The Nurse and prophylactic care for children in their early age

Q4 Social Sciences Social Medicine Pub Date : 2020-12-31 DOI:10.14748/SM.V27I3.7571

G. Petrova, S. Dimitrova

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Abstract

Introduction: The prophylactic care for children in their early age, traditionally provided by Children consultations, today is delivered by the General practitioners and the role of the nurse was minimized if not missing. Aim: To analyze the relevant legislation concerning health and preventive care for children and the role of nurse and to point out the problems to be solved in order to improve quality of service. Methods: Document analysis, Inquiries of nurses (188) working at children healthcare facilities. Results: Document analysis show that there is no regulation that mandates nurse’s participation in the team that provides basic health care service including prophylactic care for children. There is no good definition or distinction for the functions of GPs and nurses in the terms of prophylactic care for children. There is contradiction in the established professional competencies for a nurse and the restrictions in the existing legislation towards healthcare for children. Inquired nurses find their role in improving the quality of the health care service in children consultations by helping doctors in the routine activities like immunizations and anthropometry and also in educating parents in terms of health culture and prevention. Home visits or patronage is suggested as appropriate action in this regard. Conclusion: Changes in the legislation and reorganization focused on the recipients may lead to better inclusion of the nurse with an increased capacity for improving the prophylactic care for children in their early age.

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幼儿期的护士和预防性护理

儿童早期的预防性护理，传统上是由儿童咨询提供的，今天是由全科医生提供的，护士的作用如果不是缺失的话，也被最小化了。目的:分析我国儿童保健和预防保健的相关立法及护士的作用，指出应解决的问题，以提高服务质量。方法:对188名在儿童保健机构工作的护士进行问卷调查。结果:文献分析显示，在为儿童提供包括预防保健在内的基本卫生保健服务的队伍中，没有规定护士必须参与。在儿童预防性护理方面，全科医生和护士的职能没有很好的定义或区分。既定的护士专业能力与现行立法对儿童保健的限制之间存在矛盾。被询问的护士通过帮助医生进行免疫接种和人体测量等日常活动以及在健康文化和预防方面教育父母，发现她们在提高儿童咨询保健服务质量方面的作用。在这方面，建议采取家访或赞助的适当行动。结论:以受助人为中心的立法改革和重组可能会使护士更好地融入其中，提高早期儿童预防保健的能力。

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来源期刊

Social Medicine Social Sciences-Health (social science)

CiteScore

0.30

自引率

0.00%

发文量

审稿时长

15 weeks

期刊介绍： Medicina Social es un foro académico internacional con acceso abierto y revisión por pares destinado a la promoción y el desarrollo de la Medicina Social. La revista se escribe con la inventiva y la visión crítica y comprometida que animó a los fundadores de la Medicina Social. Para lograr esto: 1. Actuamos como foro de investigación y docencia respecto a las formas en las que los factores sociales no sólo influyen sobre la salud y la enfermedad sino que a su vez son modificados por las mismas. 2. Apoyamos los objetivos de Salud para Todos de Alma Ata y la visión holística de la salud contenida en la Carta de la OMS. 3. Producimos materiales científicamente calificados, intelectualmente honestos, libres de sesgos comerciales, claramente escritos y presentados. 4. Organizamos la revista de manera tal que refleje y apoye la diversa comunidad internacional que trabaja en el campo de la medicina social. Para realizar los objetivos de “Salud para Todos” debemos tener una revista que incluya todas las voces.