The Cuban Model of Advanced Practice Nursing Competences in Chronic Kidney Disease

Authors

Keywords:

Advanced Practice Nursing; Nursing care; renal insufficiency, chronic; clinical competence; Nursing research

Abstract

Chronic kidney disease represents a healthcare challenge due to its high prevalence, clinical complexity, and demand for resources. Advanced Practice Nursing is a crucial component for achieving efficient and patient-centered care models. For the Cuban healthcare system, the lack of a formal competency framework for Advanced Practice Nursing in Nephrology limits its potential to improve the quality of care. Therefore, a contextualized model is needed to define the domains of clinical practice, leadership, collaboration, consultation, training, guidance, and research. The objective of the article is to argue the importance of designing a competency model for Advanced Practice Nursing for the care of patients with chronic kidney disease in Cuba.

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Author Biographies

Deyvis Danilo Alonso Artiles, Universidad de Ciencias Médicas de Villa Clara

There are no conflicts of interest.

Mirelys Sarduy Lugo, Universidad de Ciencias Médicas de Villa Clara

There are no conflicts of interest.

Inarvis Medina González , Universidad de Ciencias Médicas de La Habana

There are no conflicts of interest.

References

1. Mallamaci F, Tripepi G. Risk Factors of Chronic Kidney Disease Progression: Between Old and New Concepts. J Clin Med [Internet]. 2024 [citado 23/12/2025];13(3):[aprox. 14 p.]. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10856768/

2. Bautista Cabañas ER, Vivar Ríos I, Mendoza Rendón J, García Flores MA, Aguilar Cozátl I, Guzmán Díaz G, et al. Enfermería de Práctica Avanzada en el Sistema de Salud: evolución, aceptación y reconocimiento. Rev Enferm Inst Mex Seguro Soc [Internet]. 2023 [citado 04/12/2025];32(1):[ aprox. 7 p.]. Disponible en: https://revistaenfermeria.imss.gob.mx/index.php/revista_enfermeria/article/view/1405/1233

3. Portal Miranda JÁ. El Sistema de Salud cubano y sus retos. Infodir [Internet]. 2022 [citado 29/12/2025];(39):[aprox. 41 p.]. Disponible en: http://scielo.sld.cu/pdf/infd/n39/1996-3521-infd-39-e1346.pdf

4. Castell Florit Serrate P, Vidal Ledo MJ. Las particularidades del sistema de salud cubano. Temas [Internet]. 2024 [citado 29/12/2025];119-120:[aprox. 5 p.]. Disponible en: https://temas.cult.cu/media/imagenes/Revista_Temas/articulos/Las%20particularidades%20del%20sistema%20de%20salud%20cubano_primeras5paginas.pdf

5. Guerra Bustillo G, Almaguer López MM, Herrera Valdés R, Pérez Oliva Díaz J, Mármol Sóñora A. Enfermedad renal crónica en el primer nivel de atención de salud en Cuba. Acta Médica [Internet]. 2024 [citado 25/12/2025];24(4):[aprox. 17 p.]. Disponible en: https://revactamedica.sld.cu/index.php/act/article/view/417/pdf

6. Crespo Montero R. La Enfermera de Práctica Avanzada y su desarrollo en el Sistema Nacional de Salud. Enferm Nefrol [Internet]. 2024 [citado 29/12/2025];27(1):[aprox. 4 p.]. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=9761429

7. Cuevas Budhart MA. Perfil competencial de la enfermera de práctica avanzada en el ámbito de la Nefrología en México y España [Tesis doctoral]. Universidad Complutense de Madrid; 2024. [citado 29/12/2025]. Disponible en: https://docta.ucm.es/entities/publication/20cc9d5c-c6a6-470d-ae70-30de434a44aa

8. Kalyesubula R, Aklilu AM, Calice Silva V, Kumar V, Kansiime G. The Future of Kidney Care in Low- and Middle-Income Countries: Challenges, Triumphs, and Opportunities. Kidney360 [Internet]. 2024 [citado 29/12/2025];5(7):[aprox. 15 p.]. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11296549/

Published

2026-03-15

How to Cite

1.
Alonso Artiles DD, Sarduy Lugo M, Medina González I. The Cuban Model of Advanced Practice Nursing Competences in Chronic Kidney Disease. EDUMEC [Internet]. 2026 Mar. 15 [cited 2026 May 25];18(1):e3303. Available from: https://revedumecentro.sld.cu/index.php/edumc/article/view/3303

Issue

Section

COMUNICACIÓN