<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0873-3015</journal-id>
<journal-title><![CDATA[Millenium - Journal of Education, Technologies, and Health]]></journal-title>
<abbrev-journal-title><![CDATA[Mill]]></abbrev-journal-title>
<issn>0873-3015</issn>
<publisher>
<publisher-name><![CDATA[Instituto Politécnico de Viseu (IPV)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0873-30152020000400147</article-id>
<article-id pub-id-type="doi">10.29352/mill0205e.14.00333</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[O enfermeiro no pré-hospitalar: cuidar para a cura]]></article-title>
<article-title xml:lang="en"><![CDATA[The pre-hospital nurse: care for the cure]]></article-title>
<article-title xml:lang="es"><![CDATA[El enfermero pre-hospitalario: cuidar para la cura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mota]]></surname>
<given-names><![CDATA[Mauro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cunha]]></surname>
<given-names><![CDATA[Madalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Margarida Reis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde da Guarda  ]]></institution>
<addr-line><![CDATA[Guarda ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Politécnico de Viseu Escola Superior de Saúde ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Escola Superior de Enfermagem do Porto  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<numero>esp5</numero>
<fpage>147</fpage>
<lpage>152</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0873-30152020000400147&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0873-30152020000400147&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0873-30152020000400147&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A presença de enfermeiros no contexto pré-hospitalar português remonta ao ano de 1981. Em 2007, constituíram-se as Ambulâncias Suporte Imediato de Vida do Instituto Nacional de Emergência Médica, onde os enfermeiros assumem a função de team leaders. Esta reflexão tem como objetivo analisar o papel dos enfermeiros no socorro pré-hospitalar.  Desenvolvimento:  O contexto pré-hospitalar imprime fortes desafios à Enfermagem e à sua identidade profissional. Os enfermeiros conduzem as suas intervenções e tomam as suas decisões de acordo com a melhor evidência científica, seguindo protocolos terapêuticos predefinidos. Enquanto lideres da equipa de socorro, são responsáveis pela gestão dos diferentes intervenientes que prestam assistência no pré-hospitalar, garantindo a segurança dos cuidados de saúde. As pessoas socorridas no pré-hospitalar depositam no enfermeiro as esperanças não só de garantir a sua sobrevivência, como também, de que no decorrer do socorro, o cuidar, intimamente ligado à génese da Enfermagem, seja também salvaguardado. A produção e disseminação de conhecimento científico contribuirá para a otimização de todas as práticas autónomas e interdependentes.  Conclusões:  O papel do enfermeiro do pré-hospitalar assenta em três pontos fundamentais: administração de cuidados de Enfermagem no processo de cura/saúde; implementação de metodologias de gestão do risco e desenvolvimento de estratégias de gestão para a segurança do socorro; promoção de investigação no âmbito da prestação de cuidados de emergência que contribuam para a melhoria dos cuidados de Enfermagem prestados. A disseminação do conhecimento que corrobora as práticas vigentes no contexto pré-hospitalar contribuirá para que se perceba a importância da participação de enfermeiros no quadro da emergência e para a afirmação da imprescindibilidade e insubstituibilidade da sua intervenção no pré-hospitalar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The presence of nurses in the Portuguese pre-hospital context dates back to 1981. In 2007, the Immediate Life Support Ambulances of the National Institute of Medical Emergency were set up, where the nurses took on the role of team leaders. This reflection aims to analyze the role of nurses in pre-hospital setting.  Development: The pre-hospital context presents strong challenges to Nursing and its professional identity. Nurses conduct their interventions and make their decisions according to the best scientific evidence, following predefined therapeutic protocols. As leaders of the rescue team, they are responsible for managing the different actors providing pre-hospital care, ensuring the safety of health care. People rescued in the pre-hospital expect from the nurses the guarantee of their survival, and also, during the assistance, the care, closely linked to the essence of Nursing, is also preserved. The production and dissemination of scientific knowledge will contribute to the optimization of all autonomous and interdependent practices.  Conclusions:  The role of the pre-hospital nurse is based on three fundamental points: nursing care administration in the healing/health process; implementation of risk management methodologies and development of management strategies for the safety of the rescue; promotion of research in the provision of emergency care that contribute to the improvement of the nursing care. The dissemination of knowledge that supports the current practices in the pre-hospital context will help to realize the importance of the participation of nurses in the framework of the emergency and to affirm the indispensability and irreplaceability of their intervention in pre-hospital setting.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La presencia de enfermeras en el contexto pre-hospitalario portugués se remonta a 1981. En 2007 se crearon las Ambulancias de Soporte Vital Inmediato del Instituto Nacional de Emergencias Médicas, en las que las enfermeras asumieron el papel de líderes de equipo. Esta reflexión tiene como objetivo analizar el papel de las enfermeras en la asistencia prehospitalaria.  Desarrollo: El contexto prehospitalario presenta fuertes desafíos para la enfermería y su identidad profesional. Las enfermeras llevan a cabo sus intervenciones y toman sus decisiones de acuerdo a la mejor evidencia científica, siguiendo protocolos terapéuticos predefinidos. Como líderes del equipo de socorro, son responsables de la gestión de los diferentes actores que proporcionan cuidados prehospitalarios, garantizando la seguridad de la atención sanitaria. Las personas socorridas en el prehospital esperan de los enfermeros la garantía de su supervivencia, y también, durante la asistencia, se preservan los cuidados, estrechamente ligados a la esencia de la enfermería. La producción y difusión de conocimientos científicos contribuirá a la optimización de todas las prácticas autónomas e interdependientes.  Conclusións: La función de la enfermera prehospitalaria se basa en tres puntos fundamentales: la administración de los cuidados de enfermería en el proceso de curación/salud; la aplicación de metodologías de gestión de riesgos y la elaboración de estrategias de gestión para la seguridad del socorro; la promoción de la investigación en la prestación de cuidados de emergencia que contribuyan al mejoramiento de los cuidados de enfermería. La difusión de conocimientos que respalden las prácticas actuales en el contexto prehospitalario ayudará a comprender la importancia de la participación de la enfermería en el marco de la emergencia y a afirmar la indispensabilidad e irreemplazabilidad de su intervención en el contexto prehospitalario.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[assistência pré-hospitalar]]></kwd>
<kwd lng="pt"><![CDATA[liderança]]></kwd>
<kwd lng="pt"><![CDATA[serviços de enfermagem]]></kwd>
<kwd lng="en"><![CDATA[Nursing]]></kwd>
<kwd lng="en"><![CDATA[prehospital care]]></kwd>
<kwd lng="en"><![CDATA[leadership]]></kwd>
<kwd lng="en"><![CDATA[nursing services]]></kwd>
<kwd lng="es"><![CDATA[enfermería]]></kwd>
<kwd lng="es"><![CDATA[atención prehospitalaria]]></kwd>
<kwd lng="es"><![CDATA[liderazgo]]></kwd>
<kwd lng="es"><![CDATA[servicios de enfermeira]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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