Abstract
The performance of nurses in prehospital care (PHC) assumes acquiring specific competences. The objectives of the present study were to verify nurses' opinion on theoretical knowledge and nursing skills necessary for the practice in pre-hospital setting and to analyze them according to their clinical practice. In this descriptive study, the opinion of nurses, from public pre-hospital care services of the City of São Paulo, was collected through a questionnaire and the data of the clinical practice using forms. Cardiopulmonary resuscitation was mentioned more often as basic knowledge (84%), and the most frequent procedure was oxygen therapy (15.5%). The analysis of nurses' opinion indicated that the basic topics were related to situations that demanded making decisions, readiness and skill under stress or caring for a specific population, making training important in this area.
Highlights
The efficiency of early care for people in emergency situation, either due to sudden illness, accidents or violence, led to the development of several public and private health services of prehospital care (PHC), and interhospital transfer.The development of these services ends up with the need for skilled professionals that meet the specificities of nursing care, during PHC or interhospital transfer, aiming at health prevention, protection, and recovery.Among the important competences for the practice of PHC are nursing clinical thinking for decision making, and skills to perform interventions promptly.In the United States of America, background, experience and skills demanded from nurses to work at PHC vary among the States, and the courses are usually extensive with a broad content
Each item of the Regulation was classified as: basic and complementary to assess if these theoretical contents and skills were part of nurses working at PHC
All nurses [25] classified as basic or complementary the theoretical content and skills needed for clinical practice at PHC, based on Regulation # 2,048 of the Ministry of Health
Summary
The efficiency of early care for people in emergency situation, either due to sudden illness, accidents or violence, led to the development of several public and private health services of prehospital care (PHC), and interhospital transfer.The development of these services ends up with the need for skilled professionals that meet the specificities of nursing care, during PHC or interhospital transfer, aiming at health prevention, protection, and recovery.Among the important competences for the practice of PHC are nursing clinical thinking for decision making, and skills to perform interventions promptly.In the United States of America, background, experience and skills demanded from nurses to work at PHC vary among the States, and the courses are usually extensive with a broad content. The efficiency of early care for people in emergency situation, either due to sudden illness, accidents or violence, led to the development of several public and private health services of prehospital care (PHC), and interhospital transfer. The development of these services ends up with the need for skilled professionals that meet the specificities of nursing care, during PHC or interhospital transfer, aiming at health prevention, protection, and recovery. Obtaining the license to work at PHC includes experience of, at least, 1 to 3 years in care of emergency services or critical patients, including certification in specific courses to develop skills[1]. French nurses start nursing undergraduation in intensive care units and in practices of advanced life support to acquire competence for emergency care[2]
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