Swearingen Connie Diaz
Fay W. Whitney School of Nursing, University of Wyoming, Laramie, Wyoming, USA.
Public Health Nurs. 2009 Jan-Feb;26(1):79-87. doi: 10.1111/j.1525-1446.2008.00756.x.
Recent national and regional public health workforce development efforts have been conducted through a framework of public health services research. Public health nurses (PHNs) are the single largest professional group in the formal public health system, and thus have the greatest potential for positively impacting our community health systems. Effective public health workforce development is contingent on examination of how PHNs themselves make meaning of their practice. This paper suggests that a nursing perspective should be used from which to conduct research surrounding PHN practice. Literature describing PHN practice and recent workforce assessment efforts are reviewed. Assumptions are identified regarding the nature of nursing knowledge, and a theoretical perspective for inquiry about PHN praxis is developed. Finally, a model is offered to illustrate the reciprocal influence of nursing science and public health nursing practice.
近期,国家和地区层面为公共卫生人力发展所做的努力都是通过公共卫生服务研究框架来开展的。公共卫生护士(PHNs)是正规公共卫生系统中规模最大的专业群体,因此对我们的社区卫生系统产生积极影响的潜力也最大。有效的公共卫生人力发展取决于对公共卫生护士如何理解自身实践的审视。本文建议应从护理视角开展围绕公共卫生护士实践的研究。回顾了描述公共卫生护士实践及近期人力评估工作的文献。明确了关于护理知识本质的假设,并构建了一个用于探究公共卫生护士实践的理论视角。最后,提供了一个模型来说明护理科学与公共卫生护理实践的相互影响。