Conflictos entre la ética enfermera y la legislación sanitaria en España

Gea-Sánchez, Montserrat; Terés-Vidal, Lourdes; Briones-Vozmediano, Érica; Molina, Fidel; Gastaldo, Denise; Otero‐García, Laura

doi:10.1016/j.gaceta.2016.02.005

Cited by 8 publications

(5 citation statements)

References 16 publications

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“…A particularly worrying example of this in our study was the perception of a clerk at a health centre, that the 16/2012 law, which excluded undocumented adult migrants from access to the public healthcare, extends to children. This has been previously documented (Gea-Sánchez et al, 2016;Rajmil et al, 2015;REDER, 2015REDER, , 2017.…”

Section: The Need For Adequate Social Protection Policiessupporting

confidence: 58%

Child health and the possibilities for childcare in a context of poverty and food insecurity: The narratives of parents attending a self‐managed foodbank in Spain

Zamora-Sarabia

Guterman

Sanz-Barbero

et al. 2019

Health Soc Care Community

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Health Soc Care Community. 2019;27:953-964. wileyonlinelibrary.com/journal/hsc | 953 AbstractFood insecurity would influence children's health and development through its effects on nutrition and household stress in the context of broader poverty-related problems. This study contributes to research regarding the characterisation of foodinsecure households with children under the age of 18. In particular, it highlights the social and institutional aspects which influence and interact with parents' attempts to protect their children from hunger and destitution. In this study, we document some aspects of the harsh realities faced by mothers and fathers with children under the age of 18 living in poverty who attended a self-organised foodbank in the city of Madrid in 2015. We used a qualitative methodology consisting of 7 months of participant observation and the conduction of 15 in-depth interviews. This study shows how the possibilities for the meaningful protection of children in food-insecure households can be influenced by parental coping strategies, community resources and availability and accessibility to public help. Foodbanks can help reduce both household hunger (although not meeting all nutritional requirements) and parental psychosocial distress, which might support parents to better protect their children. In particular, self-managed foodbanks appear to help parents cope with emotional distress by reducing feelings of powerlessness and self-blame through their active involvement, and thanks to the collective caring that occurs between members. Public services are of special relevance, since their absence or an active institutional discrimination has been shown to further damage impoverished households with children. We suggest that public policies in Spain are revised and reinforced to enable a more genuine protection of children and their families living under severe deprivation, and to prevent life-long damage. Public institutions could assume that people attending a foodbank are living in severe poverty and need access to adequate and supportive public resources to address it. K E Y W O R D Schild health, childcare, food insecurity, foodbank, public policy, qualitative research, self-management

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Section: The Need For Adequate Social Protection Policiessupporting

confidence: 58%

Child health and the possibilities for childcare in a context of poverty and food insecurity: The narratives of parents attending a self‐managed foodbank in Spain

Zamora-Sarabia

Guterman

Sanz-Barbero

et al. 2019

Health Soc Care Community

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“…It is based on communication technologies and management tools, to ensure continuity of care, both in moments of grace and in adversity. 7,[23][24][25][26] It is possible to assimilate this result referring to the effectiveness of a care system that can fully assist user discharge, with studies related to liaison nurses, or systems created to manage hospital discharge, which in a more structured way plan patient discharge and follow-up. Among them, in Spain, a study suggests that there would be a healthcare gap in patients with hospital discharge, which is why there are difficulties in guaranteeing correct compliance with the indications given at discharge.…”

Section: Discussionmentioning

confidence: 99%

“…6 An analysis of the ethical discourse, carried out in relation to Spanish legislation, concludes that nursing work is defined in terms of equity, recognition of human rights, the right to health, accessibility and continuity of care for persons. 7 In Chile, the code of ethics states that the nurse shares with society the responsibility to initiate and support actions to satisfy the health and social needs of the population, particularly those of vulnerable groups. 8 Essential functions of nursing are advocacy, fostering a safe environment, research, participation in health policies and in the management of patients and health systems, and training.…”

Section: Introductionmentioning

confidence: 99%

Role of Nurses for Continuity of Care After Hospital Discharge

Guzmán

Ferreira

Andrade

2020

Texto contexto - enferm.

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Objective: to recognize the role of nurses to maintain continuity of care for users after hospital discharge. Method: an exploratory, descriptive study with a qualitative approach. The study was applied at hospital discharge originating from the most complex health center in Magallanes, the Hospital Clinico Magallanes, Chile. Data were collected through interviews with nurses, carried out between May and August 2018. To analyze the material, the content analysis technique was used. Results: three categories emerged, which bring together what nurses mention in their discourse: How they see the implementation of hospital nursing services, which facilitate continuity of care in the healthcare network of discharged patients (known as care networks); Who they identify in the nursing service for continuity of care after discharge (care networks), which these nursing professionals make and suggestions for their performance; and How care networks affect users in continuity of care after discharge. Conclusion: the role of nurses is key in patient discharge from hospital. With autonomy and competencies for comprehensive care, professionals facilitate the healthcare transition; manage hospital discharge, convening the institutional nursing network and the emerging networks with primary health care; aspire to develop strategies for an inter-level care network, with systematic participation.

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“…To be performed by the governing institution of the professional: Organizational Guarantee of Professional Substitution. To guarantee continuity of care [ 2 , 58 ], the work unit and institution must make reasonable steps to ensure that care by professional substitutes who assume clinical responsibilities from the objecting professional will not result in any detrimental consequences to the patient [ 7 , 54 ]. This requirement for parity of care standards also applies in cases where the patient must be referred to another facility to continue care [ 7 , 54 ].…”

Section: Guidelines For the Appropriate Use Of Conscientious Objectio...mentioning

confidence: 99%

Guidelines for conscientious objection in Spain: a proposal involving prerequisites and protocolized procedure

Herreros,

Ramnath,

Santiago-Saez

et al. 2024

Philos Ethics Humanit Med

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Healthcare professionals often face ethical conflicts and challenges related to decision-making that have necessitated consideration of the use of conscientious objection (CO). No current guidelines exist within Spain’s healthcare system regarding acceptable rationales for CO, the appropriate application of CO, or practical means to support healthcare professionals who wish to become conscientious objectors. As such, a procedural framework is needed that not only assures the appropriate use of CO by healthcare professionals but also demonstrates its ethical validity, legislative compliance through protection of moral freedoms and patients’ rights to receive health care. Our proposal consists of prerequisites of eligibility for CO (individual reference, specific clinical context, ethical justification, assurance of non-discrimination, professional consistency, attitude of mutual respect, assurance of patient rights and safety) and a procedural process (notification and preparation, documentation and confidentiality, evaluation of prerequisites, non-abandonment, transparency, allowance for unforeseen objection, compensatory responsibilities, access to guidance and/or consultative advice, and organizational guarantee of professional substitution). We illustrate the real-world utility of the proposed framework through a case discussion in which our guidelines are applied.

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Conflictos entre la ética enfermera y la legislación sanitaria en España

Cited by 8 publications

References 16 publications

Child health and the possibilities for childcare in a context of poverty and food insecurity: The narratives of parents attending a self‐managed foodbank in Spain

Child health and the possibilities for childcare in a context of poverty and food insecurity: The narratives of parents attending a self‐managed foodbank in Spain

Role of Nurses for Continuity of Care After Hospital Discharge

Guidelines for conscientious objection in Spain: a proposal involving prerequisites and protocolized procedure

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