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Avances y desafíos para las prácticas avanzadas de Enfermería en Brasil: una revisión del alcance.

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Title: Avances y desafíos para las prácticas avanzadas de Enfermería en Brasil: una revisión del alcance.
Alternate Title: Advances and challenges for the advanced Nursing practices in Brazil: a scoping review.
Authors: Grangeiro Pequeno, Maria Luísa1, Vasconcelos Freire, Wilma Tatiane2, Melo da Silveira, Maria Mariana Barros3, de Oliveira Mangueira, Suzana4, Fernandes Barbosa, Keylla Talitha5, Batista Cabral, João Victor6 jvbc2@academico.ufpb.br
Source: Enfermería Global. ene-abr2026, Vol. 25 Issue 1, p1-16. 16p.
Subjects: NURSING education, POLICY sciences, MEDICAL information storage & retrieval systems, EVIDENCE-based nursing, MEDICAL protocols, HUMAN services programs, HEALTH policy, CINAHL database, PRIMARY health care, CULTURAL competence, SYSTEMATIC reviews, MEDLINE, ADVANCED practice registered nurses, PROFESSIONAL employee training, ONLINE information services, PROFESSIONAL competence
Geographic Terms: BRAZIL
Abstract (English): Objective: To map the implementation gaps and recommendations for the development of policies and professional training for advanced practice nursing (APN) in Brazil. Materials and Methods: This was a scoping review following the Joanna Briggs Institute and PRISMAScR guidelines, with studies published up to February 2025 in the sources of information CINAHL, EMBASE, Lilacs, PubMed/Medline, SciELO, ScienceDirect, Scopus, Web of Science, Wiley, the Brazilian Digital Library of Theses and Dissertations, and Google Scholar. Content description was performed via the PAGER method. Results: Twenty-eight studies were included, with 50.0% of the publications concentrated in primary health care and 82.1% published after 2020. The following patterns were identified: foundations for advanced practices; advances: discussions guided by the Pan American Health Organization, the Brazilian Nursing Association, and the Federal Nursing Council; gaps: absence of regulation, weaknesses in training, difficulty in understanding, and cultural barriers; evidence for practice: positive care and care management outcomes; and recommendations: need for specific regulation and training at the professional master's and doctoral levels. Conclusions: in its initial implementation phase in Brazil, APN faces significant challenges such as regulatory urgencies and a lack of specialized training. The main recommendations for policy development and professional training are based, firstly, on legal consolidation, as well as on the creation of stricto sensu postgraduate programs with a pedagogical structure geared towards developing competencies and skills compatible with advanced practices in various care settings. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: Mapear las lagunas de implementación y recomendaciones para el desarrollo de políticas y formación profesional para la práctica avanzada de enfermería (PAE) en Brasil. Material y Métodos: revisión de alcance según el Instituto Joanna Briggs y PRISMA-ScR, con estudios publicados hasta febrero de 2025 en las fuentes de información CINAHL, EMBASE, Lilacs, PubMed/Medline, SciELO, ScienceDirect, Scopus, Web of Science, Wiley, Biblioteca Digital Brasileña de Tesis y Disertaciones y Google Académico, con descripción de contenido mediante el método PAGER. Resultados: se incluyeron 28 estudios, con un 50,0% de las publicaciones concentradas en la atención primaria de salud y un 82,1% publicados después de 2020. Se identificaron como patrones: bases para las prácticas avanzadas; avances: debates guiados por la Organización Panamericana de la Salud, la Asociación Brasileña de Enfermería y el Consejo Federal de Enfermería; lagunas: ausencia de regulación, debilidad en la formación, dificultad de comprensión sobre la PAE y barreras culturales; evidencias para la práctica: buenos resultados asistenciales y en la gestión de los cuidados; recomendaciones: necesidad de regulación específica y formación a nivel de máster y doctorado profesional. Conclusiones: en su fase inicial de implementación en Brasil, la PAE enfrenta importantes desafíos (urgencias regulatorias y falta de capacitación especializada). Las principales recomendaciones para el desarrollo de políticas y la capacitación profesional se basan, en la consolidación legal, así como en la creación de programas de posgrado stricto sensu con una estructura pedagógica orientada al desarrollo de competencias y habilidades compatibles con las prácticas avanzadas en diversos entornos asistenciales. [ABSTRACT FROM AUTHOR]
Copyright of Enfermería Global is the property of Servicio de Publicaciones de la Universidad de Murcia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
Description
Abstract:Objective: To map the implementation gaps and recommendations for the development of policies and professional training for advanced practice nursing (APN) in Brazil. Materials and Methods: This was a scoping review following the Joanna Briggs Institute and PRISMAScR guidelines, with studies published up to February 2025 in the sources of information CINAHL, EMBASE, Lilacs, PubMed/Medline, SciELO, ScienceDirect, Scopus, Web of Science, Wiley, the Brazilian Digital Library of Theses and Dissertations, and Google Scholar. Content description was performed via the PAGER method. Results: Twenty-eight studies were included, with 50.0% of the publications concentrated in primary health care and 82.1% published after 2020. The following patterns were identified: foundations for advanced practices; advances: discussions guided by the Pan American Health Organization, the Brazilian Nursing Association, and the Federal Nursing Council; gaps: absence of regulation, weaknesses in training, difficulty in understanding, and cultural barriers; evidence for practice: positive care and care management outcomes; and recommendations: need for specific regulation and training at the professional master's and doctoral levels. Conclusions: in its initial implementation phase in Brazil, APN faces significant challenges such as regulatory urgencies and a lack of specialized training. The main recommendations for policy development and professional training are based, firstly, on legal consolidation, as well as on the creation of stricto sensu postgraduate programs with a pedagogical structure geared towards developing competencies and skills compatible with advanced practices in various care settings. [ABSTRACT FROM AUTHOR]
ISSN:16956141
DOI:10.6018/eglobal.671461