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护士开具药物和检验医嘱:对高级实践和护理转型的贡献。

Medication and test prescription by nurses: contributions to advanced practice and transformation of care.

作者信息

Nascimento Wezila Gonçalves do, Uchôa Severina Alice da Costa, Coêlho Ardigleusa Alves, Clementino Francisco de Sales, Cosme Maria Valéria Beserra, Rosa Rayone Bastos, Brandão Isabel Cristina Araújo, Martiniano Claudia Santos

机构信息

Prefeitura Municipal de Campina Grande, Secretaria Municipal de Saúde, Campina Grande, PB, Brazil.

Universidade Federal do Rio Grande do Norte, Departamento de Saúde Coletiva, Natal, RN, Brazil.

出版信息

Rev Lat Am Enfermagem. 2018 Oct 25;26:e3062. doi: 10.1590/1518-8345.2423-3062.

Abstract

OBJECTIVE

To carry out a documentary study on the rules, guidelines, policies and institutional support for the nurse to prescribe medicines and request tests with a view to the advanced practice in the scope of Primary Health Care.

METHODS

Documentary research using open-access institutional documents - Federal Nursing Council (COFEN), its regional representations in the respective Brazilian states (COREN) and the Brazilian Nursing Association (ABEN).

RESULTS

Most of the news/notices were issued by the Regional Nursing Councils in the different Federative Units. The argumentation regarding the prescription of medicines and request for tests by nurses is based on three categories: Autonomy and competencies for the prescription of medicines and/or request of tests; Corporate policies that undermine the full exercise of nursing; and Transformation of health and nursing care in Primary Health Care.

CONCLUSION

The prescriptive practice by nurses integrates health care and has been defended by the institutions that represent the category. It emerges as an important element of advanced practice and in the transformation of care in the context of health teams.

摘要

目的

开展一项文献研究,探讨护士开药及申请检查的规则、指南、政策和机构支持,以期在初级卫生保健范围内推进实践。

方法

采用文献研究法,使用开放获取的机构文件——联邦护理委员会(COFEN)、其在巴西各州的地区代表机构(COREN)以及巴西护理协会(ABEN)。

结果

大多数新闻/通知由不同联邦单位的地区护理委员会发布。关于护士开药及申请检查的论证基于三类:开药和/或申请检查的自主权与能力;阻碍护理充分开展的公司政策;以及初级卫生保健中健康和护理服务的转变。

结论

护士的处方实践整合了卫生保健,并得到了代表该领域的机构的支持。它作为高级实践的一个重要元素以及在卫生团队背景下护理转变中出现。

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