Enfermero Especialista en Cuidados Médico-Quirúrgicos. El final de la especialidad que nunca existió

Abstract

It was logical that the Specialisation in Medical-Surgical Care, as set out in the catalogue of Royal Decree 450/2005 on Nursing Specialities, was not developed. When some contents of this RD were negotiated, the Organización Colegial de Enfermería (OCE) and the Federación Española de Sociedades Científicas de Enfermería (FESCE), proposed as a generic name for this speciality, Advanced Clinical Nurse Specialist, which did not satisfy the aspirations of any of the societies represented in the FESCE, but left the doors open to a later development, through the Areas of Specific Training, which the Law on the Regulation of Health Professions contemplated. The idea was to open the "door", and then the reality of care, the health needs of the population or scientific-technological advances would mark the areas to be developed as a speciality within the core. However, the Ministry of Education did not allow this designation and imposed the one known by all: Specialist Nurse in Medical-Surgical Care. At that time, we thought it was a good thing... At least the RD Specialties had been created and the development of the Specific Training Areas (perfusion, nephrology, surgery, emergency and critical care...) would be attempted. The most curious thing about the choice of this denomination is that it was a repetition of a subject from the studies of the Diploma in Nursing, which was not logical, since if something justifies a specialisation it is to achieve different competences from those achieved with the generalist degree. There was no need for a super-specialisation to work in the medical-surgical areas of specialised care, nor was that specialisation justified by any specific health need.