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Professional responsibility and decision‐making in the context of a disease‐focused model of nursing care: The difficulties experienced by Spanish nurses
Author(s) -
Rodrigo Olga,
Caïs Jordi,
MonforteRoyo Cristina
Publication year - 2017
Publication title -
nursing inquiry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.66
H-Index - 49
eISSN - 1440-1800
pISSN - 1320-7881
DOI - 10.1111/nin.12202
Subject(s) - credibility , transferability , nursing , context (archaeology) , qualitative research , grounded theory , psychology , nurse education , medicine , sociology , political science , paleontology , social science , statistics , mathematics , logit , law , biology
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.