Universal health system based on Primary Care and advanced practice nursing

Abstract

Objective: To reflect on advanced practice nursing in Primary Health Care considering the complexity of the Brazilian health system. Methods: Reflective study, based on the document “Expanding the role of nurses in Primary Health Care” and anchored in the literature and critical analysis of the authors. Results: Due to the complexity of the Unified Health System — in terms of infrastructure, human resources, funding — it is important for Brazil to carry out its own systematic process of discussion on the implementation of advanced practice nursing, considering the context of the current health care model, to define the role of this practice according to the characteristics of a universal health system and not a universal health coverage. Final considerations: The expansion of the workforce and the insertion of advanced practice nursing in Brazilian Primary Health Care needs to happen with greater recognition and incentives for the actions performed at this level of care. For example, they must occur through integration between professionals and the community in health promotion actions, with the availability of appropriate technologies for the work, in order to guarantee the quality and resolution of Primary Health Care.

Technological Advances in Obstetric Nursing Consultations Using Ultrasound

“…The APN has been adopted worldwide, but the most developed countries are the ones that have maximized the scope of nurses' clinical work. For example, in these countries, obstetric nurses are responsible for routine prenatal consultations and ultrasound tests, and the maternal mortality rate is approximately 17 deaths per 100,000 live births 28,9 . However, in developing countries such as Brazil, where the mortality rate is around 60 deaths per 100,000 live births, these practices are still in their infancy and face countless challenges such as those mentioned above by the obstetric nurses taking part in this study.…”

Avanço Tecnológico Na Consulta De Enfermagem Obstétrica Com Uso De Ultrassonografia

“…A EPA tem sido adotada em nível mundial, contudo os países mais desenvolvidos são os que maximizaram o escopo de atuação clínica dos enfermeiros, por exemplo, nesses países, a enfermeira obstétrica é a responsável pelas consultas de pré-natal e ultrassonografia de rotina e a taxa de mortalidade materna é de aproximadamente 17 mortes por 100 mil nascidos vivos 28,9 . Porém, nos países em desenvolvimento, como o Brasil, onde a taxa de mortalidade varia em torno de 60 mortes por 100 mil nascidos vivos, essas práticas ainda são incipientes e enfrentam inúmeros desafios como os supracitados pelas enfermeiras obstétricas participantes deste estudo.…”

Essential core competencies for scope of practice of paediatric oncology nurses in Latin America: a scoping review protocol

“…14 Countries that have new roles for nurses improve access and coverage in certain areas where medical resources are limited. [14][15][16] Nurses, in particular, those caring for patients with cancer had to quickly learn how to integrate new knowledge and new technologies into their daily work, often in a context where this population has multiple comorbidities. 17 The improvement in the survival rate of children and adolescents with cancer since the 1970s is notorious, considering the differences between countries.…”

“…One of the strategies proposed by the WHO to improve the delivery of health services and achieve the Sustainable Development Goals is to review the roles of professionals 14. Countries that have new roles for nurses improve access and coverage in certain areas where medical resources are limited 14–16…”