Use of the Practical Approach to Care Kit Adult by nurses: a systematic review

Celuppi, Ianka Cristina; Pires, Denise Elvira Pires de; Mendes, Mariana; Amadigi, Felipa Rafaela; Martins, Maria Manuela Ferreira Pereira da Silva; Landeiro, Maria José Lumini; Brehmer, Laura Cavalcanti de Farias

doi:10.37689/acta-ape/2025AR0002421

Brazil

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Review Article • Acta Paul Enferm 38 • 2025 • https://doi.org/10.37689/acta-ape/2025AR0002421i linkcopy

Use of the Practical Approach to Care Kit Adult by nurses: a systematic review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective To analyze scientific production about the Practical Approach to Care Kit Adult application in nurses’ work process in Primary Health Care.

Methods A systematic review carried out in the PubMed^®, EMBASE, Scopus, Web of Science, MEDLINE^® and CINAHL databases on July 17, 2023. Articles were included that demonstrate the Practical Approach to Care Kit Adult use in nurses’ work process in Primary Health Care, in countries where this technology has been implemented in the format of original studies, case reports, opinion articles and reviews. Articles that dealt with old versions of the Practical Approach to Care Kit or did not detail how the technology was used, were characterized as editorials, comments, news, conference abstracts, research protocols, theses and dissertations or were unavailable in full were excluded. The analysis of the risk of bias of studies was carried out in pairs, using the JBI checklists for qualitative studies, opinion and randomized clinical trials.

Results Six articles were selected that highlighted the Practical Approach to Care Kit use as a technology to support nurses’ clinical decision-making. Its application in permanent education actions of the teams in Primary Health Care services also stood out.

Conclusion This review contributes to public health nursing knowledge by highlighting the use of an innovative and low-cost technology in nurses’ care process.

PubMed
((“Primary Health Care”[Mesh] OR “Primary Healthcare” OR “Primary Care” OR “Primary Nursing”[Mesh] OR “Primary Nursing Care” OR “Nurses”[Mesh] OR “Family Nurse Practitioners”[Mesh] OR “Nurse Practitioners”[Mesh] OR “Nurse Clinicians”[Mesh] OR “Nurse Clinician” OR “Clinical Nurse Specialists” OR “Clinical Nurse Specialist” OR “Community Health Nurse” OR “Public Health Nurse” OR “Nurse’s Role”[Mesh] OR “Nurse’s Roles” OR “Nurses Role” OR “Nurse’s Scope of Practice”) AND (“Practical Approach to Care Kit”))
Scopus
TITLE-ABS-KEY(“Primary Health Care” OR “Primary Healthcare” OR “Primary Care” OR “Primary Nursing” OR “Primary Nursing Care” OR Nurses OR “Family Nurse Practitioners” OR “Nurse Practitioners” OR “Nurse Clinicians” OR “Nurse Clinician” OR “Clinical Nurse Specialists” OR “Clinical Nurse Specialist” OR “Community Health Nurse” OR “Public Health Nurse” OR “Nurse’s Role” OR “Nurse’s Roles” OR “Nurses Role” OR “Nurse’s Scope of Practice”) AND TITLE-ABS-KEY(“Practical Approach to Care Kit”)
Web of Science
(“Primary Health Care” OR “Primary Healthcare” OR “Primary Care” OR “Primary Nursing” OR “Primary Nursing Care” OR Nurses OR “Family Nurse Practitioners” OR “Nurse Practitioners” OR “Nurse Clinicians” OR “Nurse Clinician” OR “Clinical Nurse Specialists” OR “Clinical Nurse Specialist” OR “Community Health Nurse” OR “Public Health Nurse” OR “Nurse’s Role” OR “Nurse’s Roles” OR “Nurses Role” OR “Nurse’s Scope of Practice”) AND (“Practical Approach to Care Kit”)
EMBASE
(‘primary health care’/exp OR ‘primary health care’ OR ‘primary healthcare’/exp OR ‘primary healthcare’ OR ‘primary care’/exp OR ‘primary care’ OR ‘primary nursing’/exp OR ‘primary nursing’ OR ‘primary nursing care’/exp OR ‘primary nursing care’ OR ‘nurses’/exp OR nurses OR ‘family nurse practitioners’/exp OR ‘family nurse practitioners’ OR ‘nurse practitioners’/exp OR ‘nurse practitioners’ OR ‘nurse clinicians’/exp OR ‘nurse clinicians’ OR ‘nurse clinician’/exp OR ‘nurse clinician’ OR ‘clinical nurse specialists’ OR ‘clinical nurse specialist’/exp OR ‘clinical nurse specialist’ OR ‘community health nurse’/exp OR ‘community health nurse’ OR ‘public health nurse’/exp OR ‘public health nurse’ OR ‘nurses role’/exp OR ‘nurses role’ OR ‘nurses scope of practice’) AND (‘practical approach to care kit’)
MEDLINE^®
((“Primary Health Care” OR “Atención Primaria de Salud” OR “Atenção Primária à Saúde” OR “Primary Healthcare” OR “Primary Care” OR “Atenção Básica” OR “Atenção Básica de Saúde” OR “Atenção Básica à Saúde” OR “Atenção Primária” OR “Atenção Primária de Saúde” OR “Atenção Primária em Saúde” OR “Cuidado Primário de Saúde” OR “Asistencia Primaria” OR “Asistencia Primaria de Salud” OR “Asistencia Sanitaria de Primer Nivel” OR “Atención Básica” OR “Atención Primaria” OR “Primary Nursing” OR “Enfermería Primaria” OR “Enfermagem Primária” “Primary Nursing Care” OR “Cuidados Básicos de Enfermería” OR “Cuidados Primarios de Enfermería” OR “Atenção Primária de Enfermagem” OR “Cuidados Básicos de Enfermagem” OR “Cuidados Primários de Enfermagem” OR “Cuidados Primários em Enfermagem” OR “Enfermagem Básica” OR “Enfermaria Primária” OR “Nurses” OR “Enfermeiras e Enfermeiros” OR “Enfermeras y Enfermeros” OR “Family Nurse Practitioners” OR “Enfermeiras de Saúde da Família” OR “Enfermeras de Familia” OR “Nurse Practitioners” OR “Profissionais de Enfermagem” OR “Enfermeras Practicantes” OR “Nurse Clinicians” OR “Enfermeiras Clínicas” OR “Enfermeras Clínicas” OR “Nurse Clinician” OR “Clinical Nurse Specialists” OR “Clinical Nurse Specialist” OR “Community Health Nurse” OR “Public Health Nurse” OR “Nurse’s Role” OR “Papel do Profissional de Enfermagem” OR “Rol de la Enfermera” OR “Nurse’s Roles” OR “Nurses Role” OR “Nurse’s Scope of Practice”) AND (“Practical Approach to Care Kit”))
CINAHL
(“Primary Health Care” OR “Primary Healthcare” OR “Primary Care” OR “Primary Nursing” OR “Primary Nursing Care” OR Nurses OR “Family Nurse Practitioners” OR “Nurse Practitioners” OR “Nurse Clinicians” OR “Nurse Clinician” OR “Clinical Nurse Specialists” OR “Clinical Nurse Specialist” OR “Community Health Nurse” OR “Public Health Nurse” OR “Nurse’s Role” OR “Nurse’s Roles” OR “Nurses Role” OR “Nurse’s Scope of Practice”) AND (“Practical Approach to Care Kit”)

Authors	Country	Methodological design	Study objective
Celuppi et al.⁽⁹⁾	Brazil	Qualitative research	Analyze the use of the Practical Approach to Care Kit as a technology adopted in nurses’ clinical practice for HIV management in Primary Health Care.
Awotiown et al.⁽¹⁵⁾	Nigeria	NR (essay/opinion)*	Describe the localisation of the PACK programme for Nigeria by Health Resources International West Africa with guidance from the Knowledge Translation Unit of the University of Cape Town Lung Institute, its pilot implementation in three states and lessons learnt from this experience.
Bachmann et al.⁽¹⁶⁾	Brazil	Experimental study	Reports the impact of PACK educational outreach training on primary care of respiratory conditions during the first year after active implementation and is part of a Collection of papers on PACK.
Esterhuizens et al.⁽¹⁷⁾	South Africa	Qualitative research	Investigate factors influencing the knowledge and confidence of professional nurses in managing patients living with human immunodeficiency virus (HIV) in primary healthcare settings in a rural and urban district in the Western Cape.
Wattrus et al.⁽¹⁸⁾	Brazil	NR (essay/opinion)*	Describe the localisation of the PACK programme to the Florianópolis primary healthcare context and highlights the learnings from this experience.
Yau et al.⁽¹⁹⁾	South Africa	NR (essay/opinion)*	Focus on the process of designing, developing, and implementing a digital version of the clinical decision support tool for use on a tablet computer.

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Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
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[TFN1001] *Interpretation of the authors; † translation by the authors; NR - not reported.