Browsing by Author "Marquez Doren, Francisca"

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    Advanced practice nursing as a proposal to improve access and coverage in oncology for Latin America
    (2021) Marquez Doren, Francisca; Palma Rivadeneira, Silvia; Soto Fuentes, Paz; Lucchini Raies, Camila; Pena Duran, Jose; Nervi Nattero, Bruno; Suarez Pierart, Paulina; Gonzalez Rodriguez, Rina; Rojas Silva, Noelia; Bustamante Troncoso, Claudia; Alcayaga Rojas, Claudia; Catoni Salamanca, Maria Isabel; Arechabala Mantuliz, Maria Cecilia
    PAHO/WHO proposes to implement the role of Advanced Practice Nurse (APN) in Latin America, to reduce gaps in coverage and access to health care. For this purpose, it is necessary to train nursing professionals with an expanded role, which allows them to collaborate in the diagnosis, treatment, and monitoring of people with specific diseases, under established protocols and clinical guidelines and within consolidated interdisciplinary health teams in a cost-effective way. One of the areas with the greatest coverage deficit in Latin America is adult oncology, with inequality in care opportunities for these patients. Part of the premature deaths attributable to this disease are due to the lack of access to timely diagnosis and treatment. As a contribution to the reduction of this gap, a training program of Advanced Nursing Practice was developed, addressing the most urgent needs in the field of oncology. The necessary competencies were defined to develop a professional-level master's degree program, considering prevention, early detection, diagnosis, treatment, and monitoring of people with oncological diseases at different levels of care. A program of this kind is an opportunity to reduce the access gap and coverage of health care for people with cancer, improving their quality of life and their survival.
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    Teaching Chilean Mothers to Massage Their Full-Term Infants Effects on Maternal Breast-Feeding and Infant Weight Gain at Age 2 and 4 Months
    (LIPPINCOTT WILLIAMS & WILKINS, 2010) Campos Serrano, Maria Sylvia; Marquez Doren, Francisca; Wilson, Lynda
    The purpose of this study was to evaluate the effects of massage on infant weight gain and exclusive maternal breast-feeding of an intervention that involved teaching mothers to massage their full-term infants. The sample included 100 healthy newborn infants who were receiving primary healthcare at 3 health centers in a low-income neighborhood of Santiago, Chile. The control group included 65 infants and the massage group included 35 infants. During their second well-child clinic visit, clinic nurses provided instruction to massage-group mothers about how to massage their infants, based on the methods of the Baby's First Massage program (http://www.babysfirstmassage.com/Scripts/default.asp). Mothers were encouraged to massage their infants for 10 to 15 minutes at least once a day, starting when their infants were 15 days old. There was no difference in the mean weights of the infants between the massage and control groups at baseline, but at age 2 months, massage group infants weighed significantly more than control-group infants. There were no weight differences between the 2 groups at age 4 months. There were no differences between the 2 groups on the incidence of exclusive maternal breast-feeding at age 2 or 4 months. The findings suggest that teaching mothers to massage their newborn infants may have a beneficial effect on the infant's early weight gain. There is a need for additional studies to evaluate the effect of maternal massage on other health and welfare outcomes for both mothers and infants.