Nursing actions indicative of autonomy and authority compatible with Advanced Nursing Practice in Brazil

Authors

  • Emerson Willian Santos de Almeida Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil.
  • Simone de Godoy Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil.
  • Maria Alice Barbosa Fortunato Organização Mundial da Saúde - África, WHO - AFRO, Guiné-Bissau.
  • Elaine Maria Leite Rangel Andrade Universidade Federal do Piauí, Ininga, Teresina, PI, Brasil.
  • Ítalo Rodolfo Silva Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
  • Patrícia Sofia Oliveira Fonseca Nunes Universidade dos Açores, Escola Superior de Saúde, Angra do Heroísmo, Açores, Portugal.
  • Isabel Amélia Costa Mendes Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil.

DOI:

https://doi.org/10.1590/1518-8345.8245.4956

Keywords:

Primary Health Care; Professional Autonomy; Nursing; Ecological Study; Advanced Nursing Practice; Health Policies.

Abstract

Objective:   this study analyzed representative actions indicating autonomy and clinical authority among nurses in primary health care, compatible with Advanced Nursing Practice in Brazil. Method:   the ecological study used secondary data from 2023 from the Brazilian Ministry of Health’s information system, covering all 26 states and the Federal District. Indicators related to consultations, medication prescriptions, diagnostic tests, and clinical referrals were examined. Results:  the results reveal a wide range of activities performed by nurses in areas characteristic of Advanced Nursing Practice, while also showing significant geographical inequality, predominantly in the Southeast and South regions. Conclusion:  the analysis reveals the effective exercise of advanced competencies, even without specific regulations, and highlights the need for public policies that promote specialized training, regulatory standardization, and the legal recognition of Advanced Nursing Practice to improve the quality and equity of health care.

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Published

2026-10-16

Issue

Vol. 34 (2026)

Section

Original Articles

License

Copyright (c) 2026 Revista Latino-Americana de Enfermagem

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Almeida, E. W. S. de, Godoy, S. de, Fortunato, M. A. B., Andrade, E. M. L. R., Silva, Ítalo R., Nunes, P. S. O. F., & Mendes, I. A. C. (2026). Nursing actions indicative of autonomy and authority compatible with Advanced Nursing Practice in Brazil. Revista Latino-Americana De Enfermagem, 34, e4956. https://doi.org/10.1590/1518-8345.8245.4956