Medication prescription by nurses and the case of the Brazil: What can we learn from international research?

Martiniano, Cláudia Santos; Coêlho, Ardigleusa Alves; Latter, Sue; Uchôa, Severina Alice da Costa

doi:10.1016/j.ijnurstu.2013.12.006

Cited by 10 publications

(14 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Countries in North America and the European Community have been implementing efforts to reform their public regulation systems of professions based on scopes of non-exclusive practices and reserved acts, whereby the idea of overlapping scopes of practice is defended (Girardi;Seixas, 2002). In this regard, a discussion promoted a recent editorial would seem relevant, which reflects on the recognition and strengthening of medical practice by nursing professionals, which could be central to fairer access at the ground level of regional health systems, primary health care (Martiniano et al, 2014). These movements were not initiated by professional bodies (on the contrary, they were met with strong opposition), nor did they emerge in isolation, but rather within a broader process of administrative and social security system reforms, which sought, among other results, universal and equal access, without losing sight of the user's safety and welfare (Girardi;Seixas, 2002).…”

Section: Resultsmentioning

confidence: 99%

Tipologia das regiões de saúde: condicionantes estruturais para a regionalização no Brasil

et al. 2015

View full text Add to dashboard Cite

The socioeconomic development, supply and complexity of health actions and services in a regional context may be considered structural constraints to the success of the current process of health care regionalization in Brazil. The main objective of this study is to identify the structural determinants of the regionalization process by building a typology of health regions in Brazil. A typology of Brazilian health regions was developed from available secondary data sources. The dimensions and groups that form the typology were identified through factor analysis and cluster analysis. The type of service provider both for out and inpatients was also identified. Results: the regions were classified into five independent groups according to their socioeconomic profile and characteristics of the health service supply. The characterization of Brazilian health regions through the typology demonstrates high levels of heterogeneity throughout Brazil, and the complex organization of the regional health systems. The proposed typology could contribute to future research and better understanding of this complex and contradictory scenario, supporting the urgently required development of integrated regional public policies that simultaneously involve economic and social development and the strengthening of regional spaces of governance in order to promote the organization of regional health systems grounded on the principles of the SUS (Brazilian National Health System), under a shared, joint management with the objective of ensuring the universal right to health.

show abstract

Section: Resultsmentioning

confidence: 99%

Tipologia das regiões de saúde: condicionantes estruturais para a regionalização no Brasil

et al. 2015

View full text Add to dashboard Cite

show abstract

“…This perspective is not a surprise, considering that in Brazil there is still much controversy about the legal and ethical basis for nurses to perform these attributions. And despite this scenario, the implementation of advanced nursing practices is already being considered in the country 38 .…”

Section: Discussionmentioning

confidence: 99%

A formação de enfermeiros e sua aproximação com os pressupostos das Diretrizes Curriculares Nacionais e da Atenção Básica

Magnago

Pierantoni

2020

Ciênc. saúde coletiva

View full text Add to dashboard Cite

Resumo Este artigo descreve as características da oferta de vagas, da estrutura curricular e do perfil de competências de egressos de cursos de graduação em enfermagem, buscando identificar elementos que se aproximam com os pressupostos das Diretrizes Curriculares Nacionais (DCN) e da atuação profissional do enfermeiro na atenção básica. Aplicando-se um survey por entrevistas telefônicas assistidas por computador com 94 coordenadores de cursos, verificou-se: oferta de formação distante das necessidades nacionais; estrutura curricular centrada em disciplinas fragmentadas nos ciclos básico e profissionalizante, destoando do recomendado pelas DCN; e perfil de competências potente para o desenvolvimento de ações de promoção, prevenção, gerenciamento e técnicas de enfermagem, as quais são previstas no escopo de competências e habilidades gerais preconizadas para o exercício profissional generalista da enfermagem, segundo as DCN, e compatíveis com as principais demandas assistenciais da atenção básica.

show abstract

“…However, task shifting requires both willingness to give up tasks on physicians' side as well as the ability and capacity to perform these tasks on nonphysician health professionals' side. The first requirement is commonly met in emerging countries (e.g., Brazil, India) where workforce innovations have more easily been implemented (Martiniano et al, 2014) partly because of a lack of established professional roles which in other circumstances may hamper task shifting by expectations and attitudes of each profession (Donelan et al, 2013;Macdonnel and Darzi, 2013). Non-physician health professionals' ability to perform specific tasks is dependent upon education and training.…”

Section: Skill MIX In the International Contextmentioning

confidence: 99%

Skill mix, roles and remuneration in the primary care workforce: Who are the healthcare professionals in the primary care teams across the world?

Freund

Everett

Griffiths

et al. 2015

International Journal of Nursing Studies

272

266

View full text Add to dashboard Cite

World-wide, shortages of primary care physicians and an increased demand for services have provided the impetus for delivering team-based primary care. The diversity of the primary care workforce is increasing to include a wider range of health professionals such as nurse practitioners, registered nurses and other clinical staff members. Although this development is observed internationally, skill mix in the primary care team and the speed of progress to deliver team-based care differs across countries. This work aims to provide an overview of education, tasks and remuneration of nurses and other primary care team members in six OECD countries. Based on a framework of team organization across the care continuum, six national experts compare skill-mix, education and training, tasks and remuneration of health professionals within primary care teams in the United States, Canada, Australia, England, Germany and the Netherlands. Nurses are the main non-physician health professional working along with doctors in most countries although types and roles in primary care vary considerably between countries. However, the number of allied health professionals and support workers, such as medical assistants, working in primary care is increasing. Shifting from 'task delegation' to 'team care' is a global trend but limited by traditional role concepts, legal frameworks and reimbursement schemes. In general, remuneration follows the complexity of medical tasks taken over by each profession. Clear definitions of each team-member's role may facilitate optimally shared responsibility for patient care within primary care teams. Skill mix changes in primary care may help to maintain access to primary care and quality of care delivery. Learning from experiences in other countries may inspire policy makers and researchers to work on efficient and effective teams care models worldwide.

show abstract

Medication prescription by nurses and the case of the Brazil: What can we learn from international research?

Cited by 10 publications

References 14 publications

Tipologia das regiões de saúde: condicionantes estruturais para a regionalização no Brasil

Tipologia das regiões de saúde: condicionantes estruturais para a regionalização no Brasil

A formação de enfermeiros e sua aproximação com os pressupostos das Diretrizes Curriculares Nacionais e da Atenção Básica

Skill mix, roles and remuneration in the primary care workforce: Who are the healthcare professionals in the primary care teams across the world?

Contact Info

Product

Resources

About