESPONDING AUTHOR
Dalvan Antonio de Campos. dalvandecampos@gmail.com

Brasil

Brasil

NURSING CARE FOR INDIVIDUALS WITH OVERWEIGHT AND OBESITY: CONTRIBUTIONS OF A REMOTE SPECIALIZATION COURSE

ATENCIÓN DE ENFERMERÍA PROVISTA A PERSONAS CON SOBREPESO Y OBESIDAD: APORTES DE UN CURSO DE ESPECIALIZACIÓN A DISTANCIA

ABSTRACT

Objective:

Method:

Results:

Conclusion: