Social Determinants and Health Disparities Associated With Outcomes of Women of Childbearing Age Who Receive Public Health Nurse Home Visiting Services

Feasibility of using the Omaha System to represent Nurse Coaching practice

“…The finding that the data from three case studies could be aggregated, analyzed, and interpreted demonstrates the value of using standardized terminology for Nc intervention documentation and aligns with previous research using large Omaha System datasets from acute care, home care, and family home visiting in the United States as well as globally [20][21][22][23][24][25][26]. This type of data is important for quality improvement, orientation in all three case studies, the Health care supervision problem was an essential focus of Nc practice and an important component in care planning that guided interventions.…”

“…it also supports interoperability, exchange, and re-use of Nc data for research and evaluation related to Nc care quality. There is also potential to use the Omaha System to capture assessment and outcome data for cost/benefit analysis [13,14,18,[20][21][22][23][24][25][26]. Defining Nc practices in documentation using the Omaha system can advance the quality of these practices in a consistent way.…”

“…further research is needed to examine how the Omaha System can be utilized to better understand the value of Nc for patients, and to examine the interventions/ outcomes of interdisciplinary Ncs. With accurate use of the Omaha System over time there is potential to generate a database of big data research in the effectiveness of Nc interventions, client outcomes and population health trends [26]. Although Nc practice is well underway, further research is needed to better understand the relationship between Nc interventions and client outcomes, and answer questions regarding the potential for decreased resource utilization lower healthcare costs.…”

Understanding tailored PHN interventions and outcomes of Latina mothers

“…Evidence suggests that public health nurse (PHN) home‐visiting interventions can be effective in reducing adverse health outcomes for mothers and children in the context of a consistent relationship between PHNs and mothers (Boonstra, ; Kitzman et al, ; ; Monsen, Brandt, et al, ; Monsen, Radosevich, Kerr, & Fulkerson, ). Family home‐visiting during pregnancy and postpartum allows PHNs to identify and address women with mental health symptoms and provide supportive interventions (Garcia, McNaughton, Radosevich, Brandt, & Monsen, ; Monsen, Fulkerson, et al, ; Olds et al, ).…”

“…Family home‐visiting during pregnancy and postpartum allows PHNs to identify and address women with mental health symptoms and provide supportive interventions (Garcia, McNaughton, Radosevich, Brandt, & Monsen, ; Monsen, Fulkerson, et al, ; Olds et al, ). These relationships are most beneficial to clients when nurses tailor care to clients’ concerns, health risks and problems (Kitzman et al, ; ; Monsen, Brandt, et al, ).…”