MacDonald Marjorie A
School of Nursing, University of Victoria, British Columbia, Canada.
Public Health Nurs. 2004 Jul-Aug;21(4):380-91. doi: 10.1111/j.0737-1209.2004.21412.x.
If public health nursing is truly a synthesis of public health science and nursing science, then nurses must keep track of current developments in public health science. Unfortunately, the public health nursing literature has not kept pace with revolutionary developments in epidemiology, one of the sciences that informs population-focused nursing practice. Most epidemiology chapters in community health nursing texts do not reflect the intellectual development that has taken place in epidemiology over the past two decades. The purpose of this article therefore is to facilitate an updated synthesis by (a) reviewing the development of epidemiology and the focus of public health nursing practice through three historical eras, (b) discussing current controversies and tensions within epidemiology, (c) introducing an emerging paradigm in epidemiology based on an ecosocial perspective, and (d) discussing the congruence of this perspective with the evolving theory and practice of public health nursing.
如果公共卫生护理真的是公共卫生科学与护理科学的融合，那么护士必须紧跟公共卫生科学的当前发展。不幸的是，公共卫生护理文献未能跟上流行病学的革命性发展，而流行病学是为以人群为重点的护理实践提供信息的科学之一。社区卫生护理教材中的大多数流行病学章节并未反映过去二十年来流行病学所发生的知识发展。因此，本文的目的是通过以下方式促进更新后的融合：(a)回顾流行病学的发展以及公共卫生护理实践在三个历史时期的重点；(b)讨论流行病学当前的争议和紧张关系；(c)介绍基于生态社会视角的流行病学新兴范式；(d)讨论这一视角与公共卫生护理不断发展的理论和实践的一致性。
