Title: Keys to the practice of nursing leadership in community health

Abstract

The current situation regarding healthcare has positioned the health system in the need of reflecting on how the service has been addressed after COVID-19 and what can we learned with this crisis. The current mechanisms of the healthcare response have sometimes been poorly thought through. We have succumbed to the crisis by approaching it as lysis and in a reactive manner sustained over time. This has meant a return to the medicalization of community services. It is important to look to the future from what has been learned and to see what role community nurses should play in the 21st century to achieve improvements in the health of communities. The needs of the population are changing, post-pandemic even more so. People are dependent and require trained caregivers to care for them at home, to ensure not only life maintenance, but also comfort and safety. The increasingly prevalent chronic pathologies, which in the pandemic have not had a correct, real, well-supervised care attention, must be taken up again. A nursing attention capable of anticipating is much more needed as well as, leading health promotion strategies with other agents in a shared manner. Thus, we need to analyze where the needs of people are, taking into account patients, caregivers and nurses. With these elements we propose a new organization of the practice of nursing care in the community environment. The need to create services coordinated with the hospital, the implementation of different community tools to enhance functional recovery and support for people at the end of their life. Additionally, value needs to be placed on home care, health schools and self-care training as key elements to build a new nursing service approach. Maintaining the nursing caregiver presence can provide individualized care with the possibility of the exercise of free choice of nurse.