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.
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页码：177 / 180
页数：4
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