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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
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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.
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RODRIGO PEDROSA, Olga, CAÏS, Jordi and MONFORTE ROYO, Cristina. Professional responsibility and decision-making in the context of a disease-focused model of nursing care: The difficulties experienced by Spanish nurses. Nursing Inquiry. 2017. Vol. 24, num. 4, pags. e12202. ISSN 1320-7881. [consulted: 12 of June of 2026]. Available at: https://hdl.handle.net/2445/117333