Clicca qui per scaricare

The Family and Community Health Nurse in Italy
Titolo Rivista: SALUTE E SOCIETÀ 
Autori/Curatori: Silvia Marcadelli, Alessia Bertolazzi 
Anno di pubblicazione:  2017 Fascicolo: 1 La ricerca infermieristica a livello internazionale. Gennaro Rocco, Alessandro Stievano (a cura di) Lingua: Inglese 
Numero pagine:  15 P. 121-135 Dimensione file:  688 KB
DOI:  10.3280/SES2017-001010
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 

The article describes the findings of an exploratory qualitative study, carried out in 8 Italian regions, on the role of Family and Community Health Nursing, as defined by the WHO. Formal recognition of the figure is currently lacking in Italy and there are few studies in this field. A set of local experiences, in which the role of the nurses expresses functions and competencies related to the Family and Community Nursing, was examined. 138 interviews were conducted to identify the emerging models of family nursing in the observed regions. Through the analysis of the interviews, two distinct models were classified: the first is identified in family nursing applied to socially and territorially defined contexts; the second is family nursing applied to the Chronic Care Model. In both models, however, there are three pending issues: the recognition of the professional figure with specific contractual forms; how to overcome obstacles, at least in the prescription of aids and devices; an accurate calculation of the nurse/patients ratio.

Keywords: Family health nursing; community nursing; health care system; primary care; chronic diseases; local health authority

  1. American Nurses Association (2003a). Nursing’s social policy statement, (2nd ed.). Washington, DC: American Nurses Association.
  2. American Nurses Association (2003b). Nursing: Scope and standards of practice. Washington, DC: American Nurses Association.
  3. Bergman H., Ferrucci L., Guralnik J., Hogan D., Hummel S., Karunananthan S. (2007). Frailty: An emerging research and clinical paradigm-issues and controversies. The Journals of Gerontology. Series A, 62 (7): 731-737.
  4. Bodenheimer T., Wagner E.H., Grumbach K. (2002). Improving primary care for patients with chronic illness. Journal of the American Medical Association, 288: 1775-1779.
  5. Buckinx F., Rolland Y., Reginster J.Y., Ricour C., Petermans J., & Bruyère O. (2015). Burden of frailty in the elderly population: Perspectives for a public health challenge. Archives of Public Health, 73 (1): 19.
  6. Bulmer M. (1987). The Social Basis of Community Care. London: Allen and Unwin.
  7. Chiari P., Santullo A. (2011). L’infermiere Case manager. Milano: McGraw-Hill.
  8. Cipolla C., Rocco G., eds. (2014). Dieci anni dopo: un’altra infermieristica. Seconda indagine nazionale. Milano: FrancoAngeli.
  9. Delamaire M., Lafortune G. (2010). Nurses in Advanced Roles: A Description and Evaluation of Experiences in 12 Developed Countries, OECD Health Working Papers, No. 54, OECD Publishing.
  10. Folgheraiter F., Donati P., eds. (1991). Community Care: Teoria e pratica del lavoro sociale di rete. Trento: Centro Studi Erickson.
  11. Gobbens R.J., Luijkx K.G., Wijnen-Sponselee M.T., Schols J.M. (2010). In search of an integral conceptual definition of frailty: Opinions of experts. Journal of the American Medical Directors Association, 11(5): 338-343.
  12. Ham L.M., Chamings P.A. (1983). Family nursing: Historical perspectives. In: Clements I., Roberts F.B., eds., Family health care: A theoretical approach to nursing care, Vol. 1: 88-109. San Francisco: McGraw-Hill.
  13. Hanson S.M.H., Gedaly-Duff V., Rowe Kaakinen J. (2001). Family health care nursing: Theory, practice and research. Philadelphia: FA Davis.
  14. Liotta G., O’Caoimh R. Gilardi F., Proietti M.G., Rocco G., Alvaro R., Scarcella P., Molloy D.W., Orlando S., Mancinelli S., Palombi L., Stievano A., Marazzi M.C. (2016). Assessment of frailty in community-dwelling older adults residents in the Lazio region (Italy): A model to plan regional community-based services. Archives of Gerontology and Geriatrics, 68: 1-7.
  15. Marcadelli S. (2002). Le aree dell’assistenza territoriale: problemi emergenti, le prestazioni di qualità e le opportunità per il futuro. In: Bassetti O., ed., Le nuove priorità della professione infermieristica. Firenze: Rosini.
  16. Marcadelli S. (2003). L’infermiere di famiglia. Salute e Società, II(1): 111-129., DOI: 10.3280/SES2003-00101
  17. Martin P., Duffy T., Johnston B., Banks P., Harkess-Murphy E., Martin C.R. (2013). Family Health Nursing: A Response to the Global Health Challenges. Journal of Family Nursing, 19(1): 99-118., DOI: 10.1177/107484071247181
  18. Mislej M., Paoletti F. (2008). L’infermiere di famiglia e di comunità. Santarcangelo di Romagna: Maggioli.
  19. Neuman B. (1995). The Neuman systems model, (3rd ed.). Norwalk, CT: Appleton & Lange.
  20. O’Caoimh R., Gao Y., Svendrovski A., Healy E., O’Connell E., O’Keeffe G., et al. (2015). The risk instrument for screening in the community (RISC): a new instrument for predicting risk of adverse outcomes in community dwelling older adults. BMC Geriatrics, 30(15): 92.
  21. OECD (2015). Health at a Glance 2015: OECD Indicators. Paris: OECD Publishing. OECD (2016). Health Statistics 2016, --available at:
  22. Orem D. (1995). Nursing: Concepts of practice. St. Louis: C.V.
  23. Omran R. (1971). The epidemiological transition: a theory of the epidemiology of population change. Milbank Memorial Fund Quarterly, 49: 509-538.
  24. Parfitt B. (2007). Family health nursing: Role development in Europe. Applied Nursing Research, 20: 100-103.
  25. Pellizzari M. (2008). L’Infermiere di comunità dalla teoria alla prassi. Milano: McGraw Hill.
  26. Pron A.L. (2013). Job satisfaction and perceived autonomy for nurse practitioners working in nurse-managed health centers. Journal of the American Academy of Nurse Practitioners, 25: 213-221.
  27. Rocco G., Marcadelli S., Stievano A., Cipolla C., eds. (2017). Infermiere di famiglia e di comunità. Proposte di policy per un nuovo welfare, Milano: FrancoAngeli.
  28. Rockwood K. (2005). What would make a definition of frailty successful? Age and Ageing, 34(5): 432-434.
  29. Roy C., Andrews H.A. (1999). The Roy adaptation model, (2nd ed.). Englewood Cliffs, NJ: Prentice Hall.
  30. Scalorbi S. (2012). Infermieristica preventiva e di comunità. Milano: McGraw Hill.
  31. Shamliyan T., Talley K.M., Ramakrishnan R., Kane R.L. (2013). Association of frailty with survival: a systematic literature review. Ageing Research Reviews, 12(2): 719-36.
  32. Tousjin W. (2000). Il sistema delle occupazioni sanitarie. Bologna: il Mulino.
  33. World Health Organization Europe (2000). The Family Health Nurse, Context, Conceptual Framework and Curriculum, EUR/00/5019309/13 – 27 January.
  34. World Health Organization (2008). The World Health Report 2008: Primary health care now more than ever. Geneva, Switzerland. --Retrieved from

  1. Silvia Marcadelli, Alessandro Stievano, Gennaro Rocco, Policy proposals for a new welfare: the development of the family and community nurse in Italy as the key to promote social capital and social innovation in Primary Health Care Research & Development e109/2019 pp. , DOI: 10.1017/S146342361800083X

Silvia Marcadelli, Alessia Bertolazzi, in "SALUTE E SOCIETÀ" 1/2017, pp. 121-135, DOI:10.3280/SES2017-001010


FrancoAngeli è membro della Publishers International Linking Association associazione indipendente e no profit per facilitare l'accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche