PubMed · 6906621
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S A Beard. 1981. Going home.. https://pubmed.ncbi.nlm.nih.gov/6906621/
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Proactive health visiting refers to a model of health visiting practice which involves actively seeking and meeting the health needs of a defined community. In Fife a working group was established to draw up an operational definition of this concept. Training for health visitors was introduced on a patch-by-patch basis in Fife between December 1992 and May 1993 and an evaluation was subsequently carried out to assess whether or not the proactive concept was being implemented and practised throughout Fife. The survey results suggest that the proactive training has been successful in bringing about a change in health visitor practice over a relatively short time period. With an increasing amount of health visiting work taking place in clinic settings it will be important to define the relative roles of general practitioners, practice nurses and health visitors. A number of operational constraints were identified by the survey and these tended to limit the implementation of the proactive approach. However, we believe that the initiatives which have been successfully introduced should be encouraged and supported, and recommend that this approach be more widely adopted.
The current emphasis on shorter hospital stays and increased care in the community has led to a greater focus on integration of patient care between primary and secondary health care settings. The module which is discussed in this paper aims to address the knowledge gaps of trained nurses, enabling them to understand current changes in health care in order to enhance their practice. Flexibility in pre-registration education allows for incorporation of this new knowledge as changes occur. A situational analysis approach was used to inform the curriculum, and wide consultation took place with service providers in both hospital and community. The resulting first module addresses care in the community, influences on patient/client's health experience, current social policy and local initiatives in response to legislation, and role of carers. Assessment takes the form of a client profile. To date evaluation of the module has been extremely positive and the curriculum planning team are developing a more practice focused second module which will address skills It is hoped that knowledge gained from both modules will enhance practice and form an initial preparation for secondary care nurses wishing to move into the community.