The pre-hospital nurse

care for the cure

Authors

  • Mauro Mota Instituto de Ciências Biomédicas Abel Salazar, Porto, Portugal | Unidade Local de Saúde da Guarda, Guarda, Portugal
  • Madalena Cunha Instituto Politécnico de Viseu, Escola Superior de Saúde, UICISA:E, SIGMA – Phi Xi Chapter, CIEC - UM, Viseu, Portugal
  • Margarida Reis Santos Escola Superior de Enfermagem do Porto, CINTESIS, Porto, Portugal

DOI:

https://doi.org/10.29352/mill0205e.14.00333

Keywords:

nursing, prehospital care, leadership, nursing services

Abstract

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. 

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References

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.

Published

2020-06-01

How to Cite

Mota, M., Cunha, M., & Santos, M. R. (2020). The pre-hospital nurse: care for the cure. Millenium - Journal of Education, Technologies, and Health, 2(5e), 147–152. https://doi.org/10.29352/mill0205e.14.00333

Issue

Section

Life and Healthcare Sciences