The State of the Evidence about the Family and Community Nurse: A Systematic Review

Abstract

Introduction. 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. Methods. 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. Results. Five interpretative themes emerged from the 90 included articles: clinical practice, core competencies, outcomes, Organisational and educational models, and advanced training program. Conclusions. 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.

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Substance-based medical devices made of natural substances: An opportunity for therapeutic innovation

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Assessment Tools of Biopsychosocial Frailty Dimensions in Community-Dwelling Older Adults: A Narrative Review

“…As in the case of the Quick Mild Cognitive Impairment (QMCI) Screen for the assessment of mild cognitive decline, it is particularly useful for dementia prevention interventions [ 140 ]. As a consequence of the COVID-19 pandemic, many health systems are implementing a Family and Community Nurse (FCN) to meet the twin challenges of an ageing population and the increasing incidence of chronic conditions in order to prevent adverse events and enable healthcare services to encourage and ensure health improvement and wellbeing, instead of focusing exclusively on treating illness [ 141 ]. In the case of medication review support tools for older adults in polypharmacy, the assessment tools that are often used require specialist expertise and therefore cannot be administered by an FCN.…”