Advanced Practice Nursing and the Actions Performed by Nurses: An Analytical Study
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v17.13580Keywords:
Enfermagem, Prática avançada de enfermagem, Terminologia padronizada em enfermagem, Processo de enfermagem, Atenção à saúdeAbstract
Objective: to analyze the actions with potential for Advanced Practice Nursing according to the knowledge, education and use of the nursing process by nurses in southern Minas Gerais. Methods: this was an analytical, cross-sectional study with a quantitative approach and a non-probabilistic sample. Results: of the 140 participants, 48% reported having little or no knowledge, 36% intermediate knowledge, and 15% moderate or high knowledge. The majority (83.5%) reported performing advanced practice activities; the most frequent in the care domain was wound assessment and dressing prescription (65.71%); in the management/education domain it was participation in meetings to develop and implement risk and damage prevention protocols (50%). Final considerations: the actions related to the care domain and management/education domain reported by participants have the potential to be described as advanced practice, despite the level of knowledge that the sample demonstrated about this type of practice.
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Ribeiro VS, Garbuio DC, Zamariolli CM, Appoloni Eduardo AH, Carvalho EC. [Clinical simulation and training for Advanced Nursing Practices: an integrative review]. Acta Paul Enferm. [Internet]. 2018 [cited 2023 oct 20];31(6). Available from: https://doi.org/10.1590/1982-0194201800090. Portuguese.
International Council of Nurses (ICN). [Advanced Practice Nursing Network. Definition and Characteristics of the role]. NP/ APN Network; 2017.
Zanetti ML. [Advanced nursing practice: strategies for training and knowledge building]. Rev. Latino-Am. Enfermagem. [Internet]. 2015 [cited 2023 apr 18];23(5). Available from: https://doi.org/10.1590/0104-1169.0000.2614.
Rewa T, Miranda Neto MV, Bonfim D, Leonello VM, Oliveira MAC. [Advanced Nursing Practices: perception of graduates of the residency and professional master’s programs]. Acta Paul Enferm. [Internet]. 2019 [cited 2023 oct 20];32(3). Available from: https://doi.org/10.1590/1982-0194201900035. Portuguese.
Pan American Health Organization (PAHO). [Strategy for Universal Health Coverage]. In: 154th Session of the Executive Committee. [Internet]. 2014 [cited 2023 oct 20]. Washington (DC). Available from: https://www3.paho.org/hq/index.php?option=com_docman&view=download&alias=26401-national-consultations-strategy-for-universal-health-coverage-401&category_slug=presentations-7040&Itemid=270&lang=en.
Conselho Federal de Enfermagem (Cofen). [Cofen discute práticas avançadas de Enfermagem na Opas]. Brasília (DF): Cofen. [Internet]. 2015 [acesso em 18 de abril 2023]. Disponível em: http://www.cofen.gov.br/cofendiscute-praticas-avancadas-de-enfermagem-na-opas_ 35458.html.
Conselho Federal de Enfermagem (Cofen). [Nota Técnica Cofen nº 001/2023]. Nota Técnica sobre Práticas Avançadas de Enfermagem no Brasil (PAE): contexto; conceitos; ações empreendidas, implementação e regulação. [Internet]. 2023 [acesso e, 20 de outubro de 2023]. Disponível em: https://www.cofen.gov.br/nota-tecnica-cofen-no-001-2023/.
Ribeiro LA, Scatena JH. [The evaluation of primary health care in Brazil: an analysis of the scientific production between 2007 and 2017]. Saúde Soc. [Internet]. 2019 [cited 2023 oct 20];28(2). Available from: https://doi.org/10.1590/S0104-12902019180884.
Conselho Regional de Enfermagem de Minas Gerais (Coren-MG). [Nota de esclarecimento ao CFM]. [Internet]. 2019 [acesso em 26 de setembro 2024 2021]. Disponível em: https://www.corenmg.gov.br/nota-de-esclarecimento-ao-cfm/.
Brasil. Ministério da Saúde. [Lei no 7.498, de 25 de junho de 1986]. Dispõe sobre a regulamentação do exercício da enfermagem, e dá outras providências. [Internet]. 1986 [acesso em 16 de setembro de 2024]. Disponível em: http://www.planalto.gov.br/ccivil_03/leis/l7498.htm.
Brasil. Ministério da Saúde. [Portaria nº 2.488, de 21 de outubro de 2011]. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes e normas para a organização da Atenção Básica, para a Estratégia Saúde da Família (ESF) e o Programa de Agentes Comunitários de Saúde (PACS). [Internet]. 2011 [acesso em 16 de outubro 2021]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt2488_21_10_2011.html.
Zhang T, Wu X, Peng G, Zhang Q, Chen L, Cai Z, Ou H. Effectiveness of Standardized Nursing Terminologies for Nursing Practice and Healthcare Outcomes: A Systematic Review. Int J Nurs Knowl [Internet]. 2021 Oct [cited 2024 mar 06];32(4). Available from: https://doi.org/10.1111/2047-3095.12315.
Fennelly O, Grogan L, Reed A, Hardiker NR. Use of standardized terminologies in clinical practice: A scoping review. Int J Med Inform. [Internet]. 2021 [cited 2024 mar 06]; 149:104431. Available from: https://doi.org/10.1016/j.ijmedinf.2021.104431.
Basu S, Dwivedy S, Sharma J, Mohan N, Negandhi P, Goel S, Gupta M, Zodpey S. Perceived Gaps in Academic Training and Expectations From Refresher Training in Primary Care Nurses at an Urban Metropolis in Northern India: A Qualitative Study. Cureus. [Internet]. 2023 Oct 11 [cited 2024 mar 06];15(10):e46855. Available from: https://doi.org/10.7759/cureus.46855. PMID: 37954811; PMCID: PMC10636498.
Ghaferi AA, Schwartz TA, Pawlik TM. [STROBE Reporting Guidelines for Observational Studies]. JAMA Surg. [Internet]. 2021 [cited 2022 mar 31];156(6). Available from: https://doi. org/10.1001/jamasurg.2021.0528.
Sadler M, Santos MJ, Ruiz-Berdún D, Rojas GL, Skoko E, Gillen P, et al. [Moving beyond disrespect and abuse: addressing the structural dimensions of obstetric violence]. Reprod. Health Matters. [Internet]. 2016 [cited 2021 sep 27];24(47). Available from: https://pubmed.ncbi.nlm.nih.gov/27578338/.
Nogueira LW, Souza JRC, Paiva MAB, Freitas L, Freire BSM, Chaves ECL, et al. [Advanced Nursing Practice in the brazilian context: a scoping review]. Rev. enferm. UFPE on line. [Internet]. 2023 [cited 2023 oct 20];17:e255055. Available from: https://doi.org/10.5205/1981-8963.2023.255055.
International Council of Nurses (ICN). [The scope of practice, standards and competencies of the advanced practice nurse]. ICN Regulation Series. Geneva: ICN; 2008.
Cassiani SHB, Silva FAM. [Expanding the role of nurses in primary health care: the case of Brazil]. Rev. Latino-Am Enfermagem. [Internet]. 2019 [cited 2023 oct 20];27:e3245. Available from: https://doi.org/10.1590/1518-8345.0000.3245.
Pan American Health Organization (PAHO). [The Strategic Importance of National Investment in Nursing Professionals in the Region of the Americas]. Policy Brief. Washington: PAHO. [Internet]. 2022 [cited 2023 oct 20]:39. Available from: https://iris.paho.org/handle/10665.2/55957.
Cassiani SH, Zug KE. [Promoting the advanced nursing practice role in Latin America]. Rev Bras Enferm. [Internet]. 2014 [cited 2021 sep 26];67(5). Available from: http://dx.doi.org/10.1590/0034-7167.2014670501.
Püschel VAA, Paz EPA, Ribeiro RM, Alvarez AM, Cunha CLF. [Advanced Practice Nursing in Brazil: how are we and what is missing?]. Rev Esc Enferm USP. [Internet]. 2022 [cited 2023 oct 20];56(spe):e20210455. Available from: https://doi.org/10.1590/1980-220X-REEUSP-2021-0455en.
Parada CMGL, Paz EPA, Nichiata LYI, Barbosa DA, Kantorski L. [Advanced Practice Nursing: "Training" Pillar in Supporting the Proposal in Brazil]. Rev Bras Enferm. [Internet]. 2023 [cited 2023 oct 21];76(5):e20230118. Available from: https://doi.org/10.1590/0034-7167-2023-0118.
International Council of Nurses (ICN). [Guidelines on Advanced Practice Nursing]. GENEVA: ICN. [Internet]. 2020 [cited 2023 oct 21]. Available from: https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf.
Morrell S, Pittman G, Elliott R, Ziegler E, Borawski S, Mulcaster A, et al. [Wound management provided by advanced practice nurses: a scoping review]. JBI Evid Synth. Epub ahead of print [Internet]. 2023 [cited 2023 oct 21]. Available from: https://doi.org/10.11124/JBIES-23-00019.
Báo ACP, Amestoy SC, Moura GMSS, Trindade LL. [Quality indicators: tools for the management of best practices in Health]. Rev Bras Enferm. [Internet]. 2019 [cited 2023 oct 20];72(2). Available from: http://dx.doi.org/10.1590/0034-7167-2018-0479.
Sampaio AD, Spagnolo LML, Schwartz E, Lise F, Neves JL, Kickhofel MA. [Work characteristics and attitudes of nurses in caring for families in primary health care]. Rev. Enferm. UFSM. [Internet]. 2022 [cited 2023 oct 21];12(e8). Available from: https://periodicos.ufsm.br/reufsm/article/view/67045.
Andriola IC, Sonenberg A, Lira ALBC. [A compreensão da prática avançada de enfermagem como um passo à sua implementação no Brasil]. Rev. Panam. Salud Publica. [Internet]. 2020 [citado 2023 apr 18];44:e115. Disponível em: https://doi.org/10.26633/RPSP.2020.115.
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