An Overview of Family and Community Nurse Specialists' Employment Situation in Spain: A Qualitative Study

Background: Family and Community Nurse specialists are advocates of a holistic model of care in multidisciplinary primary care teams. This study aims to describe the experiences and perceptions of nurses specialising in Family and Community Nursing regarding their working conditions in primary care in Spain. Methods: A qualitative descriptive study was conducted. Eighteen family and community specialist nurses from different autonomous communities in Spain participated. Individual interviews and a focus group were conducted. Results: The results identified two main themes: The current work situation of the Family and Community Nursing specialist and Support network and system of rejection with four sub-themes highlighting the lack of social and work recognition, the advantages of working with Family and Community Nursing specialists, systematic ambivalence towards Family and Community Nursing, and the need for institutional support. The inclusion of Family and Community Nursing specialists in primary care teams favours the nurse-patient bond, increases and/or maintains the quality of life of patients, and strengthens their empowerment; however, there is an absence of specific job vacancies. Conclusions: The institutional and social lack of awareness about the roles of Family and Community nurse practitioners and their impact on health care systems limits the quality of patient care in primary care.