Prescriptive Authority and Nursing: a comparative analysis of Brazil and Canada

Abstract

Objective: to analyse the differences between medication prescriptions by nurses in Brazil and Ontario, Canada. Methods: a comparative study between two different scenarios; this comparison was not performed between the two countries because Canada does not standardize this practice, which is legally established and is considered as an advanced professional knowledge area in Brazil. Results: prescription is a professional position to be occupied by nurses. However, there is tension surrounding this practice because it is perceived as a threat to privileges or traditions of other health professionals. Prescibing medication by nurses in Brazil and Ontario follows current legislation and training proccess in each context. Conclusions: there are some challenges to be overcome in ensuring the visibility and consolidation of the practice by nurses in these realities: guarantee of professional competence, credibility, acceptability, and the respectability of clientele in your professional scope by other health professionals.

Management of prenatal nursing care at a Health Center in Angola

“…Regarding the prescription of medicines, the Angolan Ministry of Health authorizes prophylactic prescription by nursing, according to protocols. These findings converge with those of a study on the prescription of medicines by nurses in Brazil and Canada, where nursing professionals also prescribe drugs covered by specific laws, especially in Primary Health Care (19) . In addition, the emphasis on nursing practice in prescribing and counseling on the use of prophylactic drugs for malaria was also evidenced in a study in the Buikwe District in Uganda (20) .…”

Processo de Enfermagem como potencializador da prática da acupuntura

“…The professions, to achieve social recognition, seek expertise in the autonomy of their work process, in order to hold professional power over a certain occupation. 25 Thus, the use of the Nursing Process as an organizer of the acupuncture nurse's practice is considered one of the advances in care, enabling a systematized practice with the purpose of integral care. Furthermore, it ensures consistency in the care provided as a way to facilitate both the diagnosis and the organization of care, innovation and differential in care.…”

“…In this sense, patient history is a fundamental step, as it searches for subjective symptoms elucidated by the patient. 25 The interface of the Nursing Process and diagnosis in acupuncture expands knowledge for quality care to society. Because it is a knowledge-intensive, expertiseintensive task, it has much to contribute to further enhance your practice in acupuncture.…”

The model professionalism in the implementation of the Nursing Process (1979-2004)

“…The incentive for political participation is based on the understanding of nursing as a profession of consultation that should constantly seek good relations with the bodies of power, actively participating in the elaboration and supervision of public policies (16) .…”