¿Por qué somos como somos? Discursos y relaciones de poder en la constitución de la identidad profesional de las enfermeras en España (1956-1976)

Miró‐Bonet, Margalida; Gastaldo, Denise; Gallego-Camineroa, Gloria

doi:10.1016/s1130-8621(08)70690-9

Cited by 11 publications

(14 citation statements)

References 11 publications

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“…For Travelbee, qualities such as empathy, compassion and sympathy are central to the caring role (Alligood & Marriner-Tomey, 2010, p. 61), especially in the organisational context of health institutions, where a compassionate attitude may otherwise be lacking (Moses, 1994). This view of the caring role, consistent with the Christian values of vocation, altruism and charity, is reflected in the traditional approach to nursing in Spain (Hernández, 2006;Miró-Bonet et al, 2008), as well as in that of other Western societies (Carter, 2014 (Holt, Barrett, Clarke, & Monks, 2000;Warelow et al, 2008;Watson, 2006) have highlighted the gap between the theories and models of nursing that are taught in universities and the actual clinical practice of nurses. Consequently, it might be interesting to examine the applicability of theories such as the 'theory of moral consciousness and communicative action' (Sumner, 2001(Sumner, , 2006 that are more consistent with the 'disease-focused model' under which Spanish nurses work.…”

Section: The Nurse-physician and Nurse-patient Relationships As Thementioning

confidence: 74%

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

2017

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When, in 1977, nurse education in Spain was transferred to universities a more patient-centred, the 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.

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Section: The Nurse-physician and Nurse-patient Relationships As Thementioning

confidence: 74%

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

2017

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“…These reflections, however, face numerous challenges in healthcare organizations and in the healthcare system. The idea of selflessness , rooted in the belief that patients' well‐being is the main commitment of nurses and, therefore, the raison d'être and the true ethos of the nurse, has socialized and continues socializing nurses (Allan et al, 2008; Buresh & Gordon, 2013; Cutcliffe & Wieck, 2008; Miró et al, 2008; Pask, 2003; Perron et al, 2014). Cusveller (2011, p. 151) argued, in this sense, that “nursing central value is to be of help to someone else, not to oneself.…”

Section: Discussionmentioning

confidence: 99%

An integrative literature review and critical reflection on nurses' agency

2022

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The idea of agency has long been used in the nursing literature in the study of nurses' roles regarding the patients they take care of, but it has not often been used to study its relationship with nurses themselves and their status in the healthcare system. The purpose of this article is to analyze how the idea of agency is used in nursing research to better understand how we might advance our thinking around nurses' agency to shape nursing and healthcare with an emancipatory intent. Based on the results of a literature review focused on the study of conceptions, treatments, and applications of the concept of agency in nursing, we present a critical discussion to reflect on the need to consistently define the idea of nurses' agency, to guide research concerned with this topic in theoretical frameworks with emancipatory and social change tenets, and to make a call to develop the idea of agency as a central one to rework nurses' relationship with themselves. The idea of agency provides a valuable analytical framework for the study of a wide range of issues around nurses' status in healthcare organizations and in the healthcare system while offering a means for nurses' emancipation.

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“…giving injections). (P3:2) Nursing in Spain had traditionally been seen as a vocation in which caring was based on the principle of Christian charity (Miró-Bonet, 2008), thereby epitomising the idea of the 'model nurse' who cares out of duty (Rousseau, 1997). This, together with the gender stereotype that saw the caring role as being inherent to women, meant that many of the professional tasks carried out by nurses in Spain were often overlooked.…”

Section: A Body Of Theoretical Knowledge Originating In the Anglo-amementioning

confidence: 99%

The influence of Anglo‐American theoretical models on the evolution of the nursing discipline in Spain

2016

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In Spain, the introduction of the new Diploma in Nursing in 1977 saw the role of nurses shifting from that of medical assistants with technical skills to being independent members of the healthcare team with specific responsibility for providing professional nursing care. Here we analyse the evolution of the nursing profession in Spain following the transfer of nurse education to universities, doing so through interviews with the first generation of academic tutors. This was a qualitative study using the method of analytic induction and based on the principles of grounded theory. Participants were selected by means of theoretical sampling and then underwent in-depth interviews. Steps were taken to ensure the credibility, transferability, dependability and confirmability of data. The main conclusion of the analysis is that there is a gap between a theoretical framework borrowed from the Anglo-American context and a nursing practice that, in Spain, has traditionally prioritised the application of technical procedures, a role akin to that of a medical assistant. It is argued that a key factor underlying the way in which nursing in Spain has evolved in recent decades is the lack of conceptual clarity regarding what the role of the professional nurse might actually entail in practice.

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¿Por qué somos como somos? Discursos y relaciones de poder en la constitución de la identidad profesional de las enfermeras en España (1956-1976)

Cited by 11 publications

References 11 publications

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

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

An integrative literature review and critical reflection on nurses' agency

The influence of Anglo‐American theoretical models on the evolution of the nursing discipline in Spain

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