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

• Main Authors: Manoel Vieira de Miranda Neto (Author), Letícia Yamawaka de Almeida (Author), Daiana Bonfim (Author), Talita Rewa (Author), Maria Amélia de Campos Oliveira (Author)
• Format: Book
• Published: Associação Brasileira de Enfermagem, 2022-07-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1984-0446; 10.1590/0034-7167-2021-0614
• Keywords: Advanced Practice Nursing; Nurse Practitioners; Primary Health Care; Nursing Staff; Health Workforce.; Nursing; RT1-120
• Source: Revista Brasileira de Enfermagem, Vol 75, Iss 5 (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.