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Portugal's nurses push for greater autonomy to transform patient care

Skilled nurses in Portugal are held back by outdated rules—now, political unity could unlock their full potential. Will this reform finally fix systemic inefficiencies?

The image shows a poster with two photos of nurses on the left side and text on the right side. The...
The image shows a poster with two photos of nurses on the left side and text on the right side. The text reads "Nurses Week 2020: Compassion, Expertise, Trust" and there is a logo at the bottom right corner.

Portugal's nurses push for greater autonomy to transform patient care

A recent debate on nursing autonomy in Portugal’s healthcare system has highlighted broad political agreement on the untapped potential of the country’s nurses. Lawmakers and health officials recognised that skilled professionals face unnecessary restrictions, preventing them from fully contributing to patient care. The discussions also pointed to systemic inefficiencies, including outdated digital systems and fragmented workflows. During the session, MPs from multiple parties agreed on the need to update nursing regulations. They called for expanded autonomy, allowing nurses to take on more responsibilities, such as prescribing basic pregnancy supplements and conducting routine ultrasound checks. These changes aim to improve healthcare access and reduce delays in treatment.

Luís Filipe Barreira, head of the Portuguese Nurses Association, criticised the current system for blocking nurses from using their existing skills. He urged collective action to turn the congress’s recommendations into daily practice. His remarks echoed concerns from the Nursing White Paper, which found that disjointed systems and poor interoperability create hidden costs and weaken care quality.

Ana Povo, Secretary of State for Health, confirmed the government’s commitment to implementing all previously approved nursing measures. These include career progression opportunities, broader prescribing rights, and the introduction of advanced practice roles. Povo stressed the importance of 'policies shaped alongside professionals' and promised to oversee their execution.

The debate also exposed gaps in digital adoption. Hugo Lopes of the National School of Public Health noted that only 3% of nurses use AI tools, with just 3% of organisations offering relevant training. He warned that digital transformation has so far failed to deliver the promised efficiency gains. The government will now move forward with the agreed measures, focusing on career development, expanded nursing roles, and better integration of technology. Officials expect these steps to reduce inefficiencies and allow nurses to work to their full potential. The changes will be monitored to assess their impact on healthcare delivery.

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