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Volume 3 Advanced Practices in Nursing
ISSN: 2573-0347 Advanced Nursing Research 2018
June 14-15, 2018
June 14-15, 2018 | Dublin, Ireland
48th World Congress on
Advanced Nursing Research
Advanced practices: Concepts, divergences and challenges
Emília Campos De Carvalho
University of São Paulo at Ribeirão Preto College of Nursing (EERP-USP), Brazil
Advanced nursing practice dates back to the 1960s; however, it still has different understandings regarding its
conceptualization and application.The purpose of this presentation is to reflect on the scope of this concept, the divergences
related to its understanding and its challenges in the field of assistance, teaching and research. The concept of advanced
nursing practices is broad, it involves: professional training, as to cognitive aspects (specialized knowledge base), acquisition
of mental abilities (clinical reasoning and ability to make complex decisions) and technical skills (expanded practice); formal
qualification (diploma or certifications); and the characteristics of the country (health systems and occupational legislation).
The divergences observed in this field make it difficult to determine the state of the art of advanced practices and may be related
to the legal and educational aspects of the professional practice, the different scenarios and the characteristics of the countries.
At first, its purposes contemplate expanding access to care due to the number of doctors; redistribution of labor; response to
new demands; quality of care; financial issues; and professional recognition. To reach it, different strategies are described in
the literature: home visits, internships, realistic simulations with actors, patients and simulators, discussions, consultations,
different models of assistance, use of standardized language systems, among others. In the field of research, qualitative and
quantitative methodologies have sought to identify advanced practices, perceptions of performance and experiences lived
through the effects of educational interventions, through controlled trials with performance measures. The challenges reflect
the comprehensiveness of the concept and characteristics of the countries. They comprise the practice of care (in particular
the competence and scope of the professional practice), education (which lack measures to evaluate the result in the quality of
care) and investigations (which are still incipient for most specialties and places).
Biography
Emília Campos De Carvalho RN, PhD is a Senior Professor at University of São Paulo at Ribeirão Preto College of Nursing (EERP-USP), Brazil. She is a Teacher and
Advisor of nursing students in doctoral, master’s and undergraduate courses. She has several clinical researches published in journals. She has experience on the
following subjects: nursing process, simulation, communication, and clinical trials. She has a Scholarship in Research Productivity of the National Council for Scientific and
Technological Development – CNPq.
Emília Campos De Carvalho, Adv Practice Nurs 2018, Volume 3
DOI: 10.4172/2573-0347-C2-020