Severe disability: do primary health care nurses have a role to play?
This article focuses on the importance of primary health care nurses' involvement in the identification of children with severe disabilities, early and appropriate intervention that includes referral, as well as the provision of support to the children's caregivers. The use of multiskilling as a strategy to train nurses to fulfil this role is described. The traditional roles of community nurses are explored within the disability paradigm, with specific reference to multi-skilling. Finally, research results following the implementation of the Beginning Communication Intervention Protocol (BCIP), which uses multi-skilling as a training strategy, are described. Recommendations for further research are then provided.
Centre for Augmentative and Alternative Communication, University of Pretori.
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Bornman
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Alant
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Lloyd
D000328:Adult; D001291:Attitude of Health Personnel; D019090:Case Management / Q000458:organization & administration; D002648:Child; D002983:Clinical Competence / Q000592:standards; D003152:Community Health Nursing / Q000193:education / Q000458:organization & administration; D003479:Curriculum; D019988:Children with Disabilities / Q000534:rehabilitation*; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D016294:Models, Nursing; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role; D015402:Nursing Education Research; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology; D010290:Parents / Q000193:education / Q000523:psychology; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D012017:Referral and Consultation; D012944:Social Support; D013019:South Africa; D011795:Surveys and Questionnaires