McDonald Anne, Frazer Kate, Cowley Dame Sarah
Summerhill Health Centre, Dublin.
Br J Community Nurs. 2013 Mar;18(3):140-7. doi: 10.12968/bjcn.2013.18.3.140.
To explore the process employed in the development of a population health framework and documentation for managing community nursing caseloads.
No formal structure exists to validate and link local health information collected by Irish public health nurses to a wider epidemiological framework. Neglect of this bottom up information forfeits opportunities to resource and manage public health nursing services.
Action research methods guided the development of the framework in one geographic area in Dublin and 34 participants engaged in Stringer's (1996) Look, Think and Act cycle.
The framework identified four patient registers: family health, chronic sick/disability, older adults and acute care, which identify public health outcomes for discussion within the caseload analysis process and can predict risk factors in local populations.
The use of the developed documentation identified a framework that describes caseloads in primary care and provides nurse managers with an evidence base to allocate resources, match skill mix to need, and estimate future workforce requirements.
探索用于制定人群健康框架及管理社区护理工作量文档的过程。
目前尚无正式结构来验证爱尔兰公共卫生护士收集的本地健康信息，并将其与更广泛的流行病学框架相联系。忽视这种自下而上的信息会错失为公共卫生护理服务提供资源和进行管理的机会。
行动研究方法指导了都柏林一个地理区域内框架的制定，34名参与者参与了斯特林格（1996年）的“观察、思考与行动”循环。
该框架确定了四个患者登记册：家庭健康、慢性病/残疾、老年人和急性护理，这些登记册确定了公共卫生结果，以便在工作量分析过程中进行讨论，并可预测当地人群的风险因素。
使用所制定的文档确定了一个描述初级保健工作量的框架，并为护士管理人员提供了一个证据基础，以便分配资源、根据需求匹配技能组合并估计未来劳动力需求。
