Evans Mary E
College of Nursing, University of South Florida, Tampa, FL, USA.
J Child Adolesc Psychiatr Nurs. 2006 May;19(2):62-8. doi: 10.1111/j.1744-6171.2006.00053.x.
Recent developments in providing care to children with emotional and behavioral disorders, especially those with serious emotional disturbance, have included the establishment of systems of care. Guided by a set of principles and values, these systems of care have organized and delivered services to children and families with complex needs. To date, nurses have not had a salient role in systems of care.
It is estimated that 20% of American children and adolescents have an emotional or mental disorder. As many as two thirds of these children are not receiving services. Systems of care have been funded to provide services for these children, particularly for the most severely affected. To date, nursing has not had a prominent role in these systems of care.
Based on their knowledge, skills, and holistic approach to care, nurses could better integrate nursing care into systems of care. Possible roles as case managers, primary therapists, in-home interventionists, and in educational programs are suggested.
在为患有情绪和行为障碍的儿童，尤其是患有严重情绪障碍的儿童提供护理方面，近期的进展包括建立了护理系统。这些护理系统以一套原则和价值观为指导，为有复杂需求的儿童及其家庭组织并提供服务。迄今为止，护士在护理系统中尚未发挥显著作用。
据估计，20%的美国儿童和青少年患有情绪或精神障碍。其中多达三分之二的儿童未接受服务。护理系统已获得资金，为这些儿童，尤其是受影响最严重的儿童提供服务。迄今为止，护理在这些护理系统中尚未发挥突出作用。
基于护士的知识、技能和整体护理方法，护士可以更好地将护理服务融入护理系统。文中提出了护士可能担任的病例管理员、主要治疗师、家庭干预专家以及参与教育项目等角色。
