Related Experiment Video
Updated: Sep 14, 2025
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Acute Events in Primary Health Care Settings: An Analysis of Advanced Practice Competencies in Nursing Consultations
Marília Orlandelli Carrer1, Letícia Yamawaka de Almeida2, Andrea Liliana Vesga-Varela2
1Albert Einstein Israeli Faculty of Health Sciences, São Paulo, São Paulo, Brazil.
Aims:
To describe nurse practices during acute event nursing consultations in Primary Health Care settings and analyse whether these professionals demonstrate the competencies proposed for Advanced Practice Nurses within a care management scope.
Design:
A multicenter, exploratory, cross-sectional study employing both quantitative and qualitative analysis.
Methods:
Data were collected through direct non-participatory observations (film footage of nursing consultations) and medical record analysis. The study included 28 nurses and 203 patients from 17 primary care units across four municipalities in Brazil. Descriptive statistical analysis was applied to quantitative data, while qualitative data underwent content analysis.
Results:
Challenges were observed in performing the nursing process and clinical communication during nursing consultations. Some of the proposed competencies for Advanced Practice Nurses were partially applied within a care management framework in Primary Health Care settings. The competencies related to the focus on care (61.11%), care provision (41.20%) and assessment and diagnosis (40.50%) were notable, with an overall average of 47.60% competency identification across all three dimensions. Although some general advanced practice nurse competencies were observed, their application was often limited or inconsistent.
Conclusion:
This study identified limitations in nursing consultations for acute events in Primary Health Care, particularly regarding the nursing process and the application of Advanced Practice Nurse competencies. Notable gaps were observed in areas such as cultural diversity and advanced assessment skills. Future efforts should focus on developing educational programmes, providing resources and creating clinical guidelines to enhance current nursing practices and facilitate the implementation of Advanced Practice Nursing in Brazil.
Impact:
The results provide empirical evidence to inform policy decisions, educational programmes, nursing practices and planning for advanced practice nursing implementation in Brazil. These findings are particularly relevant for healthcare educators, researchers, regulatory institutions and managers aiming to enhance the effectiveness of nursing consultations for acute events.
Reporting Method:
This paper adheres to the COREQ and STROBE checklist.
Patient Or Public Contribution:
No patient or public contributions.
Related Concept Videos
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:29Nursing Assessment
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:15Nursing Evaluation
01:27Fundamentals of Nursing Process I