Marshall David, Foster Ida
Nursing Research Department, Ulster Hospital.
Br J Nurs. 2002;11(1):28-35. doi: 10.12968/bjon.2002.11.1.9320.
The education of children with special educational needs is often accompanied by a requirement for medical or healthcare provision. If this cannot be done safely then the child's access to education is limited. No standardized template for the delivery of a healthcare input to children in special schools is apparent. This study sought to explore, through the use of an indepth needs assessment exercise and focus group interviews, what the most appropriate healthcare role was for delivering health care in a special school catering for children with a broad range of severe learning disabilities. While an overwhelming viewpoint of participants in focus groups perceived that a nurse was the only suitable person to undertake the role, the evidence gathered prompted the research steering group to suggest to the contrary, i.e. that the role of a healthcare worker with a national vocational qualification (NVQ) level 3 in care was the more appropriate person to maximize both the role of the nurse and the quality of care provided to these children.
对有特殊教育需求的儿童进行教育时，往往需要提供医疗或保健服务。如果无法安全地做到这一点，那么儿童接受教育的机会就会受到限制。目前尚无明显适用于特殊学校儿童医疗保健投入的标准化模板。本研究试图通过深入的需求评估和焦点小组访谈，探索在一所为患有广泛严重学习障碍儿童提供服务的特殊学校中，提供医疗保健最恰当的医疗保健角色是什么。虽然焦点小组的绝大多数参与者认为护士是承担该角色的唯一合适人选，但收集到的证据却促使研究指导小组提出相反的建议，即拥有国家三级护理职业资格（NVQ）的医护人员才是更合适的人选，这样既能充分发挥护士的作用，又能提高为这些儿童提供的护理质量。
