The pre-hospital nurse
care for the cure
Introduction: The presence of nurses in the Portuguese pre-hospital context dates back to 1981. In 2007, the Immediate Life Support Ambulances of the National Institute of Medical Emergency were set up, where the nurses took on the role of team leaders. This reflection aims to analyze the role of nurses in pre-hospital setting.
Development: The pre-hospital context presents strong challenges to Nursing and its professional identity. Nurses conduct their interventions and make their decisions according to the best scientific evidence, following predefined therapeutic protocols. As leaders of the rescue team, they are responsible for managing the different actors providing pre-hospital care, ensuring the safety of health care. People rescued in the pre-hospital expect from the nurses the guarantee of their survival, and also, during the assistance, the care, closely linked to the essence of Nursing, is also preserved. The production and dissemination of scientific knowledge will contribute to the optimization of all autonomous and interdependent practices.
Conclusions: The role of the pre-hospital nurse is based on three fundamental points: nursing care administration in the healing/health process; implementation of risk management methodologies and development of management strategies for the safety of the rescue; promotion of research in the provision of emergency care that contribute to the improvement of the nursing care. The dissemination of knowledge that supports the current practices in the pre-hospital context will help to realize the importance of the participation of nurses in the framework of the emergency and to affirm the indispensability and irreplaceability of their intervention in pre-hospital setting.
Alarhayem, A. Q., Myers, J. G., Dent, D., Liao, L., Muir, M., Mueller, D., & Eastridge, B. J. (2016). Time is the enemy: Mortality in trauma patients with hemorrhage from torso injury occurs long before the "golden hour". Am J Surg, 212(6), 1101-1105. DOI: 10.1016/j.amjsurg.2016.08.018.
Bandeira, A. G., Witt, R. R., Lapão, L. V., & Madruga, J. G. (2017). The Use of a Methodological Framework in the Implementation of Evidence as Part of Nursing Research. Texto Contexto Enferm, 26(24):e2550017. DOI: https://doi.org/10.1590/0104-07072017002550017.
Correia, T. S., Martins, M. M., & Forte, E. C. (2020). Nursing Management: Strategies for Client and Professional Safety. Millenium, 2ª Série, 11, 73-80. DOI: https://doi.org/10.29352/mill0211.08.00264.
Geovanini, T., Moreira, A., Schoeller, S., & Machado, W. (2019). História da Enfermagem: Versões e Interpretações (4 ed.). Rio de Janeiro: Thieme Revinter Publicações.
Instituto Nacional de Emergência Médica, I. N. E. M. (2017). INEM: História do INEM. Acedido a 17 de abril de 2020 em https://www.inem.pt/category/inem/o-inem/.
Magalhães, J. (2014). Competências na Intervenção de Enfermagem em Contexto Extra-Hospitalar - Cuidados de Emergência e Gestão de Situações de Exceção (Tese de Mestrado). Disponível no Repositório Científico do Instituto Politécnico de Viana do Castelo.
Ministério da Saúde, M. S. (2014a). Despacho n. 10319/2014. Diário da República n.º 10319/2014, 2ª Série – N.º 153 de 2014-08-11.
Ministério da Saúde, M. S. (2014b). Despacho n.º 5561/2014. Diário da República n.º 5561/2014, 2.ª série — N.º 79 — 2014-04-23.
Mota, M., Cunha, M., Santos, M. R., Cunha, I., Alves, M., & Marques, N. (2019). Pre-Hospital Nursing Interventions: Narrative Review. Enferm. Foco, 10 (4), 122-128.
Nilsson, J., Johansson, S., Nordstrom, G., & Wilde-Larsson, B. (2020). Development and Validation of the Ambulance Nurse Competence Scale. J Emerg Nurs, 46(1), 34-43. DOI: 10.1016/j.jen.2019.07.019.
Oliveira, A., & Martins, J. (2013). Being a nurse in Immediate Life Support: meaning of Experiences. Revista de Enfermagem Referência, III Série, 9, 115-124. DOI: http://dx.doi.org/10.12707/RIII1287.
Ordem dos Enfermeiros, O. E. (2007). Enfermagem no pré-hospitalar: Orientações relativas às atribuições do enfermeiro no pré-hospitalar. Acedido a 16 de abril de 2020 em http://www.ordemenfermeiros.pt/tomadasposicao/documents/enunciadoposicao17.
Rodrigues, L. M., & Martins, C. C. A. (2012). Vivências dos enfermeiros ao cuidar do doente crítico durante o transporte marítimo. Pensar Enfermagem, 16, 26-41.
Sherman, R. O., Bishop, M., Eggenberger, T., & Karden, R. (2007). Development of a leadership competency model. J Nurs Adm, 37(2), 85-94. DOI: 10.1097/00005110-200702000-00011.
Silva, E., Tipple, A., Souza, J. T., & Brasil, V. V. (2010). Historical aspects of the implantation of a prehospital care service. Rev. Eletr. Enf., 12(13):571-577. DOI: http://dx.doi.org/10.5216/ree.v12i3.10555.
Silva, V. L., Camelo, S. H., Soares, M. I., Resck, Z. M., Chaves, L. D., Santos, F. C., & Leal, L. A. (2017). Leadership Practices in Hospital Nursing: A Self of Manager Nurses. Rev Esc Enferm USP, 51, e03206. DOI: 10.1590/S1980-220X2016099503206.
Soren, S., Linda, W., & Veronica, L. (2015). Development of the Pre-hospital Emergency Care, The Registered Nurses' Role in the Ambulance Service- A Swedish Perspective. Emergency Med, 6(1), 294. DOI: 10.4172/2165-7548.1000294.
Watson, J. (2017). Clarifying the discipline of nursing as foundational to development of professional nursing. Texto Contexto Enferm, 26(24):editorial. DOI: https://doi.org/10.1590/0104-07072017002017editorial4.
Copyright (c) 2020 Millenium - Journal of Education, Technologies, and Health
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who submit proposals for this journal agree to the following terms:
a) Articles are published under the License Creative Commons, in full open-access, without any cost or fees of any kind to the author or the reader;
b) The authors retain copyright and grant the journal right of first publication, allowing the free sharing of work, provided it is correctly attributed the authorship and initial publication in this journal;
c) The authors are permitted to take on additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, post it to an institutional repository or as a book), with an acknowledgment of its initial publication in this journal;
d) Authors are permitted and encouraged to publish and distribute their work online (eg, in institutional repositories or on their website) as it can lead to productive exchanges, as well as increase the impact and citation of published work
Documents required for submission