The Child-Health Nurse (Pediatric Nurse Practitioner) in Private Practice

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Abstract
Four registered nurses who had been inactive in nursing were recruited for half-time work and were trained in a four-month program to provide well-child care and telephone-call management of general pediatric problems. During 1969, 1220 newborn infants were assigned in alternate fashion either to team care (pediatrician with trained nurse) or to pediatrician's care alone. For team patients, the nurse alone conducted alternate well-child visits. Data accumulated over two years indicated (1) care by a child-health nurse and pediatrician team was of a quality equal to care by the pediatrician alone; (2) team care was acceptable to parents as well as health professionals; and (3) physicians received fewer telephone calls from team patients. On the other hand, the physicians were involved in somewhat more than the expected half of the well-child visits made by the experimental group.

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