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The Nurse as a Social Worker

机译：护士作为社会工作者

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In the early twentieth century the role of the Public Health Nurse (PHN) was expanding to meet the needs of individuals, families, and communities. Among the ideas discussed in the early nursing literature was that of the social nurse. This role was conceptualized as a combined nurse and social worker. Much of the PHNs work was with people of the poorer classes who needed assistance with both the medical aspects of their disease, as well as help with social needs such as food, rent money, and bedding. In this reprint from The Visiting Nurse Quarterly, Ellen La Motte, Nurse-in-Chief with the Tuberculosis Division of the Baltimore Health Department, argued for this combined role based on economic efficiency. As she pointed out, it was "economic waste" to have two sets of workers going into homes when the nurse was capable, with additional education, of carrying out both roles. Additionally, from La Motte's perspective the only way the nurse could move beyond her role as the "physician's handmaiden" was through "social training" that prepared her for a broader scope of practice than that received in the hospital-based nursing schools. In the end, however, she left it open to nurses as "reasonable beings" to determine the direction the profession would take on this issue. La Motte's words provide historical context for issues contemporary public health nursing leaders are addressing, such as inter-professional boundaries between nurses and public health workers, reductions in the public health workforce, and economic constraints faced by the healthcare system. The Institute of Medicine mandate for inter-professional practice within the healthcare system, however, presents opportunities for exploring new roles and practice models for nurses in conjunction with our partners in public health.
机译：在二十世纪初，公共卫生护士（博士）的作用正在扩大，以满足个人，家庭和社区的需求。在早期护理文学中讨论的想法是社会护士。这个角色被概念化为一个合并的护士和社会工作者。大部分PHNS工作与较贫穷的课程的人们在患有其疾病的医学方面，以及食物，租金和床上用品等社会需求的帮助。在此重印来自访问护士季季度，埃伦拉·索特（Ellen La Motte）的护士与巴尔的摩卫生署的结核部门，争论这一综合作用基于经济效率。正如她所指出的那样，当护士有能力的人有额外的教育时，有两套工人将两套工人一起进行了“经济废物”。此外，从La Motte的透视中，护士可以超越她的角色，因为“医师的手持人”是通过“社会培训”，这使得她为更广泛的练习范围而来，而不是在医院的养护理学校收到的范围。然而，最后，她把它留给护士作为“合理的生物”来确定专业将采取这个问题的方向。 La Motte的言论为时代，当代公共卫生护理领导者正在解决，例如护士和公共卫生工作者之间的专业间界限，公共卫生劳动力削减，以及医疗保健系统面临的经济限制。然而，医学研究所为医疗保健系统内专业专业实践提供了探索护士的新角色和实践模型的机会，并与我们的公共卫生合作。

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