Getting your feet wet: becoming a public health nurse, part 1.
Getting your feet wet: becoming a public health nurse, part 1.
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涉足实践：成为一名公共卫生护士，第 1 部分。
DOI：
10.1111/j.1525-1446.2004.21102.x
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发表时间：
2004
影响因子：
2.1
通讯作者：
S. Leander
中科院分区：
文献类型：
--
作者：
L. SmithBattle;M. Diekemper;S. Leander
虽然与公共卫生护理 (PHN) 实践相关的能力和理论不断被描述，但对从实践中获得的知识（临床知识）和 PHN 专业知识的发展却很少关注。一项研究旨在通过招募来自不同实践地点、具有不同经验水平的护士来解决这一差距。随机抽取了 28 名公共卫生护士和 7 名管理人员/主管进行了访谈。对由经验较少的公共卫生护士组成的子样本进行了为期 18 个月的纵向跟踪。数据包括 130 多个临床病例和大约 900 页的记录和现场笔记。一系列解释性会议的重点是确定文本的显着方面，并比较和对比公共卫生护士的描述中令人信服、令人费解和有意义的内容。这种解释性分析揭示了对实践的理解的变化并捕捉了临床知识的发展。在第 1 部分中，我们描述了护士对早期临床实践的描述中出现的样本、研究设计以及临床知识发展的两个方面——应对不熟悉的事物和学习相关技能。在即将发表在下一期《公共卫生护理》（SmithBattle、Diekemper 和 Leander，2004 年）的第二部分中，我们探讨了公共卫生护士对实践的理解的逐渐转变，这些转变导致他们参与上游、以人群为中心的活动。描述了这些发现对支持公共卫生护士的临床学习和专业知识发展的影响。
While the competencies and theory relevant to public health nursing (PHN) practice continue to be described, much less attention has been given to the knowledge derived from practice (clinical know-how) and the development of PHN expertise. A study was designed to address this gap by recruiting nurses with varied levels of experience and from various practice sites. A convenience sample of 28 public health nurses and seven administrators/supervisors were interviewed. A subsample, comprised of less-experienced public health nurses, were followed longitudinally over an 18-month period. Data included more than 130 clinical episodes and approximately 900 pages of transcripts and field notes. A series of interpretive sessions focused on identifying salient aspects of the text and comparing and contrasting what showed up as compelling, puzzling, and meaningful in public health nurses' descriptions. This interpretive analysis revealed changes in understanding of practice and captured the development of clinical know-how. In Part 1, we describe the sample, study design, and two aspects of clinical knowledge development--grappling with the unfamiliar and learning relational skills--that surfaced in nurses' descriptions of early clinical practice. In Part 2, which is to be published in the next issue of Public Health Nursing (SmithBattle, Diekemper, & Leander, 2004), we explore gradual shifts in public health nurses' understanding of practice that led to their engagement in upstream, population-focused activities. Implications of these findings for supporting the clinical learning of public health nurses and the development of expertise are described.