慢性退行性疾病的增加对医疗保健系统的有效性和可持续性提出了许多挑战,建立家庭和社区护士(FCN)作为战略角色提供初级保健。FCN,的确,可以接受当前医疗保健需求的复杂性,维持人口老龄化,注重疾病预防和健康促进,确保医院和初级保健服务之间的持续和协调整合。关于FCN的文献丰富但多样。本研究旨在批判性地总结有关FCN的文献,提供对最近证据的总体看法。
对PubMed进行了最先进的系统评价,CINAHL,还有Scopus,采用系统审查和荟萃分析(PRISMA)声明和清单的首选报告项目来指导搜索和报告。
从90篇文章中出现了五个解释性主题:临床实践,核心能力,结果,组织和教育模式,和高级培训计划。
FCN可以为人们的健康做出重大贡献,在理解和响应患者需求方面发挥关键作用。即使对预防的投资不能保证决策者立即采取必要的战略和远见,必须加大政治投资,机构,和经济资源,以支持和确保FCN的能力及其专业自主权。
The increase in chronic degenerative diseases poses many challenges to the efficacy and sustainability of healthcare systems, establishing the family and community nurse (FCN) who delivers primary care as a strategic role. FCNs, indeed, can embrace the complexity of the current healthcare demand, sustain the ageing of the population, and focus on illness prevention and health promotion, ensuring a continuous and coordinated integration between hospitals and primary care ser. The literature on FCNs is rich but diverse. This study aimed to critically summarise the literature about the FCN, providing an overall view of the recent evidence.
A state-of-art systematic review was performed on PubMed, CINAHL, and Scopus, employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and checklist to guide the search and reporting.
Five interpretative themes emerged from the 90 included articles: clinical practice, core competencies, outcomes, Organisational and educational models, and advanced training program.
FCNs can make a major contribution to a population\'s health, playing a key role in understanding and responding to patients\' needs. Even if the investment in prevention does not guarantee immediate required strategies and foresight on the part of decisionmakers, it is imperative to invest more political, institutional, and economic resources to support and ensure the FCNs\' competencies and their professional autonomy.