Silva Ítalo Rodolfo, Mendes Isabel Amélia Costa, Ventura Carla Aparecida Arena
Universidade Federal do Rio de Janeiro, Campus Macaé, Macaé, RJ, Brazil.
Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.
Rev Lat Am Enfermagem. 2020 Oct 19;28:e3380. doi: 10.1590/1518-8345.4456.3380. eCollection 2020.
to understand from the complex perspective the connections established between the Strategic Directions for Strengthening Nursing and Midwifery, delimited by the World Health Organization; to discuss the implications of these strategies for the investment of human resources in nursing and midwifery, with a view to strengthening the technical health capacity to face global health demands.
a documentary research, carried out from official WHO documents, from September to October 2019. A categorical analysis technique was performed, and the interpretation of the data was achieved based on the theoretical framework of Complexity.
three interdependent categories were defined, namely: challenges for the training of human resources in nursing and midwifery in order to meet the needs for global health; challenges for the development of the work of nursing and midwifery professionals in different contexts of practice; challenges for governments, leaders and health services to strengthen human resources in nursing and midwifery.
the strategic directions corroborate the complex perspective because they value multidimensionality in the challenges for the professional practice of nurses and obstetricians. However, these challenges are also related to contextual, political, and leadership factors.
从复杂视角理解世界卫生组织界定的加强护理和助产战略方向之间建立的联系；讨论这些战略对护理和助产人力资源投资的影响，以加强应对全球卫生需求的技术卫生能力。
2019年9月至10月，根据世界卫生组织官方文件进行文献研究。采用分类分析技术，并基于复杂性理论框架对数据进行解读。
定义了三个相互依存的类别，即：为满足全球卫生需求而进行护理和助产人力资源培训的挑战；在不同实践背景下发展护理和助产专业人员工作的挑战；政府、领导人和卫生服务机构加强护理和助产人力资源的挑战。
战略方向证实了复杂视角，因为它们重视护士和产科医生专业实践挑战中的多维度性。然而，这些挑战也与背景、政治和领导因素有关。
