Tailored Nurse Support Program Promoting Positive Parenting and Family Preservation.
Tailored Nurse Support Program Promoting Positive Parenting and Family Preservation.
复制标题
量身定制的护士支持计划促进积极的育儿和家庭保护。
DOI：
10.1097/nnr.0000000000000662
复制
发表时间：
2023
期刊：
影响因子：
2.5
通讯作者：
Swarr,Vicki
中科院分区：
文献类型：
--
作者：
Brown,SamanthaM;McConnell,Luke;Zelaya,Alicia;Doran,Mary;Swarr,Vicki
背景公共卫生护士家访是一种很有前途的方法，以解决复杂的需要，家庭的儿童虐待的风险。科罗拉多护士支持计划通过使用循证实践来为低收入，产妇，目的本研究旨在检验护士支持计划对护士支持计划家庭和多胞胎家庭之间儿童保护服务病例特征的影响，人口统计学上可比的参考组的家庭和评估的变化，在养育子女的结果，从前到postprogram参与Nurse Support Program families.MethodsWe使用了匹配的比较组准实验设计，其中家庭在护士支持计划（n= 48）进行了比较，家庭（n= 150）他们是通过科罗拉多综合儿童福利信息系统的管理数据确定的。结果是儿童保护的情况下的特点（儿童保护转介，开放式评估，成立的评估，开放的情况下，和儿童的安置在家庭外的照顾）和养育outcome.ResultsNurse支持计划的家庭不太可能有一个儿童保护的情况下打开或有他们的孩子放在家庭外的照顾。在儿童保护转介、公开评估或有根据的评估方面，组间无显著差异。护士支持计划的家庭表现出随着时间的推移在养育子女的结果有所改善。DiscussionFindings表明，护士支持计划是一个成功的公共卫生护士家访的方法，以促进积极的养育子女和家庭保存复杂的需求之间的家庭。应继续评估和支持实施量身定制的公共卫生护士家访计划，例如护士支持计划，以减轻虐待儿童的公共卫生风险。
BackgroundPublic health nurse home visiting is a promising approach for addressing the complex needs of families at risk of child maltreatment. The Colorado Nurse Support Program advances service provision by using evidence-based practices to provide tailored assessment and intervention to low-income, primiparous, and multiparous families with children under 18 years of age identified as high risk by county human service systems.ObjectivesThis study aimed to test the effects of the Nurse Support Program on child protective services case characteristics between Nurse Support Program families and a demographically comparable reference group of families and evaluate changes in parenting outcomes from pre-to postprogram involvement for Nurse Support Program families.MethodsWe used a matched comparison group quasi-experimental design in which families in the Nurse Support Program (n= 48) were compared to families (n= 150) who were identified using administrative data from Colorado’s Comprehensive Child Welfare Information System. Outcomes were child protective case characteristics (child protection referrals, open assessments, founded assessments, open cases, and children’s placement in out-of-home care) and parenting outcomes.ResultsNurse Support Program families were less likely to have a child protection case opened or have their child placed in out-of-home care. There were no significant between-group differences in child protection referrals, open assessments, or founded assessments. Families in the Nurse Support Program showed improvements in parenting outcomes over time.DiscussionFindings suggest that the Nurse Support Program is a successful public health nurse home-visiting approach to promote positive parenting and family preservation among families with complex needs. Implementing tailored public health nurse home-visiting programs, such as the Nurse Support Program, should continue to be evaluated and supported to mitigate the public health risk of child maltreatment.