Objective:to examine advanced practice nursing (APN) roles internationally to inform role
development in Latin America and the Caribbean to support universal health
coverage and universal access to health. Method:we examined literature related to APN roles, their global deployment, and APN
effectiveness in relation to universal health coverage and access to health. Results:given evidence of their effectiveness in many countries, APN roles are ideally
suited as part of a primary health care workforce strategy in Latin America to
enhance universal health coverage and access to health. Brazil, Chile, Colombia,
and Mexico are well positioned to build this workforce. Role implementation
barriers include lack of role clarity, legislation/regulation, education, funding,
and physician resistance. Strong nursing leadership to align APN roles with policy
priorities, and to work in partnership with primary care providers and policy
makers is needed for successful role implementation. Conclusions:given the diversity of contexts across nations, it is important to systematically
assess country and population health needs to introduce the most appropriate
complement and mix of APN roles and inform implementation. Successful APN role
introduction in Latin America and the Caribbean could provide a roadmap for
similar roles in other low/middle income countries.