Implementation of advanced practice nursing in Brazilian Primary Health Care: methodological path - Revista Brasileira de Enfermagem

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.