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Congruence between position descriptions for public health nursing directors and supervisors with national professional standards and competencies

机译:具有国家专业标准和能力的公共卫生护理主管和主管的职位描述之间的一致性

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Objectives: This study described the extent to which position descriptions (PDs) for public health directors of nursing (DONs) and non-DON public health nursing (PHN) supervisors in Ohio local health departments incorporate national standards of PHN practice and competencies for public health managers. Design: Ninety-four PDs were obtained from 66 local health departments. Statements in each PD were analyzed for congruence with the 2007 American Nurses Association Public Health Nursing Scope and Standards of Practice (ANA Standards) and the Council on Linkages Core Competencies for Public Health Professionals (COL Competencies). Health department and PD characteristics were also obtained. COL Competencies within each COL skill domain were pooled for analysis. Results: Position descriptions addressed an average of 7.6 of the 20 ANA Standards/Substandards (range, 1-15). The most commonly addressed ANA Standards were Leadership, Regulatory Activities, Collegiality and Professional Relationships, and Planning; the least often addressed were Population Diagnosis and Priorities, Professional Practice Evaluation, Outcomes Identification, Advocacy, and Evaluation. Position descriptions addressed an average of 3.6 of the 8 COL skill domains (range, 0-6). Financial Planning and Management, Policy Development/Program Planning, Community Dimensions of Practice, and Analytic/Assessment were the most commonly addressed COL skill domains, whereas Cultural Competence and Basic Public Health Sciences were the least commonly addressed. About 75% of the PDs included task statements that did not correspond to any of the ANA Standards or COL Competencies. Conclusions: Results indicate that PDs do not reflect compliance with professional mandates for the practice of PHN. This lack of fit between PDs and nationally recognized standards of practice and competencies suggest that PHN may be undifferentiated as a public health discipline and as a nursing specialty.
机译:目标:这项研究描述了俄亥俄州地方卫生部门的护理公共卫生主管(DONs)和非DON公共卫生护理(PHN)主管的职位描述(PDs)在多大程度上结合了PHN实践和公共卫生能力的国家标准经理。设计:从66个地方卫生部门获得了94个PD。分析每个PD中的声明,以与2007年美国护士协会公共卫生护理范围和实践标准(ANA标准)以及公共卫生专业人员核心能力链接委员会(COL能力)的一致性。还获得了卫生部门和PD的特征。汇总每个COL技能领域内的COL能力以进行分析。结果:职位描述平均解决了20个ANA标准/次标准中的7.6(范围为1-15)。最常见的ANA标准是领导力,监管活动,大学和专业关系以及计划;最少涉及的是人口诊断和优先级,专业实践评估,结果识别,倡导和评估。职位描述解决了8个COL技能领域中平均3.6个问题(范围为0-6)。财务规划和管理,政策制定/计划规划,实践的社区范围以及分析/评估是最常见的COL技能领域,而文化能力和基础公共卫生科学则是最不常见的领域。大约75%的PD中包含与任何ANA标准或COL能力都不相符的任务声明。结论:结果表明,效绩数据不能反映对PHN实践的专业要求的遵守。效绩数据与国家公认的实践标准和能力之间缺乏契合性,这表明作为公共卫生学科和护理专业,PHN可能没有差异。

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