Victor Regis de Lima, Tâmara Larryanne Costa Morais, Rafaela Santos Bezerra Candido, Tarcísio Tércio das Neves Júnior, Cláudia Santos Martiniano Sousa, Carlos Jordão de Assis Silva
{"title":"Advanced practice nurse in intensive care in the Brazilian context: a scoping review.","authors":"Victor Regis de Lima, Tâmara Larryanne Costa Morais, Rafaela Santos Bezerra Candido, Tarcísio Tércio das Neves Júnior, Cláudia Santos Martiniano Sousa, Carlos Jordão de Assis Silva","doi":"10.1590/1983-1447.2026.20220250349.en","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>to map the scope of practice of advanced practice nurses in intensive care and its applicability in the Brazilian context.</p><p><strong>Method: </strong>a scoping review conducted between September 2024 and February 2025, based on the JBI and PRISMA-ScR guidelines. The search was carried out in PubMed, Virtual Health Library, CINAHL, SCOPUS, BDENF, Web of Science, COCHRANE, and LILACS, in addition to thesis and dissertation repositories. Two independent reviewers selected the studies, and a third resolved disagreements. Data extraction followed a standardized instrument, with descriptive synthesis.</p><p><strong>Results: </strong>a final sample of 20 publications was selected. The advanced practice nurse in intensive care performs invasive procedures, such as central venous catheter insertion, orotracheal intubation, lumbar puncture, and chest tube insertion. Furthermore, the use of advanced technologies and the high level of clinical autonomy of this professional provide effective diagnostic and therapeutic decision-making for the management of critically ill patients.</p><p><strong>Conclusion: </strong>the scope of practice of advanced practice nurses in intensive care, although still incipient, presents perspectives for scientific, autonomous, and highly qualified advancement in the nursing field in Brazil, directly contributing to a responsive and effective healthcare approach. However, the scarcity of regulatory legislation and the lack of standardized and specific training for advanced practice nurses still constitute limitations to their implementation in Brazil.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250349"},"PeriodicalIF":0.0000,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista gaucha de enfermagem / EENFUFRGS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/1983-1447.2026.20220250349.en","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: to map the scope of practice of advanced practice nurses in intensive care and its applicability in the Brazilian context.
Method: a scoping review conducted between September 2024 and February 2025, based on the JBI and PRISMA-ScR guidelines. The search was carried out in PubMed, Virtual Health Library, CINAHL, SCOPUS, BDENF, Web of Science, COCHRANE, and LILACS, in addition to thesis and dissertation repositories. Two independent reviewers selected the studies, and a third resolved disagreements. Data extraction followed a standardized instrument, with descriptive synthesis.
Results: a final sample of 20 publications was selected. The advanced practice nurse in intensive care performs invasive procedures, such as central venous catheter insertion, orotracheal intubation, lumbar puncture, and chest tube insertion. Furthermore, the use of advanced technologies and the high level of clinical autonomy of this professional provide effective diagnostic and therapeutic decision-making for the management of critically ill patients.
Conclusion: the scope of practice of advanced practice nurses in intensive care, although still incipient, presents perspectives for scientific, autonomous, and highly qualified advancement in the nursing field in Brazil, directly contributing to a responsive and effective healthcare approach. However, the scarcity of regulatory legislation and the lack of standardized and specific training for advanced practice nurses still constitute limitations to their implementation in Brazil.
目的：了解巴西重症监护高级执业护士的执业范围及其在巴西的适用性。方法：根据JBI和PRISMA-ScR指南，在2024年9月至2025年2月期间进行范围审查。检索在PubMed、Virtual Health Library、CINAHL、SCOPUS、BDENF、Web of Science、COCHRANE和LILACS中进行，此外还有论文和论文库。两名独立审稿人选择了这些研究，第三名审稿人解决了分歧。数据提取遵循标准化工具，描述性综合。结果：最终样本为20份出版物。重症监护室的高级执业护士执行侵入性手术，如中心静脉导管插入、口气管插管、腰椎穿刺和胸管插入。此外，该专业的先进技术和高水平的临床自主权为危重患者的管理提供了有效的诊断和治疗决策。结论：重症监护高级护士的实践范围，虽然仍处于起步阶段，但在巴西的护理领域提出了科学、自主和高素质进步的观点，直接促进了响应性和有效的医疗保健方法。然而，缺乏监管立法和缺乏对高级执业护士的标准化和具体培训仍然限制了它们在巴西的实施。
期刊介绍：
A Escola de Enfermagem da Universidade Federal do Rio Grande do Sul edita e publica a Revista Gaúcha de Enfermagem para divulgar a produção científica da Enfermagem e áreas afins. Foi criada em 1976 e atualmente tem periodicidade trimestral.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
