The critical care area and the specialist nurse: the new scenario of the clinical nurse after Ministerial Decree 177/2026
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A patient arrives in the emergency room with severe dyspnea. Rapidly decreasing saturation, agitation, signs of acute respiratory failure. In the traditional model, the nurse activates the pathway, monitors, and executes. In the new scenario outlined by Ministerial Decree no. 177 (MD 177)1 of 25 February 2026 (MUR, 2026), the scene changes radically: the nurse evaluates, interprets, and anticipates. He does not simply wait for guidance, but actively and competently contributes to the immediate handling of the case. In this concrete and daily passage the scope of the reform is grasped. MD 177/2026 not only introduces formal changes to training courses, but redefines the very role of the nurse within highly complex contexts compared to MD 739/1994.1,2 [...]
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