Abstract

SORIANO FAURA, Javier et al. Who performs health checks in the Valencian Autonomous Community?: improvement proposals. Rev Pediatr Aten Primaria [online]. 2016, vol.18, n.69, pp.17-24. ISSN 1139-7632.

Introduction: our main objective was to determine the overall pediatric nursing coverage on the Well Child Care (WCC) visits and the secondary objective was to assess acceptance, skills and training needs of pediatrics and nursing teams in Primary Care of the Comunitat Valenciana. Material and methods: cross sectional descriptive study from data collected through anonymous online surveysto pediatricians and nurses for two months in 2014. They were asked about who performs and who should perform and abilities and training needs identified. Outcomes: among those responding to the survey, 87% have referred to have pediatric nursing at their offices. 70% WCC visits have been delivered jointly by pediatrician and nurse. Main nursing abilities have been considered:advice on feeding, healthy lifestyle and immunizations. Half of the respondents recognize training needs. 95% surveyed believe that it's mandatory to have pediatric nurses in all primary care settings. One out of four visits performed by pediatricians alone corresponds to early visits along the first month of life. Conclusions: all Primary Care Units should be formed of pediatricians and nursing staff. The nursing work schedules must be flexible enough to enable their participation in the first WCC visits. In continuing education programs, the contents should be implemented according to the needs identified in this study for the performance of the activity in the WCC.

Keywords : Child health; Primary prevention; Pediatric nurse practitioners.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )