title: [Conflicts between nursing ethics and health care legislation in Spain].
abstract: OBJECTIVE
  To identify the ethical conflicts that may arise between the nursing codes of ethics and the Royal Decree-law 16/2012 modifying Spanish health regulations.
  
  
  METHODS
  We conducted a review and critical analysis of the discourse of five nursing codes of ethics from Barcelona, Catalonia, Spain, Europe and International, and of the discourse of the Spanish legislation in force in 2013. Language structures referring to five different concepts of the theoretical framework of care were identified in the texts: equity, human rights, right to healthcare, access to care, and continuity of care.
  
  
  RESULTS
  Codes of ethics define the function of nursing according to equity, acknowledgement of human rights, right to healthcare, access to care and continuity of care, while legal discourse hinges on the concept of beneficiary or being insured.
  
  
  CONCLUSIONS
  The divergence between the code of ethics and the legal discourse may produce ethical conflicts that negatively affect nursing practice. The application of RDL 16/2012 promotes a framework of action that prevents nursing professionals from providing care to uninsured collectives, which violates human rights and the principles of care ethics.
authors.affiliation: Facultad de Enfermería y Fisioterapia, GESEC, Universidad de Lleida, Lleida, España; Grup de Recerca en Cures de la Salut (GRECS), IRB Lleida, Lleida, España. Electronic address: montse.gea@infermeria.udl.cat.
authors.forename: Montserrat
authors.initials: M
authors.lastname: Gea-Sánchez
authors.affiliation: Fundación Aspros, Lleida, España.
authors.forename: Lourdes
authors.initials: L
authors.lastname: Terés-Vidal
authors.affiliation: Facultad de Enfermería y Fisioterapia, GESEC, Universidad de Lleida, Lleida, España; Grupo de Investigación en Salud Pública de la Universidad de Alicante, Alicante, España.
authors.forename: Erica
authors.initials: E
authors.lastname: Briones-Vozmediano
authors.affiliation: Departamento de Geografía y Sociología, GESEC, Universidad de Lleida, Lleida, España.
authors.forename: Fidel
authors.initials: F
authors.lastname: Molina
authors.affiliation: Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canadá
authors.forename: Denise
authors.initials: D
authors.lastname: Gastaldo
authors.affiliation: Facultad de Enfermería y Fisioterapia, GESEC, Universidad de Lleida, Lleida, España; Sección Departamental de Enfermería, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, España.
authors.forename: Laura
authors.initials: L
authors.lastname: Otero-García
mesh_terms: D026688:Bioethical Issues; D032781:Codes of Ethics; D003695:Delivery of Health Care / Q000331:legislation & jurisprudence*; D004993:Ethics, Nursing; D005060:Europe; D006806:Human Rights; D006801:Humans; D013030:Spain
keywords: Acceso a los servicios sanitarios; Conflict; Conflicto; Derechos humanos; Health services accessibility; Human rights; Legislación enfermera; Nursing ethics; Nursing legislation; Población vulnerable; Vulnerable population; Ética enfermera