During 1974, 29 pediatric nurse associates and 15 pediatric nurse associate trainees worked in the child health care system of the New York City Department of Health. All of these nurse associates, formerly public health nurses from the Department of Health, were trained in a one-year, intensive, closely supervised didactic and clinical course.Within the child health units the nurse associates assumed clinical roles in the care of well and sick preschool children according to the written guidelines andWith the introduction of pediatric nurse associates (practitioners), studies oftheir productivity, ofpatient acceptance, and of the quality of their care have documented their potential contribution to the delivery of primary pediatric care. [1][2][3][4] Since pediatric nurse associates are relatively recent innovations in the health field, the absolute number of these new professionals remains small. In the ten years since their introduction, about 3,000 pediatric nurse associates have been prepared for the entire country.5 Few reports have quantified the activity of a significant number of pediatric nurse associates working within a single health care system. This report describes the education and subsequent activity of 44 nurse associates working in the Department of Health in New York City during 1974. protocols of the Department. In addition, they continued to function in the more traditional role of the public health nurse for their own patients, rendering counseling, referral, and follow-up services as indicated. Physicians acted as consultants to the pediatric nurse associates.
The Educational ProgramComparisons are made between pediatric nurse associate-physician staff versus public health nurse-physician staff in terms of productivity and cost. (Am. J. Public Health 67: [855][856][857][858] 1977) associates. The students for the proposed programs were public health nurses currently employed by the Department of Health. The Health Department agreed to pay the nurses' full salary and to provide necessary books and equipment during the program. Each student, in return, signed an agreement in which she promised to remain within the Health Department for at least two years upon completion of the educational program. The federal government provided funds to the University for support of the program.The curriculum followed the guidelines for such continuing education courses established by the Americn Nurses' Association and the American Academy of Pediatrics.6 The program was of one year's duration: four months of intensive didactic and clinical experience followed by eight months of internship.During the first four months the students spent approximately 50 per cent ofthe time in didactic session conducted by the University nursing and medical faculty. To make certain that the didactic portion of the course was tailored to the specific policies and procedures of the Department of Health, members of the Department provided sessions on these issues. In addition, the students spent about 50 per cent...