Psychosociale risicosignalering in de zwangerschap, een overzicht van Nederlandse instrumenten

Vink, R.; Detmar, Symone

doi:10.1007/s12508-012-0174-x

Cited by 3 publications

(3 citation statements)

References 23 publications

(16 reference statements)

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“…The preSPARK contributes to high-quality conversations strategies and an open, person-centred attitude. The preSPARK meets the needs of the professional according to the evaluation of prenatal home visits [ 12 , 25 ] and offers an accessible opportunity for early help on a broad scope of topics for vulnerable families. Further studies on reliability, validity, diagnostic accuracy and user experience of all stakeholders, including expectant parents and obstetric care providers, are recommended.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Assessing Concerns and Care Needs of Expectant Parents: Development and Feasibility of a Structured Interview

Driessche¹,

Stel

Vink³

et al. 2021

IJERPH

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Many adverse situations for parenting and healthy child development can be detected before a child’s birth. The aim of this project was to develop and test an instrument to use in prenatal home visits, to improve the identification of adverse situations and care needs during pregnancy. The preSPARK is based on a valid and reliable broad-scope structured interview called SPARK (Structured Problem Analysis of Raising Kids). The preSPARK focuses on 12 topics ranging from aspects of the period before pregnancy to future parents’ expectations. The preSPARK was tested in daily practice for feasibility and discriminative capacity. User experience was assessed from the perspective of the professional. In total, 64 home visits using the preSPARK were carried out by 21 nurses. About 24% of the expectant parents needed intensive help or immediate action on one or more topics. The risk assessment showed 29% of the participants were at high risk, 40% at increased risk, and 31% at low risk for future parenting and child developmental problems. The nurses indicated that the preSPARK provides a good structure for home visits and gives insight in interrelated factors. The preSPARK is feasible in daily practice and clarifies risks and care needs of expectant parents.

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Section: Discussionmentioning

confidence: 99%

“…The key recommendation from this evaluation was that implementation of prenatal home visits should be stimulated nationally. One of the conclusions was also that there was a need for an instrument or tool to structure home visits and improve the early detection of problems in the prenatal phase [ 12 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Assessing Concerns and Care Needs of Expectant Parents: Development and Feasibility of a Structured Interview

Driessche¹,

Stel

Vink³

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Functioning at ‘access points’ to broader systems of scientific‐expert knowledge and state intervention (Giddens ), CHC professionals stand as key figures in overseeing the interests of vulnerable children (Wubs ) via the application of ‘risk factors’ (Postma ,Vink and Detmar ). Professionals’ risk work requires them to identify, assess and manage negative risk factors and positive protective factors, therefore optimising children's developmental potential (Hoffman , IGZ , Kuo et al .…”

Section: Introductionmentioning

confidence: 99%

The everyday risk work of Dutch child‐healthcare professionals: inferring ‘safe’ and ‘good’ parenting through trust, as mediated by a lens of gender and class

Veltkamp

Brown

2017

Sociology Health & Illness

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Amidst intensifying policy concerns with children's wellbeing and development, healthcare professionals are required not only to assess risk of abuse and neglect, but to manage risk of 'poor parenting' more broadly. Drawing on 15 in-depth interviews and non-participant observations of 61 professional-family interactions, across four preventative public health services for children in the Netherlands, we explored how professionals accomplished such risk work amid intractable uncertainties. Building inferences from brief encounters with families, professionals gauged the extent to which they trusted parents to care 'appropriately'. This trust developed most readily with parents experienced as 'familiar' by the largely middle-class female professionals. Harnessing Schutzian phenomenology, we analyse the related manifestations of social structure within the interactionaldynamics and lifeworlds of risk assessment. We argue that social structures of gender, class and ethnicity can be seen as influential both through the differing potential for 'we-relationships' to be formed and via the generalising and stereotyped knowledge applied in their absence.

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The extent of implementation and perceptions of maternity and social care professionals about two interprofessional programs for care for pregnant women: a mixed methods study

Hendrix,

Daemers,

Osterhaus

et al. 2024

BMC Pregnancy Childbirth

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Background In 2018, the Dutch government initiated the Solid Start program to provide each child with the best start in life. Key program elements are a biopsychosocial perspective on pregnancy and children’s development and stimulating local collaborations between social and health domains, with a specific focus on (future) families in vulnerable situations. Two programs for interprofessional collaboration between maternity and social care professionals to optimize care for pregnant women in vulnerable situations were developed and implemented, in Groningen in 2017 and in South Limburg in 2021. This paper describes the extent of implementation of these programs and the perceptions of involved professionals about determinants that influence program implementation. Methods We conducted a mixed-methods study in 2021 and 2022 in two Dutch regions, Groningen and South Limburg. Questionnaires were sent to primary care midwives, hospital-based midwives, obstetricians (i.e. maternity care professionals), (coordinating) youth health care nurses and social workers (i.e. social care professionals), involved in the execution of the programs. Semi-structured interviews were held with involved professionals to enrich the quantitative data. Quantitative and qualitative data were collected and analyzed using Fleuren's implementation model. Results The findings of the questionnaire ( n = 60) and interviews ( n = 28) indicate that professionals in both regions are generally positive about the implemented programs. However, there was limited knowledge and use of the program in Groningen. Promoting factors for implementation were mentioned on the determinants for the innovation and the user. Maternity care professionals prefer a general, conversational way to identify vulnerabilities that connects to midwives’ daily practice. Low-threshold, personal contact with clear agreements for referral and consultation between professionals contributes to implementation. Professionals agree that properly identifying vulnerabilities and referring women to appropriate care is an important task and contributes to better care. On the determinants of the organization, professionals indicate some preconditions for successful implementation, such as clearly described roles and responsibilities, interprofessional training, time and financial resources. Conclusions Areas for improvement for the implementation of interprofessional collaboration between maternity care and social care focus mainly on determinants of the organization, which should be addressed both regionally and nationally. In addition, sustainable implementation requires continuous awareness of influencing factors and a process of evaluation, adaptation and support of the target group.

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Psychosociale risicosignalering in de zwangerschap, een overzicht van Nederlandse instrumenten

Cited by 3 publications

References 23 publications

Assessing Concerns and Care Needs of Expectant Parents: Development and Feasibility of a Structured Interview

Assessing Concerns and Care Needs of Expectant Parents: Development and Feasibility of a Structured Interview

The everyday risk work of Dutch child‐healthcare professionals: inferring ‘safe’ and ‘good’ parenting through trust, as mediated by a lens of gender and class

The extent of implementation and perceptions of maternity and social care professionals about two interprofessional programs for care for pregnant women: a mixed methods study

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