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Child health nursing consultation and competencies for Advanced Practice Nurses* * Extracted from the thesis: “Consulta de enfermagem em saúde da criança e competências para enfermeiros de prática avançada”, Faculdade Israelita de Ciências da Saúde Albert Einstein, 2023.

Consulta de enfermería en salud infantil y competencias para Enfermeros de Práctica Avanzada

ABSTRACT

Objective:

To analyze nurses’ practice in child health nursing consultations and the presence of care management competencies proposed for Advanced Practice Nurses (APN).

Method:

Multicenter, exploratory sequential mixed methods research, carried out in 17 Basic Health Units in four Brazilian cities. Collection was carried out from May to July 2022 through filming of consultation and analysis of medical records. Consultations with compliance with the Nursing Process ≥50% were analyzed to identify the competencies proposed for APN.

Results:

24 child consultations carried out by 12 nurses were filmed. In the quantitative analysis, 11 nursing consultations, carried out by seven nurses, achieved ≥50% Nursing Process compliance. In the qualitative analysis of these consultations, some APN competencies in care management were identified, but incomplete.

Conclusion:

child health nursing consultations present weaknesses in carrying out the Nursing Process, and nurses demonstrated a partial and superficial application of the care management competencies proposed for APN.

DESCRIPTORS
Professional Competence; Advanced Nursing Practice; Pediatric Nursing; Primary Health Care

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br