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District and practice nurses' public health practice and training needs.

Katie Newby1, Louise Wallace, Hilary Wareing

  • 1Health Services Research Centre, Coventry University. k.newby@coventry.ac.uk

British Journal of Community Nursing
|June 1, 2005
PubMed
Summary

Community nurses in North Tyneside reported lower confidence and perceived importance in public health skills compared to clinical skills. This finding informed the development of a targeted training program to enhance public health practice.

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Area of Science:

  • Public Health
  • Community Nursing
  • Health Workforce Development

Background:

  • The UK government's 'Saving Lives: Our Healthier Nation' initiative (2000) emphasized integrating health improvement into local healthcare delivery.
  • Practice and district nurses were identified as crucial for this integration.
  • North Tyneside Primary Care Trust (PCT) initiated a study to assess training needs in response to these policy changes.

Purpose of the Study:

  • To conduct a training needs and skills analysis of practice and district nurses in North Tyneside.
  • To identify perceived gaps in public health versus clinical skills among community nurses.
  • To inform the development of relevant professional development programs.

Main Methods:

  • A questionnaire-based survey was distributed to local practice and district nurses.

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  • Thirty practice nurses and 39 district nurses completed and returned the questionnaires.
  • Data were analyzed to compare self-rated competence and importance of public health and clinical skills.

    • Main Results:

    • Nurses rated their competence in public health skills significantly lower than in clinical skills.
    • Public health skills were also rated as less important by nurses compared to clinical skills.
    • Senior nurses perceived low value in skills needed to advance public health practice within community nursing.

    Conclusions:

    • A significant gap exists in the perceived competence and importance of public health skills among community nurses.
    • The study's findings directly led to the creation of a 5-day training program.
    • The approach offers a model for enhancing public health practice within community services.