Resumo
Objetivo: Descrever um programa de imersão na Escola de Enfermagem da Universidade de Michigan (UMSN), focado em aprimorar a compreensão de enfermeiros latino-americanos sobre a formação, o escopo de prática, a regulamentação e a liderança do Nurse Practitioner (NP). Métodos: Relato de experiência da semana internacional “Desenvolvendo Enfermeiros de Prática Avançada na América Latina”. Participaram 18 profissionais de seis países, com tradução simultânea. As atividades incluíram apresentações sobre trajetórias MSN/DNP, orientações em laboratório de simulação e visitas clínicas a centros acadêmicos, unidades de atenção primária e clínicas gratuitas. Resultados: Observou-se a autonomia do NP em avaliação, diagnóstico, prescrição e coordenação de cuidados, além de sua colaboração interdisciplinar. Destacou-se o papel da simulação no desenvolvimento de competências e as contribuições do NP para a segurança, qualidade e equidade em saúde. Conclusão: A imersão promoveu o diálogo sobre a adaptação do modelo de NP dos Estados Unidos aos contextos latino-americanos. O programa fortaleceu o compromisso dos delegados em advogar pela padronização educacional, regulamentação de apoio e expansão da liderança de enfermagem na região.
Referências
Peters CJ. Dr. Loretta C. Ford: A pioneer in healthcare. Public Health Nurs. 2023;40(3):466-467. https://doi.org/10.1111/phn.13192. PMID: 36943180.
International Council of Nurses. Guidelines on advanced practice nursing [Internet]. Geneva: International Council of Nurses; 2020 [citado 2026 Abr 28]. Disponível em: https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf.
APRN Consensus Work Group. Consensus model for APRN regulation: Licensure, accreditation, certification & education [Internet]. Chicago: National Council of State Boards of Nursing; 2008 [citado 2026 Abr 28]. Disponível em: https://www.ncsbn.org/public-files/Consensus_Model_Report.pdf.
Kilpatrick K, Savard I, Audet L, Kra-Friedman A, Atallah R, Jabbour M, et al. A global perspective of advanced practice nursing research: A review of systematic reviews protocol. PLoS One. 2023;18(1):e0280726. https://doi.org/10.1371/journal.pone.0280726. PMID: 36693061.
Miller MK, Roussel J, Rogers M, Lehwaldt D. The global phenomenon of advanced practice nurses. In: Rogers M, Lehwaldt D, Roussel J, Acorn M, editors. Advanced practice nurse networking to enhance global health. Cham: Springer; 2024. p. 19-42. https://doi.org/10.1007/978-3-031-39740-0_2.
Wheeler KJ, Miller M, Pulcini J, Gray D, Ladd E, Rayens MK. Advanced Practice Nursing Roles, Regulation, Education, and Practice: A Global Study. Ann Glob Health. 2022;88(1):42. https://doi.org/10.5334/aogh.3698. PMID: 35755314.
Freire NP, Cunha ICKO, Lopes Neto D, Ximenes Neto FRG, Silva MCN, Erdmann AL, et al. International overview of the advanced practice nurse training: scoping review. Acta paul. enferm. 2025;38(nspe1):e-SPE23i. https://doi.org/10.37689/acta-ape/2025spe23i.
Mackay MCC, Doren FM, Dias BM. Expansion of the scope of practice for nurses in Chile. Acta paul. enferm. 2025;38(nspe1):e-SPE01p. https://doi.org/10.37689/acta-ape/2025SPE01p.
Carrer MO, Almeida LY, Vesga-Varela AL, Bonfim D, Almeida PA, Barreto CP, et al. Acute Events in Primary Health Care Settings: An Analysis of Advanced Practice Competencies in Nursing Consultations in Brazil. Nurs Open. 2025;12(7):e70247. https://doi.org/10.1002/nop2.70247. PMID: 40685903.
University of Michigan School of Nursing. History of the University of Michigan School of Nursing [Internet]. Ann Arbor: UMSN; [n.d.] [citado 2026 Abr 28]. Disponível em: https://nursing.umich.edu/sites/default/files/content/page/about/doc/history_of_umsn.pdf.
American Association of Colleges of Nursing. The essentials: Core competencies for professional nursing education [Internet]. Washington, DC: AACN; 2021 [citado 2026 Abr 28]. Disponível em: https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf.
Fajarini M, Setiawan A, Sung C, Chen R, Liu D, Lee C, et al. Effects of advanced practice nurses on health-care costs, quality of care, and patient well-being: A meta-analysis of randomized controlled trials. Int J Nurs Stud. 2025;162:104953. https://doi.org/10.1016/j.ijnurstu.2024.104953. PMID: 39586168.
Woo BFY, Lee JXY, Tam WWS. The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Hum Resour Health. 2017;15(1):63. https://doi.org/10.1186/s12960-017-0237-9. PMID: 28893270.
Bodenheimer T, Bauer L. Rethinking the Primary Care Workforce - An Expanded Role for Nurses. N Engl J Med. 2016;375(11):1015-1017. https://doi.org/10.1056/NEJMp1606869. PMID: 27626516.
Poghosyan L, Boyd DR, Clarke SP. Optimizing full scope of practice for nurse practitioners in primary care: A proposed conceptual model. Nurs Outlook. 2016;64(2):146-155. https://doi.org/10.1016/j.outlook.2015.11.015. PMID: 26712385.
Bauer JC. Nurse practitioners as an underutilized resource for health reform: evidence-based demonstrations of cost-effectiveness. J Am Acad Nurse Pract. 2010;22(4):228-231. https://doi.org/10.1111/j.1745-7599.2010.00498.x. PMID: 20409261.
Toso BRGO, Bonfim D, Santos KB, Freire NP, Danski MTR, Oliveira PC, et al. Advanced practice nursing: international gator nursing week. Rev Esc Enferm USP. 2024;58:e20240228. https://doi.org/10.1590/1980-220X-REEUSP-2024-0228en. PMID: 39652722.
World Health Organization. State of the World’s Nursing 2020: Investing in education, jobs and leadership [Internet]. Geneva: World Health Organization; 2020 [citado 2026 Abr 28]. Disponível em: https://www.who.int/publications/i/item/9789240003279
Xu C, Koh KWL, Zhou W. The development of advanced practice nurses in Singapore. Int Nurs Rev. 2024;71(2):238-243. https://doi.org/10.1111/inr.12810. PMID: 36409288.

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 Online Brazilian Journal of Nursing

