Enfermagem de Prática Avançada: estratégia para melhorar o cuidado materno-infantil no Brasil

Abstract

Objective: This article aims to investigate how the implementation of Advanced Practice Nursing could contribute to improve the current maternal and child care status in Brazil. Results: From a review of 138 papers, 10 met the inclusion criteria and were reviewed for analysis. Based on the framework used in this study, the researchers identifi ed two main categories of social indicators to the access concept: process and outcome. These themes explored in the narrative analysis are the process and outcome indicators of the Brazilian health system, as well as the expected outcome indicators subsequent to implementation of the Certifi ed Nurse-Midwifery role. Conclusion: The Certifi ed Nurse-Midwife role could help Brazil improve access and quality of maternal and child health care, as well as improve the cost-benefi t of care provided. This role may contribute signifi cantly to one of the main problems faced by this country: inequality in the distribution of health professionals in geographical regions.