University of Eastern Finland (UEF), Department of Nursing Science, 70211 Kuopio, Finland.
Nursing Department, Community Nursing Lab, University of Thessaly, Gaiopolis Campus, Larissa - Trikala Ring Road, 41500 Larissa, Greece.
Nurse Educ Pract. 2023 Feb;67:103561. doi: 10.1016/j.nepr.2023.103561. Epub 2023 Jan 24.
To identify gaps in existing family and community nurse (FCN) continuing education programs and to investigate whether FCN core competencies are covered in continuing education programs offered in primary health care settings.
In global pandemics such as COVID-19, there is an urgent need for staff development using transformative learning and help registered nurses build up their competencies and form a new professional identity as family and community nurses (FCNs). Therefore, FCN education programs become of high importance to enhance nurses' core competencies through continuing education.
An integrative review of the literature was conducted applying the Whittemore and Knafl methodological strategy for studies published between 2015- June 2021.
FCN core competencies, including the "decision-making process, navigation as care coordinator and patient advocate and promoting individual and family health to support the quality of nursing care," were poorly covered in the FCN programs. Specifically, e-health played a very limited role in FCN continuing education, while ethics, managing change, managing disparity and diversity and leadership skills, did not emerge at all.
The identified gaps can be incorporated into future FCN continuing education programs and may help improve nurses' competence and health care delivery and support new integrated models of care, namely, person-centered and community-based models.
确定现有家庭和社区护士（FCN）继续教育计划中的差距，并调查初级保健环境中提供的继续教育计划是否涵盖 FCN 核心能力。
在 COVID-19 等全球大流行期间，迫切需要使用变革性学习来发展员工，并帮助注册护士提高他们的能力，并形成家庭和社区护士（FCN）的新专业身份。因此，FCN 教育计划对于通过继续教育提高护士的核心能力变得非常重要。
对 2015 年至 2021 年 6 月期间发表的研究应用 Whittemore 和 Knafl 方法论策略进行了综合文献回顾。
FCN 核心能力，包括“决策过程、作为护理协调员和患者代言人的导航以及促进个人和家庭健康以支持护理质量”，在 FCN 计划中涵盖不足。具体来说，电子健康在 FCN 继续教育中发挥的作用非常有限，而伦理学、管理变革、管理差异和多样性以及领导能力根本没有出现。
确定的差距可以纳入未来的 FCN 继续教育计划，并可能有助于提高护士的能力和医疗保健服务水平，并支持新的综合护理模式，即以人为本和以社区为基础的模式。
