Primary Child Health Care by Family Nurse Practitioners

PEDIATRICS ◽  
1974 ◽  
Vol 53 (6) ◽  
pp. 900-906
Author(s):  
Robert A. Greenberg ◽  
Frank A. Loda ◽  
C. Glenn Pickard ◽  
Phoebe Collins ◽  
Betty S. Compton ◽  
...  

This study analyzes the child health care role of four family nurse practitioners (FNPs) serving 990 families with 1,300 children in a rural clinic 30 miles from a hospital base. In a 12-month program they were trained to give primary care, using standing orders, to all family members. Respiratory infections, well child care, psychogenic problems, allergic conditions and injuries comprised 75.5% of pediatric cases. The FNPs managed 70.3% of all cases without physician consultation. Respiratory infections, well child care and gastrointestinal problems which comprised 57% of all cases were managed with a combined consultation rate of 14.3%. The physician maintained primary responsibility for the management of 3% of all cases. Review of medical records revealed that 93% of the cases were managed properly by the FNPs. The positive experience reported in this study indicates that the FNP role should be developed as one method of providing primary health care.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Jankovic ◽  
D Matijevic ◽  
A Grujicic ◽  
M Markovic ◽  
N Stefanovic ◽  
...  

Abstract Issue Counselling unit for positive parenting “Halobeba” has been established at Institute of Public Health of Belgrade with support of UNICEF in order to enable continuum of mother and child health care. Availability of information on child care and development was noticed as significant factor for parental confidence and practice. Description of the problem Trained nurses provide responses to parental questions through 24/7 phone and e mail communication to assist in problem solving and offer emotional support. Nurses are skilled in active listening, proper questioning, counselling and effective encouragement. Free mob app on breastfeeding was developed as knowledge base for parents. New interactive mob app was recently launched as parenting tool for child health and development monitoring. Results Since 2002, more than 1,700,000 responses were provided through phone communication and over 20,000 via email and number of beneficiaries has increased over the years. Most common topics were about breastfeeding, introducing solid food, treatment of fever and respiratory infections, gastrointestinal problems, injuries, immunization, and developmental milestones. Less than 15% of cases were referred to pediatric clinic. Level of parental overall satisfaction was very high and availability and effectiveness of service were especially valued as well as nurses communication skills. Lessons Family centered service that corresponds to caregivers needs is effective approach to support nurturing care for young children. Personalized M-health tools make child care more accessible and build capacities of caregivers. Key messages Sending consistent and trusted messages through different communication channels contribute to enhancing users' knowledge and skills. Knowledgeable and responsive caregivers properly interpret child’s needs, respond appropriately, facilitate the child’s social and emotional development, and provide proper care.


PEDIATRICS ◽  
1979 ◽  
Vol 63 (1) ◽  
pp. 134-134
Author(s):  
R. J. H.

Patricia Rooney McAtee, Ph.D., was the recipient of the Henry K. Silver Award of the National Association of Pediatric Nurse Associates and Practitioners. The award, presented on October 22, 1978, was given for significant contributions to child health care and for the furtherance of the nurse practitioner movement's goals and objectives. Dr. McAtee has been a member of the faculty of the School of Nursing and the School of Medicine of the University of Colorado. She was one of the co-developers of the school nurse practitioner program, and is president of the National Board of Nurse Practitioners and Associates, which she was instrumental in developing. Patricia McAtee has been widely recognized for her contributions in the field of child health care. She was one of the first nurses to be elected to the Institute of Medicine of the National Academy of Sciences and served on its committee to develop manpower policy for primary health care. She has been selected as a member of Who's Who of American Women and of Who's Who in America. She is a member of the Editorial Board of Pediatric Nursing and is the author of numerous articles which have appeared in nursing, medical, and school health journals. Dr. McAtee has been a pioneer in the development of the role of the Pediatric Nurse Practitioner/Associate in the delivery of primary child health care. She has been a major contributor to the concept of team delivery service and has been instrumental in promoting collaboration between medicine and nursing to provide more comprehensive child health care.


2005 ◽  
Author(s):  
Harold Alan Pincus ◽  
Stephen B. Thomas ◽  
Donna J. Keyser ◽  
Nicholas Castle ◽  
Jacob W. Dembosky ◽  
...  

2010 ◽  
Author(s):  
Alan Mendelsohn ◽  
Samantha Berkule-Silberman ◽  
Lesley Morrow ◽  
Catherine S. Tamis-LeMonda ◽  
Carolyn Brockmeyer ◽  
...  

2016 ◽  
Vol 1 ◽  
pp. 60-65
Author(s):  
Umi Solikhah ◽  
Hari Kusnanto ◽  
Fitri Haryanti

Community empowerment with regard to maternal and child health services at the community level carried out by cadre.Cadre is health volunteers, selected by the community.404 number of active cadres in primary health care of South Purwokerto entirely female, although it may be a cadre of men. Active cadre toddler actively providing services every month for child before 5 years age. Interest to know the various reasons committed cadres in performing their duties. The method used is qualitative study,to describe a variety of reasons commitment to perform cadre duties in child health care. Retrieving data using interview techniques through the focus group discussion. Data from 30 cadres.Results of interviews taken until the data saturation, as a reason believed by cadres in the commitment to carry out tasks of serving the Muslim community. Characteristic respondent are mean of age 38 years (the youngest age of 25 years and the oldest 55 years old), a 100% Islamic religion, level of education majority of senior high school(at least primary school). Educational level health cadres in Banyumas has met the minimum requirements by the WHO.Results of the analysis showed thatcommitment includes a cadre of dedicated, caring community, a desire to learn, social esteem, individual satisfaction, togetherness, organization, and spirituality. The spirit of cadre to the community need the attention of the government for development and prosperity in accordance with their duties.Spiritual reasons become one of the motivations in providing health services to the community, albeit to a spirit of dedication and a great desire to learn. Cadres continue to provide services, even to families with different spiritual.


2020 ◽  
pp. archdischild-2020-319584
Author(s):  
Hilary Hoey ◽  
Massimo Pettoello-Mantovani ◽  
Mehmet Vural

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