巴西的高级实践护理：我们现状如何，还缺少什么？
Advanced Practice Nursing in Brazil: how are we and what is missing?
机构信息
Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica, São Paulo, SP, Brazil.
Associação Brasileira de Enfermagem-Seção São Paulo, São Paulo, SP, Brazil.
出版信息
Rev Esc Enferm USP. 2022 Jul 18;56(spe):e20210455. doi: 10.1590/1980-220X-REEUSP-2021-0455en. eCollection 2022.
OBJECTIVE
To reflect on the role and initiatives of the Brazilian Nursing Association (ABEn) and the Federal Nursing Council (Cofen) in the development, recognition, and regulation necessary to implement advanced practice nursing (APN) in Brazil.
METHOD
This is a theoretical-reflective essay resulting from the roundtable discussion entitled "Regulation and recognition of advanced nursing practices in Brazil: how are we and what is missing" held in May 2021, at the III International Symposium on Adult Health.
RESULTS
ABEn and Cofen are strategic partners to define the areas of activity of this specialization in Brazil. Nursing organizations are responsible for defining professional profiles and curricula, advanced practice nursing conditions, and adequacy of existing graduate courses aiming at technical support, political leadership, regulation, and construction of an APN foundation in Brazil.
CONCLUSION
Brazil must broaden the national debate on APN, define a training model for it, and articulate efforts with all its strategic partners to build a theoretical, political, and labor framework for advanced practice nurses' full professional practice.
目的
反思巴西护理协会（ABEn）和联邦护理委员会（Cofen）在发展、认可和监管方面的作用和举措，以在巴西实施高级实践护理（APN）。
方法
这是一篇理论反思性文章，源自 2021 年 5 月在第三届成人健康国际研讨会上举行的题为“巴西高级护理实践的监管和认可：我们的现状和不足之处”的圆桌讨论。
结果
ABEn 和 Cofen 是在巴西确定该专业活动领域的战略合作伙伴。护理组织负责定义专业概况和课程、高级实践护理条件，以及调整现有的研究生课程，以提供技术支持、政治领导、监管，并为巴西的 APN 基础建设提供支持。
结论
巴西必须扩大关于 APN 的全国性讨论，为其定义一个培训模式，并与所有战略合作伙伴协调努力，为高级实践护士的全面专业实践构建一个理论、政治和劳动框架。
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