Investigacion en enfermeria imagen y desarrollo

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Presentation modality: poster
Section: Research, nursing care and cultural diversity

REF.: 022
Country: United Kingdom-USA

The community nurse as navigator of the school health journey
Fiona Brooks¹, Sally Kendall², Frances Bunn³, Ruth Bindler⁴, Margaret Bruya⁵, Rosamund Bryar⁶(1) BA, PhD, Reader in Primary Health Care, Head of Adolescent and Child Health Research, CRIPACC, University of Hertfordshire, UK. (2) B.Sc, PhD, RN, Director of Centre for Research in Primary and Community Care CRIPACC, University of Hertfordshire, UK. (3) BSc, Msc, Research Fellow in Evidence Based Practice, CRIPACC, University of Hertfordshire, UK. (4) PhD, RNC, Associate Professor, Intercollegiate College of Nursing, Washington State University, USA. (5) DNSc, ARNP, FAAN, Professor of Nursing, Intercollegiate College of Nursing, Washington State University, USA. (6) Professor, PhD, MPhil, BNurs, RN, SCPHN, NDNCert, SCM, CertEd(FE), FQNI, Public Health and Primary Care unit, City University, UK

Mail delivery: Dr Fiona Brooks. Reader in Primary Health Care, CRIPACC, Wright Building, College Lane Campus, University of Hertfordshire, Hatfield, Herts AL10 9AB (UK)

Rev Paraninfo digital, 2007: 2

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ABSTRACT

Globally the health status of children and adolescents is increasingly being determined by the prevalence of health risk behaviours (Currie et al., 2004). Meeting the public health agenda in schools is likely to require a specialist, a health promotion practitioner, who can traverse the school sector, the community, and champion the public health/ health promotion agenda. One means of achieving the delivery of public health messages for children may lie in the creative deployment of community nursing in schools (Magyary 2002).
A rapid review of the evidence to support school nursing revealed that the evidence base for school nursing interventions/actions remains very weak, thereby challenging the ability of school nurses to deliver desired outcomes for the present ambitious public health agenda.
The aim of this poster is to explore how the development of the theoretical and strategic basis of school nursing offers a vehicle for the delivery of an effective public health strategy for children and adolescents. Through a critical examination of the status and scope of school nursing within the UK and US health care systems it is clear that a deficiency exists regarding the theoretical and strategic basis for the functioning of school nursing. Consideration is given to the concept of the school nurse as ï¿½navigatorï¿½ for the child along the trajectory of the school health journey.
A theoretical modelling of the nurse navigation role is presented with particular emphasis on how the development of this novel approach to school nursing could contribute to policy implementation around public health goals for the school aged population.
However the navigation concept as applied to school nursing needs to be developed evaluated for effectiveness and subsequently theoretically refined. The poster will present a planned approach to developing the evidence for school nursing, based on the UK Medical Research Council (2000) framework for the evaluation of complex interventions. The poster will also report on the planned piloting of the model in a region of London.

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