[Community health nursing in urban setting (CoSta): Development of a care concept for people with chronic conditions in primary care].

Community health nursing in urban setting (CoSta): Development of a care concept for people with chronic conditions in primary care Abstract. Background: Community Health Nursing (CHN) is currently being discussed in German-speaking countries to implement nursing professionals in primary care. It comprises patient-oriented-, evidence-based and community care. Academic nurses provide care autonomously. In other countries, CHN has been established for many years. In Germany, there is a lack of model tests and evidence to evaluate the specific mode of action in application and to map reimbursement options of potential healthcare payers. Aim: The CoSta project is developing a professional CHN model concept for people with chronic conditions in a marginalized urban neighborhood. Methods: The practice development of the CHN care concept is based on a theoretical frame, a literature review and needs assessment in the neighborhood involving the multiprofessional team in a health center. Results: Concept modelling is completed. The model is based on the components public health, nursing theory, mission statement, legal framework, and evidence base. Interventions include nurse-led home visits, consultations, and trainings. Their effectiveness is currently being tested in an ongoing intervention study, and feasibility results are expected soon. Conclusions: The model-concept is assessed as a needs-based offer. For the intervention, cultural and peer sensitive aspects seem to be even more significant than expected.