Affiliation:
1. Universidade da Integração Internacional da Lusofonia Afro-Brasileira
2. Universidade Regional do Cariri
Abstract
Objective: To map the contributions and strategies to implement advanced practice nursing in primary health care. Materials and methods: This scoping review was carried out following the guidelines of the Joanna Briggs Institute in six databases, namely: LILACS, MEDLINE, WoS, Embase, CINAHL, and Scopus, in addition to a bibliographic repository. A total of 3,076 studies were found, from which 12 were selected. Results: The contributions mentioned by the studies regarding advanced practice nursing were divided into three subcategories, as follows: care, educational or management, and preventive practices. They concern autonomy, specialized clinical skills, therapeutic counseling, and patient-centered interaction. Some strategies to implement advanced practice are related to continuing education, practice management, self-care, and disease management. Conclusions: There is a need to improve strategies for advanced practice nursing, especially in primary care, to address gaps in specialized care, the development of indicators, and therapeutic objectives.
Reference54 articles.
1. Laurant M, Van der Biezen M, Wijers N, Watananirun K, Kontopantelis E, Van Vught AJ. Nurses as substitutes for doctors in primary care (Review). Cochrane Database Syst Rev [Internet]. 2018;7:1-110. DOI: https://doi.org/10.1002/14651858.CD001271.pub3
2. World Health Organization. Advanced practice nursing summit: Developing advanced practice nursing competencies in Latin America to contribute to universal health [Internet]. Ann Arbor: Michigan; 2016. Avaliable from: https://www.observatoriorh.org/sites/default/files/webfiles/fulltext/2017/epa_la_usa_2016_en.pdf
3. Torrens C, Campbell P, Hoskins G, Strachan H, Wells M, Cunningham M et al. Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review. Int J Nurs Stud [Internet]. 2020;104:103443. DOI: https://doi.org/10.1016/j.ijnurstu.2019.103443
4. Quiroz PAE, Toso BRGO. Enfermagem de Prática Avançada na América Latina e Caribe: buscando sua implementação. Rev Bras Enferm [Internet]. 2021;74(6):2-3. DOI: http://dx.doi.org/10.1590/0034-7167.202174suppl601
5. Toso BRGO, Filippon J, Giovanella L. Atuação do enfermeiro na Atenção Primária no Serviço Nacional de Saúde da Inglaterra. Rev Bras Enferm [Internet]. 2016;69(1):182-91. DOI: https://doi.org/10.1590/0034-7167.2016690124i