Innovation and effectiveness: changing the scope of school nurses in New Zealand secondary schools

被引：7

作者：

Kool, Bridget ^{[1
]}

Thomas, David ^{[1
]}

Moore, Dennis ^{[2
,3
]}

Anderson, Angelika

Bennetts, Phillipa ^{[4
]}

Earp, Karlynne ^{[5
]}

Dawson, Dianne

Treadwell, Nicky ^{[6
]}

机构：

[1] Univ Auckland, Sch Populat Hlth, Epidemiol & Biostat Sect, Auckland 1, New Zealand

[2] Monash Univ, Fac Educ, Krongold Ctr, Clayton, Vic 3168, Australia

[3] Monash Univ, Fac Educ, Elwyn Morey Ctr, Clayton, Vic 3168, Australia

[4] McAuley High Sch, Auckland, New Zealand

[5] Counties Manukau Dist Hlth Board, Auckland, New Zealand

[6] Otahuhu Coll, Auckland, New Zealand

来源：

AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH | 2008年 / 32卷 / 02期

关键词：

student health services; youth health; primary health care; evaluation studies; health assessment;

D O I：

10.1111/j.1753-6405.2008.00197.x

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: To describe the changing role of school nurses in eight New Zealand (NZ) secondary schools from low socio-economic areas with high Pacific Island and Maori rolls. Methods: An evaluation of a pilot addressing under-achievement in low-decile schools in Auckland, NZ (2002-05). Annual semi-structured school nurse interviews and analysis of routinely collected school health service data were undertaken. Results: Two patterns of school nurse operation were identified: an embracing pattern, where nurses embraced the concept of providing school-based health services; and a Band-Aid pattern, where only the basics for student health care were provided by school nurses. Conclusions and Implications: School nurses with an embracing pattern of practice provided more effective school-based health services. School health services are better served by nurses with structured postgraduate education that fosters the development of a nurse-practitioner role. Co-ordination of school nurses either at a regional or national level is required.

引用

页码：177 / 180

页数：4

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