Garcia Alessandra Bassalobre, Cassiani Silvia Helena De Bortoli, Reveiz Ludovic
Human Resources for Health, Health Systems and Services Department, Pan American Health Organization, Washington DC, United States of America,
Knowledge Management, Bioethics, and Research Department, Pan American Health Organization, Washington DC, United States of America.
Rev Panam Salud Publica. 2015 Mar;37(3):162-71.
To systematically review literature on priorities in nursing research on health systems and services in the Region of the Americas as a step toward developing a nursing research agenda that will advance the Regional Strategy for Universal Access to Health and Universal Health Coverage.
This was a systematic review of the literature available from the following databases: Web of Science, PubMed, LILACS, and Google. Documents considered were published in 2008-2014; in English, Spanish, or Portuguese; and addressed the topic in the Region of the Americas. The documents selected had their priority-setting process evaluated according to the "nine common themes for good practice in health research priorities." A content analysis collected all study questions and topics, and sorted them by category and subcategory.
Of 185 full-text articles/documents that were assessed for eligibility, 23 were selected: 12 were from peer-reviewed journals; 6 from nursing publications; 4 from Ministries of Health; and 1 from an international organization. Journal publications had stronger methodological rigor; the majority did not present a clear implementation or evaluation plan. After compiling the 444 documents' study questions and topics, the content analysis resulted in a document with 5 categories and 16 subcategories regarding nursing research priorities on health systems and services.
Research priority-setting is a highly important process for health services improvement and resources optimization, but implementation and evaluation plans are rarely included. The resulting document will serve as basis for the development of a new nursing research agenda focused on health systems and services, and shaped to advance universal health coverage and universal access to health.
系统回顾美洲地区护理研究中关于卫生系统和服务优先事项的文献，以此作为制定护理研究议程的一步，该议程将推动普及健康和全民健康覆盖的区域战略。
这是对以下数据库中可用文献的系统回顾：科学网、PubMed、LILACS和谷歌。纳入的文献发表于2008 - 2014年；语言为英语、西班牙语或葡萄牙语；且涉及美洲地区的主题。根据“卫生研究优先事项良好实践的九个共同主题”对所选文献的优先事项设定过程进行评估。内容分析收集了所有研究问题和主题，并按类别和子类别进行分类。
在评估合格性的185篇全文文章/文献中，选取了23篇：12篇来自同行评审期刊；6篇来自护理出版物；4篇来自卫生部；1篇来自国际组织。期刊出版物的方法严谨性更强；大多数未呈现明确的实施或评估计划。在汇总444篇文献的研究问题和主题后，内容分析得出一份关于卫生系统和服务护理研究优先事项的文献，包含5个类别和16个子类别。
研究优先事项设定是改善卫生服务和优化资源的极其重要的过程，但实施和评估计划很少被纳入。所得文献将作为制定新的护理研究议程的基础，该议程聚焦于卫生系统和服务，并旨在推动全民健康覆盖和普及健康服务。
