Advanced nursing practice: strategies for training and knowledge building

complex resizing economic, social, political, cultural and environmental, that affects society in general and particularly people's lives. These changes also affect the areas of knowledge, broadening the communication mechanisms due to technological advances and use of socio-cultural networks that have dramatically changed the understanding of the contemporary world. This setting creates new challenges, searching for innovations and ways of thinking and grasp. In regard to, it is important to guarantee the training of highly qualified human resources and the construction of knowledge through a democratic process work, committed to ethical, humanist and egalitarian values in a supportive and constructive organizational environment. This based on partnerships and collaboration internal and external. These requirements are essential to achieve the millennium development goals for health education. This way seeking to overcome the challenges of qualification of human resources in health, the Pan American Health Organization, while editing the resolution " Human Resources for Health: expanding access to qualified health professionals in health systems based on primary health " , they highlights the importance of the performance of advanced practice nurses, anchoring health systems based on Primary Health Care in Latin America (1). Although many countries are committed to the training of nurses for advanced practice nursing, it is necessary to expand training strategies of nurses with expertise in the areas of critical content. To understand this global trend we highlight the concept of the International Council of Nurses (ICN) for advanced nursing practice: " Advanced Nursing Practice requires nurses to include in their training; expertise, skills and expertise to the decision-making in complex situations in various scenarios of practice " (2). Nurses need to deepen their knowledge in; family health care, to the individual adult care, primary care, women in labor, specialized clinics, anesthesia, community health, women's health, emergency, pediatrics, gerontology and the people in need of acute care. Nursing education involves their preparation for education at an advanced level, formal recognition of educational programs, offering courses with objectives and content aimed at the advanced practice and the accreditation by competent organs (3). Thus, strategies must be adopted by educational institutions, among which stand out: broaden approach of the content with critical areas such as; advanced practice in public health, advanced nursing in social and behavioral communication, cultural competence, global health, politics and law and ethics in public health. It is emphasized that nursing education should include knowledge based on robust evidence in …