Buckley Lynn, Gibson Louise, Harford Katherine, Cornally Nicola, Curtin Margaret
School of Public Health, University College Cork, Ireland.
Let's Grow Together! Infant & Childhood Partnerships CLG, Cork, Ireland.
SAGE Open Nurs. 2023 Oct 11;9:23779608231207221. doi: 10.1177/23779608231207221. eCollection 2023 Jan-Dec.
United Nations Sustainable Development Goals (SDGs) were adopted as a plan of action for people, planet, and prosperity by 2030. SDG 3 aims to ensure healthy lives and promote well-being for all ages, and other goals focus on reduction of inequality, abolition of poverty, decent work for all, and building effective, accountable, and inclusive institutions. A community pediatric clinic, Kidscope, was established in a vulnerable Irish community offering free developmental assessment and onward referral of children 0 to 6 years. The Kidscope model involves multiagency input with local public health nurses (PHNs) acting as fundamental partners in the provision of specialist early years support to vulnerable children and families. This study evaluates PHN involvement in Kidscope in the context of SDGs.
To record and understand PHN roles within Kidscope and to capture their contribution to achieving SDGs in a disadvantaged Irish community.
Qualitative stakeholder analysis and mapping design. Snowball sampling identified participants. Data collection involved scoping interviews, questionnaires, one-to-one interviews, and a focus group. A Stakeholder Matrix Table was developed in line with the guiding framework. Transcripts were thematically analyzed.
PHNs are key stakeholders in Kidscope contributing to clinic development, delivery, and sustainability. Six themes were identified: lead referrers, in-clinic support, learning and education, child and family follow-up, specialist early years role, and partnership working. PHNs contribute to six SDGs through the Kidscope model.
PHNs are fundamental partners in achieving SDGs in a disadvantaged Irish community through ameliorating childhood developmental delay by intercepting the gap within Ireland's early intervention system and disrupting the impact exclusion to healthcare has on vulnerable children and their families. Findings underscore a shift from the current "cradle to grave" model of working toward a specialist early years PHN role.
联合国可持续发展目标（SDGs）被采纳为到2030年实现人类、地球与繁荣的行动计划。可持续发展目标3旨在确保所有人享有健康生活并促进各年龄段福祉，其他目标则聚焦于减少不平等、消除贫困、人人享有体面工作以及建立有效、负责和包容的机构。一家社区儿科诊所Kidscope在爱尔兰一个弱势社区成立，为0至6岁儿童提供免费发育评估及后续转诊服务。Kidscope模式涉及多机构参与，当地公共卫生护士（PHNs）是为弱势儿童及其家庭提供专业早期支持的重要合作伙伴。本研究在可持续发展目标背景下评估公共卫生护士在Kidscope中的参与情况。
记录并了解公共卫生护士在Kidscope中的角色，以及他们对爱尔兰一个弱势社区实现可持续发展目标的贡献。
定性利益相关者分析与映射设计。通过滚雪球抽样确定参与者。数据收集包括范围界定访谈、问卷调查、一对一访谈和焦点小组。根据指导框架制定了利益相关者矩阵表。对访谈记录进行主题分析。
公共卫生护士是Kidscope的关键利益相关者，对诊所的发展、运营和可持续性做出贡献。确定了六个主题：主要转诊者、诊所内支持、学习与教育、儿童及家庭随访、专业早期角色以及合作共事。公共卫生护士通过Kidscope模式为六个可持续发展目标做出贡献。
公共卫生护士是爱尔兰一个弱势社区实现可持续发展目标的重要合作伙伴，通过弥合爱尔兰早期干预系统中的差距以及消除医疗服务排斥对弱势儿童及其家庭的影响，改善儿童发育迟缓状况。研究结果强调了从当前“从摇篮到坟墓”的工作模式向专业早期公共卫生护士角色的转变。
