McATEE WINS HENRY K. SILVER AWARD

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.

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Certification for the Pediatric Nurse Associate

PEDIATRICS ◽

10.1542/peds.53.4.588 ◽

1974 ◽

Vol 53 (4) ◽

pp. 588-588

Author(s):

Louis I. Hochheiser

Keyword(s):

Health Care ◽

Child Health ◽

Nurse Practitioner ◽

Pediatric Care ◽

Child Health Care ◽

Recent Letter ◽

Pediatric Nurse ◽

The Past ◽

American Academy Of Pediatrics ◽

Pediatric Nurse Practitioner

The recent letter to Pediatric Nurse Associates and members of the American Academy of Pediatrics reporting the division between the AAP and American Nurses Association on certification, is an unfortunate and deplorable happening. Since the onset of the first Pediatric Nurse Practitioner Program in 1965, more than 1,000 nurses have graduated from over 45 programs adding a new dimension to care for children. Although touted by many as the answer to manpower problems for child health care, evidence over the past five years indicates that a new dimension has been added to pediatric care.

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The Pediatric Nurse Associate

PEDIATRICS ◽

10.1542/peds.57.5.813 ◽

1976 ◽

Vol 57 (5) ◽

pp. 813-814

Author(s):

Robert D. Burnett ◽

Keyword(s):

Health Care ◽

Child Health ◽

American Academy ◽

Health Care Delivery ◽

Care Delivery ◽

Child Health Care ◽

Pediatric Nurse ◽

The Past ◽

American Academy Of Pediatrics

During the past several years as Chairman of the American Academy of Pediatrics' Committee on Pediatric Manpower I have witnessed the development of the concept of the pediatric nurse associate (PNA) within the specialty of pediatrics. In addition, I have also been aware of the controversies within the AAP membership regarding the role of the PNA in child health care delivery. Many of you will recall the concern of the mid-1960's which widely publicized an impending catastrophic shortage of pediatricians.

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GUIDELINES ON SHORT-TERM CONTINUING EDUCATION PROGRAMS FOR PEDIATRIC NURSE ASSOCIATES

PEDIATRICS ◽

10.1542/peds.47.6.1075 ◽

1971 ◽

Vol 47 (6) ◽

pp. 1075-1079

Author(s):

Robert D. Burnett ◽

Donald J. Frank ◽

Paul S. Goldstein ◽

John Rhodes Haverty ◽

Henry K. Silver ◽

...

Keyword(s):

Health Care ◽

Child Health ◽

Child Health Care ◽

Care Needs ◽

Nursing Assessment ◽

Pediatric Nurse ◽

Innovative Methods ◽

Medical Professions ◽

Cooperative Decision Making ◽

Collaborative Efforts

I. INTRODUCTION The American Nurses' Association and American Academy of Pediatrics recognize collaborative efforts are essential to increase the quality, availability, and accessibility of child health care in the U.S.A. In order to meet the health care needs of children, it is essential that the skills inherent in the nursing and medical professions be utilized more efficiently in the delivery of child health care. Innovative methods are needed to utilize these professional skills more fully. One such innovative approach is the development of the Pediatric Nurse Associate* program. This program will enable nurses, both in practice and reentering practice, to update and expand their knowledge and skills. It is essential that physicians become more aware of the skills and abilities of the nursing profession and that such skills be expanded in the area of ambulatory child health to enable both the nurse and the physician to devote their efforts in the delivery of child health care to the areas of their respective professional expertise. The expansion of the nurse's responsibilities would encompass some of the areas that have traditionally been performed by physicians. Proficiency and competence in performing these new technical skills associated with the expanded responsibility should be viewed as increasing the sources from which the nurse gathers data for making nursing assessment as a basis for diagnoses and action and thus contributing directly to comprehensive nursing. Nurses must therefore be prepared to accept responsibility and accountability for the performance of these acts and must have the opportunity to be engaged in independent as well as cooperative decision making.

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One nurse's view of pediatric nurse practitioners

PEDIATRICS ◽

10.1542/peds.54.5.534 ◽

1974 ◽

Vol 54 (5) ◽

pp. 534-537

Author(s):

Loretta C. Ford

Keyword(s):

Health Care ◽

Nurse Practitioners ◽

Nurse Practitioner ◽

Interdisciplinary Collaboration ◽

Pediatric Nurse ◽

Assistant Nurse ◽

University Of Colorado ◽

The University ◽

Pediatric Nurse Practitioner ◽

Pediatric Nurse Practitioners

Involvement in and reflections upon nine years of change in nursing and health care provide the framework for this commentary on the article, "Nurse Practitioners for Children—Past and Future" by McAtee and Silver.1 My earlier association with Silver as a co-director of the first pediatric nurse practitioner project at the University of Colorado makes these comments, hopefully, like conversations and challenges between colleagues. My remarks address those issues concerned with establishing priorities in the preparation of teacher-practitioners, the development of interdisciplinary collaboration, the need for studies of effectiveness of nurse practitioners, and an opinion on the recommendation to prepare "assistant nurse practitioners."

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Primary Child Health Care by Family Nurse Practitioners

PEDIATRICS ◽

10.1542/peds.53.6.900 ◽

1974 ◽

Vol 53 (6) ◽

pp. 900-906

Author(s):

Robert A. Greenberg ◽

Frank A. Loda ◽

C. Glenn Pickard ◽

Phoebe Collins ◽

Betty S. Compton ◽

...

Keyword(s):

Health Care ◽

Child Care ◽

Child Health ◽

Nurse Practitioners ◽

Respiratory Infections ◽

Child Health Care ◽

Consultation Rate ◽

Well Child Care ◽

Gastrointestinal Problems ◽

Family Nurse Practitioners

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.

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Utilization of School and Primary Health Care Resources for Common Health Problems of Schoolchildren

PEDIATRICS ◽

10.1542/peds.68.5.700 ◽

1981 ◽

Vol 68 (5) ◽

pp. 700-704

Author(s):

Susan Gilman Brink ◽

Philip R. Nader

Keyword(s):

Health Care ◽

Child Health ◽

Health Service ◽

Health Care Providers ◽

School Health ◽

Health Care Facilities ◽

Child Health Care ◽

Care Providers ◽

Health Maintenance ◽

School Health Service

The episode of care is used as a concept to assess potential areas for interaction between private and public health care facilities in the community and the school health service in child health care. Health care utilization (both patient-initiated and provider-initiated) of a random sample of elementary school-aged children in three ethnic groups was observed for two years. The analysis suggests areas of child health care in which a school health service can be used more effectively with community health care providers: care for chronic childhood diseases, follow-up for acute infections and some trauma, and health maintenance.

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Who Will Buy?

PEDIATRICS ◽

10.1542/peds.67.1.157 ◽

1981 ◽

Vol 67 (1) ◽

pp. 157-158

Author(s):

Robert A. Hoekelman

Keyword(s):

Health Care ◽

Child Health ◽

Nurse Practitioner ◽

Health Professionals ◽

Personal Communication ◽

The United States ◽

Pediatric Nurse ◽

Shortage Of Physicians ◽

Pediatric Nurse Practitioner ◽

Provide Health Care

In the late 1960s Henry Silver1 and his colleagues in Colorado, recognizing a then current shortage of physicians available to provide health care to children, developed educational programs to prepare two new types of child health professionals—the pediatric nurse practitioner and the child health associate. The pediatric nurse practitioner model has been replicated throughout the United States. By mid- 1980 there were in operation 53 graduate and continuing education programs to prepare nurses to assume an expanded role in the provision of health care to children, and an estimated 4,000 to 5,000 nurses have been so prepared (M. K. Willian, personal communication, July 1980).

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Child Health Associates and Pediatric Nurse Practitioners: Their Competence

PEDIATRICS ◽

10.1542/peds.52.2.306 ◽

1973 ◽

Vol 52 (2) ◽

pp. 306-307

Author(s):

Frederic M. Stone

Keyword(s):

Health Care ◽

Child Health ◽

Health Care Delivery ◽

Nurse Practitioners ◽

Care Delivery ◽

House Officer ◽

Pediatric Nurse ◽

University Of Colorado ◽

The University ◽

Pediatric Nurse Practitioners

As a recent trainee in pediatrics at the University of Colorado, it was with considerable interest that I read the article by Drs. Silver and Ott and the commentaries that followed.1-4 During my training, I had the opportunity to observe and participate in the education, training, and evaluation of both child health associates and pediatric nurse practitioners. As one interested in the problems of health care delivery, I have followed the development of these programs (CHA and PNP) with special interest and in relationship to my own experience as a recent pediatric house officer.

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The School Nurse Practitioner

PEDIATRICS ◽

10.1542/peds.65.3.641 ◽

1980 ◽

Vol 65 (3) ◽

pp. 641-643

Author(s):

Henry K. Silver

Keyword(s):

Health Care ◽

American Academy ◽

Emergency Room ◽

Nurse Practitioners ◽

Nurse Practitioner ◽

School Health ◽

School Nurse ◽

School Settings ◽

American Academy Of Pediatrics ◽

Adequate Care

The report of the American Academy of Pediatrics' Committee on School Health on the school nurse practitioner which appears in this issue of Pediatrics (p 665) recognizes the innovative approach that school nurse practitioners are making to the problem of delivery of medical services to children in underserved areas and stresses that school nurse practitioners, with supervision, can be used appropriately and effectively in providing improved health care to these children. The Committee notes that utilization of school nurse practitioners has been associated with improved immunization referrals and a decrease in emergency room use by participating children, and indicates that the presence of school nurse practitioners in school settings permits some children to obtain care who previously were not receiving adequate care and services.

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