Martínez-Riera José Ramón, Carrasco Rodríguez Francisco Javier
Presidente de la Asociación de Enfermería Comunitaria (AEC).
Presidente de la Federación de Asociaciones de Enfermería Comunitaria y Atención Primaria (FAECAP).
Enferm Clin (Engl Ed). 2019 Nov-Dec;29(6):352-356. doi: 10.1016/j.enfcli.2019.09.011. Epub 2019 Oct 19.
More the 30 years have passed since the first Royal Decree that regulated nursing specialties was published in 1987. It is the Royal Decree published in 2005 that really allowed the training development of part of the specialties recognized in it (family and community nursing, paediatric nursing, geriatric nursing and occupational health nursing) since the obstetric-gynaecological specialist nurses (midwives) and mental health specialists had long since already started their training processes through the resident internal nurse model, today, training in the specialty of family and community nursing has been implemented in all the autonomous communities, but has not had the same development in terms of the incorporation of specialists in the health institutions of the respective health services of the autonomous communities This circumstance is generating a great lack of motivation among community nurses, both specialists and those who hope to obtain the qualification through a specialty exam. Many of the objectives achieved to date have been made possible thanks to the work of the scientific societies of community nursing (Association of Community Nursing [AEC] and Federation of Associations of Community Nursing and Primary Care [FAECAP]), which have allowed progress to be made and the process not to be halted, although there are still many achievements to be made on which the aforementioned scientific societies continue to work. In a society in which nursing care is increasingly necessary and demanded, it must have greater consideration and position in health policies, since it has demonstrated its effectiveness and can be the model that allows the health system to be sustainable. Therefore, nurses who specialize in family and community nursing must cease constituting an opportunity and become a reality.
自1987年发布第一部规范护理专业的皇家法令以来，已经过去了30多年。2005年发布的皇家法令才真正推动了其中部分认可专业（家庭与社区护理、儿科护理、老年护理和职业健康护理）的培训发展，因为妇产科专科护士（助产士）和心理健康专科护士早已通过住院内部护士模式开启了他们的培训进程。如今，家庭与社区护理专业培训已在所有自治区实施，但在自治区各自卫生服务的医疗机构中，专科护士的纳入情况却没有得到同样的发展。这种情况导致社区护士，无论是专科护士还是希望通过专业考试获得资质的护士，积极性都严重受挫。迄今为止取得的许多成果得益于社区护理科学协会（社区护理协会[AEC]和社区护理与初级保健协会联合会[FAECAP]）的工作，这些协会推动了进展，使进程得以持续，尽管仍有许多成果有待实现，上述科学协会仍在为此努力。在一个对护理服务需求日益增长的社会中，护理服务在卫生政策中必须得到更多重视并占据更重要的地位，因为它已证明了自身的有效性，并且可以成为使卫生系统可持续发展的典范。因此，从事家庭与社区护理的专科护士必须从只是一种机遇转变为现实。
