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Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Role of Communication in the Nursing Process II: Planning and Implementation01:25

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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Fundamentals of Nursing Process I01:27

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Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

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Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
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Theoretical Foundations of Nursing Practice01:30

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Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
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Fundamentals of Nursing Process II01:25

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There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
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Related Experiment Video

Updated: Feb 24, 2026

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Understanding Implementation of the Family and Community Nurse Role Using Consolidated Framework for Implementation

Erica Busca1, Erika Bassi1,2, Simona Milani3

  • 1Department of Translational Medicine, University of Piemonte Orientale, Novara, Italy, unipmn.it.

Nursing Research and Practice
|February 23, 2026
PubMed
Summary

Implementing the Family and Community Nurse (FCN) role requires aligning with policy and adapting to local needs. Sustainable integration depends on system support, collaboration, and clear role definition for effective community care.

Keywords:
Consolidated Framework for Implementation Researchfamily and community nurseimplementation processorganizational factorsprimary health carequalitative research

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Area of Science:

  • Community Health Nursing
  • Healthcare Management
  • Implementation Science

Background:

  • The Family and Community Nurse (FCN) role is crucial for integrated community-based care.
  • Understanding factors influencing FCN role implementation is vital for optimizing healthcare delivery.

Purpose of the Study:

  • To explore factors influencing the implementation of the Family and Community Nurse (FCN) role.
  • To identify facilitators and barriers to FCN role integration within an Italian local health authority.

Main Methods:

  • Qualitative single embedded case study design.
  • In-depth semistructured interviews and timeline elicitation with 22 participants (18 FCNs, 4 managers).
  • Framework Analysis guided by the Consolidated Framework for Implementation Research.

Main Results:

  • Outer setting factors like policy alignment supported adoption, but public awareness was low.
  • Inner setting flexibility aided adaptation, yet fragmented coordination and task-based workflows hindered integration.
  • Individual FCNs showed motivation but lacked confidence in community/educational tasks; reflective leadership and tailored strategies were beneficial.

Conclusions:

  • FCN role implementation is dynamic, influenced by structural conditions, professional boundaries, and stakeholder engagement.
  • Sustainability necessitates system-level support, cross-sector collaboration, and a defined scope of practice.
  • Findings inform strategies for strengthening community care models and interprofessional coordination.