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Advanced Practice Nursing: a strategy to improve maternal and child care in Brazil

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.

Methods:

This study is a literature review conducted in November 2018 to January 2019 through the following databases: CINAHL, PubMed, Medline, Health Source: Nursing Academic edition and PACE University Library. The data were categorized and analyzed considering the concept of access to health care.

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 identified 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 Certified Nurse-Midwifery role.

Conclusion:

The Certified Nurse-Midwife role could help Brazil improve access and quality of maternal and child health care, as well as improve the cost-benefit of care provided. This role may contribute significantly to one of the main problems faced by this country: inequality in the distribution of health professionals in geographical regions.

Keywords
Advanced practice nursing; Midwifery; Maternal-child health centers; Health Services Accessibility; Brazil

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