Vision, Voice, Visibility

Sandra J. Delack
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引用次数: 1

Abstract

‘‘It was the best of times, it was the worst of times!’’ (Dickens, 1859). These words by Charles Dickens well describe our world and the environment faced by school nurses today. The current economic downturn has had an impact on each of us in many ways. State and local governments are struggling to find ways to provide services on limited budgets. School districts have been forced to reduce salaries and cut staff. Many of the families that we serve have lost their income and their health insurance or have had it significantly reduced. School nurses are seeing increasing numbers of students with acute and chronic health conditions, as well as mental health needs. Many lack a medical home, and their needs remain unmet. Our families count on school nurses to fill the void. It seems that the increased needs of students and reduced funding for school health services have met on a collision course. Yet, with every challenge comesanopportunity— an opportunity to seek new and innovative solutions. The economic climate has forced us to take an in-depth look at our practice. It has forced us to examine our worth and define our value. Although school nurses have always been aware of the value of the health services they provide, now more than ever, it is time to demonstrate evidence of that value. This is an exciting time to be a school nurse! We are embarking on uncharted waters in the era of health care. Research has shown that although the United States spends far more on health care than any other nation, we live shorter lives and have a higher infant mortality rate than many other developed countries. Despite its vast medical resources, the United States ranks just 34th in the world in life expectancy. We fare little better in infant mortality, ranking 29th in the world, tied withSlovakiaandPoland(MacDorman&Mathews, 2009). A recent article in Time magazine
视觉,声音,可见度
“这是最好的时代,也是最坏的时代!”(狄更斯,1859)。查尔斯·狄更斯的这句话很好地描述了我们今天的世界和学校护士所面临的环境。当前的经济衰退对我们每个人都有多方面的影响。州和地方政府正在努力寻找在有限预算下提供服务的方法。各学区被迫减薪裁员。我们服务的许多家庭失去了他们的收入和医疗保险,或者保险大幅减少。学校护士看到越来越多的学生有急性和慢性健康问题,以及心理健康需求。许多人缺乏医疗之家,他们的需求仍未得到满足。我们的家庭依靠学校护士来填补空白。学生需求的增加和学校保健服务经费的减少似乎是相互冲突的。然而,每一个挑战都是一个机会——一个寻求新的和创新的解决方案的机会。经济环境迫使我们深入审视我们的业务。它迫使我们审视自己的价值,定义自己的价值。虽然学校护士一直意识到她们所提供的保健服务的价值,但现在比以往任何时候都更需要证明这种价值。这是一个激动人心的时代,成为一名学校护士!我们正在踏上医疗保健时代的未知领域。研究表明,尽管美国在医疗保健方面的支出远远超过其他任何国家,但我们的寿命比许多其他发达国家短,婴儿死亡率也高于其他许多发达国家。尽管拥有庞大的医疗资源,但美国的预期寿命在世界上仅排在第34位。我们在婴儿死亡率方面也好不了多少,与斯洛伐克和波兰并列世界第29位(MacDorman&Mathews, 2009)。《时代》杂志最近的一篇文章
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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