Atuação dos enfermeiros nos serviços de saúde no Brasil e dos EUA: um estudo comparativo

Abstract

The nurse acts in a holistic and integral way based on scientific evidence, while manager and care coordinator uses his work process to plan, implement and evaluate the management of care. In Brazil, the nurse uses the nursing process to guide his conduct in an ethical and impartial way, in contrast, in the USA, the law of each state’s nursing practice is used, enabling advanced nursing practice. The objective is to compare the performance of nurses in health services in Brazil and the USA. The literature review used descriptors (DeCS/ MeSH) to perform the search in database, five databases will be used as data source, all included studies were indexed to the Rayyan study selection platform, there was no time cut-off, laws and regulations of the profession were included in both countries. Under the influence of Florence Nightingale, the first nursing schools in Latin America were created at the end of the 19th century, only in 1950 did a course aimed at training nurses in technical and scientific ways appear in Brazil. In Brazil, nursing is regulated and normalized by the largest federal body known as Cofen, through its resolutions, supervision and implementation is the function of regional nursing councils, and advanced practice is not regulated. However, almost at the same time in the USA already appeared advanced nursing practice (APN) that was created in 1960 as a form of professional nursing education. In the USA, the regulation and standardization of nursing is independent for each state and, unlike Brazil, advanced practice is regulated. The NPA can diagnose and prescribe treatment to users without the need for medical approval. Furthermore, it is necessary to develop new studies on the subject, because nursing is a field of study wide and constantly updated in both countries