title: Impact of training on child care health consultant knowledge and practice.
abstract: OBJECTIVE
  To evaluate a pilot training program for 19 nurse child care health consultants, 14 child care directors, and 9 members of community teams, and to assess the effect of the training on nurses' and directors' perceptions of the health consultant role, nurses' knowledge and practice as health consultants, and child care center policies and practices.
  
  
  METHODS
  Data were collected at the conclusion of the program to assess participants' evaluation of the program and the effect of training on directors' and nurses' perceptions of the health consultant's role. Pre- and post-training data were collected regarding nurses' health consultation knowledge in 13 content areas and practice activities, and the effect of training on child care program health and safety policies and practices.
  
  
  RESULTS
  Of the 42 participants, 93.5% rated the program as excellent, and many health consultants and directors reported that the training changed their perception of the health consultant role. Positive significant differences were found in health consultant knowledge and scope of practice, as well as some health and safety policies and practices post-training.
  
  
  CONCLUSIONS
  These findings support the importance of preparation for the health consultant role and increasing evidence of the positive effect of health consultation on the health and safety of child care programs.
authors.affiliation: Yale University School of Nursing, New Haven, CT, USA.
authors.forename: Angela A
authors.initials: AA
authors.lastname: Crowley
authors.forename: Jonna M
authors.initials: JM
authors.lastname: Kulikowich
mesh_terms: D001291:Attitude of Health Personnel; D002648:Child; D002654:Child Care / Q000458:organization & administration*; D003237:Connecticut; D003253:Consultants / Q000523:psychology; D003479:Curriculum; D004521:Educational Measurement; D005581:Foster Home Care / Q000458:organization & administration; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration / Q000523:psychology; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D015402:Nursing Education Research; D015403:Nursing Evaluation Research; D010371:Pediatric Nursing / Q000193:education / Q000458:organization & administration*; D010865:Pilot Projects; D011361:Professional Competence / Q000592:standards; D015397:Program Evaluation