Early Childhood Home Visiting

Duffee, James H.; Mendelsohn, Alan L.; Kuo, Alice; Legano, Lori A.; Earls, Marian F.; Neglect,

doi:10.1542/peds.2017-2150

Cited by 113 publications

(77 citation statements)

References 48 publications

(29 reference statements)

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“…This includes significantly expanding and funding Medicaid, Children's Health Insurance Program (CHIP), a universal public healthcare plan, and a variety of evidence-based programs that decrease costs by leveraging preventative health services. For example, home visiting programs are well-studied, evidence-based interventions that significantly improve childhood outcomes while reducing healthcare costs (Avellar & Supplee, 2013;Duffee et al, 2017;Olds et al, 2014). Expanding the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV Program), mandating it as a reimbursable service, and fully and continuously funding it through Medicaid, the federal government, and private insurance companies (Herzfeldt-Kamprath, Calsyn, & Huelskoetter, 2017) would greatly improve health outcomes for our nation's children and families.…”

Section: Implications For Public Policymentioning

confidence: 99%

Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes

Weber

Harrison

2019

Nursing Outlook

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In 2011, the American Academy of Pediatrics (AAP) published a technical report on the lifelong effects of early toxic stress on human development, and included a new framework for promoting pediatric health: the Ecobiodevelopmental Framework for Early Childhood Policies and Programs. We believe that hospitalization is a specific form of toxic stress for the neonatal patient, and that toxic stress must be addressed by the nursing profession in order to substantially improve outcomes for the critically-ill neonate. Approximately 4% of normal birthweight newborns and 85% of low birthweight newborns are hospitalized each year in the highly technological Neonatal Intensive Unit (NICU). Neonates are exposed to roughly 70 stressful procedures a day during hospitalization, which can permanently and negatively alter the infant's developing brain. Neurologic deficits can be partly attributed to the frequent, toxic, and cumulative exposure to stressors during NICU hospitalization. However, the AAP Report does not provide specific action steps necessary to address toxic stress in the NICU and realize the new vision for pediatric healthcare outlined therein. Therefore, this paper applies the concepts and vision laid out in the AAP Report to the care of the hospitalized neonate and provides action steps for true transformative change in neonatal intensive care. We review how the environment of the NICU is a significant source of toxic stress for hospitalized infants. We provide recommendations for caregiving practices that could significantly buffer the toxic stress experienced by hospitalized infants. We also identify areas of research inquiry that are needed to address gaps in nursing knowledge and to propel nursing science forward. Finally, we advocate for several public policies that are not fully addressed in the AAP Technical Report, but are vital to the health and development of all newborns.

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Section: Implications For Public Policymentioning

confidence: 99%

Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes

Weber

Harrison

2019

Nursing Outlook

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“…Among the recommendations proposed by the original ACE study authors is the use of home visiting programs to assist parents in developing closer relationships with their children from birth to 3 years (Felitti et al, ). Evidence‐based status is increasingly required for public backing and sustained funding of maternal/child home visiting (Duffee, Mendelsohn, Kuo, Legano, & Earls, ; National Conference of State Legislators, ). Therefore, the Field Nursing team informed their model design through an additional exploration of research related to evidence‐based practice in PHN home visiting programs and measurement of relevant outcome measures.…”

Section: Adverse Childhood Experiencementioning

confidence: 99%

“…Demonstrated program effectiveness as evidenced by achievement of positive outcomes over time remains the gold standard for home visiting investment (Duffee et al, ). This has proven to be a significant limitation in evaluating traditional PHN home visiting programs whose crisis driven referrals result in varied lengths of time each client is enrolled, as well as differing levels of engagement within the program.…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

Trauma informed public health nursing visits to parents and children

Ballard

George

Zazueta-Lara

et al. 2019

Public Health Nursing

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Adverse Childhood Experiences (ACEs) research has demonstrated a strong correlation between a traumatic childhood and poor health and social status in adulthood. Maternal/child Public Health Nursing (PHN) home visiting teams frequently encounter families experiencing trauma, thus offering a unique opportunity to assist parents in recognizing the potential harm such stress may have for their child. The Sonoma County Field Nursing team developed a trauma‐informed model utilizing ACEs education in a self‐reflective approach with parents to increase family resilience and reduce the risk for future childhood trauma. This paper presents the supporting research used to develop the trauma‐informed approach and describes the execution of the model by the Sonoma County Field Nursing team.

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“…Familienhausbesuchsprogramme wurden international intensiv beforscht [31,32]. In der vorliegenden Studie handelt es sich um eine retrospektive epidemiologische Querschnittsstudie, die eine Bewertung von Populationsunterschieden bezüglich Einflussfaktoren und der Stärke des Zusammenhangs zulässt.…”

Section: Limitationenunclassified

Brandenburger Netzwerk Gesunde Kinder: Frühe Prävention zeigt Wirkung

Ellsäßer

Karpinski

Schmok³

et al. 2019

Gesundheitswesen

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Zusammenfassung Hintergrund und Ziel der Studie Das Brandenburger Netzwerk Gesunde Kinder (NGK) ist ein durch geschulte Ehrenamtliche getragenes landesweites Gesundheitsförderprogramm für Familien mit Kindern von 0 bis 3 Jahren. Ziel der Studie ist auf der Basis der Schuleingangsuntersuchung (SEU) zu untersuchen, ob das NGK sich positiv auf die Gesundheit der Kinder auswirkt. Methode In einer retrospektiven epidemiologischen Analyse der SEU, Schuljahr 2016/2017 (Netzwerkkinder/NK: 1152, Nicht-Netzwerkkinder/N-NK: 20 954) wird deskriptiv statistisch untersucht, ob es soziodemografische und gesundheitliche Unterschiede zwischen den Subgruppen NK und N-NK gibt. In einer logistischen Regressionsanalyse wird die Stärke des Einflusses des NGK bezogen auf gesundheitliche Zielgrößen und bei Adjustierung (wie soziale Lage und Region) berechnet. Ergebnisse Eltern mit niedrigem und mittlerem Sozialstatus sowie Alleinerziehende nahmen häufiger im NGK (p<0,001) teil. NK verglichen zu N-NK brachten das U-Heft (94,3 / 91,5%, p<0,001) und den Impfausweis (95,7 / 91,7%, p<0,001) häufiger zur SEU mit. Eine höhere Quote der 1. Tetanus-, Diphtherie-, Pertussis-Auffrischimpfung wurde nach Netzwerkbegleitung festgestellt. Im adjustierten Modell zeigten NK geringere Quoten bei unvollständiger U2–U6 (OR 0,347 [95%-Konfidenzintervall: 0,192–0,627, p<0,001]), Impflücken (OR 0,621 [95%-KI: 0,508–0,758, p<0,000]) und höhere bei „optimal versorgt“ (OR 1,355 [95%-KI: 1,175–1,562, p<0,001]). Schlussfolgerung Gesundheitlich profitierten die im Netzwerk begleiteten Kinder.

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Early Childhood Home Visiting

Cited by 113 publications

References 48 publications

Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes

Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes

Trauma informed public health nursing visits to parents and children

Brandenburger Netzwerk Gesunde Kinder: Frühe Prävention zeigt Wirkung

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