World Health Organization, Pan American Health Organization, Department of Health System and Services, Washington, DC, USA.
Rev Esc Enferm USP. 2022 Jun 10;56(spe):e20210406. doi: 10.1590/1980-220X-REEUSP-2021-0406en. eCollection 2022.
This is a reflective study aiming to analyze the implementation of Advanced Practice Nursing (APN) and provide perspectives regarding the role of these professionals in the Region of the Americas, particularly in Brazil. Several countries in the world have introduced advanced nursing roles to improve quality of care and reduce health care costs. However, these roles have not been fully implemented in Latin American countries, although some countries have held advanced discussions about it and proposed graduated courses. Brazil fulfills all conditions necessary for the implementation of the education of advanced practice nurses. The investment in advanced practice nurses will result in positive outcomes for the health of the population in a short period of time, with lower costs for governments than other possible actions. It is also a strategic way to address the persistent pressure on health services, whether related to the COVID-19 pandemic or other health needs of the population, and it can be a viable strategy for the provision of care to vulnerable populations and those living in remote areas.
这是一项反思性研究,旨在分析高级实践护理(APN)的实施情况,并就这些专业人员在美洲地区(特别是在巴西)的角色提供观点。世界上有几个国家引入了高级护理角色,以提高护理质量和降低医疗保健成本。然而,这些角色尚未在拉丁美洲国家全面实施,尽管一些国家已经对此进行了深入讨论,并提出了研究生课程。巴西具备实施高级实践护士教育所需的所有条件。在高级实践护士方面的投资将在短时间内为人口健康带来积极成果,其成本低于政府采取其他可能措施的成本。这也是应对卫生服务持续压力的一种战略方法,无论是与 COVID-19 大流行相关,还是与人口的其他健康需求相关,并且对于为弱势群体和偏远地区的人群提供护理来说,这也是一种可行的策略。