Early childhood home visiting programme: factors contributing to success
Early childhood home visiting programme: factors contributing to success
复制标题
DOI：
10.1111/j.1365-2648.2006.03914.x
复制
发表时间：
2006-08-01
影响因子：
3.8
通讯作者：
Brown, Judy
中科院分区：
文献类型：
--
作者：
Heaman, Maureen;Chalmers, Karen;Brown, Judy
瞄准！本文报告了一项研究的因素，公共卫生护士，家访者和家长认为重要的幼儿家访计划的成功。背景。幼儿家访方案的主要目的是促进处于危险家庭的婴儿和儿童健康和安全地成长和发育。很少有研究着重于促进这一成果的实际方案组成部分。该研究是一项描述性的定性评价。该方案的成功被定义为家庭的积极变化，这被视为与参与直接相关。58名参与者包括24名公共卫生护士、14名家访员和20名家长。2003年10月至2004年2月，对每位参与者进行了一次深入的半结构化录音采访。所有的采访转录和分析使用开放编码的主题和类别的开发和审查一致性的编码。与会者讨论了他们认为对该方案的成功很重要的几个因素：方案的特点、方案活动和保健提供者。有助于幼儿家访方案取得成功的因素包括：基于实力的理念、父母自愿参加、定期安排家访、安排家访人员干预的课程以及认真注意家访人员的挑选、培训和监督。
Aim. This paper reports a study of the factors that public health nurses, home visitors and parents consider important for the success of an early childhood home visiting programme.Background. The primary aim of early child home visiting programmes is to promote healthy and safe growth and development of infants and children in at-risk families. Few studies have focused on actual programme components which foster this outcome.Methods. The research was a descriptive, qualitative evaluation. Success of the programme was defined as positive changes in families which were seen as directly related to participation. The 58 participants were 24 public health nurses, 14 home visitors and 20 parents. One in-depth semistructured audio-taped interview was conducted with each participant between October 2003 and February 2004. All interviews were transcribed and analysed using open coding; themes and categories were developed and reviewed for congruence of coding.Findings. Participants discussed several factors that they considered important for the success of the programme: its particular characteristics, the programme activities and the healthcare providers.Conclusion. Components contributing to the success of early childhood home visiting programmes include a strength-based philosophy, voluntary enrolment of parents, regularly scheduled home visits, a curriculum to structure the home visitor's interventions, and careful attention to the selection, training, and supervision of home visitors.