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Community-oriented primary care: a model for public health nursing.

机译:面向社区的初级保健:公共卫生护理的模型。

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The American Public Health Association defines public health nursing as the "practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences." In 1993, celebrating the centennial anniversary of its founding, nurse leaders recognized systemic changes have required nurses to function in clinical, illness-oriented roles rather than in their more traditional community and public health roles. With nurses' public health skills atrophying, these leaders urged members of the profession to eschew specialization and return to their generalist roots founded on the principles of community-based prevention and health promotion. Soon the Public Health Functions Project, designed in part to identify skills and curriculum needs of an array of practicing public health workers, examined the public health nursing profession. Its recommendations seek to ensure that public health nurses are trained to respond to current challenges that face public health. In this essay, we describe how a fellowship program that predated this national project by almost a decade anticipated the recommendations for shaping public health nursing by enrolling midcareer nurses in a program that taught the principles and practice of community-oriented primary care. Such principles represent a merger of clinical care with population health sciences; its more recent expressions teach clinicians to work as partners with communities to identify and address health problems. In reporting on this program, we show how nurses in practice can embrace their generalist roots, meet current challenges, and play a lead role in realizing the nation's goals for the year 2010. These aims incorporate recent recommendations for preparing public health nurses for change in the health care system.
机译:美国公共卫生协会将公共卫生护理定义为“使用来自护理,社会和公共卫生科学的知识来促进和保护人口健康的实践”。在1993年庆祝成立一百周年之际,护士领导者认识到系统的变化要求护士在临床,以疾病为导向的角色而不是在其更传统的社区和公共卫生角色中发挥作用。随着护士公共卫生技能的萎缩,这些领导人敦促该行业的成员避免专业化,并回到基于社区预防和健康促进原则的通才基础。不久,“公共卫生职能项目”(旨在部分识别一系列从业公共卫生工作者的技能和课程需求)设计了公共卫生护理专业。其建议旨在确保对公共卫生护士进行培训,以应对当前面临的公共卫生挑战。在本文中,我们描述了在这个国家项目之前将近十年的研究金计划如何通过将中期护士招入一个以社区为导向的初级保健的原理和实践的计划中来招募公共卫生护理的建议。这些原则代表了临床护理与人口健康科学的结合。它的最新表达方式教导临床医生与社区合作,以发现并解决健康问题。在对该计划的报告中,我们展示了实践中的护士如何能够扎根于通才的根基,应对当前的挑战,并在实现国家2010年目标方面发挥领导作用。这些目标结合了最近的建议,为公共卫生护士做好应对变化的准备。卫生保健系统。

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