Macduff Colin, West Bernice J M
Centre for Nurse Practice Research and Development, The Robert Gordon University, Garthdee Road, Aberdeen AB10 7QG, UK.
Nurse Educ Today. 2004 Oct;24(7):575-83. doi: 10.1016/j.nedt.2004.08.001.
In 1998 the World Health Organisation (WHO) Europe proposed a new type of community based nurse called the family health nurse (FHN). Although it was initially envisaged that 18 European countries would take part in the development of the FHN role through parallel processes of education and implementation, Scotland has been significantly ahead of other countries in enacting this plan. A pilot project involving community nurses from four remote and rural regions of Scotland was conducted between 2001 and 2003. A Scottish University was commissioned to provide a degree-level course for registered nurses with a minimum of two years post-registration qualifying experience. This paper summarises the main findings and issues arising from an external research evaluation of this educational programme. The programme was found to differ substantially in focus and format from other specialist community nursing programmes available in Scotland. Moreover there were key differences from the curriculum proposed by WHO Europe, in that there was more grounding in North American family nursing models and less focus on management and leadership. This customized degree programme provides a precedent for other educational providers in the UK to reconsider their approach to specialist practice degree level education.
1998年，世界卫生组织欧洲办事处提议设立一种新型的社区护士，即家庭健康护士（FHN）。尽管最初设想有18个欧洲国家将通过并行的教育和实施过程参与FHN角色的开发，但苏格兰在实施该计划方面已大大领先于其他国家。2001年至2003年期间开展了一个试点项目，涉及苏格兰四个偏远农村地区的社区护士。一所苏格兰大学受委托为具有至少两年注册后合格经验的注册护士提供学位课程。本文总结了对该教育项目进行外部研究评估得出的主要发现和问题。结果发现，该项目在重点和形式上与苏格兰现有的其他专科社区护理项目有很大不同。此外，与世界卫生组织欧洲办事处提议的课程也有关键差异，即更多地以北美家庭护理模式为基础，较少关注管理和领导能力。这个定制的学位项目为英国其他教育机构重新考虑其专科实践学位水平教育的方法提供了一个先例。
