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Healthcare
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The Specialist Nurse in European Healthcare towards 2030
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The Specialist Nurse in European Healthcare towards 2030

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: closed (15 March 2025) | Viewed by 5243

Special Issue Editors

Dr. Rosario Caruso

E-Mail Website1 Website2
Guest Editor
Department of Biomedical Sciences for Health, University of Milan, 20133 Milan, Italy
Interests: clinical research; quantitative methods; chronic conditions; nursing; policy
Special Issues, Collections and Topics in MDPI journals
Dr. Adriano Friganovic

E-Mail Website
Guest Editor
1. Department of Nursing, University of Applied Health Sciences, 10000 Zagreb, Croatia
2. Department of Nursing, Faculty of Health Studies, University of Rijeka, 51000 Rijeka, Croatia
3. European Specialist Nursing Organization, 30016 Arnhem, The Netherlands
Interests: critical care; nursing management; nursing leadership; nursing care; pain treatment
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Alessandro Stievano

E-Mail Website
Guest Editor
Department of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy
Interests: nursing; ethics; transcultural competencies; global health
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The role of specialist nurses is becoming increasingly pivotal in shaping the future of European healthcare systems. As we approach 2030, there is an urgent need to address the evolving competencies, challenges, and opportunities faced by specialist nurses in diverse clinical settings. This Special Issue aims to gather high-quality research that highlights the impact of specialist nursing on patient outcomes, healthcare policy, and clinical practice. We welcome contributions that explore innovative practices, educational advancements, and policy frameworks that support the growth and development of specialist nurses. Submissions that build on presentations from the ESNO Congress are particularly encouraged, as they reflect the cutting-edge discussions shaping the vision for the future of specialist nursing in Europe.

Dr. Rosario Caruso
Dr. Adriano Friganovic
Dr. Alessandro Stievano
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • specialist nursing
  • European healthcare
  • clinical competence
  • healthcare policy
  • patient outcomes
  • innovative practices
  • professional identity
  • chronic conditions

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (3 papers)

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18 pages, 780 KiB  
Article
Hindering and Facilitating Factors While Implementing the Family and Community Nursing Model in Italy: Findings from a Qualitative Study
by Majda Clodig, Gaia Magro, Paola De Lucia, Marisa Prezza, Gaia Dussi, Sara Dentice, Chiara Moreal, Stefania Chiappinotto and Alvisa Palese
Healthcare 2025, 13(9), 1001; https://doi.org/10.3390/healthcare13091001 - 26 Apr 2025
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Abstract
Background/Objectives: Several Italian regions have started to introduce the Family and Community Nurse model. The aim of this study was to describe the facilitating and hindering factors that have influenced the implementation of the model by analyzing regional policies from the perspective of [...] Read more.
Background/Objectives: Several Italian regions have started to introduce the Family and Community Nurse model. The aim of this study was to describe the facilitating and hindering factors that have influenced the implementation of the model by analyzing regional policies from the perspective of nurses appointed as Family and Community Nurses. Methods: A qualitative study from 2023 to 2024 following the Standards for Reporting Qualitative Research. Nurses attending a training course were eligible (N = 68) and multi-method data collection was used. Mandatory written project works were requested at the end of the course, and interviews conducted after six months with 14 purposively selected nurses were used. The data were subjected to content analysis. The factors identified were categorized by level (nurse, microsystem, mesosystem, exosystem, and macrosystem) and by the domains of the Consolidated Framework for Implementation Research. Results: A total of 23 facilitating factors and 20 hindering factors were identified across all levels and four domains of the Consolidated Framework for Implementation Research. Implementation required nurses to shift from a task-oriented to a user-oriented approach to care that emphasizes accountability and citizen needs. Facilitating factors were the availability of advanced competencies, digital skills, familiarity with communities, and effective teamwork supported by leaders. Challenges arose from fragmented systems and unmet community expectations. Strengthening cross-sector collaboration, fostering trust, and engaging third sector resources were critical factors hindering holistic, patient-centred care. Conclusions: The Family and Community Nurses model promotes integrated, patient-centred care through proactive approaches that require advanced competence and interprofessional collaboration. Training, leadership support, and the removal of systemic barriers are critical. Future research should focus on integrating the identified factors into strategies to optimize the implementation of the Family and Community Nurses model. Full article
(This article belongs to the Special Issue The Specialist Nurse in European Healthcare towards 2030)
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17 pages, 752 KiB  
Systematic Review
Antimicrobial Stewardship in Healthcare: Exploring the Role of Nurses in Promoting Change, Identifying Barrier Elements and Facilitators—A Meta-Synthesis
by Antonio Bonacaro, Francesca Giovanna Solfrizzo, Domenico Regano, Fabio Negrello, Celeste Domeniconi, Alessandra Volpon, Silvia Taurchini, Paola Toselli and Consuelo Baesti
Healthcare 2024, 12(21), 2122; https://doi.org/10.3390/healthcare12212122 - 24 Oct 2024
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Abstract
Background: Antimicrobial stewardship (AMS) involves a coordinated set of actions aimed at promoting the appropriate use of antibiotics within healthcare settings. This systematic review of qualitative studies assessed nurses’ knowledge and perceptions of the barriers and facilitators that impact their involvement in AMS [...] Read more.
Background: Antimicrobial stewardship (AMS) involves a coordinated set of actions aimed at promoting the appropriate use of antibiotics within healthcare settings. This systematic review of qualitative studies assessed nurses’ knowledge and perceptions of the barriers and facilitators that impact their involvement in AMS programs. Methods: This meta-synthesis followed the Joanna Briggs Institute methodology for systematic reviews of qualitative evidence. Relevant studies published between 2018 and 2023 were identified through searches on PubMed, CINAHL, EMBASE, PsycINFO, and Google Scholar. The studies were critically appraised using the CASP checklist, with 19 articles meeting the inclusion criteria from five continents. Results: Six recurring themes emerged from the analysis of nurses’ experiences and opinions regarding their roles in AMS programs. These themes included the organization of AMS programs, availability of resources, training and education, communication, and the evolving role of nurses in AMS. Conclusions: Nurses at every level of the profession might play a crucial role in antimicrobial stewardship. Although active involvement of nurses in antibiotic stewardship requires further exploration and research, this topic is being examined internationally. The literature on this subject primarily analyzes the phenomenon from a quantitative perspective rather than a qualitative one, and it is contextualized more within hospital settings rather than community settings. Full article
(This article belongs to the Special Issue The Specialist Nurse in European Healthcare towards 2030)
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7 pages, 197 KiB  
Conference Report
The Specialist Nurse in European Healthcare 2030: ESNO Congress 2024 Highlights
by Alessandro Stievano, Rosario Caruso and Adriano Friganović
Healthcare 2024, 12(16), 1623; https://doi.org/10.3390/healthcare12161623 - 15 Aug 2024
Viewed by 1179
Abstract
The European Specialist Nurses Organization (ESNO), after a series of congresses in Brussels, organised its 6th International Congress in Milan, Italy. The ESNO Congress 2024 focused on “The Specialist Nurse in European Healthcare 2030”, addressing the evolving roles and increasing importance of specialist [...] Read more.
The European Specialist Nurses Organization (ESNO), after a series of congresses in Brussels, organised its 6th International Congress in Milan, Italy. The ESNO Congress 2024 focused on “The Specialist Nurse in European Healthcare 2030”, addressing the evolving roles and increasing importance of specialist nurses. The event featured keynote presentations and discussions on enhancing clinical practice through advanced education, bridging policy–practice gaps, and improving working conditions. The ESNO Declaration emphasised lifelong learning, harmonised qualification recognition, and interdisciplinary collaboration. A dynamic hackathon preceded the congress, generating innovative solutions to pressing nursing challenges. New inductees of the ESNO Fellowship Program were celebrated. The congress highlighted critical advancements and set a strategic roadmap for the future of specialist nursing in Europe. Full article
(This article belongs to the Special Issue The Specialist Nurse in European Healthcare towards 2030)
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