Nursing approaches to vascular access and infusion therapy: reflective study on advanced nursing practices
DOI:
https://doi.org/10.26694/reufpi.v14i1.6959Keywords:
Advanced Nursing Practice, Vascular Access Devices, Nursing Undergraduate Programs, EducationAbstract
Objective: To explore Advanced Nursing Practice (ANP) perspectives on infusion therapy and vascular access management, considering educational, regulatory, and institutional challenges within the Brazilian context. Methods: A reflective study grounded in critical analysis of national and international scientific literature, current professional legislation, and the authors’ expertise in infusion therapy. Results: The reflection highlighted significant technical and scientific advances in vascular access management, including modern devices and ultrasound-guided techniques. In countries with well-established ANP frameworks, nurses carry out high-complexity procedures with clinical and legal autonomy. In Brazil, despite occasional initiatives, nursing practice continues constrained by legal obstacles, insufficient education, and limited institutional acknowledgment. Without ANP regulations and institutional protocols, nurses’ autonomy is limited, leading to poorer patient care outcomes. Conclusion: Positioning ANP as a strategic force in infusion therapy requires reviewing regulations, enhancing specialized training, and acknowledging nurses as strategic leaders in vascular care, aiming to promote patient safety and care excellence.
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