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Inicio Enfermería Clínica (English Edition) Nursing specialities and professional practice: Current situation and future per...
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Vol. 29. Issue 6.
Pages 357-363 (November - December 2019)
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Vol. 29. Issue 6.
Pages 357-363 (November - December 2019)
Special Article
DOI: 10.1016/j.enfcle.2019.10.001
Nursing specialities and professional practice: Current situation and future perspectives
Especialidades de Enfermería y ejercicio profesional: situación actual y perspectivas de futuro
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Cristina Cuevas-Santos
Ministerio de Ciencia, Innovación y Universidades, Madrid, Spain
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Tables (4)
Table 1. Chronological implementation of the official specialties of ATS qualification.
Table 2. Direct access. Second additional provision of Royal Decree 450/2005, of 22 April, on nursing specialties.
Table 3. Exceptional access requirements to access the qualification of Nursing specialist. Second transitional provision of Royal Decree 450/2005, of 22 April, on nursing specialties.
Table 4. Chronological development of the offer of specialist Nursing training places 1993–2019.
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Abstract

The establishment of nursing specialties that started in 1953 has contributed decisively to the quality of the medical care provided by the National Health System.

Nowadays, a large number of nurses have an official specialist qualification achieved through different means of access established by Royal Decree on nursing specialties. Furthermore, the training programmes must continue to develop in order to complete the catalogue established under the aforementioned regulation.

It should be pointed out that many specialists face difficulties in carrying out professional practice according to their education and training, due to the lack of job descriptions and identification of competences during recruitment processes and access to job positions, needed for appropriate professional performance. Therefore, it is essential to create a catalogue for specific job positions for each of the specialties to meet the expectations of professional nursing and enhance progress in quality patient care.

Keywords:
National Health System
Patient care
Nursing specialties
Nurse competence
Investigation
Resumen

La instauración de las especialidades de Enfermería iniciada en 1953 ha contribuido de forma decisiva en la calidad de la atención sanitaria proporcionada en el Sistema Nacional de Salud.

En la actualidad, un elevado número de enfermeras poseen un título oficial de especialista obtenido a través de las distintas modalidades de acceso que establece el Real Decreto sobre especialidades de Enfermería. Por otra parte, los programas formativos tienen que seguir desarrollándose para culminar el catálogo establecido en la mencionada normativa.

Cabe destacar que muchos especialistas tienen dificultad para llevar a cabo un ejercicio profesional acorde a su formación y capacitación, debido a la escasa descripción de puestos de trabajo e identificación de competencias en los procesos de selección y acceso a los puestos de trabajo, necesarias para un buen desempeño profesional. Por ello, resulta imprescindible elaborar un catálogo de puestos de trabajo específico de cada una de las especialidades, para dar respuesta a las expectativas de las enfermeras y fortalecer el avance en la calidad de la atención de cuidados.

Palabras clave:
Sistema Nacional de Salud
Cuidados
Especialidades de Enfermería
Competencias de las enfermeras
Investigación

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