Burr S
J Pediatr Nurs. 1992 Aug;7(4):299-302.
Child health matters remain low on the government agenda, and present reforms of the NHS are overtly concerned with financial aspects rather than the quality of care. Pediatric nurses must therefore become more assertive and pro-active in their role as advocates for children and their families. However, pediatric nurses are extremely fortunate in the UK because they have (a) a nurse education system that has always recognized that the nursing needs of children are different to those of adults, (b) the opportunity to work with medical and voluntary organizations committed to improving children's health, and (c) a professional organization that is not only large and powerful, but since 1984 has been committed to advancing the art and science of pediatric nursing. It employs a full-time adviser to assist its members and publishes the only pediatric nursing journal. Pediatric nurses have assisted in advancing the art and science of pediatric nursing with caring for children and their families in a holistic fashion, with families supported and participating in their child's care. But there are still many opportunities to improve the quality of health care to children and their families. Quality caring is what children and their families want and deserve, but is not as easy to measure as quantity care. At a time when in so many countries, health service managers concentrate on quantity, pediatric nurses must use every opportunity to shape the health policy of their nation for the benefit of children. We all live in interesting times and it would be interesting to see what we make of them on behalf of children.
儿童健康问题在政府议程上的优先级仍然较低，而且当前国民医疗服务体系（NHS）的改革明显侧重于财务方面，而非医疗服务质量。因此，儿科护士必须在作为儿童及其家庭倡导者的角色中更加坚定自信且积极主动。然而，在英国，儿科护士非常幸运，因为他们：（a）拥有一个始终认识到儿童护理需求与成人不同的护士教育体系；（b）有机会与致力于改善儿童健康的医疗和志愿组织合作；（c）拥有一个不仅规模大且有影响力，而且自1984年以来一直致力于推动儿科护理艺术和科学发展的专业组织。该组织聘请了一名全职顾问来协助其成员，并出版了唯一的儿科护理期刊。儿科护士通过以整体方式照顾儿童及其家庭，帮助推进了儿科护理的艺术和科学，让家庭得到支持并参与孩子的护理。但是，改善儿童及其家庭医疗服务质量仍有很多机会。优质护理是儿童及其家庭想要且应得的，但不像量化护理那样容易衡量。在许多国家的卫生服务管理者专注于量化指标的时候，儿科护士必须利用一切机会为了儿童的利益塑造本国的卫生政策。我们都生活在一个有趣的时代，看看我们能为孩子们做些什么将会很有意思。
