Barriers and facilitators in the delivery of environmental risk reduction by public health nurses in the home setting.
Barriers and facilitators in the delivery of environmental risk reduction by public health nurses in the home setting.
复制标题
公共卫生护士在家庭环境中降低环境风险的障碍和促进因素。
DOI：
10.1111/j.1525-1446.2010.00887.x
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
Butterfield,Patricia
中科院分区：
文献类型：
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作者：
Tinker,Elizabeth;Postma,Julie;Butterfield,Patricia
摘要 目的：本研究的目的是确定公共卫生护士（PHN）在家庭环境中降低环境风险（ERR）的能力的影响因素。设计和样本：对来自美国西部2个县卫生部门的10名PHN进行了结构化一对一访谈，这些卫生部门在随机临床试验中提供了ERR干预。公共卫生的感知使命发生变化，护士缺乏环境卫生（EH）培训，缺乏与EH的牢固关系，PHN的多方面作用，管理层对护士参与的介绍，将ERR访视纳入护理计划，以及让父母参与EH的挑战。促进因素包括：培训和支持，能力建设的机会，认为ERR是重要的，建立一个更明显的面对PHN，和个人的兴趣在EH和ERR.Conclusions：适应PHN的做法，包括ERR战略是可行的，但并非没有挑战。只要有足够的培训、时间和机构支持，就可以克服多种挑战。公共卫生网通过将急诊室康复纳入其实践范围，能够很好地改善家庭和社区的健康。
ABSTRACT Objective:The goal of this study was to identify the factors that contributed to or detracted from the ability of public health nurses (PHNs) to deliver environmental risk reduction (ERR) in the home setting.Design and Sample:Structured one‐to‐one interviews were conducted with 10 PHNs from 2 county health departments in the western United States that were delivering an ERR intervention in a randomized clinical trial.Results:Barriers to incorporating ERR into PHN practice were: a change in the perceived mission of public health, nurses' lack of environmental health (EH) training, the absence of a strong relationship with EH, the multidimensional role of PHNs, presentation of nurse participation by management, incorporation of ERR visits into nursing schedules, and challenges engaging parents in EH. Facilitating factors included: training and support, opportunities for capacity building, belief that ERR is important, building a more visible face for PHN, and personal interest in EH and ERR.Conclusions:Adapting PHN practice to include ERR strategies is feasible, but not without challenges. With adequate training, time, and institutional support, multiple challenges can be overcome. PHNs are well positioned to improve the health of families and communities by integrating ERR into their scope of practice.