Chavigny K H, Kroske M
Nurs Outlook. 1983 Nov-Dec;31(6):312-6.
The problems experienced in public health nursing in the United States are serious and many. The proposed solution may provide a method for change. Delivery of services will then focus on public health needs and will resist the the pressure to fit needs to available funds. Provider outreach to meet community needs will supersede primary care. The health professions will share resources rather than responsibilities. Public health nursing will focus on disease prevention and control rather than on treatment, and nurse practitioners in other specialties will refer clients to public health nurses when their particular skills are needed. Thus resolution of the present crisis may result in a stronger cadre of public health nurses who are secure in their role and revitalized in their dedication to health care in the community.
美国公共卫生护理中存在的问题严重且众多。提议的解决方案可能提供一种变革方法。服务提供将聚焦于公共卫生需求，并抵制根据可用资金来适配需求的压力。为满足社区需求而进行的提供者外展工作将取代初级保健。卫生专业人员将共享资源而非职责。公共卫生护理将专注于疾病预防和控制而非治疗，其他专科的执业护士在需要其特定技能时会将客户转介给公共卫生护士。因此，当前危机的解决可能会造就一支更强大的公共卫生护士队伍，他们对自身角色有安全感，并且对社区医疗保健的奉献精神得以重振。
