Public Health Nurses’ Professional Practices to Prevent, Recognize, and Respond to Suspected Child Maltreatment in Home Visiting: An Interpretive Descriptive Study

Jack, Susan M.; González, Andrea; Marcellus, Lenora; Varcoe, Colleen; Borek, Natasha Van; Sheehan, Debbie; MacKinnon, Karen; Campbell, Karen; Catherine, Nicole; Landy, Christine Kurtz; MacMillan, Harriet L.; Waddell, Charlotte

doi:10.1177/2333393621993450

Cited by 24 publications

(26 citation statements)

References 37 publications

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“…Specifically in women's care, midwives and health visitors perceive collaboration to be useful across the continuum of service delivery from antenatal care to postnatal care (Aquino et al, 2016). We found that NFP staff and providers in this study also perceived collaboration to be necessary especially for families with the greatest number of psychosocial and medical risk factors; this is true also in the international NFP context (Jack et al, 2021;Li et al, 2015).…”

Section: Care Coordination As a Function Of Relational And Structural...mentioning

confidence: 56%

A qualitative study of effective collaboration among nurse home visitors, healthcare providers and community support services in the United States

Williams

McManus

Brooks‐Russell

et al. 2021

Health Social Care Comm

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Collaboration across sectors is needed to improve community health, but little is known about collaborative activities among public health prevention programs. Using the Nurse-Family Partnership® (NFP) home visiting program as context, this qualitative study aimed to describe effective collaboration among nurse home visitors, healthcare providers and community support services to serve families experiencing social and economic adversities. We used grounded theory to characterise collaboration with six purposively sampled NFP sites in the United States through in-depth interviews. We interviewed 73 participants between 2017 and 2019: 50 NFP staff, 18 healthcare providers and 5 other service providers. Interviews were recorded, transcribed, validated and analysed in NVivo 11. Validation steps included intercoder consistency checks and expert review. Thematic memos were synthesised across sites. Most participants perceived collaboration to be important when serving families with complex needs, but substantial variation existed in the degree to which NFP nurses collaborate with providers dependent on provider type and community context. Factors that contributed to effective collaboration were relational in nature, including leadership commitment and provider champions, shared perceptions of trust, respect and value, and referral partnerships and outreach; organisational in terms of mission congruence between providers; and structural such as policy and system integration that facilitated data sharing and communication channels. These findings provide greater insights into effective cross-sector collaboration and care coordination for families experiencing adversities. Collaboration across sectors to promote health among families experiencing adversities requires intentional efforts by all inter-professional providers and continued commitment among all levels of leadership to coordinate services.

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Section: Care Coordination As a Function Of Relational And Structural...mentioning

confidence: 56%

A qualitative study of effective collaboration among nurse home visitors, healthcare providers and community support services in the United States

Williams

McManus

Brooks‐Russell

et al. 2021

Health Social Care Comm

View full text Add to dashboard Cite

show abstract

“…Although nurses clearly understood the mandated requirement to make a child notification if there is a risk to the child and made notifications when required, they regretted losing trust when a notification was made. Nurses recognised that damage to the relationship between the nurse and the client could limit future disclosure of abuse, as described in other research (Davidov et al, 2012;Jack et al, 2021). Nurses spoke of balancing risk and relationship, traversing this practice thread as the woman's situation changed and risk was reassessed.…”

Section: Discussionmentioning

confidence: 95%

“…For women who disclose and are not ready to act, informational support is most effective, coupled with emotional support (Jack et al, 2021). Nurses are in a position of privilege with the women, and EMCH nursing work requires reflective practice, acknowledging this imbalance of power.…”

Section: Discussionmentioning

confidence: 99%

Threads of Practice: Enhanced Maternal and Child Health Nurses Working With Women Experiencing Family Violence

Adams

Hooker

Taft

2021

Global Qualitative Nursing Research

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Family violence is a serious public health issue with significant health consequences for women and children. Enhanced Maternal and Child Health nurses (EMCH) in Victoria, Australia, work with women experiencing family violence; however, scholarly examination of the clinical work of nurses has not occurred. This qualitative study explored how EMCH nurses work with women experiencing abuse, describing the personal and professional challenges for nurses undertaking family violence work. Twenty-five nurses participated in semi-structured interviews. Using interpretive description methodology has enabled an insight into nurses' family violence work. Threads of practice identified included (1) Validating/Reframing; (2) Non-judgmental support/Safeguarding and (3) Following/Leading. The nurses highlighted the diversity of experience for women experiencing abuse and nurses' roles in family violence nurse practice. The research contributes to understanding how EMCH nurses traverse threads of practice to support women experiencing family violence.

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“…Local governments should provide effective maternal and child healthcare services and systems to prevent child maltreatment (WHO, 2019). Public health nurses (PHNs) play a crucial role in supporting newborns and their parents and developing family‐friendly healthcare systems to prevent child maltreatment in community settings (Jack et al., 2021). Studies have shown that characteristics of mothers at high risk for child maltreatment include poor mental health conditions, being of a young age, and having been abused as a child (Bayrampour et al., 2016; Cammack et al., 2018; Hovdestad et al., 2015; Thombs et al., 2020).…”

Section: Introductionmentioning

confidence: 99%

Mothers susceptible to child maltreatment and requiring public health nurses’ continuous support

Yoshioka‐Maeda

Fujii

2021

Public Health Nursing

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Objective This study aimed to identify the characteristics of mothers who are at a high risk for future child maltreatment and therefore, require continuous support from public health nurses (PHNs) to prevent child maltreatment and those who do not require it. Design and samples This retrospective cross‐sectional study included women who were registered in 2018 for being at risk for future child maltreatment and required help with childrearing in City A within the Tokyo metropolis. Measurements Public health nurses registered data pertaining to each mother, including demographic data, family‐related variables, assessment by PHNs, use of maternal and child healthcare services, and continuity of support from PHNs. Results Of the 206 cases, the discontinued group—comprising those who no longer needed PHNs’ support—included 83 cases (40.3%) and the continuing group—comprising those needed continuing support—included 123 cases (59.7%). Logistic regression analysis showed that those with marital conflicts, maternal mental instability, lack of parenting skills, and not moving out of the city were more likely to require continuous PHNs’ support. Conclusions By identifying these factors, PHNs can identify new mothers who need continuous support and provide more concentrated care for them. Thus, support from PHNs can help prevent child maltreatment.

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Public Health Nurses’ Professional Practices to Prevent, Recognize, and Respond to Suspected Child Maltreatment in Home Visiting: An Interpretive Descriptive Study

Cited by 24 publications

References 37 publications

A qualitative study of effective collaboration among nurse home visitors, healthcare providers and community support services in the United States

A qualitative study of effective collaboration among nurse home visitors, healthcare providers and community support services in the United States

Threads of Practice: Enhanced Maternal and Child Health Nurses Working With Women Experiencing Family Violence

Mothers susceptible to child maltreatment and requiring public health nurses’ continuous support

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