Nursing Department, Faculty of Medicine, Universitat Autonoma de Barcelona, Bellaterra, Spain.
Nurs Health Sci. 2020 Sep;22(3):521-528. doi: 10.1111/nhs.12686. Epub 2020 Feb 4.
Because of the crisis in the health sector with few employment opportunities, many Spanish nurses are looking for professional development abroad. No studies have mapped nursing practices across Europe. The aim of this research was to provide a comprehensive approach to understand nursing practices and features of the context in Spain and the United Kingdom within the rehabilitation unit and to discuss those practices from a patient safety point of view. Multiple case study design with thematic analysis was applied in this study. The methods for data collection were in-depth interviews, nonparticipant observations, and document analysis. Results were classified into six categories: resources, techniques and nursing procedures, patients' personal care, health education, documentation task, and attitudes and communication skills. This study concludes that differences exist between nursing practices despite both countries having similar nursing competences. In addition, the UK unit has a positive safety culture, recognizes that mistakes happen, and applies more barriers to avoid them. The study provides valuable information to help the decision-making process for Spanish nurses considering working in the UK.
由于医疗保健领域的危机导致就业机会很少，许多西班牙护士正在寻找海外的职业发展机会。目前尚无研究对整个欧洲的护理实践进行绘制。本研究的目的是提供一种综合方法，以了解西班牙和英国康复病房中的护理实践和背景特征，并从患者安全的角度讨论这些实践。本研究采用多案例研究设计和主题分析。数据收集方法包括深入访谈、非参与式观察和文件分析。结果分为六大类：资源、技术和护理程序、患者的个人护理、健康教育、文件任务以及态度和沟通技巧。本研究得出的结论是，尽管两国的护理能力相似，但护理实践存在差异。此外，英国病房具有积极的安全文化，承认错误的发生，并采取更多的措施来避免这些错误。该研究提供了有价值的信息，有助于考虑在英国工作的西班牙护士做出决策。
