de Almeida Souza Alina Maria, Cuevas-Budhart Miguel Ángel, Raya Florentino Pérez, González Jurado Máximo A, Gómez Del Pulgar Gª-Madrid Mercedes
Author Affiliations: Technical Advisor (Dr de Almeida Souza) Spanish Institute of Nursing Research; PhD Student (Mr Cuevas-Budhart), Complutense University of Madrid, Spain, and Mexican Institute of Social Security, Guerrero México; President (Mr Perez-Raya), and Former President (Dr González Jurado) Spanish General Council of Nursing; and Professor (Dr Gómez del Pulgar), Francisco Vitoria University, Madrid, Spain.
Clin Nurse Spec. 2020 Mar/Apr;34(2):75-84. doi: 10.1097/NUR.0000000000000508.
Nursing specialization is considered a significant professional requirement to meet the challenges and needs of the health systems under evolving epidemiological patterns and scientific, technological, and social advances. In Spain, experiences in the training of specialist nurses have followed the same pattern and have been consolidated through legislation. This study aimed to analyze the implementation of the Spanish Nursing Specialty process according to the Royal Decree 450/2005. It used the documentary and systematic analysis method: a systematic review of official regulation documents published in the State Official Bulletin of Spain, Spanish legislative and historical nursing inventories, and other nursing-specific literature. This study shows an extensive account of nursing specialties' development process through a rather long period in Spain. It evidences the complexity involved to ensure legislative legality. The study also points to the need for homogeneity within the programs across the national territory and legal definition for specialty practice. This study could be an illustration to stimulate other nurse leaders in the world working in regulation and nursing specialty development to empower nurses' development and enhance the nurse specialists' contribution to archive the needs of the health system and healthcare of the population. HIGHLIGHTS:.
护理专业化被视为一项重要的专业要求，以应对不断变化的流行病学模式以及科学、技术和社会进步背景下卫生系统的挑战与需求。在西班牙，专科护士培训的经验遵循了相同模式，并通过立法得以巩固。本研究旨在根据皇家法令450/2005分析西班牙护理专科流程的实施情况。它采用了文献和系统分析方法：对在西班牙国家官方公报上发布的官方监管文件、西班牙立法和历史护理清单以及其他护理专业文献进行系统综述。本研究全面阐述了西班牙护理专科在相当长一段时间内的发展过程。它证明了确保立法合法性所涉及的复杂性。该研究还指出了全国范围内各项目之间保持同质性以及专科实践法律定义的必要性。本研究可为激励世界上其他从事监管和护理专科发展工作的护士领导者提供范例，以促进护士的发展，并增强专科护士对满足卫生系统需求和民众医疗保健的贡献。要点：
