Escasez de enfermeras en España: del caso global a la situación particular. Informe SESPAS 2024

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Gaceta Sanitaria Pub Date : 2024-01-01 DOI:10.1016/j.gaceta.2024.102376

Paola Galbany-Estragués , Pere Millán-Martínez

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引用次数: 0

Abstract

The nursing shortage is a multi-causal phenomenon that affects all countries and currently a global concern. The shortage of nurses jeopardizes the sustainability of health systems and the population health outcomes. Spain has historically had no difficulties in attracting new generations of nurses. The shortage of nurses is caused by the precarious working conditions and lack of professional development that have led to episodes of high international migration and abandonment of the profession. In this paper we focus on the evolution of different indicators of the working conditions of non-specialist nurses, who make up the bulk of the profession. These indicators allow us to analyse the abandonment of the profession, the duration of contracts, their full-time or part-time dedication and the excessive hiring. We have analysed the effect of COVID-19 and the labour reform on these indicators. COVID-19 reduced the abandonment of the profession and is currently at its lowest level, it has also accelerated the need to improve working conditions by increasing the percentage of permanent contracts and reducing the multiplicity of contracts in the same month. The labour reform has helped reduce the percentage of temporary contracts until reaching around 80% of the total contracts, and has reduced the number of nurses in Spain with more than one contract in the same month to below 3000 nurses on a sustained basis.

查看原文本刊更多论文

[西班牙护士短缺：从全球情况到特殊情况。SESPAS 报告 2024]。

护士短缺是一个影响所有国家的多因现象，目前已成为全球关注的问题。护士短缺危及卫生系统的可持续性和人口的健康成果。西班牙在吸引新一代护士方面历来没有困难。护士短缺的原因是工作条件不稳定和缺乏专业发展，这导致了大量国际移民和放弃护士职业。在本文中，我们将重点关注非专科护士工作条件不同指标的变化情况，他们是护士行业的主力军。通过这些指标，我们可以分析非专业护士的离职情况、合同期限、全职或兼职工作以及过度雇佣的情况。我们分析了 COVID-19 和劳动改革对这些指标的影响。COVID-19 减少了弃职率，目前弃职率处于最低水平，它还通过增加长期合同的比例和减少当月多重合同的情况，加快了改善工作条件的需要。劳动改革有助于降低临时合同的比例，使其达到合同总数的 80%左右，并将西班牙当月持有一份以上合同的护士人数持续减少到 3000 人以下。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta Sanitaria 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.10

自引率

5.30%

发文量

审稿时长

29 days

期刊介绍： Gaceta Sanitaria (Health Gazette) is an international journal that accepts articles in Spanish and in English. It is the official scientific journal of the Sociedad Española de Salud Publica y Administración Sanitaria (Spanish Society of Public Health and Health Administration) (SESPAS). The Journal publishes 6 issues per year on different areas of Public Health and Health Administration, including: -Applied epidemiology- Health prevention and promotion- Environmental health- International health- Management and assessment of policies and services- Health technology assessments- Health economics. The editorial process is regulated by a peer review system. It publishes original works, reviews, opinion articles, field and methodology notes, protocols, letters to the editor, editorials, and debates.