EVALUATION OF INFANT HEALTH CARE BY A NURSE PRACTITIONER

Abstract

A Pediatric Nurse Practitioner managing all well child care for 110 successively-enrolled infants in a low-income housing project attained set goals for well child care in a high proportion, had good acceptance by parents, and a low appointment-failure rate. This experience was similar to that attained in an upper middle class pediatric practice where care was given by three pediatricians. Health status of infants at age 1 year was similar in the two groups. Approximately 23% of infants coming for well care were found to have physical illness or abnormality which the Nurse Practitioner was required to identify and manage either by herself or in conjunction with a physician. In order for the Pediatric Nurse Practitioner to function effectively, even if her practice is limited to "well" children, she must be prepared to identify and manage certain problems beyond routine physical appraisal, immunization, and counseling.