Associação Brasileira de Enfermagem - ABEn
Associação Brasileira de Enfermagem - ABEn
MAY 12, 2015
Associação Brasileira de Enfermagem - ABEn
SCIENTIFIC DEVELOPMENT THROUGH GRADUATE
EDUCATION IN NURSING
D R . A N G E L A M A R I A A LVA R E Z
B R A Z I L I A N A S S O C I AT I O N O F N U R S I N G – A B E N
F E D E R A L U N I V E R S I T Y O F S A N TA C ATA R I N A
D R . C A R M E N G R A C I N D A S I LVA N S C O C H I
S U P E R I O R L E V E L P E R S O N N E L T R A I N I N G C O O R D I N AT I O N - C A P E S
U N I V E R S I T Y O F S Ã O PA U L O
D R . R E G I N A A PA R E C I D A L I M A
DIRECTOR OF THE CENTER OF STUDIES AND RESEARCH CENTER IN NURSING - ABE
U N I V E R S I T Y O F S Ã O PA U L O
Associação Brasileira de Enfermagem - ABEn
Topics
1)
Introdution
2)
Brazilian Nursing Organizations
3)
Health and Nursing in Brazil
4)
Nursing Education in Brazil
5)
Profissional Market
6)
Challenges and Opportunities
Associação Brasileira de Enfermagem - ABEn
Associação Brasileira de Enfermagem - ABEn
Areas of priority:
- Education;
- Social Communication and
Publications;
- Nursing History Center;
- Studying and Research in Nursing
Departments:
- Gerontology
- Nursing History
- Primary Care
- Nursing and Mental Health
Founded in 1926
2016 - 90 years old.
Associação Brasileira de Enfermagem - ABEn
REGULATION OF PROFESSIONAL PRACTICE
PROFESSION – NURSES AND NURSING TECHNICIANS:
Law number 7.498 of 1986
Regulates the professional practice of Nursing
COFEN Resolution number 311 of 2007
Nursing Professionals Code of Ethics
•
Federal Council of Nursing in Brazil (COFEN)
Decentralized public service, was established by law, with administrative and
financial autonomy, subject to State control.
Regional Council of Nursing (COREN)
• Standardize, discipline and supervise the practice of Nursing;
• Judge and apply penalties to violators of the Code of Ethics.
Associação Brasileira de Enfermagem - ABEn
NURSING ORGANIZATIONS IN BRAZIL
Associação Brasileira de Enfermagem - ABEn
HEALTH AND NURSING IN BRASIL
7,90%
13,44%
68,70%
78,99%
23,66%
17,59%
Epidemiological demographic transition in the 21th Century
Age groups Evolution 2000-2030 – IBGE 2015.
Fonte: IBGE - Instituto Brasileiro de Geografia e Estatística
Associação Brasileira de Enfermagem - ABEn
Gross mortality and birth rates 2000-2030
14,16%
10,92%
7,31%
6,08%
Fonte: IBGE - Instituto Brasileiro de Geografia e Estatística
Health and Nursing in Brazil
Associação Brasileira de Enfermagem - ABEn
Brazil Age Pyramid - Projection 2015 - 2030
2015
2030
Fonte: IBGE - Instituto Brasileiro de Geografia e Estatística
Health and Nursing in Brazil
Associação Brasileira de Enfermagem - ABEn
Nursing and the Unified Health System (SUS, per its acronym
in Portuguese)
150 million inhabitants - 70-75% of the population has
access to SUS
Nursing - 60% of the health workforce
Nurses - identifies with the proposal of health care based on
the universality, integrality, equality and participation.
Health and Nursing in Brazil
Associação Brasileira de Enfermagem - ABEn
NURSING EDUCATION IN BRAZIL
Nurses Instruction
Curriculum guidelines for graduation teaching - Resolution CNE/CES
number 03/2001
Technical Nursing Training
Curriculum guidelines for technical level education
Resolution CNE/CEB No. 04/1999
Nursing Education
Associação Brasileira de Enfermagem - ABEn
RORAIMA
AMAPÁ
AMAZONAS
61
PARÁ
CEARÁ
MARANHÃO
RIO GRANDE
DO NORTE
PARAIBA
PIAUÍ
PERNAMBUCO
204
ACRE
ALAGOAS
SERGIPE
TOCANTINS
RONDONIA
BAHIA
MATO GROSSO
888 on-site courses
87
GOIÁS
MINAS GERAIS
403
MATO GROSSO
DO SUL
Undergraduate
Nursing Schools
SÃO PAULO
ESPIRITO
SANTO
RIO DE JANEIRO
PARANÁ
SANTA CATARINA
133
RIO GRANDE DO SUL
Teixeira, et al. (2013)
Fonte: e-Mec, 2013
Associação Brasileira de Enfermagem - ABEn
NUMBER OF VACANCIES IN UNDERGRADUATE NURSING
SCHOOLS
In 2011 - 119.743 vacancies
400% increase in relation to 2001
 Privatization of undergraduate education in nursing
schools
 Increase of 393% compared to an increase of 122% in
public schools
 Ratio of 4.16 private schools for every public one.
 In private schools there are unfilled vacancies,
representing 40% of the total
Associação Brasileira de Enfermagem - ABEn
GRADUATE NURSING
 Lato Sensu
SPECIALTIES
Regulated by the universities
NURSING:
Courses in various specialties (> 360h)
Nursing Intensive Care,
Nursing Pediatric and Neonatal Intensive Care,
Nursing Obstetrics
Gerontological Nursing, and others.
Associação Brasileira de Enfermagem - ABEn
Lato Sensu
RESIDENCY IN NURSING
MULTIDISCIPLINARY RESIDENCY
 Duration of 02 (two) years
 Workload of 5.760 hours
 Theoretical/practical Activities, in the form of in-service training,
equivalent to 60 (sixty) hours/week.
 30 days of vacation per year
 Provides skills for a particular area of application of knowledge in
professional practice. Content related to professional practice;
Focus-application of knowledge in the workplace.
 Scholarship $1.000,00
Associação Brasileira de Enfermagem - ABEn
MULTIPROFESSIONAL RESIDENCE:
 80% of total workload-practical activities
 20% theoretical or practical-theoretical activities the form
theoretical or practical-theoretical activities the form
This is an intersectoral cooperation programme that promotes
the integration of young qualified healthcare professionals in
the labour market, particularly in priority areas of the SUS.
Associação Brasileira de Enfermagem - ABEn
Number of residents in the period 2013/2014-SisCNRMS of 2013/2014.
1806
Enfermagem
Medicina Veterinária
Biologia
Biomedicina
Educação Física
525
428
11
23
97
543
482
384
157
Farmácia
436
Fisioterapia
328
132
Fonoaudiologia
Nutrição
Odontologia
Psicologia
Serviço Social
Terapia Ocupacional
Fonte: SisCNRMS de 2013/2014.
Associação Brasileira de Enfermagem - ABEn
STRICTO SENSU
 Masters (2 anos)
 Doctorate (4 anos)
 Professional Masters (2 anos)
Professional Masters:
Helps increase the qualification for professional practice,
characterized by intellectual autonomy;
Gives competence to critical evaluation, intervention and
resolution of problems in professional practice and
development of technologies (media, processes and products)
Associação Brasileira de Enfermagem - ABEn
Number of Graduate Courses
November 2015
96
19
49
34
graduate courses
Professional Master
Academic Master Degree
Doctorates
Associação Brasileira de Enfermagem - ABEn
[VALOR]
MP=155
MA=7.839
690
DO=2.049
585
Degrees in post-graduation stricto
sensu in the area of Nursing in 1975
526
478
449
409
Brazil-2012
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
231
196
202
168
168
150
124
138
135
127
130132
113
108
107
10390
89
87
86
82
80
52
71
60 57
56 59 51 58 55
54
53
48
48
45
45
23
39 41
32
32
7
25
24 26
21 23
3
11
2
1 4 6 6 10 9 3 14 14 10
0 0
1978
3
1977
1976
1975
13
366
353353
339
321
311
Associação Brasileira de Enfermagem - ABEn
0
2013
EUA
2o UK
3o Austrália
4o França
5o Canadá
6o Alemanha
7o Brasil
1o
5
10
15
EUA
Inglaterra
20
Canadá
World rankings of Nursing
scientific production.
Scimago 2013
25
30
35
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Alemanha
Brasil
Espanha
Associação Brasileira de Enfermagem - ABEn
PROFISSIONAL MARKET
 May 2012:
 346.698 (18,7%) nurses (1,5/1000hab)
 750.2015 (40,4%) nursing technicians (3,27/1000hab)
 744.924 (40,1%) nursing assistants (2, 79/1000hab)
 14.291 (0,8%) nursing attendants
TOTAL: 1.856.683 profissionals (7,57/1000hab)
Associação Brasileira de Enfermagem - ABEn
INDEX OF NURSING PROFESSIONALS BY INHABITANTS
[VALOR]
TOTAL
1.856.683
INDICE POR 1.000
HAB
2.79
Auxiliar
744.924 (40,1%)
3.27
Técnico
750.201 (40,4%)
[VALOR]
Enfermeiro
346.698 (18,7%)
0.00
2.00
4.00
6.00
8.00
UF
Cobertura
Distribution
of
the
number
of
Nurses
per
1,30
A s s o c i a ç ã o B r a s i l e i r a d e E n f e r m aPAg e m - A
BEn
SE
1,69
1000 inhabitants/Regions
AP
1,93
1,3 a 2,0 /1.000hab
2,05 a 3,0 /1.000hab
3,08 a 4,0 /1.000hab
4,1 a 5,5/1.000hab
MA
CE
RO
MT
BA
AM
PE
RS
PI
RR
AC
RN
GO
MS
PR
ES
PB
SP
AL
SC
TO
RJ
DF
MG
Brasil
2,05
2,10
2,13
2,16
2,20
2,23
2,29
2,35
2,50
2,58
2,60
2,65
2,71
2,82
2,92
3,08
3,12
3,12
3,27
3,49
3,51
4,10
4,49
5,50
2,28
Associação Brasileira de Enfermagem - ABEn
NUMBER OF FAMILY HEALTH TEAMS (ESF) AND HEALTH COMMUNITY AGENTS TEAMS
(EACS) IN BRAZIL - SUPPLY NETWORK BASIC HEALTH.
Source: SUS DATA - MS, CNES April / 2013.
Fonte: DATA SUS – MS, CNES ABRIL/2013.
Associação Brasileira de Enfermagem - ABEn
Nurses age groups in Brazil, 2013.
IDADE
68
64
60
56
52
48
44
40
36
32
28
24
20
0
5000
10000
Fonte: RAIS –EPSM/NESCON/FM/UFMG.
15000
20000
25000
QUANTIDADE
30000
Associação Brasileira de Enfermagem - ABEn
Increase of the Nursing average salary, according to the legal
nature of the establishment. Brazil, 2005 to 2012
R$4,000.00
R$3,800.00
R$3,600.00
Salário R$
R$3,400.00
R$3,200.00
R$3,000.00
$1.000,00
R$2,800.00
R$2,600.00
R$2,400.00
R$2,200.00
R$2,000.00
2005
2006
2007
2008
2009
Ano
Público
Fonte: RAIS –EPSM/NESCON/FM/UFMG.
Privado
2010
2011
2012
Associação Brasileira de Enfermagem - ABEn
BRAZILIAN ASSOCIATION OF NURSING DOCUMENTS
Associação Brasileira de Enfermagem - ABEn
Challenges
Associação Brasileira de Enfermagem - ABEn
Applied Research;
Tecnological and knowledge transfer;
Development in Nursing.
Associação Brasileira de Enfermagem - ABEn
Professionals
Proactive and creative Profile
The use of the evidence and the scientific method
decision-making
Participations in Research-practice committees
With focus on quality life, comfort, and empowerment
of the individuals and communities (CBEN, 2013).
Leverage changes in services with focus on quality of
care
Associação Brasileira de Enfermagem - ABEn
Researcher
Profile
Ethics and Social Responsibility
Solid Research Education
Innovative teaching and based on evidence
Publication and dissemination in scientific events
Extension
health service + agencies + scientific
societies
Health care policies, science and technology
Associação Brasileira de Enfermagem - ABEn
Opportunities
 Genarate knowledge and technology
 Increase funding captation
 Give greater visibility to Nursing Research
 Create of economic and social indicators impact of research,
technology and innovation in Nursing
Associação Brasileira de Enfermagem - ABEn
Opportunities
 The Nursing work has a strong impact on the health sector and
its activities is structuring
the consolidation of the SUS
principles.
 The Ministry of Health is discussing the skills of the
professionals for primary health care.
Associação Brasileira de Enfermagem - ABEn
Opportunities
 Effort to expand residence programs
 Academic Masters
 Professional Masters
 Envision the implementation of Advanced Practices in Nursing
in Brazil
Associação Brasileira de Enfermagem - ABEn
Brazilian Nursing Project
Discuss a project for Nursing in Brazil that faces our weaknesses
and our strengths.
Rethink the Brazilian Nursing, contemplating job training,
education, research and health policies for the development of
Nursing practice, in order to ensure fair conditions of work, and to
enable the use of their professional skills and responsibility when
promoting people's health.
Associação Brasileira de Enfermagem - ABEn
INTEGRATED DESIGN FOR BRAZILIAN
NURSING
Associação Brasileira de Enfermagem - ABEn
aben@abennacional.org.br
Obrigada!
www.abennacional.org.br