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Published on: July 29, 2020
Global bridges for nursing workforce development: Advancing advanced practice registered nurses in Brazil
Michelle A Diamante1, Andrea P Rangel2, Ana B S Hercules3
1UF Health Shands, Gainesville, Florida.
Journal of the American Association of Nurse Practitioners
|August 8, 2026
Summary
The Global Exchange Program (GEP) enhances Advanced Practice Registered Nurse (APRN) development in Brazil by offering immersive education and fostering dialogue. This program improves nursing faculty insights and promotes cultural competency for better healthcare accessibility.
Area of Science:
- Healthcare Policy
- Nursing Education
- Global Health
Background:
- Global trends emphasize Advanced Practice Registered Nurse (APRN) models for healthcare improvement.
- Brazil faces barriers to APRN integration, including educational and cultural challenges.
Purpose of the Study:
- To evaluate the Global Exchange Program (GEP) as a platform for strengthening APRN development in Brazil.
- To assess the GEP's influence on participants' professional insights and the integration of advanced nursing practices.
Main Methods:
- Qualitative descriptive method and thematic analysis of open-ended survey responses.
- Evaluation of a 5-day immersive educational program focused on APRN education and practice in the U.S.
Main Results:
- Six central themes emerged: positive experiences, cultural awareness, networking, implementation of advanced practices, educational value, and supportive environments.
- Participants reported enhanced professional insights, cultural competency, and understanding of advanced nursing strategies.
- The GEP fosters reciprocal learning and contextual adaptation for APRN development.
Conclusions:
- The GEP is an effective collaborative platform for advancing APRN roles in Brazil.
- The program facilitates dialogue on contextually appropriate APRN pathways and promotes global adoption of advanced nursing practices.
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