Professional responsibility and decision-making in the context of a disease-focused model of nursing care: The difficulties experienced by Spanish nurses

When, in 1977, nurse education in Spain was transferred to universities a more patient-centred, Anglo-American philosophy of care was introduced into a context in which nurses had traditionally prioritised their technical skills. This paper examines the characteristics of the nurse's profession...

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Detalhes bibliográficos
Autores: Rodrigo Pedrosa, Olga, Caïs, Jordi, Monforte Royo, Cristina
Formato: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2017
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/117333
Acesso em linha:https://hdl.handle.net/2445/117333
Access Level:acceso abierto
Palavra-chave:Infermeria
Infermeres
Administració dels serveis d'infermeria
Plans docents
Aprenentatge per experiència
Nursing
Nurses
Nursing services administration
Course plans
Experiential learning
Descrição
Resumo:When, in 1977, nurse education in Spain was transferred to universities a more patient-centred, Anglo-American philosophy of care was introduced into a context in which nurses had traditionally prioritised their technical skills. This paper examines the characteristics of the nurse's professional role in Spain, where the model of nursing practice has historically placed them in a position akin to that of physician assistants. The study design was qualitative and used the method of analytic induction. Participants were selected by means of theoretical sampling and then underwent in-depth interviews. The resulting material was analysed using an approach based on the principles of grounded theory. Strategies were applied to ensure the credibility, transferability, dependability and confirmability of the findings. The main conclusion is that nurses in Spain continue to work within a disease-focused model of care, making it difficult for them to take responsibility for decision making.