Procter Susan, Brooks Fiona, Wilson Patricia, Crouchman Carolyn, Kendall Sally
Faculty of Society and Health, Buckinghamshire New University, High Wycombe, UK.
Centre for Research in Primary and Community Care (CRIPACC), University of Hertfordshire, Hatfield, UK.
J Multidiscip Healthc. 2015 Apr 8;8:181-8. doi: 10.2147/JMDH.S71030. eCollection 2015.
To describe the role of school nursing in leading and coordinating a multidisciplinary networked system of support for children with asthma, and to analyze the strengths and challenges of undertaking and supporting multiagency interprofessional practice.
The growth of networked and interprofessional collaborations arises from the recognition that a number of the most pressing public health problems cannot be addressed by single-discipline or -agency interventions. This paper identifies the potential of school nursing to provide the vision and multiagency leadership required to coordinate multidisciplinary collaboration.
A mixed-method single-case study design using Yin's approach, including focus groups, interviews, and analysis of policy documents and public health reports.
A model that explains the integrated population approach to managing school-age asthma is described; the role of the lead school nurse coordinator was seen as critical to the development and sustainability of the model.
School nurses can provide strategic multidisciplinary leadership to address pressing public health issues. Health service managers and commissioners need to understand how to support clinicians working across multiagency boundaries and to identify how to develop leadership skills for collaborative interprofessional practice so that the capacity for nursing and other health care professionals to address public health issues does not rely on individual motivation. In England, this will be of particular importance to the commissioning of public health services by local authorities from 2015.
描述学校护理在引领和协调针对哮喘儿童的多学科网络支持系统中的作用，并分析开展和支持多机构跨专业实践的优势与挑战。
网络和跨专业合作的发展源于人们认识到一些最紧迫的公共卫生问题无法通过单学科或单机构干预来解决。本文确定了学校护理在提供协调多学科合作所需的愿景和多机构领导力方面的潜力。
采用尹氏方法的混合方法单案例研究设计，包括焦点小组、访谈以及政策文件和公共卫生报告分析。
描述了一个解释管理学龄期哮喘综合人群方法的模型；首席学校护士协调员的角色被视为该模型发展和可持续性的关键。
学校护士可为解决紧迫的公共卫生问题提供战略性多学科领导力。卫生服务管理者和委托方需要了解如何支持跨多机构边界工作的临床医生，并确定如何培养协作跨专业实践的领导技能，以便护理人员和其他医疗保健专业人员解决公共卫生问题的能力不依赖于个人积极性。在英国，这对于地方当局从2015年起委托公共卫生服务尤为重要。
