The interdisciplinary practice implies a flexible and dynamic partnership of the
authority statute-reflexions on the Portuguese situation
Ana Albuquerque QueirozNursing School of Coimbra
Aven Bissaya Barreto, apartado 55 3001 901 Coimbra Portugal
[email protected] Amélia Meireles,
Nursing School Ponta Delgada, [email protected]
The 13th Annual International Philosophy of Nursing Conference Bristol, U.K. 7th - 9th September 2009
Nursing in an Interdisciplinary World:cooperation, collaboration or compromise?
SummaryPortuguese Context
Cultural and Geographic Context- Portugal- Lisbon
Health and Demography Indicators- Statistical Data- Foreign Nurses in Portugal- Etary Piramid- Aging Index
Portuguese Health Care Sistem- National Health System
Nursing in Portugal- Ordem dos Enfermeiros- Skills of nurses in general care- Quality standards of nursing care
Nursing Licence Degree- Length- Structure
2
Content:
Nurse interventions/unique contribution
Incapacity to affirm the aim of the nursing intervention
The dominant standard of submission
Interdisciplinary health care teams
3
Cultural and Geographic Context - Portugal
Portugal has been a country since 1143
Almost 11 million people (in 2004)
Official Language: Portuguese (6th most spoken in the world)
Official Secondary Languages: English and French
Immigration Country: African Countries of Portuguese Official Language (Angola, Cape Verde, Mozambique, Guine, etc.), some east European countries (Ukraine, Russia, Moldova, etc.)
4
Portuguese Health Care System
Three Co-existingSystems
National Health Service (NHS)
Special Public andPrivate Insurances
Schemes for certainprofessions
Voluntary private Health insurance
5
Etary Piramid
INE, 20086
Health and Demography IndicatorsPopulation (2005): 10.569.600
Birth rate (2005): 10.4 birth/1000
OE, 20077
Ratio: 4.02 nurses/1000 habitants
National Health System
The main health care provider is the State, througt the public insitutions that constitute the NHS;
NHS is mainly financed througt taxes and provides health promotion, treatment and desease surveilance and prevention;
8
Nursing in Portugal
• There are references to nurses in Portugal as early as 1120 and, as other parts of the world nursing care was provided by monks and nuns...
Some historic facts about Nursing in Portugal:
9
Nursing in Portugal
Present status:
In April 2007, there were 51.167 nurses registered in Ordem dos Enfermeiros,whose average age was of 39 years.
Since 1998, the initial education has been comprised of four school years and has awarded a higher education degree.
Portugal is among the 27 European Countries that sign the Bologna Declaration.
10
Nursing in Portugal
Nursing in Portugal
OE, 200712
96%
19%
81%
4%
14%
Nursing Licence Degree - Length
The course gives a scientific training, technical, human and cultural, of the highest quality, in the provision, research and management of general nursing care to the person throughout its cycle of life, family, community groups and, given the different levels of prevention.
Students who completed the course in Nursing Licence are able to provide general nursing to the individual, family and community; and can develop their practice into three distinct sectors: public sector, private sector (Health Centers, Hospitals, Clinics , Companies, Schools, Senior Centers, among others) or on a liberal exercise.
Duration: 4 years
13
Ordem dos Enfermeiros (OE)- Deontology and Ethics -
The activity of Portuguese nurses must be guided by:
- The responsabilitys inherent to the role played by nurses in society;
- The respect for human ritghs in the relationship with clients;
- Excellence in the practice of the profession in general and the relationship with other professionals in particular.
The nurses Deontological Code is included in the Constitution of the OE and states that nursing interventions have to guarantee the defense of the fredon and dignity of the human being and of the nurse.
14