Institute of Health and Society, School of Education, Communication and Language Sciences, University of Newcastle, Newcastle-upon-Tyne, UK.
J Adv Nurs. 2011 Dec;67(12):2551-60. doi: 10.1111/j.1365-2648.2011.05761.x. Epub 2011 Jul 20.
This paper is a report of a descriptive qualitative study of the role and activities of nursing and allied health professionals caring for children with complex needs in a community setting.
Health care is changing in terms of service provision and delivery, with an increased focus on person-centred care, prevention and community-based services. The role of nursing and allied health professionals is central to these changes but is not well described in terms of capacity, or the knowledge and skills required to meet increasing demand.
Within four Health Boards, semi-structured telephone interviews were conducted in 2007 with three nursing and four allied health managers, followed by four focus groups with 15 nursing and 11 allied health practitioners; in addition, three nurses and one speech therapist were interviewed by telephone.
Respondents identified challenges related to communication and information systems, equity of service provision, family-centred care and partnership working. Generic and specialized knowledge and skills are needed, although providing the right skills in the right place can often prove problematic with potential implications for service provision.
Findings support the adoption of integrated partnership working, going beyond the identification of key professionals, to developing a set of criteria against which future service provision could be judged. Research priorities were identified; comparative evaluation of services, better understanding of the transition process and a clearer sense of the individual's response to the increasing customization of services.
本文是对在社区环境中照顾有复杂需求的儿童的护理和联合健康专业人员的角色和活动进行描述性定性研究的报告。
医疗保健在服务提供和交付方面正在发生变化，更加注重以患者为中心的护理、预防和基于社区的服务。护理和联合健康专业人员的角色对于这些变化至关重要，但就满足日益增长的需求所需的能力或知识和技能而言，其作用并未得到很好的描述。
在四个健康委员会中，于 2007 年对三位护理和四位联合健康管理人员进行了半结构化电话访谈，随后对 15 位护理人员和 11 位联合健康从业人员进行了四次焦点小组访谈；此外，还通过电话对三位护士和一位言语治疗师进行了访谈。
受访者确定了与沟通和信息系统、服务提供公平性、以家庭为中心的护理和伙伴关系工作相关的挑战。需要通用和专业的知识和技能，尽管在适当的地点提供正确的技能通常会证明存在问题，这可能对服务提供产生潜在影响。
研究结果支持采用综合伙伴关系工作，超越确定关键专业人员的范围，制定一套标准，以便未来可以据此评估服务提供情况。确定了研究重点；对服务进行比较评估、更好地了解过渡过程以及更清楚地了解个人对服务日益定制化的反应。
