Abstract
Direct patient care is the genesis of nursing care, but in many countries of Latin America and the Caribbean the role of nurses mainly focuses on the management of care. Between 2017 and 2019, the Pan-American Health Organization/World Health Organization (PAHO/WHO) launched three key documents and promoted several initiatives to provide a strategic direction to member countries in the Region of the Americas to invest in the nursing workforce, in order to realize the ambitious aims of the Alma-Ata Declaration of 1978 and the 2030 Agenda to meet the Sustainable Development Goals. Integral to this strategy is the advancement of the nursing profession by expanding professional roles in primary health care. The documents are titled, “Expanding the roles of nurses in Primary Health Care,” “Strategic directions for nursing in the Region of the Americas,” and “Doctoral Education in Nursing in Latin America and the Caribbean.” The first publication introduced the role of the advanced practice nurse in primary health care as a response to growing needs and to fill the gaps in access to trained and well-distributed human resources. In this chapter, the authors summarize the initiatives with a focus on strengthening the roles of nurses. Recommendations are provided on how to implement the role of advanced practice nurses in the Region to satisfy population health needs and to reach the goals of the determinants of health and universal access to health and universal health coverage.
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References
Bryant-Lukosius D, Dicenso A. A framework for the introduction and evaluation of advanced practice nursing roles. J Adv Nurs. 2004;48(5):530–40. [Cited 2020 Feb 10]. Accessed: https://www.ncbi.nlm.nih.gov/pubmed/15533091.
Casey M, O’Connor L, Cashin A, Smith R, O’Brien D, Nicholson E, et al. An overview of the outcomes and impact of specialist and advanced nursing and midwifery practice, on quality of care, cost and access to services: a narrative review. Nurs Educ Today. 2017;56:35–40.
Cassiani SHB, Zug KE. Promoting the advanced nursing practice role in Latin America. Rev Bras Enferm [Internet]. 2014;67(5):673–4. [Cited 2018 Feb 15]. Accessed: www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672014000500673.
International Council of Nurses (ICN). ICN nurse practitioner/advanced practice nursing network: definition and characteristics of the role. [Internet]. n.d.. Accessed: https://international.aanp.org/Practice/APNRoles.
Jhpiego. SSPP model (scope, standards, policies, and procedures). In: Schober M, editor. Strategic planning for advanced nursing practice. Indianapolis, IN: Springer; 2013. p. 70–1.
Martinez-Gonzalez N, Tandjung R, Rosemann T. The impact of physician-nurse task shifting in primary care on the course of disease: a systematic review. Hum Resour Health [Internet]. 2015. [Cited 2020 Feb 10]. Accessed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4493821/.
Martin-Misener R, Harbman P, Donald F, Reid K, Kilpatrick K, Carter N, et al. Cost-effectiveness of nurse practitioners in primary and specialized ambulatory care: systematic review. BMJ Open. 2015;5(6):e007167. https://bmjopen.bmj.com/content/5/6/e007167.
Oldenburger D, Cassiani SHB, Bryant-Lukosius D, Valaitis RK, Baumann A, Pulcini J, et al. Implementation strategy for advanced practice nursing in primary health care in Latin America end the Caribbean. Rev Panam Salud Publica. 2016;41:40. [cited 2020 Feb 10]. Accessed: https://scielosp.org/pdf/rpsp/2017.v41/e40/en.
Pan American Health Organization. Word Health Organization. 52nd Directing Council. 65th Session of the Regional Committee. Resolution CD52:R13 Human resources for health: increasing access to qualified health workers in primary health care-based health systems. [Internet]. 52nd Directing Council Washington; 2013. Accessed: http://iris.paho.org/xmlui/handle/123456789/4441?show=full.
Pan American Health Organization. Strategy for universal access to health and universal health coverage [Internet]. PAHO 53rd Direction Council of PAHO; 66th Session of Regional Committe3e of WHO for the Americas; 2014 Sep 29 Oct 3; Washington DC: PAHO; 2014 (Document CD53/5, Rev.2) [Cited 2017 Mar 13]. Accessed: https://www.paho.org/hq/dmdocuments/2014/CD53-5-e.pdf.
Pan American Health Organization. Launches new document: Doctoral education in nursing in Latin America and the Caribbean [Internet]. 2017. [Cited 2020 Feb 10]. Accessed: https://www.paho.org/hq/index.php?option=com_content&view=article&id=13667:doctoral-education-in-nursing-in-latin-america-and-the-caribbean&Itemid=39594&lang=fr.
Pan American Health Organization. Strategy on human resources for universal access to health and universal health care. Washington, DC: Pan American Health Organization; 2018. http://iris.paho.org/xmlui/bitstream/handle/123456789/34198/CE160-18-e.pdf?sequence=1.
Pan American Health Organization. World Health Organization. Expanding the roles of nurses in primary health care [Internet]. Washington, DC: PAHO; 2019a. [Cited 2020 Feb 10]. Accessed: https://iris.paho.org/xmlui/handle/123456789/34958.
Pan American Health Organization. Strategy directions for nursing in the region of the Americas. [Internet]. Washington, DC: PAHO; 2019b. [Cited 2020 Feb 10]. Accessed: http://iris.paho.org/xmlui/bitstream/handle/123456789/50956/9789275120729_eng.pdf?sequence=1&isAllowed=y.
Pan American Health Organization. About the Pan American Health Organization. [Internet]. PAHO is the specialized international health agency for the Americas. 2020a [Cited 2020 Feb 10] Accessed: https://www.paho.org/hq/index.php?option=com_content&view=article&id=91:about-paho&Itemid=220&lang=en.
Pan American Health Organization. Human Resources for Health. [Internet]. Washington, DC; 2020b. [Cited 2020 Feb 10]. Accessed: https://www.paho.org/hq/index.php?option=com_content&view=article&id=2558:human-resources-health&Itemid=42273&lang=en.
Swan M, Ferguson S, Chang A, Larson E, Smaldone A. Quality of primary care by advanced practice nurses: a systematic review. Int J Qual Health Care [Internet]. 2015;27(5):396–404. [cited 2020 Feb 10]. Accessed: https://academic.oup.com/intqhc/article/27/5/396/2357352.
Ter Maten-Speksnijder A, Grypdonck M, Pool A, Meurs P, Van Staa AL. A literature review of the Dutch debate on the nurse practitioner role: efficiency vs. professional development. Int Nurs Rev [Internet]. 2014;61(1):44–54. Accessed: https://www.ncbi.nlm.nih.gov/pubmed/24308418.
Valaitis R, Bryant-Lukosius D, Cassiani S, Donald F, Martin-Misener R, Pulcini J, et al. Building capacity for the development of advanced practice nursing roles in Latin America to address Access to Health and Universal Coverage. In:Proceedings of the International Council of Nurses Congress: nurses at the forefront of transforming care (ICN 2017), Barcelona. May 27–June 1; 2017.
World Health Organization. WHO nursing and midwifery progress report 2008–2012. [Internet]. Geneva: WHO; 2013. [Cited 2020 Feb 10]. Accessed: http://www.who.int/hrh/nursing_midwifery/NursingMidwiferyProgressReport.pdf?ua=1.
World Health Organization. HIV/AIDS Programme. Task shifting to tackle health worker shortages. WHO/HSS/200703. WHO; 2017a. http://www.who.int/healthsystems/task_shifting_booklet.pdf.
World Health Organization. In: WHO, editor. Report of the policy dialogue meeting on the nursing workforce. [Internet]. Geneva; 2017b. [Cited 2020 Feb 10]. Accessed: https://www.who.int/hrh/news/2017/NursingApril2017-2.pdf.
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Cassiani, S.H.D.B., Canaveral, L.K.R., LaGrappe, D. (2020). Advanced Practice Nursing in Latin America and the Caribbean. In: Hassmiller, S.B., Pulcini, J. (eds) Advanced Practice Nursing Leadership: A Global Perspective. Advanced Practice in Nursing. Springer, Cham. https://doi.org/10.1007/978-3-030-20550-8_10
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