Statewide Implementation of Virtual Perinatal Home Visiting During COVID-19
Statewide Implementation of Virtual Perinatal Home Visiting During COVID-19
复制标题
DOI：
10.1007/s10995-020-02982-8
复制
发表时间：
2020-07-20
影响因子：
2.3
通讯作者：
Hood, Katie
中科院分区：
文献类型：
--
作者：
Marshall, Jennifer;Kihlstrom, Laura;Hood, Katie
目的本评价使用从60份MIECHV工作人员调查和9个全州每周焦点小组收集的数据，描述了MIECHV管理人员和工作人员在大流行期间所做的努力。描述佛罗里达孕产妇、婴儿和幼儿家访（MIECHV）倡议为全州孕妇和有婴儿的家庭提供围产期家访资金。佛罗里达MIECHV在过去的灾难和危机时期表现出了复原力，同时在当地执行机构中产生了适应和持续质量改进的文化。佛罗里达MIECHV在佛罗里达报告首例病例的最初几天内通过提供虚拟家访和远程工作的指导来应对COVID-19大流行危机。评估结果强调了行政领导和沟通的作用，工作人员的意愿/士气，后勤考虑因素，以及在大流行期间面临困难的登记家庭的需求，如失业，供应有限，粮食不安全，技术限制和压力。家访者通过将登记的家庭与资源联系起来，提供公共卫生教育，并以虚拟方式提供循证家访课程，为登记的家庭提供支持。他们亦认识到COVID-19的影响和不确定性带来的情感负担，以及通过照顾自己的孩子来实现工作与生活平衡的沿着。结论本次评估有助于了解大流行对该妇幼保健项目的影响以及向虚拟家访服务过渡的基本原则。虚拟家访似乎是可行的，并为那些可能没有其他手段或知识来访问的家庭提供了与支持的重要联系。
Purpose This evaluation describes efforts taken by MIECHV administrators and staff during the pandemic using data collected from 60 MIECHV staff surveys and nine statewide weekly focus groups. Description The Florida Maternal, Infant and Early Childhood Home Visiting (MIECHV) Initiative funds perinatal home visiting for pregnant women and families with infants throughout the state. Florida MIECHV has shown resilience to disasters and times of crises in the past, while generating a culture of adaptation and continuous quality improvement among local implementing agencies. Florida MIECHV responded to the COVID-19 pandemic crisis within the first few days of the first reported case in Florida by providing guidance on virtual home visits and working remotely. Assessment Findings highlight the role of administrative leadership and communication, staff willingness/morale, logistical considerations, and the needs of enrolled families who face hardships during the pandemic such as job loss, limited supplies, food insecurity, technology limitations, and stress. Home visitors support enrolled families by connecting them with resources, providing public health education and delivering evidence-based home visiting curricula virtually. They also recognized the emotional burden surrounding COVID-19 impacts and uncertainties along with achieving work-life balance by caring for their own children. Conclusion This evaluation helped in understanding the impact of the pandemic on this maternal and child health program and fundamentals of transition to virtual home visiting services. Virtual home visiting appears to be feasible and provides an essential connection to supports for families who may not otherwise have the means or knowledge to access them.