Wornast Tracey, Smith Alison
Canterbury Christ Church University.
Community Pract. 2010 Oct;83(10):34-7.
Health visitors have traditionally been part of the public health workforce, but changes within the NHS have resulted in a reduced public health role.With the development of NMC public health competencies and renaming of their qualification to specialist community public health nurse (SCPHN), their public health role has again become prominent. This study aimed to examine whether practitioners were supported in fulfilling the development of these competencies and to identify strategic resources within the local health service that would either help or hinder these developments.A qualitative approach and purposive sampling were utilised, resulting in five participants in two focus groups. Findings were set within the continually evolving context of government policy and local health agendas--the potential facilitation or conflict of competence afforded by the local health strategies, priorities and requirements of the local and national health economy, the capabilities of health visiting staff and their service as a whole and the role of historical and cultural issues, and the future service and workforce development. Further research is recommended to increase understanding of the processes that inform and evaluate local health service priorities, their impact upon practitioners and how SCPHNs may develop their competence in public health practice.
传统上，健康访视员一直是公共卫生工作队伍的一部分，但英国国家医疗服务体系（NHS）内部的变革导致其公共卫生角色有所弱化。随着英国国家护理与助产士委员会（NMC）公共卫生能力的发展以及其资格重新命名为专科社区公共卫生护士（SCPHN），他们的公共卫生角色再度凸显。本研究旨在探讨从业者在发展这些能力方面是否得到支持，并确定当地卫生服务机构中有助于或阻碍这些发展的战略资源。采用了定性研究方法和目的抽样法，两个焦点小组共有五名参与者。研究结果置于政府政策和地方卫生议程不断演变的背景下——地方卫生战略、地方和国家卫生经济的优先事项及要求所带来的能力促进或冲突、健康访视工作人员的能力及其整体服务、历史和文化问题的作用以及未来的服务和劳动力发展。建议开展进一步研究，以加深对影响和评估地方卫生服务优先事项的过程、其对从业者的影响以及SCPHN如何在公共卫生实践中发展其能力的理解。
