Kelehera Helen, Parker Rhian
Department of Health Social Science, School of Public Health and Preventive Medicine, Monash University, Australia.
Australian Primary Health Care Research Institute, Australian National University, Australia.
Collegian. 2013;20(4):215-21. doi: 10.1016/j.colegn.2012.09.001.
The pressures brought about by the increasing prevalence of poor health among some population groups as well as the rise in prevalence of chronic and complex conditions requires a nursing workforce skilled in health promotion. Primary care nurses have increasingly important roles in general practice settings but there is little exploration of the nature or extent of their health promotion work. This paper reports on a survey that investigated primary care nurses' perceptions of their current and potential roles in health promotion in general practice settings. The survey respondents were primary care nurses in general practice. 78 nurses responded to advertisements seeking participation, and 58 surveys were completed and returned. Data were analyzed through a framework of downstream-upstream health promotion actions. We found that the health promotion practices of primary care nurses were most commonly in the downstream realm of disease prevention and health education but nurses aspired to take on roles in more upstream work of partnerships and collaboration. Nurses' opportunities are undoubtedly constrained by both the general practice setting and their educational preparation. However, nurses were very positive about the opportunities that their role and position offered for expansion of their health promotion work.
一些人群健康状况不佳的患病率不断上升，以及慢性和复杂疾病的患病率上升所带来的压力，需要一支具备健康促进技能的护理人员队伍。初级保健护士在全科医疗环境中发挥着越来越重要的作用，但对其健康促进工作的性质或范围却鲜有探讨。本文报告了一项调查，该调查研究了初级保健护士对其在全科医疗环境中当前和潜在的健康促进角色的看法。调查对象是全科医疗中的初级保健护士。78名护士回应了寻求参与的广告，58份调查问卷被填写并返回。数据通过下游-上游健康促进行动框架进行分析。我们发现，初级保健护士的健康促进实践最常见于疾病预防和健康教育的下游领域，但护士们渴望在伙伴关系和协作等更多上游工作中发挥作用。护士的机会无疑受到全科医疗环境及其教育背景的限制。然而，护士们对其角色和职位为扩大健康促进工作提供的机会非常乐观。
