Ordem dos Enfermeiros (OE) refers to the “inaccuracies, gaps and failures” of the hospital’s referral network in obstetrics, gynecology and neonatology, given that these professionals were not included in the group of experts who prepared the proposal to be serious.
In a position issued as part of the public consultation on the document, which has been conducted since the beginning of the month, the OE regrets the fact that the working group did not include any members of the profession’s regulatory body.
This option, “centered primarily around a medical view,” does not allow “the integration of the knowledge and experience of the largest existing occupational health group in the respective services” and “leads to serious gaps identified in the document,” the OE considers, stressing that the preparation of the “structuring document A health system without the inclusion of the Ordem dos Enfermeiros and competent nursing specialization faculties “reduces and conditions and creates a significant bias in relation to the set of objectives.”
The OE says the document, prepared by a working group coordinated by MD Diogo Ayres de Campos, director of Obstetrics and Gynecology at Hospital de Santa María, offers a “reductive view” for EEESMO nurses and health care professionals. Babies and Children (EEESIP).
“The lack of inclusion of nurses is particularly dangerous and leads to inaccuracies, gaps, and failures in determining the needs, provisions, and implications for nursing care, which is critical to providing an appropriate response to the health needs of women, children, and families,” it is considered.
In the position taken, which Lusa has been able to reach, the Evaluation Office finds that, as the regulator of the profession, it is required to declare “determination of nursing care, staffing, scientific-technical requirements and conditions, including definition in terms of ratios to provide them” She insists that the working group formed “on the sidelines of the national regulatory body” cannot “articulate or define the issues raised”.
In this way, she asserts, the identification of the nurses in the document, as well as the reference to the time (FTE) supposedly necessary for the judgment, “constitutes a serious interference” in the question of her competence.
“A person who does not have legal and professional qualifications to practice nursing, or knowledge of the profession, cannot make such decisions, under penalty of seriously affecting the quality and safety of health care provided,” Umar Al-Farouk asserts.
It acknowledges that the document addresses the need to approve professional orders for “standard teams of physicians, specialist nurses, and emergency general nurses in obstetrics and gynecology/obstetrics departments,” but asserts that “in its genesis and content,” the proposal “contradicts the principles of agreement and teamwork.”
With regard to maternal and obstetric nursing care, the Evaluation Office notes “the absence of any reference to counseling and other nursing interventions before and after childbirth”, which it considers essential.
“The nurses’ union, in light of what has been ascertained, cannot fail to express its opposition to a document aimed at structuring the provision of health care and in which non-nurses seek to limit what nurses do and how many they do,” he adds, and recommends a review of the document, “merging dimensions different nursing.”
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