Nursing Now Brazil Campaign: alignments with global evidence for the development of national nursing

Mendes, Isabel Amélia Costa; Silva, Ítalo Rodolfo; Ventura, Carla Aparecida Arena; Almeida, Emerson Willian Santos; Silva, Manoel Carlos Neri da

doi:10.1590/1983-1447.2021.20200406

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Original Article • Rev. Gaúcha Enferm. 42 (spe) • 2021 • https://doi.org/10.1590/1983-1447.2021.20200406 copy

Nursing Now Brazil Campaign: alignments with global evidence for the development of national nursing

Campaña Nursing Now Brasil: lineamentos con las evidencias globales para el desarrollo de la enfermería nacional

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To analyze the goals and strategies of the Nursing Now Brazil Campaign in the light of global documents that focus on perspectives for the strengthening of Brazilian Nursing.

Methods:

Documentary research, carried out from the comparative analysis of the goals and strategies of the Nursing Now Brazil Campaign and documents with high global repercussion for social and economic development in the health context. Data were collected between May and July 2020.

Results:

The evidence set bases the need for strategies to achieve excellence in the training of nurses, better working conditions and the dissemination of successful experiences undertaken by these professionals in different health contexts for the strengthening of leadership and competencies capable of boosting socioeconomic development and people’s quality of life.

Conclusion:

The achievement of the Nursing Now Brazil Campaign goals, based on global health evidence, may directly impact the socioeconomic development of the country.

Keywords:
Nursing; Global health; Leadership; Nursing staff

Goal 1 Nursing Now Brazil: Investing in strengthening the education and development of nursing professionals, with a focus on leadership
Strategies	Related evidence
Invest in technical training linked to leadership training	- Importance of developing competencies to intervene in the implementation of the SDGs that consider health and well-being; gender equality; decent work and economic growth; reduction of inequalities, among others5Nursing Now Chalenge [Internet]. c2018 [cited 2020 Sep 30]. Available from: Available from: http://www.nursingnow.org/our-aims/ http://www.nursingnow.org/our-aims/... ; - Relevance of competencies for leadership in strategic contexts that influence the practice of Nursing; leadership and governance in Nursing as ideal for strengthening health systems2All-Party Parliamentary Group on Global Health (UK). Triple impact: how developing nursing will improve health, promote gender equality and support economic growth. London: APPG; 2016 [cited 2020 Sep 10]. Available from: Available from: https://www.who.int/hrh/com-heeg/digital-APPG_triple-impact.pdf https://www.who.int/hrh/com-heeg/digital... ; - Need for leadership and social dialogue to reach intersectoral dimensions that influence the health sector, in the scopes of education, work and finance⁽⁹⁾, without, however, failing to consider that leadership spaces involve power relations1World Health Organization (CH). State of the world's nursing 2020: investing in education, jobs and leadership. Geneva: WHO; 2020 [cited 2020 Sep 10]. Available from: Available from: https://apps.who.int/iris/bitstream/handle/10665/331677/9789240003279-eng.pdf?sequence=1&isAllowed=y https://apps.who.int/iris/bitstream/hand...
Train nurses in the professional master’s degree mode, in strategic areas, which directly impact the quality of care	- PAHO proposes expanding the role of advanced practice nurses. This training modality allows for deepening and interventions with a high level of expertise, with immediate return to care practice, from planning to the live act of care10Pan American Health Organization (US). Strategic Directions for Nursing in the Region of the Americas. Washington, D.C.: OPAS; 2019 [cited 2020 Sep 10]. Available from: Available from: https://www.paho.org/en/documents/strategic-directions-nursing-region-americas https://www.paho.org/en/documents/strate... ; - In this same prerogative, it is necessary to develop and implement strategies that allow the ability to achieve the maximum of professional competencies and, at the same time, measures that boost the formation of specialties to better intervene9Organização Pan-Americana da Saúde (US). Estratégia de Recursos Humanos para o acesso universal à saúde e a cobertura universal de saúde. Washington, D.C.: OPAS; 2017 [cited 2020 Sep 20]. Resolução CSP29.R15. Available from: Available from: https://iris.paho.org/bitstream/handle/10665.2/34413/CSP29.R15-p.pdf?sequence=4&isAllowed=ty https://iris.paho.org/bitstream/handle/1...
Offer update courses for mid-level professionals on priority topics	- Brazilian Nursing is, for the most part, composed of nursing technicians (out of a total of 2,305,946 active nursing professionals registered in Brazil, only 24.5% are nurses); this proportion remains approximately the same in all of Latin America10Pan American Health Organization (US). Strategic Directions for Nursing in the Region of the Americas. Washington, D.C.: OPAS; 2019 [cited 2020 Sep 10]. Available from: Available from: https://www.paho.org/en/documents/strategic-directions-nursing-region-americas https://www.paho.org/en/documents/strate... ; - Achieving the sustainable development goals5Nursing Now Chalenge [Internet]. c2018 [cited 2020 Sep 30]. Available from: Available from: http://www.nursingnow.org/our-aims/ http://www.nursingnow.org/our-aims/... , as well as the impacts related to health and economy2All-Party Parliamentary Group on Global Health (UK). Triple impact: how developing nursing will improve health, promote gender equality and support economic growth. London: APPG; 2016 [cited 2020 Sep 10]. Available from: Available from: https://www.who.int/hrh/com-heeg/digital-APPG_triple-impact.pdf https://www.who.int/hrh/com-heeg/digital... require technical skills consistent with the social demands of health and care throughout Nursing10Pan American Health Organization (US). Strategic Directions for Nursing in the Region of the Americas. Washington, D.C.: OPAS; 2019 [cited 2020 Sep 10]. Available from: Available from: https://www.paho.org/en/documents/strategic-directions-nursing-region-americas https://www.paho.org/en/documents/strate... .
Strengthen the importance of training the nursing professionals in the face-to-face modality	- Although global nursing is made up of about 27.9 million professionals1World Health Organization (CH). State of the world's nursing 2020: investing in education, jobs and leadership. Geneva: WHO; 2020 [cited 2020 Sep 10]. Available from: Available from: https://apps.who.int/iris/bitstream/handle/10665/331677/9789240003279-eng.pdf?sequence=1&isAllowed=y https://apps.who.int/iris/bitstream/hand... , it is important to consider the quality of training and development of competencies that articulate global health needs5Nursing Now Chalenge [Internet]. c2018 [cited 2020 Sep 30]. Available from: Available from: http://www.nursingnow.org/our-aims/ http://www.nursingnow.org/our-aims/... ^,9Organização Pan-Americana da Saúde (US). Estratégia de Recursos Humanos para o acesso universal à saúde e a cobertura universal de saúde. Washington, D.C.: OPAS; 2017 [cited 2020 Sep 20]. Resolução CSP29.R15. Available from: Available from: https://iris.paho.org/bitstream/handle/10665.2/34413/CSP29.R15-p.pdf?sequence=4&isAllowed=ty https://iris.paho.org/bitstream/handle/1... , as well as the contextual priorities of acting. These challenges reveal the importance of excellent training, in line with the high standards of Nursing9Organização Pan-Americana da Saúde (US). Estratégia de Recursos Humanos para o acesso universal à saúde e a cobertura universal de saúde. Washington, D.C.: OPAS; 2017 [cited 2020 Sep 20]. Resolução CSP29.R15. Available from: Available from: https://iris.paho.org/bitstream/handle/10665.2/34413/CSP29.R15-p.pdf?sequence=4&isAllowed=ty https://iris.paho.org/bitstream/handle/1... .

Goal 2 Nursing Now Brazil: investing in improving the working conditions of nursing professionals
Strategies	Related evidence
Map the difference in working conditions and prioritizing demands according to local specificities	- The plurality of Nursing may reveal different conditions for different work realities. The mapping of these realities is essential for the development, implementation and evaluation of strategies positioned in each intervention context2All-Party Parliamentary Group on Global Health (UK). Triple impact: how developing nursing will improve health, promote gender equality and support economic growth. London: APPG; 2016 [cited 2020 Sep 10]. Available from: Available from: https://www.who.int/hrh/com-heeg/digital-APPG_triple-impact.pdf https://www.who.int/hrh/com-heeg/digital... ; - Facing up to current challenges and the development of regional strategic solutions for the progress of Nursing can be favored from the situational diagnosis of the working conditions of nursing professionals10Pan American Health Organization (US). Strategic Directions for Nursing in the Region of the Americas. Washington, D.C.: OPAS; 2019 [cited 2020 Sep 10]. Available from: Available from: https://www.paho.org/en/documents/strategic-directions-nursing-region-americas https://www.paho.org/en/documents/strate... ; - With knowledge of the multiple realities of health professionals, it will be possible to devise strategies to capture decentralized information that reveal the need for specific measures for decision-making by health managers and leaders9Organização Pan-Americana da Saúde (US). Estratégia de Recursos Humanos para o acesso universal à saúde e a cobertura universal de saúde. Washington, D.C.: OPAS; 2017 [cited 2020 Sep 20]. Resolução CSP29.R15. Available from: Available from: https://iris.paho.org/bitstream/handle/10665.2/34413/CSP29.R15-p.pdf?sequence=4&isAllowed=ty https://iris.paho.org/bitstream/handle/1...
Encourage the participation and acting of nursing professionals in strategic decision-making positions in the health system	- The gap between the importance of the Nursing workforce and policies translated into better working conditions signals the need for Nursing to occupy local, regional and national leadership contexts that reflect influences for the entire profession2All-Party Parliamentary Group on Global Health (UK). Triple impact: how developing nursing will improve health, promote gender equality and support economic growth. London: APPG; 2016 [cited 2020 Sep 10]. Available from: Available from: https://www.who.int/hrh/com-heeg/digital-APPG_triple-impact.pdf https://www.who.int/hrh/com-heeg/digital... .
Foster dialogue and negotiation with various political instances in micro and macro spaces	- The financial investment translated into the strengthening of human resources, especially for the expansion of jobs in Nursing, better working conditions to reduce the burden and evasion of professionals in the area, should include strategic measures that encourage dialogues based on evidence that highlight the importance of such investments1World Health Organization (CH). State of the world's nursing 2020: investing in education, jobs and leadership. Geneva: WHO; 2020 [cited 2020 Sep 10]. Available from: Available from: https://apps.who.int/iris/bitstream/handle/10665/331677/9789240003279-eng.pdf?sequence=1&isAllowed=y https://apps.who.int/iris/bitstream/hand... ^-2All-Party Parliamentary Group on Global Health (UK). Triple impact: how developing nursing will improve health, promote gender equality and support economic growth. London: APPG; 2016 [cited 2020 Sep 10]. Available from: Available from: https://www.who.int/hrh/com-heeg/digital-APPG_triple-impact.pdf https://www.who.int/hrh/com-heeg/digital... ^,0^-10Pan American Health Organization (US). Strategic Directions for Nursing in the Region of the Americas. Washington, D.C.: OPAS; 2019 [cited 2020 Sep 10]. Available from: Available from: https://www.paho.org/en/documents/strategic-directions-nursing-region-americas https://www.paho.org/en/documents/strate... . - Furthermore, it is necessary to consider, in this process, the importance of intersectionality for the integration of interests of the health, education, labor and financial system/organs, especially those of a public nature10Pan American Health Organization (US). Strategic Directions for Nursing in the Region of the Americas. Washington, D.C.: OPAS; 2019 [cited 2020 Sep 10]. Available from: Available from: https://www.paho.org/en/documents/strategic-directions-nursing-region-americas https://www.paho.org/en/documents/strate... .

Goal 3 Nursing Now Brazil: disseminating effective and innovative nursing practices based on scientific evidence, at national and regional levels
Strategies	Supporting evidence
Map innovative practices led by nursing professionals	- Valuing Nursing, among other elements, may be related to popular and leadership knowledge about the impact that professionals in this area of knowledge exert2All-Party Parliamentary Group on Global Health (UK). Triple impact: how developing nursing will improve health, promote gender equality and support economic growth. London: APPG; 2016 [cited 2020 Sep 10]. Available from: Available from: https://www.who.int/hrh/com-heeg/digital-APPG_triple-impact.pdf https://www.who.int/hrh/com-heeg/digital... .
Stimulate the development of scientific research that strengthen professional practice	- Nursing profession, walk in line with social demands that are dynamic and therefore require constant investments in research for training capable of developing the necessary competencies to act in the face of current and upcoming challenges2All-Party Parliamentary Group on Global Health (UK). Triple impact: how developing nursing will improve health, promote gender equality and support economic growth. London: APPG; 2016 [cited 2020 Sep 10]. Available from: Available from: https://www.who.int/hrh/com-heeg/digital-APPG_triple-impact.pdf https://www.who.int/hrh/com-heeg/digital... ^,10Pan American Health Organization (US). Strategic Directions for Nursing in the Region of the Americas. Washington, D.C.: OPAS; 2019 [cited 2020 Sep 10]. Available from: Available from: https://www.paho.org/en/documents/strategic-directions-nursing-region-americas https://www.paho.org/en/documents/strate... .
Identify gaps and possible interfaces between organizational sectors for the development of research and products that solve problems in favor of quality of care	- The replication and expansion of studies that scale the impact of Nursing in strategic sectors of society (quality of life, economy, social justice, among others) can strengthen the understanding of society and leaders about the importance of Nursing, in order to translate this understanding in professional valuation policies for decent working conditions1World Health Organization (CH). State of the world's nursing 2020: investing in education, jobs and leadership. Geneva: WHO; 2020 [cited 2020 Sep 10]. Available from: Available from: https://apps.who.int/iris/bitstream/handle/10665/331677/9789240003279-eng.pdf?sequence=1&isAllowed=y https://apps.who.int/iris/bitstream/hand... ^-2All-Party Parliamentary Group on Global Health (UK). Triple impact: how developing nursing will improve health, promote gender equality and support economic growth. London: APPG; 2016 [cited 2020 Sep 10]. Available from: Available from: https://www.who.int/hrh/com-heeg/digital-APPG_triple-impact.pdf https://www.who.int/hrh/com-heeg/digital... ^,10Pan American Health Organization (US). Strategic Directions for Nursing in the Region of the Americas. Washington, D.C.: OPAS; 2019 [cited 2020 Sep 10]. Available from: Available from: https://www.paho.org/en/documents/strategic-directions-nursing-region-americas https://www.paho.org/en/documents/strate... . - Government and even health leaders have had difficulties in accessing consolidated information on health systems and, therefore, on the systems that involve the Nursing work. Thus, methodological strategies that reinforce evidence on the impacts of valuing/precariousness of Nursing, as the largest professional category in health systems, are possibilities for changing the panorama of professional devaluation9Organização Pan-Americana da Saúde (US). Estratégia de Recursos Humanos para o acesso universal à saúde e a cobertura universal de saúde. Washington, D.C.: OPAS; 2017 [cited 2020 Sep 20]. Resolução CSP29.R15. Available from: Available from: https://iris.paho.org/bitstream/handle/10665.2/34413/CSP29.R15-p.pdf?sequence=4&isAllowed=ty https://iris.paho.org/bitstream/handle/1... .
Produce and validate Nursing protocols supported by evidence that qualify Nursing care	- Health challenges are increasingly dynamic and accelerated, which requires in-depth and updated knowledge to better intervene^(9-10). In this sense, protocols based on the best evidence for advanced Nursing practice are essential to monitor the dynamics of these challenges according to the health demands of people and collectivities1World Health Organization (CH). State of the world's nursing 2020: investing in education, jobs and leadership. Geneva: WHO; 2020 [cited 2020 Sep 10]. Available from: Available from: https://apps.who.int/iris/bitstream/handle/10665/331677/9789240003279-eng.pdf?sequence=1&isAllowed=y https://apps.who.int/iris/bitstream/hand... ^,9Organização Pan-Americana da Saúde (US). Estratégia de Recursos Humanos para o acesso universal à saúde e a cobertura universal de saúde. Washington, D.C.: OPAS; 2017 [cited 2020 Sep 20]. Resolução CSP29.R15. Available from: Available from: https://iris.paho.org/bitstream/handle/10665.2/34413/CSP29.R15-p.pdf?sequence=4&isAllowed=ty https://iris.paho.org/bitstream/handle/1... ^-10Pan American Health Organization (US). Strategic Directions for Nursing in the Region of the Americas. Washington, D.C.: OPAS; 2019 [cited 2020 Sep 10]. Available from: Available from: https://www.paho.org/en/documents/strategic-directions-nursing-region-americas https://www.paho.org/en/documents/strate... .
Foster strategies that disseminate innovative products and practices, resulting from research processes, aiming at their wide dissemination in health services	- To achieve high impacts on health, reducing social inequalities from the perspective of gender and the economy, Nursing needs to develop new ways of sharing successful practices, in a global perspective, as well as national and local, with strategies that favor the understanding of leaders, policy makers and managers for the expanded importance of the profession2All-Party Parliamentary Group on Global Health (UK). Triple impact: how developing nursing will improve health, promote gender equality and support economic growth. London: APPG; 2016 [cited 2020 Sep 10]. Available from: Available from: https://www.who.int/hrh/com-heeg/digital-APPG_triple-impact.pdf https://www.who.int/hrh/com-heeg/digital... ; - The lack of financial investment to quantitatively and qualitatively boost Nursing conditions the chances of good performance of health systems around the world. It is, however, necessary to expand studies and strategies that show such impacts in the different contexts of Nursing work, in each region of the country and in priority areas for health, social and economic development, quality of life and social justice9Organização Pan-Americana da Saúde (US). Estratégia de Recursos Humanos para o acesso universal à saúde e a cobertura universal de saúde. Washington, D.C.: OPAS; 2017 [cited 2020 Sep 20]. Resolução CSP29.R15. Available from: Available from: https://iris.paho.org/bitstream/handle/10665.2/34413/CSP29.R15-p.pdf?sequence=4&isAllowed=ty https://iris.paho.org/bitstream/handle/1... ^-10Pan American Health Organization (US). Strategic Directions for Nursing in the Region of the Americas. Washington, D.C.: OPAS; 2019 [cited 2020 Sep 10]. Available from: Available from: https://www.paho.org/en/documents/strategic-directions-nursing-region-americas https://www.paho.org/en/documents/strate... .

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[1] Corresponding author:
Ítalo Rodolfo Silva e-mail: italoufrj@gmail.com