{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:42:09Z","timestamp":1761561729062},"reference-count":18,"publisher":"FapUNIFESP (SciELO)","issue":"spe","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:p>OBJECTIVE: This paper focuses on the policy context for the deployment of nurses in advanced roles, with particular reference to Portugal. The health sector in Portugal, as in all countries, is labour intensive, and the scope to utilise nurses in more advanced roles is currently being debated. METHODS: Mixed methods were used: an analysis of international data on the nursing workforce; an analysis of documents and media articles; interviews with key-informants; an online survey of managers, and a technical workshop with key-informants. CONCLUSIONS: The limited evidence base on nurses in advanced roles in Portugal is a constraint on progress, but it is not an excuse for inaction. Further research in Portugal on health professionals in innovative roles would assist in informing policy direction. There is the need to move forward with a fully informed policy dialogue, taking account of the current political, economic and health service realities of Portugal.<\/jats:p>","DOI":"10.1590\/s0104-11692013000700006","type":"journal-article","created":{"date-parts":[[2013,3,2]],"date-time":"2013-03-02T14:22:31Z","timestamp":1362234151000},"page":"38-46","source":"Crossref","is-referenced-by-count":30,"title":["Nurses in advanced roles: a review of acceptability in Portugal"],"prefix":"10.1590","volume":"21","author":[{"given":"James","family":"Buchan","sequence":"first","affiliation":[{"name":"Queen Margaret University,  UK"}]},{"given":"Marta","family":"Temido","sequence":"additional","affiliation":[]},{"given":"Ines","family":"Fronteira","sequence":"additional","affiliation":[]},{"given":"Luis","family":"Lap\u00e3o","sequence":"additional","affiliation":[]},{"given":"Gilles","family":"Dussault","sequence":"additional","affiliation":[]}],"member":"530","reference":[{"key":"ref1","series-title":"WHO Evaluation of the National Health Plan of Portugal (2004-2010)","year":"2010"},{"key":"ref2","series-title":"Caring in Crisis: The Impact of he Financial Crisis on Nursing and Nurses: A Comparative Overview of 34 Countries","year":"2012"},{"key":"ref3","series-title":"Human resources for health (HRH) plan component of national health plan 2011-15 (Portugal)","author":"Dussault G","year":"2010"},{"key":"ref4","author":"Barros PP","year":"2011"},{"key":"ref5","series-title":"An\u00e1lise da sustentabilidade financeira do Servi\u00e7o Nacional de Sa\u00fade","year":"2011"},{"key":"ref6","series-title":"Relat\u00f3rio Final do Grupo T\u00e9cnico para a Reforma Hospitalar","year":"2011"},{"key":"ref7","series-title":"Skill Mix and Policy Change in the Health Workforce: Nurses in Advanced Roles","author":"Buchan J","year":"2004"},{"key":"ref8","series-title":"Nurses in Advanced Roles: A Description and Evaluation in 12 Developed Countries","author":"Delamaire M","year":"2010"},{"key":"ref9","series-title":"Definitions and Characteristics of the Role","year":"2011"},{"issue":"1","key":"ref10","first-page":"31","article-title":"An international survey on advanced practice nursing, education, practice and regulation","volume":"42","author":"Pulcini JM","year":"2010","journal-title":"Image: J Nurs Scholars."},{"key":"ref11","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD001271.pub2","article-title":"Substitution of doctors by nurses in primary care","author":"Laurant M","year":"2005","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/1471-230X-9-12","article-title":"A randomised controlled trial of structured nurse-led outpatient clinic follow-up for dyspeptic patients after direct access gastroscopy","volume":"9","author":"Chan D","year":"2009","journal-title":"BMC Gastroenterol."},{"issue":"570","key":"ref13","doi-asserted-by":"crossref","first-page":"40","DOI":"10.3399\/bjgp10X482095","article-title":"Effectiveness of nurse-delivered cardiovascular risk management in primary care: a randomised trial","volume":"60","author":"Voogdt-Pruis HR","year":"2010","journal-title":"Br J Gen Practice."},{"issue":"3","key":"ref14","first-page":"160","article-title":"Evaluation of a nurse practitioner-led care management model in reducing inpatient drug utilization and cost","volume":"27","author":"Chen C","year":"2009","journal-title":"Nurs Econom."},{"key":"ref15","series-title":"Health at a Glance 2011:OECD Indicators","year":"2011"},{"key":"ref16","series-title":"Portugal Health System Performance Assessment","year":"2009"},{"key":"ref17","series-title":"Portugal Health System Review","author":"Barros PP","year":"2011"},{"issue":"2","key":"ref18","first-page":"51","article-title":"Nurse practitioner education in the United States: A success story","volume":"6","author":"Pulcini J","year":"2002","journal-title":"Clin Excellence Nurse Practit."}],"container-title":["Revista Latino-Americana de Enfermagem"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rlae\/v21nspe\/06.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,5,27]],"date-time":"2017-05-27T12:03:21Z","timestamp":1495886601000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-11692013000700006&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2]]},"references-count":18,"journal-issue":{"issue":"spe","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["S0104-11692013000700006"],"URL":"https:\/\/doi.org\/10.1590\/s0104-11692013000700006","relation":{},"ISSN":["0104-1169"],"issn-type":[{"value":"0104-1169","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2]]}}}