title: Public health nursing: barriers and opportunities.
abstract: This paper reports the findings of a descriptive study that examined the understanding and practice of public health nursing in one English NHS Region. Using questionnaires and focus groups, data were collected from nurses working in Health Authorities, senior Trust management, operational management and nursing practice across hospital and community services. The data were analysed using qualitative methods. The paper reports one aspect of the study, namely the views of the lead nurses in the Trusts and the Health Authorities regarding public health and nursing. The findings suggest that there are varying interpretations of public health nursing, lack of collaboration between and within organizations and disciplines and limitations in the knowledge and skills possessed by practitioners. It is argued that these issues all present barriers to the development of public health nursing and need to be considered as a matter of urgency if organizations and clinicians are to make the most of the current opportunities.
authors.affiliation: Doctoral student, School of Health, University of Hull, Cottingham Road, Hull, UK,Senior Research Fellow, Institute of General Practice and Primary Care, University of Sheffield, Sheffield, UK andSpecialist in Professional Development, Primary Care Development Unit, Premier Health NHS Trust, St Michael's Hospital, Trent Valley Road, Litchfield, Staffordshire, UK.
authors.forename: Caroline
authors.initials: C
authors.lastname: Plews
authors.forename: Kate
authors.initials: K
authors.lastname: Billingham
authors.forename: Ann
authors.initials: A
authors.lastname: Rowe