Goodman Claire, Ross Fiona, Mackenzie Ann, Vernon Sue
Primary Care Nursing Research Unit, Department of Primary Care and Population Sciences, University College London, Level 2 Hollborn Union Building, Highgate Hill, London, N19 3UA, UK.
J Interprof Care. 2003 Feb;17(1):97-108. doi: 10.1080/1356182021000044175.
This paper explores the role and contribution of district nursing within primary health care. Examples of how this service is organised within different health care systems are used to discuss the context-dependent nature and challenges of the work. By drawing on UK policy change, health priorities and recent research into district nursing, the paper concludes that, in attempting to deal with the challenges of health care in the 21st century, the significance and potential of district nursing services are frequently overlooked. It is recommended that a research strategy for district nursing should build on the profession's comprehensive understanding of the needs of families and communities and should aim to provide evidence for practice that will further improve patient and client outcomes.
本文探讨了社区护理在初级卫生保健中的作用和贡献。文中通过不同卫生保健系统中该服务的组织方式示例，来讨论这项工作因具体情况而异的性质和挑战。通过借鉴英国的政策变化、卫生工作重点以及近期对社区护理的研究，本文得出结论：在应对21世纪卫生保健挑战的过程中，社区护理服务的重要性和潜力常常被忽视。建议社区护理的研究策略应以该行业对家庭和社区需求的全面理解为基础，旨在为实践提供证据，以进一步改善患者和服务对象的治疗效果。
