Expanding the scope of practice for nurses: possibilities in five Latin American countries

Abstract

Objective:  to analyze, from a comparative perspective, the training and regulation of nurses’ work and the proposals for the implementation of the advanced practice nurse role in selected Latin American countries. Method:  a descriptive comparative case study was conducted to understand the training and regulation of nursing work in five countries: Brazil, Chile, Colombia, Costa Rica, and Mexico. Data were collected in five focus groups with key informants from each country. The content was systematized in an analytical matrix that was validated by the participants. Results:  the countries are at different stages of debate and implementation of expanding the scope of practice. The primary care level is considered a potential space for the performance of this role. In addition, master’s programs constitute a training opportunity for these professionals. The exchange of international experiences and working groups have been initiatives to discuss the role and consider the specific characteristics of each country in its implementation process. Conclusion:   there are interest and initiatives to expand the role of nurses in Latin America; however, there is still a long way to go in terms of training, scope of practice, regulation, and the labor market.