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Rev Lat ino- am Enferm agem 2008 j ulho- agost o; 16( 4) : 655- 6w w w .eer p.usp.br / r lae
N URSI N G KN OW LEDGE PRODUCTI ON I N TUBERCULOSI S CON TROL I N BRAZI L
Ter eza Cr ist in a Scat en a Villa1
B
r azilian n u r sin g h as been dev elopin g r esear ch r elat ed t o t h e pr odu ct ion of essen t ial an d pr ior it yk n ow led g e f or p u b lic h ealt h , p ar t icu lar ly t u b er cu losis ( TB) , con sid er in g t h at Br azil is on e of t h e cou n t r ies
responsible for 80% of TB cases in t he w orld.
The Millennium Dev elopm ent Goals set t ar get s for t he cont r ol of neglect ed diseases. New st r at egies
have been developed t o achieve t hem . Brazilian nursing follows t he guidelines of t he Global Plan t o STOP TB in
r esear ch an d car e, in w h ich Hu m an Resou r ces em er ge as on e of t h e m ain ch allen ges t o ex pan d t h e DOTS
( Dir ect ly Obser v ed Tr eat m en t Sh or t - Cou r se) st r at egy.
Scient ific nursing product ion in TB has expanded it s scope of analysis in t he last decade ( 1998- 2008) ,
incor por at ing new act or s and innov at ions in t he healt h car e pr ocess, such as DOTS. The t heor et ical r efer ence
fram ew or k is based on v ulnerabilit y, hum anizat ion and adher ence/ abandonm ent concept s( 1- 2). I nnov at ions in
t h e m an agem en t of t h e TB h ealt h car e pr ocess( 3 ) ar e also addr essed, in ser t ed in t h e pr im ar y h ealt h car e
sy st em( 4 ).
An ot h er Nu r sin g t en den cy is t h e coor din at ion of collabor at iv e r esear ch pr oj ect s in t u ber cu losis, t h e
Brazilian Tuber culosis Resear ch Net w or k – ( REDE TB)( 1) and t he Lat in- Am er ican TB Nur sing Net w or k( 4- 5).
Resear ch pr oduct ion on TB t eaching in under gr aduat e nur sing cour ses in Br azil( 5) is highlight ed.
Scient ific nur sing pr oduct ion in TB has cont r ibut ed t o gener at e new k now ledge on social and polit ical
det er m inant s, especially in under st anding aspect s r elat ed t o t he pat ient , t he fam ily and healt h ser v ices( 6).
The nursing area in TB has w orked t ow ards t he const ruct ion of research com pet encies int egrat ed w it h
healt h pract ices in different scenarios, perm it t ing advances in researchers’ qualificat ion and knowledge product ion
t hat cont ribut es t o TB care in Brazil.
1 Mem ber of t he Edit orial Board of t he Lat in Am erican Journal of Nursing, Full Professor of t he Universit y of São Paulo at Ribeirão Pret o College of Nursing,
WHO Collaborat ing Cent re for Nursing Research Developm ent , Brazil, e- m ail: t it [email protected]
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REFEREN CES
1. Car dozo Gonzales RI , Monr oe AA, Ar cêncio RA, Oliv eir a MF, Ruffino Net t o A, Villa TCS. Per for m ance indicat or s of DOT at
hom e for t uber culosis cont r ol in a lar ge cit y, SP, Brazil. Rev Lat ino- am Enfer m agem 2008; 16( 1) : 95–100.
2. Ber t ollozi MR. A adesão ao t r at am ent o da t uber culose na per spect iv a da est r at égia do t r at am ent o dir et am ent e obser v ado
( DOTS) no m unicípio de São Paulo- SP. [ t ese liv r e docência] . São Paulo ( SP) : Escola de Enfer m agem / USP; 2005.
3. William s G, Ar r ascue EA, Jit t im anee S, WalusinbI M, Sebek M, Ber ga E, et al. Guindance for t he im plem ent at ion of best
pract ice for t he car e of best pract ice for t he car e of pat ient s w it h t uber culosis. I nt J Tuber c Lung Dis 2008; 12( 3) : 236–40.
4 . Villa TCS, Assis EG, Oliv eir a MF, Ar cên cio RA, Car d ozo Gon záles RI , Palh a PF. Cob er t u r a d o t r at am en t o d ir et am en t e
obser v ado ( DOTS) no Est ado de São Paulo ( 1 9 9 8 a 2 0 0 4 ) . Rev Esc Enfer m 2 0 0 8 ; 4 2 ( 1 ) : 9 8 - 1 0 4 .
5. Villa TCS, Ruffino Net t o A, Andrade RLP, Arrascue EA, Mont ero CV, Firm ino DR. Survey on t uberculosis t eaching in Brazilian
n u r sin g sch ools, 2 0 0 4 . I n t J Tu ber c Lu n g Dis 2 0 0 6 ; 1 0 ( 3 ) : 3 2 3 - 7 .
6 . Villa TCS. A Enfer m agem e a pesquisa: pr oj et o t em át ico FAPESP. Act a Paul. Enfer m 2 0 0 7; 20( 4 ) : 5 - 6.
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Nursing knowledge production...