STRATEGIES FOR IMPLEMENTING ADVANCED PRACTICE NURSING IN THE CONTEXT OF PRIMARY HEALTH CARE IN BRAZIL
Nursing; Primary Health Care; Advanced Practice Nursing.
The concept of Primary Health Care (PHC) is analyzed nationally and internationally as a strategy for reorienting and organizing health care that aims to meet the needs of the population with actions of prevention, promotion, protection, rehabilitation and maintenance of health. The introduction of the role of Advanced Practical Nursing - APN aims to be an effective instrument for resolving an urgent need to improve access to primary health care, especially in places of difficult access such as rural areas, peripheries, providing better related health outcomes maternal and child mortality, infectious diseases, and aging. The objective of this study is to develop strategies for the implementation of advanced practice nursing within the scope of Primary Health Care in Brazil. It is a multi-method study with five stages in which the first two were developed in New York in the USA between the years 2018 and 2019 under the positive opinion of the Institutional Review Board - IRB. The final three stages that will be developed in Brazil, with the approval of the ethics committee, are: 1. Literature review about legal guidelines, curriculum, historical milestones and competencies and skills of Primary Care nurses in Brazil; 2. Case Study / USA / Brazil and Analysis of Brazil / USA speeches; 3. Development of strategies for the implementation of advanced nursing practice within the scope of primary health care in Brazil based on the PEPPA framework.