ArticleRevista brasileira de enfermagem2026
Advanced practice nursing role development in primary health care in Brazil and Germany: comparative perspective.
Article in Revista brasileira de enfermagem, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the advanced practice nursing development in primary health care in Brazil and Germany focusing on institutional, historical, and educational factors.
methodsWe conducted a qualitative comparative study combining the analysis of policy documents, literature and secondary data on health systems.
resultsIn Brazil, long-standing academic nursing education, established responsibilities, and ongoing debates support advanced practice nursing development, although the absence of a regulatory framework remains a barrier. In Germany, its development reflects a vocational-based nursing tradition and a relatively recent shift toward academization, with few advanced practice nursing master's study programs. A physician-centered primary care model and insufficient legal regulations constrain implementation, despite growing political momentum.
conclusionsAdvanced practice nursing development is country - and context-specific, meaning there is no one-size-fits-all model; rather, implementation should align with institutional structures, educational pathways, and professional role developments. Effective implementation requires context-sensitive strategies across multiple levels of the health system.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.