The relationship between maternal childhood emotional abuse/neglect and parenting outcomes: A Systematic Review.
AbstractThis paper reviews the evidence concerning the association between reported maternal childhood experience of emotional abuse and/or neglect and subsequent parenting outcomes. Relevant studies were identified through a systematic search of four electronic databases using a pre-determined keyword search. Reference lists of included papers were reviewed and key authors in the field contacted to ascertain whether other papers were available. Twelve studies which met our eligibility criteria were included for review. Tentative support was found for a relationship between maternal childhood emotionally abusive/neglectful experiences and a range of adverse parenting outcomes, including increased parenting stress and maltreatment potential, lower empathy and greater psychological control. However, limitations within the research (e.g. small sample sizes, retrospective designs) reduce the confidence with which we can draw firm conclusions. Recommendations are offered for future research together with an outline of clinical implications arising from this review.
Key Practitioner messages: There is tentative evidence that maternal childhood experience of emotional abuse/neglect may be associated with subsequent deficits in parenting. Maternal childhood experiences of being parented should be considered when attempting to make sense of children's difficulties and/or problems in the parentchild relationship.
2 Further research is required to explore these relationships and to build on our knowledge about contextual risk and protective factors.
The findings of the research could act as a catalyst for change and development of the service and service providers. It is hoped that it will also contribute to the improved satisfaction of the service provided to sick children and their families by parents and by the nurses who provide the care.
This novel and innovative approach supports novice reflectors, encourages reflection on action and enhances professional development. It is a structured yet flexible tool, for which there was a gap in the published literature. It can be utilized in varied placements in pharmacy curricula internationally.
Aims and objectives
To describe the prescribing behaviours and practices of registered nurse and midwife prescribers and to explore experiences of enablers and barriers to prescribing practices.
Background
The extension of prescriptive authority to nurses and midwives internationally has created new opportunities for them to expand their scope of practice and is of significant benefit to effective and efficient health service provision.
Design
Cross‐sectional national survey of registered nurse and midwife prescribers.
Methods
Data were collected through an online survey between April–July 2018. A total of 84 nurse and midwife prescribers participated. The STROBE checklist was applied as the reporting guideline for this study.
Results
Respondents estimated that two‐fifths of their consultations involved an episode of prescribing. Nurse and midwife prescribers engaged in similar prescribing behaviours spanning the range of activities from initiating new medications to ceasing medicines. The most frequently selected criterion for prescribing was clinical effectiveness. Prescribing was viewed as essential to respondents' clinical practice, allowing them to provide a complete episode of care and leading to a reduction in medication errors and reduced delays and waiting times for patients. Enablers of prescribing included knowledge, experience, education and access to continuous professional development, as well as support from colleagues and organisations.
Conclusion
Little is known about the prescribing behaviours and practices of registered nurse and midwife prescribers. While prescribing authority enables nurse and midwife practitioners to deliver holistic care, there remain significant barriers and challenges including increased workloads, lack of continuous professional development, lack of support and overly restrictive rules and policies governing prescribing.
Relevance to clinical practice
Addressing the barriers identified in this study could enable more nurse and midwife prescribers to work to their full scope of practice, enabling populations to fully capitalise on the contributions of registered nurse and midwife prescribing services.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.