Community Child Health (CCH) nurses’ experience of home visits for new mothers: A quality improvement project
Saras Henderson
School of Nursing and Midwifery
Griffith Health
Gold Coast campus
Griffith University
QLD, Australia
PP: 66 - 76
Abstract
This paper explores Community Child Health (CCH) nurses' experience of home visits for new mothers in a health service region of Western Australia. Reported benefits of home visits include improvement in maternal and child health and better parenting skills leading to positive maternal-child interaction. Despite CCH nurses' support for home visits factors such as costs, lack of resources and staffing issues have made home visits increasingly difficult. Twelve child health nurses participated in a focus group taped interview to explore how these nurses experienced home visits for new mothers in order to evaluate and improve home visits. Data were transcribed verbatim and content analysed. Three themes emerged from the nurses' experience of home visits. These were: 1) finding out about home visits with sub-themes such as scheduling first home visits and making the first phone call, 2) staying safe during home visits with sub-themes such as managing high risk clients and scheduling subsequent visits and 3) building positive partnerships with clients during home visits. The findings indicated CCH nurses followed a set pathway towards successfully completing home visits. This may provide valuable insights for other CCH nurses.
Keywords
community nursing, home visits, child health nurses, new mothers.
References
Barnes M, Courtney M, Pratt, J and Walsh A (2003) Contemporary child health nursing practice: Services provided and challenges faced in metropolitan and outer Brisbane areas. Collegian 10:14-19.
Department of Health WA (DoH) (2005) Birth to school entry: Universal prevention and early detection schedule, policy rationale and summary of the changes to the schedule. Department of Health: Child Health Record (2005).
Downie J, Hubble J, Munns A and Wynaden D (2004) Changing focus of practice for community health nurses: Advancing the practice role. Contemporary Nurse 16: 208-213.
Field PA and Morse JM (1992) Nursing research: The application of qualitative Approaches, Chapman & Hall, London.
Jansson A, Petersson K and Uden G (2001) Nurses' first encounters with parents of new-born children: Public health nurses' views of a good meeting. Journal of Clinical Nursing 10:140-160.
Kemp L, Anderson T, Travaglia J and Harris E (2005) Sustained nurse home visiting in early childhood: Exploring Australian nursing competencies. Public Health Nursing 22: 254-264.
Kearney MH, York R and Deatrick JA (2000) Effects of home visits to vulnerable young families. Clinical Scholarship 32: 369-376.
Krueger RA (1994) Focus groups: A practical guide for applied research 2nd edn, Sage Publications, Thousand Oaks.
Larner M, Halpern R & Harkavy O (1992) Fair start to children: Lessons learned from seven demonstration projects, New Haven, Connecticut, Yale University Press.
Marshall J and Craft K (2000) New vision for community health services for the future report, Perth, WA, Department of Health WA.
McNaughton DB (2004) Nurse home visits to maternal-child clients: A review of intervention research. Public Health Nursing 21: 207-224.
McNaughton DB (2000) A synthesis of qualitative home visiting research. Public Health Nursing 17: 405-414.
Morgan DL (1997) Focus groups as qualitative research 2nd edn, Sage Publications, Thousand Oaks.
Olds, DL and Kitzman H (1993) Review of research on home visiting for pregnant women and parents of young children. The future of Children 3: 53-92.
Olds DL, Eckenrode J, Henderson CR, Kitzman H, Powers,J and Cole R (1997) Long term effects of home visitation on maternal life course and child abuse and neglect-fifteen year follow up of a randomised trial. JAMA: The Journal of the American Medical Association 278: 637-643.
Plews C, Bryar R & Closs J (2005) Clients' perceptions of support received from health visitors during home visits. Journal of Clinical Nursing 14:789- 797.
Raynor P (2001) Review: Home visiting programmes that include greater than or equal to postnatal home visits are associated with improved quality of home environment and parenting. Evidence-based Nursing 4: 9.
Streubert HJ and Carpenter DR (1999) Qualitative research in nursing: Advancing the humanistic imperative (2nd edn), Philadelphia, Lippincott.
Stanley F (2003) Why putting children first is so important. National press club address. Available at http://www.chnwa.org.au/files/press_club_address.pdf. accessed 20th July 2008
Vehvilainen-Julkunen K (1994) The function of home visits in maternal and child welfare as evaluated by service providers and users. Journal of Advanced Nursing 20: 672-678.

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