Work Content Of Community Health Nurses In Generalteam Service Modelin Chongqing

ObjectiveTo study the current situation of the work content of community healthnurses(CHNs) in general team service model in Chongqing and to explorethe differences between CHNs and general practitioners(GPs), so as to laya foundation for confirming and perfecting CHNs’ work content.MethodsThe questionnaire investigation, Delphi method and literature researchmethod were used. A questionnaire was carried out among159CHNs and105GPs who were randomly selected from12community health servicecenters in Chongqing. On the basis of the questionnaire investigation,22experts who specialized in the field of community nursing management,community education and research, Community Health Service (CHS)management and clinic care were selected to take part in Delphi consultation.After two rounds Delphi consultation, the work content of CHNs in generalteam service model in Chongqing was determined.Results1. In the40items of the community work contents, there werestatistically differences in18items between CHNs and GPs (P<0.05), which showed that they were working with a clear division of labor. Therewere no statistically differences in the rest22items between CHNs andGPs (P>0.05), which showed their working together to complete the workcontents.2.The experts positive coefficient of the two rounds Delphiconsultations were90.9%、100%. The authority coefficient of the expertswas0.821, the Kendall’W coefficient was0.461(P<0.01). The work contentof CHNs in general team service model in Chongqing was finallydetermined, including6first-class indicators,12second-class indicatorsand42third-class indicators.Conclusions1. There are both labor division and collaboration in the work contentof CHNs and GPs in general team service model. There are6work contentmainly undertaken by CHNs,10work content mainly undertaken by GPsand24work content mainly undertaken by both of them. However, thereare still problems such as unclear division of labor, repetitive work and soon.2. The work content of CHNs in general team service model inChongqing includes community prevention, medical treatment, health care,rehabilitation, health education and family planning guidance. CHNs’ workfocus is gradually from the basic health services to public health services.