Walsh Anne, Barnes Margaret, Mitchell Amy E
School of Nursing and Midwifery, Queensland University of Technology, Brisbane, Queensland, Australia.
School of Nursing and Midwifery, University of the Sunshine Coast, Sippy Downs, Queensland, Australia.
J Adv Nurs. 2015 Nov;71(11):2585-94. doi: 10.1111/jan.12735. Epub 2015 Jul 28.
To examine roles and responsibilities of Practice Nurses in the area of child health and development and in advising parents about child health issues.
As the focus of Australia's health care system shifts further towards the primary health care sector, governmental initiatives require that Practice Nurses are knowledgeable, confident and competent in providing care in the area of child health and development. Little is known about roles and responsibilities of Practice Nurses in this area.
Cross-sectional survey design.
Practice Nurses completed a national online survey examining the roles and responsibilities in child health and development, professional development needs and role satisfaction. Data were collected from June 2010-April 2011.
Respondents (N = 159) reported having a significant role in well and sick child care and were interested in extending their role. Frequent activities included immunization, phone triage/advice, child health/development advice, wound care and Healthy Kids Checks. However, few had paediatric/child nursing backgrounds or postgraduate qualifications in paediatric nursing and they reported limited preparation for the role. Practice Nurses reported difficulties with keeping up-to-date with child health information and advising parents confidently. Satisfaction was relatively low regarding opportunities and encouragement to undertake professional development and expand scope of practice.
Practice Nurses are largely unprepared to meet the demands of their child health role and need support to develop and maintain the skills and knowledge base necessary for high-quality, evidence-based practice. Both financial and time support is needed to enable Practice Nurses to access child health professional development.
探讨执业护士在儿童健康与发展领域的角色和职责，以及就儿童健康问题向家长提供建议的情况。
随着澳大利亚医疗保健系统的重点进一步转向初级卫生保健部门，政府倡议要求执业护士在儿童健康与发展领域提供护理时具备知识、自信和能力。目前对执业护士在该领域的角色和职责了解甚少。
横断面调查设计。
执业护士完成了一项全国在线调查，调查内容包括儿童健康与发展方面的角色和职责、专业发展需求以及角色满意度。数据收集时间为2010年6月至2011年4月。
受访者（N = 159）报告称在健康儿童和患病儿童护理中发挥着重要作用，并希望扩大自己的职责范围。常见活动包括免疫接种、电话分诊/咨询、儿童健康/发展咨询、伤口护理和健康儿童检查。然而，很少有人有儿科/儿童护理背景或儿科护理研究生学历，他们表示对该角色的准备有限。执业护士报告称在跟上儿童健康信息以及自信地向家长提供建议方面存在困难。在获得专业发展机会和鼓励以扩大执业范围方面，满意度相对较低。
执业护士在很大程度上没有准备好满足其儿童健康角色的需求，需要支持来发展和维持高质量循证实践所需的技能和知识基础。需要资金和时间支持，以使执业护士能够获得儿童健康专业发展机会。
