Family and Community Nurses as a Resource for the Inclusion of Youths with Type 1 Diabetes at School

Author:

Brentari Maria1,Franceschi Roberto2ORCID,Longhini Jessica3,Maines Evelina2ORCID,Mozzillo Enza4,Marigliano Marco5ORCID,Vivori Cinzia6

Affiliation:

1. Community Nurse, Azienda Provinciale per i Servizi Sanitari, APSS, 38123 Trento, Italy

2. Pediatric Diabetology Unit, Pediatric Department, S.Chiara General Hospital of Trento, APSS, 38122 Trento, Italy

3. Department of Diagnostics and Public Health, University of Verona, 37129 Verona, Italy

4. Department of Translational Medical Science, Section of Pediatrics, Regional Center of Pediatric Diabetes, Federico II University of Naples, 80138 Naples, Italy

5. Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University and Azienda Ospedaliera Universitaria Integrata of Verona, 37126 Verona, Italy

6. Hygiene and Public Prevention Department, Azienda Provinciale per i Servizi Sanitari, APSS, 38123 Trento, Italy

Abstract

School nurses can facilitate the inclusion of students with type 1 diabetes (T1D) at school; this model has been widespread in some countries but not in Italy, which is due to the insufficient number of school nurses that are able to provide medical attention at all times. The National Recovery and Resilience Plan (PNRR) devised a series of aids and support for the reorganization of the Italian National Health System (NHS) through the creation of community houses in addition to family and community nurses (FCNs), who will operate in these structures to promote the integration of the various professional figures and community services. In this study, starting with the needs and suggestions of teachers (No. 79) and parents (No. 48) collected using a survey, we developed a new model for the inclusion of students at school where FCNs who have experience in pediatric T1D have the role of an educator, coordinator, and facilitator’ they cannot be on site and available all the time during school hours, so they must make many efforts to improve the school staff’s knowledge, intervene to offer training when requested, and solve new emerging problems.

Publisher

MDPI AG

Subject

Medicine (miscellaneous)

Reference32 articles.

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2. (2023, February 20). Piano Nazionale della Cronicità, Available online: https://www.salute.gov.it/imgs/C_17_pubblicazioni_2584_allegato.pdf.

3. L’infermiere di famiglia e comunità: Panoramica sull’esercizio della professione in Europa [Family and community nursing: Overview of practice in Europe];Conti;Assist. Inferm. Ric.,2021

4. Determinants and costs of community nursing in patients with type 2 diabetes from a community-based observational study: The Fremantle Diabetes Study;Davis;Int. J. Nurs. Stud.,2013

5. Osteomyelitis, diabetic foot ulcers and the role of the community nurse;Lumbers;Br. J. Community Nurs.,2021

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