Ostrea E M, Schuman H
J Pediatr. 1975 Apr;86(4):628-31. doi: 10.1016/s0022-3476(75)80169-7.
A pediatric nurse practitioner was given responsibility for a nursery. Her major responsibilities included: (1) daily chart and infant rounds, (2) initial physical examinations, (3) rounds with mothers, and (4) daily report to the physician on the condition and problems in her nursery. Over a one-year period of time, the PNP detected 20 serious problems, such as significant jaundice, sepsis, tachypnea, hypoglycemia, and two major congenital anomalies. The accuracy of the physical examination by the PNP was compared with that of the physician. In 72 percent of cases, the assessment of the PNP was essentially the same as that of the physician; in the remaining 28 percent the differences in diagnosis were minor and related to the timing of the examination. A telephone interview of a random sample of mothers showed that mothers under the care of the PNP had received more instructions on infant care; an 81 percent return of the infants to the clinic was achieved. The pediatric residents approved the participation of the PNP in the nursery. It is concluded that there is a useful role for the PNP in a neonatal unit.
一名儿科执业护士负责一个新生儿护理室。她的主要职责包括：（1）每日图表记录和婴儿查房，（2）初次体格检查，（3）与母亲一起查房，以及（4）每日向医生汇报她负责的护理室里婴儿的状况和问题。在一年的时间里，这位儿科执业护士发现了20个严重问题，如严重黄疸、败血症、呼吸急促、低血糖以及两种主要的先天性异常。将该儿科执业护士的体格检查准确性与医生的进行了比较。在72%的病例中，该儿科执业护士的评估与医生的基本相同；在其余28%的病例中，诊断差异较小，且与检查时间有关。对随机抽取的一组母亲进行电话访谈显示，在该儿科执业护士护理下的母亲们收到了更多关于婴儿护理的指导；婴儿回诊率达到了81%。儿科住院医师认可该儿科执业护士参与新生儿护理室的工作。结论是，儿科执业护士在新生儿病房能发挥有益作用。
