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Objective: To reflect on the contributions of nursing to the elimination of viral hepatitis in the Unified Health System. Methods: This was a reflexive study with a qualitative approach based on the practice of nursing in health systems, organized into three categories. Results: In the category Expansion of the scope of practice: path to strengthen the role of nurses in the Health Care Network, the strategic agenda of the Ministry of Health and the Federal Council of Nursing is addressed in providing conditions for expanding access through management, care, teaching and research. In the category subsidies of care management and coordination to guide nursing practice, the individual and family, professional, organizational, systemic and societal dimensions are addressed, with recognition of the need to broaden reflection. In the category Nurses in the management of programs to combat viral hepatitis, intrinsic aspects built since training are highlighted, with emphasis or management and management, in a real dynamic of technical responsibility in programs, services and teams. Conclusion: The reflection on the contribution of nurses is related to the management and coordination of care, a practice already established for professionals, but which requires guidelines and investment for hepatitis through continuing education. [ABSTRACT FROM AUTHOR]

Objective: To describe nurses' experience in implementing the copper Intrauterine Device (IUD) insertion service in Primary Health Care (PHC) in Florianópolis, SC. Methods: Experience report presenting the following steps: (a) Theoretical-Practical Material elaboration; (b) Nurse facilitators training; and (c) process monitoring and evaluation. Results: In total, 115 nurses were trained, including permanent professionals and residents. Regarding the expansion of access to the contraceptive method, a quantity of 2,024 IUD insertions by nurses was recorded since the implementation of the practice, in just over 3 years (390 insertions in 2018; 728 in 2019; 547 in 2020 and 359 insertions until May of 2021). These data reflect a 60% increase in access to the method to women. Conclusion: The nurse, by offering the insertion of the IUD in the PHC responsibly and based on scientificity, has contributed to reducing bureaucracy in access to the method. In this sense, the training process positively influences the qualification of care, and the reported practice has demonstrated efficacy and safety, in addition to surpassing models, which until then were hegemonic and centered on the doctor. [ABSTRACT FROM AUTHOR]

Objective: To contextualize the professional experience of nurses from the perspective of Systematization of Nursing Care, with a focus on strengthening Primary Health Care and expanding access to resolving and quality. Methods: This is a descriptive study, with a qualitative approach, of the experience report type, on the experience of nurses in the participatory implementation of nursing protocols in the city of Florianópolis - Santa Catarina, Brazil. Results: The experience reported comprised the following phases: Definition of Stakeholders, Conceptual Alignment, Application of a Questionnaire - to survey the expertise of professionals, Establishment of Premises, Validation of Protocols, Monitoring and Evaluation of the Process, General Provisions. It is a practice with great possibility of replication. It is sustainable insofar as the Nursing Commission is strengthened, bringing together professionals with a network vision and a focus on patient care. Conclusion: It was observed the advance of the nurse's work and the expansion of access to the health service. In addition, the use of protocols can help in decision making, focusing on patient safety and support for the professional based or ethical principles of the profession. [ABSTRACT FROM AUTHOR]

Objective: To describe the implementation of advanced practice nursing in Latin America. Methods: Integrative literature review, using five databases as the research source and based on the guiding question: "How has the implementation of Advanced Practice nursing in Latin America been happening?" Results: 176 studies were identified, however, the final sample had 11 articles published between the years 2016 and 2020. The selected studies were aggregated into three categories according to thematic similarity: the initiatives, potentials and challenges for implementation of advanced practice nursing in Latin American countries. Conclusion: There is still much to be discussed about the EAP implementation process, as establishing the exercise of advanced practice with autonomy and independence for clinical judgment, diagnosis and prescriptive actions and the formation of new profiles of health professionals will be a challenge. [ABSTRACT FROM AUTHOR]

Objective: addressing the advanced practice of nursing, covering this function in developed countries. Methodology: theoretical reflection, describing the concept of advanced practice nursing, reporting its impact on primary health care and focusing on priority strategies for its implementation in Brazil. Results: among the strategies, some may be highlighted, such as, investment in graduation nursing courses, national strategies adoption for follow up training at work, addition of practice based on evidences as a guideline for professional nursing actions in primary health care, legislation revision and expansion that guides the practice, and legislation review of the health care system for advanced practice. Conclusion: it is understood that the foundations for the construction of adoption and formal regulation of this advanced practice are ready, thus the Brazilian nursing needs to know about it and decide if it is aimed to be incorporated into the profession. [ABSTRACT FROM AUTHOR]