Nerdahl P, Berglund D, Bearinger L H, Saewyc E, Ireland M, Evans T
St Paul Public Schools, Minn., USA.
J Pediatr Health Care. 1999 Jul-Aug;13(4):183-90. doi: 10.1016/S0891-5245(99)90038-X.
Since the 1950s, patterns of morbidity and mortality among adolescents have shifted to social and environmental causes. This study examines pediatric nurse practitioners' (PNPs') self-assessed competencies in addressing the common health concerns of adolescents.
The analysis used a sample of 257 PNPs drawn from a larger national data set of 637 nurses randomly sampled from 3 nursing organizations. Factors associated with self-perceived knowledge or skill and interest in training for 28 common health concerns of adolescents were analyzed using Chi square, t test, and Pearson's correlation. Barriers and attractions to working with adolescents were also investigated.
The greatest deficits in self-perceived knowledge or skill, as well as low interest in training and low perceived relevance to practice, were around issues of gangs, gay/lesbian/bisexual/transgender youth, HIV/AIDS, and counseling about a positive pregnancy test. Also, PNPs identified the lack of resources appropriate for adolescent referrals as the greatest barrier to working with this population.
PNPs assessed their lowest competencies in some of the areas that present the greatest threats to adolescents' health and well-being. These deficits suggest needed curricular shifts in entry-level and advanced-level preparation of PNPs, as well as new priorities for continuing education.
自20世纪50年代以来，青少年的发病和死亡模式已转向社会和环境原因。本研究考察了儿科执业护士（PNP）在应对青少年常见健康问题方面的自我评估能力。
分析使用了从3个护理组织随机抽取的637名护士的更大规模国家数据集中选取的257名PNP样本。使用卡方检验、t检验和皮尔逊相关性分析与自我感知的知识或技能以及对青少年28种常见健康问题培训的兴趣相关的因素。还调查了与青少年工作的障碍和吸引力。
在帮派、男同性恋/女同性恋/双性恋/跨性别青少年、艾滋病毒/艾滋病以及关于妊娠试验呈阳性的咨询等问题上，自我感知的知识或技能存在最大不足，培训兴趣低且与实践的相关性低。此外，PNP将缺乏适合青少年转诊的资源确定为与该人群工作的最大障碍。
PNP在一些对青少年健康和福祉构成最大威胁的领域评估了自己最低的能力。这些不足表明PNP入门级和高级培训课程需要转变，以及继续教育的新重点。
