Smith Fiona
Royal College of Nursing.
Paediatr Nurs. 2004 Oct;16(8):30-2. doi: 10.7748/paed2004.10.16.8.30.c947.
Unlike many of the other national service frameworks for England which are disease or condition specific, the children's national service framework encompasses all aspects of children's and young people's health care. The other major difference is that standards do not have detailed targets with set timescales but centre upon principles and examples of good practice. The overriding principle is to ensure quality and safety of care. The implementation of the NSF will form part of the wider programme aimed at improving standards and outcomes for all children. The publication Every Child Matters (DfES 2003) sets out a vision of the outcomes and commitment to support every child to: be healthy, stay safe, enjoy and achieve, make a positive contribution, achieve economic well-being. The NSF standards will feature within the new integrated inspection framework around children's services. Local champions will be crucial to ensuring that the standards are fully implemented at local level. Nurses, midwives and health visitors should take every opportunity to influence developments and ensure that they become actively involved in local discussions and decision-making forums.
与英格兰许多其他针对特定疾病或病症的国家服务框架不同,儿童国家服务框架涵盖了儿童和青少年医疗保健的各个方面。另一个主要区别在于,标准没有设定具体时间尺度的详细目标,而是以良好实践的原则和范例为核心。首要原则是确保医疗保健的质量和安全。国家服务框架的实施将成为旨在提高所有儿童标准和成果的更广泛计划的一部分。《每个儿童都重要》(教育部,2003年)这份出版物阐述了成果愿景,并承诺支持每个儿童做到:身体健康、安全无虞、享受生活并取得成就、做出积极贡献、实现经济福祉。国家服务框架标准将纳入围绕儿童服务的新综合检查框架。地方倡导者对于确保这些标准在地方层面得到全面实施至关重要。护士、助产士和健康访视员应抓住一切机会影响相关发展,并确保他们积极参与地方讨论和决策论坛。