Lafuente-Robles Nieves, Fernández-Salazar Serafín, Rodríguez-Gómez Susana, Casado-Mora María Isabel, Morales-Asencio José Miguel, Ramos-Morcillo Antonio Jesús
Sistema Sanitario Público de Andalucía, Consejería de Salud, Junta de Andalucía, Sevilla, España.
Sistema Sanitario Público de Andalucía, Consejería de Salud, Junta de Andalucía, Sevilla, España.
Enferm Clin (Engl Ed). 2019 Mar-Apr;29(2):83-89. doi: 10.1016/j.enfcli.2018.12.013. Epub 2019 Feb 22.
The socio-demographic and epidemiological changes of our environment are characterized by an increase in aging, chronic illness, comorbidities and with it, a progressive escalation of the demand for care. These new demands and expectations of citizenship are accompanied by an evolution of health systems (technological advances, complexity of the healthcare network, limited resources), the need to develop new roles and competence in care, together with the opportunity that full academic development implies: Nursing undergraduate and posgraduate degrees. This is why, at present, it is necessary to reorient care models in order to achieve health care for more agile, efficient and better quality care processes, adapted to the needs and expectations of citizens and to the sustainability of health systems. The Public Health System of Andalusia (SSPA) has developed, in recent decades, different nursing roles that include new competences, with the aim of responding to the needs of citizens. The objective of this article is to present how the competences development framework of nurses has been configured in the SSPA, which also integrates advanced skills in care and advanced practice profiles (Clinical Nurse Specialists and Advanced practice nurses).
我们所处环境的社会人口结构和流行病学变化的特点是老龄化加剧、慢性病增加、合并症增多，随之而来的是护理需求的逐步上升。公民的这些新需求和期望伴随着卫生系统的演变（技术进步、医疗保健网络的复杂性、资源有限），需要在护理领域发展新的角色和能力，同时也带来了全面学术发展所蕴含的机遇：护理学本科和研究生学位。正因如此，目前有必要重新调整护理模式，以实现更灵活、高效、质量更高的医疗保健服务流程，适应公民的需求和期望以及卫生系统的可持续性。近几十年来，安达卢西亚公共卫生系统（SSPA）发展了不同的护理角色，包括新的能力，旨在满足公民的需求。本文的目的是介绍SSPA中护士能力发展框架是如何构建的，该框架还整合了高级护理技能和高级实践概况（临床护理专家和高级实践护士）。
