Beddome G, Clarke H F, Whyte N B
Nursing Department, Okanagan University College, Kelowna, BC, Canada.
Public Health Nurs. 1993 Mar;10(1):13-8. doi: 10.1111/j.1525-1446.1993.tb00014.x.
Canada has embraced the goal of the World Health Organization to achieve health for all. This has created a paradigm shift from a focus on direct care to include health promotion and community development, consistent with a primary health care approach. Nevertheless, a clearly articulated vision for the role of public health nurses (PHNs) is lacking. Despite the fact that PHNs make up the largest group of health care workers in the community, their collective opinions and ideas regarding their own practice are seldom sought in a systematic manner. We conducted a survey of public health nurses in British Columbia. Using a two-wave Delphi approach, PHNs were asked to define issues for the future of public health nursing, and to state publicly their preferences for change and transformation. The responses were rank ordered, analyzed, and compared with recent nursing and health care literature to interpret their content. The PHNs' visions for tomorrow agree with concepts of primary health care and community development, and have implications for community health nursing's practice and education.
加拿大已接受世界卫生组织实现全民健康的目标。这引发了一种范式转变，即从专注于直接护理转变为包括健康促进和社区发展，这与初级卫生保健方法相一致。然而，目前仍缺乏对公共卫生护士（PHNs）角色的清晰明确的愿景。尽管公共卫生护士是社区中最大的医护人员群体，但很少有人系统地征求他们对自身实践的集体意见和想法。我们对不列颠哥伦比亚省的公共卫生护士进行了一项调查。采用两阶段德尔菲法，要求公共卫生护士界定公共卫生护理未来的问题，并公开表明他们对变革和转型的偏好。对这些回答进行了排序、分析，并与近期的护理和医疗保健文献进行比较，以解读其内容。公共卫生护士对未来的愿景与初级卫生保健和社区发展的概念相符，并对社区健康护理的实践和教育具有启示意义。
