Health promotion and the well child: the role of the practice nurse

Abstract

This study explores the perceptions of practice nurses regarding their role in relation to child health. New Zealand's child health statistics do not compare as favourably with other countries as could be expected. Nurses, especially those working in the community, can play a major role in improving child health. A postal survey was sent to all practice nurses in the Otago region seeking specific information on the work they do with children from birth to six years of age, with a focus on preparation for their role, health promotion, and collaboration with other child health nurses. The descriptive statistical analysis and content analysis revealed a profile of the practice nurses and identified five main areas of child related work; immunisation, non-acute assessment, specific childhood conditions, acute/emergency and wound care, and information and advice. Current literature and Government strategy supports the need for health professionals to work collaboratively to improve health outcomes for children. This study strongly supports this view, describing the need for practice nurses to have an improved awareness of other community nursing roles and to work collaboratively with these nurses to provide a well balanced and effective child health service in New Zealand. This study revealed a lack of formal education to prepare practice nurses for their role working with children, especially in relation to health promotion. Whilst some nurses were particularly well skilled, this study recommends areas where further education would enhance the role of some practice nurses such as; well child assessment, family systems and support networks, and safety awareness and injury prevention.