the interdisciplinary practice implies a flexible and dynamic partnership of the authority...

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The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque Queiroz Nursing School of Coimbra Aven Bissaya Barreto, apartado 55 3001 901 Coimbra Portugal [email protected] Maria Amélia Meireles, Nursing School Ponta Delgada, Portugal [email protected] The 13th Annual International Philosophy of Nursing Confere Bristol, U.K. 7th - 9th September 2009 Nursing in an Interdisciplinary World: cooperation, collaboration or compromise?

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Page 1: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

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?

Page 2: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

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

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Content:

Nurse interventions/unique contribution

Incapacity to affirm the aim of the nursing intervention

The dominant standard of submission

Interdisciplinary health care teams

Page 3: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

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Page 4: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

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.)

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Page 5: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

Portuguese Health Care System

Three Co-existingSystems

National Health Service (NHS)

Special Public andPrivate Insurances

Schemes for certainprofessions

Voluntary private Health insurance

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Page 6: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

Etary Piramid

INE, 20086

Page 7: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

Health and Demography IndicatorsPopulation (2005): 10.569.600

Birth rate (2005): 10.4 birth/1000

OE, 20077

Ratio: 4.02 nurses/1000 habitants

Page 8: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

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;

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Page 9: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

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:

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Page 10: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

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.

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Page 11: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

Nursing in Portugal

Page 12: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

Nursing in Portugal

OE, 200712

96%

19%

81%

4%

14%

Page 13: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

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

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Page 14: The interdisciplinary practice implies a flexible and dynamic partnership of the authority statute-reflexions on the Portuguese situation Ana Albuquerque

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.

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