Czajka L, George T B
University of Wisconsin-Oshkosh 54901.
Public Health Nurs. 1991 Sep;8(3):166-9. doi: 10.1111/j.1525-1446.1991.tb00750.x.
Kalamazoo, Michigan, public schools have not had nurses employed by the board of education for over a decade when nurses were cut from the school budget as an austerity measure. Approximately 26,000 school-age children live in Kalamazoo County, including a large inner-city, low-income population, many of whom have meager access to health care. Two part-time public health nurses provide consultation and limited direct services. Nazareth College's commitment to community service has resulted in the placement of nursing students in elementary school settings. The nursing faculty orients the students and takes responsibility for their experience. These students have planned and implemented health-promotion projects that have been well received. Suicide prevention, disaster response, nutrition, and personal hygiene are examples of topics. The challenge for school nursing is as great today as it was in 1902 when Lillian Wald first identified a need for school nurses. Through this program, the students are gaining rich experience, increased independence, and a sense of helping to meet a community need as they meet their own learning needs in community health nursing.
密歇根州卡拉马祖的公立学校已经有十多年没有聘用受教育委员会雇佣的护士了，十多年前，护士作为一项紧缩措施从学校预算中被削减。卡拉马祖县大约有26000名学龄儿童，其中包括大量城市中心的低收入人群，他们中的许多人获得医疗保健的机会很少。两名兼职公共卫生护士提供咨询和有限的直接服务。拿撒勒学院对社区服务的承诺使得护理专业学生被安排到小学环境中。护理教师为学生提供指导，并对他们的实习负责。这些学生已经策划并实施了一些颇受欢迎的健康促进项目。预防自杀、灾难应对、营养和个人卫生等都是项目主题的例子。如今，学校护理面临的挑战与1902年莉莲·沃尔德首次确定需要学校护士时一样大。通过这个项目，学生们在满足自己社区健康护理学习需求的同时，获得了丰富的经验、更强的独立性以及一种帮助满足社区需求的意识。
