Nader P R, Conrad J, Williamson M, McKevitt R, Berrey R
J Sch Health. 1978 Jan;48(1):649-54. doi: 10.1111/j.1746-1561.1978.tb03776.x.
Better problem identification and improved access to community health care were the result of changes made during the past three years in a traditional urban high school health service. The first change included training the nurse to become a pediatric nurse practitioner and adding a full-time health aide. The other change included the use of clinic management forms developed by the nurse practitioner/health aide team to be used for three common student complaints: headache, stomachach and upper respiratory symptoms. Our experience indicates that out-of-school referrals for medical care doubled, and more students referred received care after these changes were instituted. The high school pediatric nurse practitioner counsels students in understanding their health problems and in making decisions about their health care. She also coordinates educational and health resources and provides psychosocial support for students.
在过去三年里，一所传统城市高中的健康服务发生了变化，其结果是问题识别能力得到了提升，社区医疗保健的可及性也有所改善。第一个变化是培训护士成为儿科执业护士，并增加一名全职健康助理。另一个变化是使用由执业护士/健康助理团队开发的诊所管理表格，用于处理学生常见的三种投诉：头痛、胃痛和上呼吸道症状。我们的经验表明，校外医疗转诊数量增加了一倍，并且在实施这些改变后，更多被转诊的学生得到了治疗。高中儿科执业护士为学生提供咨询，帮助他们了解自己的健康问题并做出医疗保健决策。她还协调教育和健康资源，并为学生提供心理社会支持。
