Felton G M, Parsons M A
College of Nursing, University of South Carolina, Columbia 29208.
J Sch Health. 1993 May;63(5):207-9. doi: 10.1111/j.1746-1561.1993.tb06120.x.
School nurses often provide direct health care to school-age children, and thus need a range of knowledge and skills to meet the needs of less healthy children, as well as healthy children. To meet this challenge in South Carolina, a statewide continuing education program with didactic and school-based clinical instruction was implemented to enhance the scope of school nurse practice. The physical, psychosocial, and environmental health dimensions of the school nurse's role improved significantly when the program ended at nine months and were maintained at 18 months follow-up. However, program management skills did not improve. Practice guidelines indicate continuing education can improve practice in areas under direct control of the school nurse. Focus on development of program management skills is called for in continuing education. Redefinition of this aspect is crucial to full development of the school nurse role and improved health for school-age children.
学校护士经常为学龄儿童提供直接的医疗保健服务，因此需要一系列知识和技能来满足健康状况较差儿童以及健康儿童的需求。为应对南卡罗来纳州的这一挑战，实施了一项全州范围的继续教育计划，该计划包括理论教学和校内临床指导，以扩大学校护士的执业范围。当该计划在九个月结束时，学校护士角色在身体、心理社会和环境健康方面有了显著改善，并在18个月的随访中得以保持。然而，项目管理技能并未得到提高。实践指南表明，继续教育可以改善学校护士直接负责领域的实践。继续教育需要关注项目管理技能的发展。重新定义这一方面对于学校护士角色的全面发展以及学龄儿童健康状况的改善至关重要。
