Goodyear R
TWU C.A.R.E.S., Texas Women's University, College of Nursing, Denton, USA.
Adv Pract Nurs Q. 1995 Winter;1(3):41-9.
Promoting health in a newly established nurse practitioner family practice was a major undertaking for one advanced practice nurse (APN) in a semi-rural community in southern California. The alignment of the resources necessary to begin such a practice opened many doors not previously traversed by nurses in this community. Likewise, the development of a formula and model for health promotion came about as a result of overcoming the obstacles to starting this private practice as well as the positive rewards of patient encounters over time. Episodes of concern for patients, continuous care, and choices in health care decisions come together to illustrate this formula. The research data supporting the practice further demonstrate the plausibility of the APN becoming a provider of health promotion in the primary care setting.
对于南加州一个半乡村社区的一名高级执业护士（APN）来说，在新成立的执业护士家庭诊所中促进健康是一项重大任务。开展这样一项业务所需资源的整合为该社区护士们打开了许多以前未曾涉足的大门。同样，健康促进方案和模式的形成是克服开办这家私人诊所过程中遇到的障碍以及长期以来患者诊疗所带来的积极回报的结果。对患者的关切事件、持续护理以及医疗保健决策中的选择共同构成了这个方案。支持该业务的研究数据进一步证明了高级执业护士成为初级保健环境中健康促进提供者的合理性。
