Una aproximación rigurosa a la Enfermería Familiar y Comunitaria (EFyC) en el Servicio Nacional de Salud (NHS) británicoLa eficiencia como prioridad

  1. Rubén Llada Suárez
  2. Lucia Del Fresno Marqués 1
  1. 1 Centro de Salud Otero (Oviedo)
Zeitschrift:
RqR Enfermería Comunitaria

ISSN: 2254-8270

Datum der Publikation: 2014

Ausgabe: 2

Nummer: 3

Seiten: 24-35

Art: Artikel

Andere Publikationen in: RqR Enfermería Comunitaria

Zusammenfassung

The comparative analysis in the field of Primary Care in other European health system s, such us the British model, a reference in the origins of public health nursing and leader in nursing research and innovation, provides a means to examine the reality of the Spanish panorama with a different perspective, broaden horizons on nursing careers and a way to learn how to implement organisational change within the Spanish NHS based upon equal opportunities, and promoting evidence based practice (EBP) within SCPHN. Financial, managerial and ethical dilemmas arise in the practice of community nurs ing embraced by two health system paradigms with similarities such as a public funding, equity and access or technical equipment, but also with differences of great interest on specialisation or health policy development, identifying gaps and areas for imp rovement and consideration of urgent measures to improve management of resources. Revision of current models of healthcare is required to achieve higher levels of autonomy, expertise and service quality in Primary Care Nursing for an ultimate community health development.

Bibliographische Referenzen

  • Abbott P, Wallance C. Health visiting, social work nursing and midwifery: a history. En: Abbott P, Meerabeau L (eds). The Sociology of the Caring Professions. London, UK: UCL Press. 1998.
  • Alcolea M, Oter C, Martín A. Enfermería Basada en la Evidencia. Orígenes y fundamentos para una práctica enfermera basada en la evidencia. Nure Investigación, MayoJunio.2011;52:1-7.
  • Baldwin S. Exploring the profesional identity of health visitors. Nursing Times. 2012; 108 (25): 12-15.
  • Benner P. From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley. 1984.
  • Brainard A. The evolution of public health nursing. New York: Garland. 1989.
  • Bronfrebenner U. The Ecology of Human Development: Experiments by Nature and Design. Cambridge, MA: Harvard University Press. 1979.
  • Consejo General de Enfermería. Informe sobre recursos sanitarios en España y la unión Europea 2013. Análisis comparativo de la situación de médicos y enfermeros. CGE. 2013.
  • Department of Health (2011) Health Visitor Implementation Plan 2011-15: A Call to Action. London, UK: DH. 2011
  • Department of Health and Social Security. Inequalities in health: report of a research working group. London: DHSS. 1980.
  • Department of Health. Choosing Health. Making healthier choices easier. HMSO, London. 2004.
  • Department of Health. Health Visitor Practice Development Resource Pack. London, UK: Stationery Office. 2001.
  • Department of Health. Healthy Lives, Healthy People: our strategy for public health in England. HMSO, London. 1999.
  • Department of Health. Making a Difference: strengthening the nursing, midwifery and health visiting contribution to health and healthcare. HMSO, London. 1999.
  • Department of Health. Saving Lives: our healthier nation. HMSO, London. 1999.
  • Healthy Child Programme: pregnancy and the first five years. HMSO, London. 2009.
  • Lalonde M. A New Perspective on the Health of Canadians. Ottawa, Ontario, Canada: Minister of Supply and Services. 1974.
  • Lassi Z, Cometto G, Huicho L et al. Systematic reviews. Quality of care provided by midlevel health workers: systematic review and meta-analysis. Bulletin of the OMS. 2013; 91: 824-833.
  • McLaren L, Hawe P. Continuing professional education: Ecological perspectives in health research. J Epidemiol Community Health. 2005; 59: 6-14.
  • Monteiro L. Florence Nightingale on Public Health Nursing. Am J Public Health. 1985. 75: 181-186.
  • Organisation for Economic Co-operation and Development. OECD Health Data. Base de données de l’OECD sur la santé 2013. Base de datos de la OCDE sobre la salud 2013. España en comparación. OECD. 2013.
  • Real Decreto 183/2008, de 8 de febrero, por el que se determinan y clasifican las especialidades en Ciencias de la Salud y se desarrollan determinados aspectos del sistema de formación sanitaria especializada. Publicado en el BOE número 45 de 21 de febrero de 2008.
  • Real Decreto 450/2005, de 22 de abril, sobre especialidades de Enfermería. Publicado en el BOE número 108 de 5 de mayo de 2005.
  • Royal College of Nursing. NHS Agenda for Change pay scales -2013/2014. London, UK: RCN. 2013
  • Ruane S, Sánchez Bayle M, Gurucelain J, Lores M and Sánchez Llopis E. Un diagnostico comparado de los sistemas públicos sanitarios de España y Reino Unido. Madrid: Fundación Primero de Mayo. 2012.
  • The Queen’s Nursing Institute. Health Visiting. London: QNI. 2010. Consultado 19/01/14.
  • Twinn S, Cowley S (ed). The principles of health visiting: a re-examination. London, UK: HVA/UKSC. 1992.
  • Woodham Smith C. Florence Nightingale. 1820-1910. London, UK: Constable and Company Ltd. 1992.