McEvoy M, Montana B, Panettieri M
J Pediatr Health Care. 1996 Sep-Oct;10(5):209-16. doi: 10.1016/S0891-5245(96)90003-6.
Unintentional injuries sustained on school playgrounds are a continual problem not only for children but also for the school nurses who are concerned with their safety. A group of school nurses organized by the local health department's pediatric nurse practitioner responded proactively to this problem by enlisting both school officials and students to accept joint responsibility for a safe play environment. The school nurses assisted the staff in providing a safe play environment and encouraged the students to behave in a safe and acceptable manner on the playground. The nurses developed (a) a Playground Safety Assessment Guide for the school staff to establish and maintain a safe play environment, (b) an in-service session for playground monitors to learn how to supervise children at recess, and (c) a student-oriented program for the children to improve behavior on the playground based on a program conceived by Utah State University (Daug & Fukui, 1988). School nurses and pediatric nurse practitioners can use this program as a model for other schools to improve the physical play environment and behavior of the children at recess.
在学校操场上发生的意外伤害不仅对儿童来说是个持续存在的问题，对于关心他们安全的学校护士而言也是如此。由当地卫生部门的儿科执业护士组织的一群学校护士积极应对这一问题，争取学校管理人员和学生共同为安全的游戏环境负责。学校护士协助工作人员提供安全的游戏环境，并鼓励学生在操场上以安全且可接受的方式行事。护士们制定了：(a) 一份供学校工作人员使用的操场安全评估指南，以建立和维护安全的游戏环境；(b) 为操场监督员举办的在职培训课程，让他们学习如何在课间休息时监督儿童；(c) 一个面向学生的项目，该项目基于犹他州立大学构思的一个方案（Daug & Fukui，1988年），用于改善孩子们在操场上的行为。学校护士和儿科执业护士可以将该项目作为其他学校的范例，以改善孩子们课间休息时的体育游戏环境和行为。
