The contribution of Portuguese nursing to universal health access and coverage

Abstract

Objective: to analyze the contribution of Portuguese nursing to improving universal health access and coverage by means of the identification of nurses in the health system; evolution of health indicators; and access-promoting systems, in which nurses play a relevant role. Method: this was documentary research of publications fromnational and international organizations on planning and health outcomes. Statistical databases and legislation on health reforms were consulted. Results: nurses represent 30.18% of human resources in the national health service; the systems of access promotion performed by nurses have good levels of efficacy (95.5%) and user satisfaction (99% completely satisfied); in the local care the creation of Community Care Units (185) occurred, and 85.80% of home consultations were performed by nurses. Conclusion: political strategies, the National Health Service and strengthening of human resourcesin healthcareare the main determinants. Nursing is the most numerous professional group in the National Health Service, however numbers remaindeficient in primary health care. The improvement of academic qualification and self-regulation of this professional group has allowed for better answers inimproving health for the Portuguese.

Sensibilidade moral dos enfermeiros face aos problemas éticos na atenção primária à saúde.

“…De acordo com Vieira (2009) A criação da Ordem dos Enfermeiros impulsiona o desenvolvimento da profissão, promovendo a defesa da qualidade dos cuidados e concedendo aos enfermeiros autonomia para o desenvolvimento, regulamentação e controle do exercício da profissão, assegurando a observância das regras de ética e deontológica profissional da enfermagem (Fernandes et al, 2016).…”