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巴西初级卫生保健中高级实践护理的实施:方法路径。

Implementation of advanced practice nursing in Brazilian Primary Health Care: methodological path.

机构信息

Hospital Israelita Albert Einstein. São Paulo, São Paulo, Brazil.

Universidade de São Paulo. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2022 Jul 22;75(5):e20210614. doi: 10.1590/0034-7167-2021-0614. eCollection 2022.

Abstract

OBJECTIVES

to describe the operationalization of the steps of a model proposed by the Pan American Health Organization for implementing advanced practice nursing in Primary Health Care services.

METHODS

a methodological study, with a qualitative approach, carried out in a local health system located in southern São Paulo. The first six steps of the model were followed: 1) improve health outcomes; 2) identify stakeholders; 3) determine unmet health needs; 4) identify priorities and goals to introduce advanced nursing practices in primary health care; 5) define advanced practice nursing in primary health care; 6) plan implementation strategies.

RESULTS

in each step, the objectives, methodological strategies and operationalization were described.

FINAL CONSIDERATIONS

the model proved to be effective to support the process of development and implementation of advanced practice nursing in the local system studied.

摘要

目的

描述泛美卫生组织提出的在初级卫生保健服务中实施高级实践护理模型的步骤的实施情况。

方法

一项在位于南圣保罗的地方卫生系统中进行的方法学研究,采用定性方法。遵循该模型的前六个步骤:1)改善健康结果;2)确定利益相关者;3)确定未满足的健康需求;4)确定在初级卫生保健中引入高级护理实践的优先事项和目标;5)确定初级卫生保健中的高级实践护理;6)计划实施策略。

结果

在每个步骤中,都描述了目标、方法策略和实施情况。

最终考虑

该模型被证明在支持所研究的地方系统中高级实践护理的发展和实施过程中是有效的。

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