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The Role of the New Specialist Community Public Health Nurse Essay

The Role of the New Specialist Community Public Health Nurse EssayThe Role of the New Specialist Community Public Health Nurse EssaySchool nursing specializes in the provision of professional services through advancing the overall wellbeing and life-long achievements of students. School nurses provide accurate responses to the students’ normal development, health, and safety. They facilitate the intervention and identification of potential health problems through the provision of effective management services. In essence, school nurses are the link between students’ health and educational attainment. They also reach out to students in both their homes and communities to help them attain the highest possible healthcare conditions. Notably, a Specialist Community Public Health Nurse (SCPHN) program equips students with relevant knowledge, skills, and critical abilities to enhance community health. The role of the SCPHN is indeed unique, with the primary objective of enhancing equal and equitable access to quality and competent healthcare services.The Role of the New Specialist Community Public Health Nurse EssayORDER A PLAGIARISM-FREE PAPER HEREIn particular, the nurse is responsible for the coordination, assessment, planning, and delivery of prompt and efficient care to ensure the overall health and wellbeing of a specific school population. The SCPHN also facilitates collaborative healthcare across a range of professionals and services within a practice area. Notably, they work based on a solution-focused approach to improve the general health outcomes of the identified population. From the interview, close working collaboration with the school health team should integrate relevant educational and social work guidelines. The analyses of the SCPHN roles are based on the recommended priority areas and pathways or skills. Through these skills, the nurse can ensure better person-centered care for the vulnerable. Thus, the paper will examine the theme of accessing and the visibility of school nursing services. The responses will gauge a selected young person’s (YP) perceptions, options, understanding, and knowledge about the services provided by the school nurse based on the recommended priority areas and pathways. Figure 1 below is a list of the stipulated priority areas and pathways for the new school nurse.The Role of the New Specialist Community Public Health Nurse EssayKey priorities/pathways School nursing intervention/activity1. Emotional/mental health and wellbeing ü  The School Nurse participates in the overall development of the child and adolescent healthcare conditions. Under this role, the SN should: ü  Ensure constant administration of emotional and mental health screening using tools such as questionnaires, interviews, and direct observationsü  Identify the appropriate need for specialist interventions based on the outcome of the students’ healthcare screening processesü  Facilitate the identification of various specialist interventions and appropriate actionsü  Offer necessary support to improve the students’ psychological and physical healthcare and wellbeingü  Profile population healthcare needs of the studentsü  Lastly, the SN can rely on the following model to provide services to the students 2. Substance misuse: drugs, alcohol, and tobacco Based on this priority area and pathway, the school nurse should: ·        Request for assistance from Named Person and/or facilitate the identification of such persons via referral or specified health zones·        Conduct appropriate home visit/discussion to coordinate comprehensive healthcare assessment of the children and adolescents’ assessment based on the GIRFEC National Practice Model·        Promote the delivery of brief and prompt interventions, motivational interviewing, and lifestyle behavioral change among the targeted population·        Introduce and support restorative approaches to care or programs·        Request for assistance/refer to other specialists or voluntary services·        Assess need and benefits of family/community support/advocacy and refer as appropriate·        Provide mental health interventions as required (Tiers 1 &2)·        Ensure effective communication and collaboration with key partners·        Documentation of intervention and outcome·        Feedback to Named Person·        Contribute to local profiling and population health needs assessment work with public health colleagues and by feeding information and data into local groups and agencies as relevant.3. Child protection (child neglect) Based on this priority area and pathway, the school nurse should: ·        Develop and implement a comprehensive national and local guidance on relevant healthcare interventions·        Provide appropriate responses to the targeted professionals responsible for supporting the development of the child’s healthcare plan·        Facilitate the preparation of records and reports. The School Nurse should also attend and contribute to multi-agency planning to accommodate children reviews·        The nurse should also present health assessment on the children’s possible need for ongoing support while attending initial case conferences·        Develop an integrated working system to support children and young people through their varied healthcare challenges·        Contribute to the chronology held by the Named Person·        Monitor emerging data and trends on various healthcare issues4. Domestic abuse For children and young people who witness domestic abuse, the School Nurse should:The Role of the New Specialist Community Public Health Nurse Essay·        Request assistance from Named Person and/or identify via referral·        Ensure inclusion where appropriate in a health plan and in interventions on mental health, substance misuse, and homelessness·        Follow national and local guidance on child protection as appropriate·        share information and contribute to risk-assessment process on domestic abuse with Named Person to identify whether referral to local multi-agency risk assessment conference (MARAC) is required·        Contribute to local profiling and population health needs assessment work with public health colleagues and by feeding information and data into local groups and agencies as relevantAdditionally, for young people experiencing domestic abuse from a boy/girlfriend, the School Nurse should:·        Identify and assess health need, including mental, emotional, and sexual health·        The school nurse should further conduct a periodic or frequent risk assessment for young people experiencing domestic abuse to mitigate perceived and actual harm5. Looked-after children Based on this priority area and pathway, the school nurse should: ·        Provided adequate support to adolescents and children through an integrated nurse team and multi-agency professionals·        Support the application of relevant protocols on information sharing and receipt·        Conduct detailed LAC review assessments annually using SDQ and local assessment tools to facilitate rational clinical decisions·        Facilitate the implementation of various healthcare interventions by the school nursing team to meet the health needs of the students·        Seek help from relevant specialist services to reinforce the students’ healthcare outcomes·        Ensure accurate preparation of health records and reports on students’ healthcare conditionsFrequently attend and contribute to multi-agency LAC review meetings on emerging healthcare trends·        Ensure efficient information-sharing with identified professionals  through appropriate technology6. Homelessness Based on this priority area and pathway, the school nurse should: ·        Perform wellbeing assessment, adopting the GIRFEC National Practice Model·        Respond to requests for assistance from Named Person and contribute to the chronology held by the Named Person·        Undertake appropriate information sharing with the Named Person (Education) and contribute to the chronology held by them·        Coordinate the health aspect of the child’s plan·        Refer/request assistance/support from other disciplines and agencies dependent on health need of child or family·        Support access to services for homeless families and children·        Scope out and utilize as required existing tools and programs of interventions·        Measure the impact of services provided to support quality healthcare delivery and improve outcomes for children and young people.7. Sexual health and wellbeing Based on this priority area and pathway, the school nurse should: ·        Support young people requiring advice or interventions in relation to sexual health and wellbeing, including relationships·        Request assistance from teacher, health zone, Named Person, young person, and/or identification via referral or health zone·        Discuss/communicate with the young person as appropriate to undertake a comprehensive assessment with the GIRFEC National Practice Model·        Assure the young person of their right to confidentiality and explain that any conversations will remain confidential unless there are issues of child protection. Apply appropriate protocols for giving, receiving, and sharing information and gaining consent as per national and local guidance, policies, and procedures·        If required, talk to the young person about their relationship(s) in order to understand if they are healthy and consensual, or if the young person could be at risk of coercion or exploitation·        Ensure conversations ascertain the young person’s knowledge and understanding of sex, including contraception·        Provide generalized feedback, without referral to specific persons or circumstances, into relationships, sexual health, and parenthood (RSHP) education if there appear to be issued with lack of, or poor, understanding·        Implement interventions by the school nursing team where appropriate to meet the health needs identified by the assessment·        If more specialist skills are required, request assistance from/make a referral to specialist services as appropriate to meet the health and social care needs of the young person, for example, sexual health services or youth work, as identified through the assessment.The Role of the New Specialist Community Public Health Nurse Essay7a Pregnancy and parenthood The intervention or pathway is appropriate for young women and their partners struggling with pregnancy and parenthood while at school. Under this intervention, the school nurse should: ·        Coordinate the school health team responses to ensure the overall health and wellbeing of the students·        Offer relevant advice and support to young people and parents while attending the multi-agency meetings discussing  related issues·        Coordinate referral processes to the school/family nurse from teacher and identified health zones·        Conduct a comprehensive wellbeing assessment using the  National Practice Model and National Risk Framework·        Coordinate information sharing processes between the young person(s)·        Support important processes such as pregnancy testing among the young people by providing non-judgmental and practical advice, related healthcare data and information, and other necessary support to help them to make rational choices about their conditions8. Youth justice Based on this priority area and pathway, the school nurse should: ·        Perform a wellbeing assessment using the GIRFEC National Practice Model·        Respond to requests for assistance from the Named Person and contribute to the chronology held by them·        Coordinate the health aspect of the child’s plan·        Scope out existing tools and programs of interventions·        Deliver brief interventions with feedback to the Named Person·        Alert Named Person/professionals to the specific needs of young people at all stages of change/transition within education·        Measure impact of services provided to support quality healthcare delivery and improve outcomes for children and young people9. Young carers Based on this priority area and pathway, the school nurse should:The Role of the New Specialist Community Public Health Nurse Essay·        Coordinate the execution of wellbeing assessment through the adoption of the GIRFEC National Practice Model·        Provide relevant responses to professionals within the school nursing teams·        Develop coordinated approaches to various health aspects within the school settings·        Engage healthcare professionals on the specific needs of young people at all stages of their development or transition into other stages of development·        Connect with specialist children and adult services as an appropriate response to emerging healthcare issues10. Transitions Based on this priority area and pathway, the school nurse should: ·        Prepare records and reports, as well as attend and contribute to the pre-school, health visitor, and Named Person (Education) transition meeting·        Alert Named Person of specific children, young people, and families with a Health Plan Indicator (HPI) of additional needs at all stages of change/transition, including year-to-year, school-to-school, and leaving school·        Respond to requests for assistance from the Named Person·        Attend annual induction/welcome events for new pupils to highlight the school nursing service·        Attend P7–S1 transition events·        Measure impact of services provided to support quality healthcare delivery and improve outcomes for children and young people The Personal Action PlanThe school nurse should have a clear personal action plan. In essence, the primary goal of a school nurse is to promote the assessment and evaluation of overall students’ healthcare services and wellbeing. The nurse should understand that students require good physical and mental health to function properly. Thus, the subsequent personal action plan provides a comprehensive overview of the clinical roles, educational or research capabilities, management, and leadership skills that the school nurse should develop and improve on to serve the students better. Besides, the plan provides a brief overview of the school nurse’s professional roles, communication and rapport, decisions and judgment, and other physical and emotional demands.The Role of the New Specialist Community Public Health Nurse EssayUnder clinical roles, the SN should:Promote teamwork and coordination within a multi-professional health environment by leading the delivery of excellent and high-quality care to the studentsAssess decision-making and planning care, targeting prompt interventions for the studentsEnhance cooperation between parents, receive and assess referrals promptly, and act in an advisory capacity on public health issues within the schoolStrengthen the support system by involving the students in the planning and delivery of personalized or individualized care processRemain sensitive to the students’ vulnerability by developing professional knowledge on the recommended priority areas and pathwaysParticipate in the identification of health inequalities and recommending appropriate guidelines for action from the multidisciplinary teamsWork with the teachers and community-based agencies to help the students maintain perfect healthProvide comprehensive assessment, triage, and care of the sick and injured studentsMonitor school facilities and provide recommendations on maintaining optimum health and overall safety of the studentsPerform regular clinical screenings and other related responsibilitiesUnder education and research, the SN should:Participate in the students’ personal and professional growth and developmentInitiate and support continuing and relevant research in nursing practicesDevelop a comprehensive ethical and legal framework for the implementation of the school’s healthcare intervention policiesFacilitate the development, delivery, and evaluation of research-based health services within the schoolUnder management and leadership, the SN should:Demonstrate leadership to other professionals within the school’s healthcare systemsFacilitate, coordinate, and prioritize healthcare services to the patientsEnsure the efficient utilization and management of physical human and financial resourcesAct as a positive role model to the team members through adequate support and supervision of new team membersSupport the development of effective teamwork and healthy working relationships between team membersTake responsibility for the general delivery of quality school nursing servicesUnder professional roles, communication, and relationships, the SN should:Coordinate care processes based on the established professional codes of practice and legislationAdopt a targeted approach to the provision of care for the studentsEnsure accurate and updated clinical records based on best practices on patient caresMaintain routine communication between different healthcare professionals within the schoolEnsure effective management of complaints and related incidents within the school settingEnsuring the establishment and maintenance of clinical relationships based on mutual respectUnder the physical and emotional demands of the job, the SN should prepare to:Move and handle clinical equipment regularlyAcquire more computer skills to execute related tasksBe more assertive in supporting the students’ best medical interestsManage conflicts between different professionals within the school healthcare environmentEnsure the effective management of team dynamics and support systemsBased on the above action plans, the Student Nurse should improve on areas of communication and teamwork. For example, through effective communication, the nurse can establish good relationships and ensure continuous process development. A thorough understanding and implementation of these action plans will improve the provision of efficient healthcare services.The Role of the New Specialist Community Public Health Nurse Essay ReferencesBRITISH YOUTH COUNCIL, 2011. Our School Nurse. Young people’s views on the role of the school nurse. London, British Youth Council. Available from: https://www.nursingtimes.net/Journals/2011/11/30/l/y/d/British-Youth-Council-Our-School-Nurse-FINAL.pdf [Accessed 12/06/2020].CHILDREN AND YOUNG PEOPLES (SCOTLAND) ACT 2014, Available from http://www.legislation.gov.uk/asp/2014/8/pdfs/asp_20140008_en.pdf[Accessed 11/06/2020].COCHRANE, R; 2017.  5 ways that going paperless is good for the environment. Available from https://www.docusign.co.uk/blog/going-paperless-good-for-environment.[Accessed 11/06/2020].Data Protection Act (2018), UK Government: UK. [Online], Available online: http://www.legislation.gov.uk/ukpga/2018/12/contents/enacted [Accessed 20/06/2020].DEPARTMENT FOR EDUCATION, 2018. Statutory framework for the early year’sDEPARTMENT OF HEALTH, 2012.  Getting it right for children, young people andDOI, L., WASON, D., MALDEN, S. & JEPSON, R., 2017. A realist evaluation of the refocused school nurse program within early adopter sites in Scotland, SCPHNRP, University of Edinburgh, Scottish Government [Accessed 17/06/2020].families Maximising the contribution of the school nursing team: Vision and Call to Action. Leedsfoundation stage. Available online:https://www.gov.uk/government/publications/early-years-foundation-stage-framework–2[Accessed 12/06/2020].HEALTH FOR TEENS 2019.Everything you wanted to know about health. Available fromhttps://www.healthforteens.co.uk/about/[Accessed 17/06/2020].http://www.legislation.gov.uk/asp/2104/8/pdfs/asp20140008en.pdf [Accessed 20/06/2020].https://www.sehd.scot.nhs.uk/mels/CEL2013_13.pdf[Accessed 11/06/2020].MOTAMEDI, M.  2016 ‘Best-placed’ School nursing services’ role in providing early mental health interventions; British Journal of School Nursing (11) 10. London.NHS Education for Scotland, 2008.  Pillar of practice http://www.advancedpractice.scot.nhs.uk/education/pillars-of-practice.aspx [Accessed 20/06/2020].The Role of the New Specialist Community Public Health Nurse EssayNICE, 2017, Health app: ChatHealth communication platform in school nursing services. [online]. Available from: https://www.nice.org.uk/advice/mib130/chapter/The-technology [Accessed 19/06/2020].NURSING AND MIDWIFERY COUNCIL The code:  Professional standards of practice and behavior for nurses, midwives, and nursing associates:  London.SCOTTISH GOVERNMENT, 2009. Early Years Framework (Department for Education Available from https://www.gov.scot/publications/early-years-framework/pages/8/[Accessed 11/06/2020].SCOTTISH GOVERNMENT, 2012. Getting it Right for Every Child (GIRFEC). [online]. Edinburgh: Scottish Government. Available from: http://www.gov.scot/rescources/doc/311667/0098354.pdf [Accessed 18/06/2020].SCOTTISH GOVERNMENT, 2013. Public Health Nursing Services–Future Focus (CEL 13). Available fromSCOTTISH GOVERNMENT, 2014. Children and Young People (Scotland) Act, [online] Available from:SCOTTISH GOVERNMENT, 2018. Specialist school nursing: priority areas and pathways [online]. Edinburgh: Scottish Government. Available from:https://www.gov.scot/publications/school-nursing-role-integrated-community-nursing-teams-school-nursing-priority/pages/ [Accessed /20 /06/20].THE SCOTTISH GOVERNMENT, 2018.  Specialist school nursing: priority areas and pathways. Edinburgh.  The Role of the New Specialist Community Public Health Nurse Essay

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