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Florence Nightingale, era una dama de la nobleza inglesa, sentó las bases de la enfermería profesional, por su destacada labor innovadora en la Guerra de Crimea, entre los años 1853 a 1856. Considerada heroína, por salvar la vida de muchos combatientes, a través de la reforma de las condiciones sanitarias de los hospitales de campaña, y además por su importante contribución a la estadística.
En Paraguay, la heroína de la enfermería fue Francisca Yegros Yegros, con su gran demostración de valentía, llegando a sacrificar su vida por los pacientes en el legendario Hospital de Sangre, de Piribebuy, durante la guerra de la Triple Alianza. También fue importante la gran participación de muchas enfermeras en la guerra del Chaco. Esta noble profesión constituye en el mundo, más del 60% de los recursos humanos en salud.
En el Paraguay hay un total de 22.000 enfermeras en las principales instituciones que son parte del Sistema Nacional de Salud (SNS), como el Ministerio de Salud Pública y Bienestar Social (MSPyBS), el Instituto de Previsión Social (IPS) y el Hospital de Clínicas. La Ley 3206, que enmarca legalmente el ejercicio de la profesión de enfermería en el país, regula las competencias y las condiciones para el ejercicio profesional.
Las enfermeras están expuestas constantemente, al tratar a usuarios con diversas patologías y ponen en riesgo su salud, tanto física y también, emocional y mental. El costo hora del colectivo de primera línea es de alrededor de 33.000 guaraníes, mientras que otros profesionales miembros del equipo de salud tienen un costo hora por encimo de los 85.000 guaraníes. Esta situación de inequidad, de postergación ha motivado a la Asociación Paraguaya de Enfermería (EPE), conjuntamente con otros gremios, a iniciar una lucha por la aplicación efectiva de la Ley 6625 “Que establece la Carrera Profesional de Enfermería”, promulgada en 22 de octubre del 2020, año en que la 72ª Asamblea Mundial de la Salud designó como el “Año Internacional de la Enfermería”.
Por primera vez, de cumplirse esta normativa, la retribución económica que perciban las enfermeras estará asociada a la formación, especialización, a la experiencia específica y a las evaluaciones de desempeño, estableciéndose como único requisito para ingresar y promocionar; el concurso de título méritos y aptitudes.
Cada cinco años, cada enfermera podrá acceder a un nivel superior que representa un salario diferenciado conforme a su progreso en la carrera. Con estos indicadores, la profesión de enfermería tiene en el Paraguay un Norte claro: La meritocracia y la despolitización.
El gran equipo de la APE logró movilizar a más de 5000 enfermeros de todos el pais, la gran marea blanca cubrió la capital el día 25 de agosto, los profesionales de la enfermería estaban convencidos del objetivo y marcharon desde el MSPyBS hasta el Ministerio de Hacienda.
La majestuosa convocatoria ha dejado el resultado tan anhelado por la primera línea, se incluyeron en el anteproyecto de presupuesto 2022, los recursos necesarios para iniciar, en un 20 %, la carrera: Profesión de Enfermería.
El personal de enfermería ha tenido que enfrentar una situación excepcional durante la pandemia, incluso, hasta el límite de sus fuerzas y capacidades, con notorias limitaciones de recursos. Numerosos trabajadores de la salud han perdido la vida honrando su profesión.
Hoy se inicia un proceso que hará tangible el reconocimiento tan demandado, tan anhelado y necesario para enaltecer esta noble profesión. Esta lucha, a todas luces victoriosa, recién inicia y necesitamos estar unidos.
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