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Wightman L, Hutton A, Grant J. Child and family health nurses' roles in the care of infants and children: A scoping review. J Child Health Care 2022; 26:448-460. [PMID: 34116592 DOI: 10.1177/13674935211026123] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Child and family health nurses (CFHNs) work in a variety of settings with families to promote optimal growth and development in infants and children from birth to 5 years. Literature is available about models of care that CFHNs use in their work, but there is limited information about how CFHNs enact care specifically for infants and children. The aim of this scoping review was to identify and contextualize existing knowledge of how CFHNs, both in Australia and internationally, care for infants and children. Arksey and O'Malley's (2005) framework was used to review 27 studies from Australia, Sweden, Finland, United Kingdom (UK), United States of America (USA), Ireland, Netherlands, Denmark and Canada. It was identified that CFHNs, equipped with a range of assessment tools for early intervention and health promotion, use a partnership approach when working with parents to promote the health and well-being of infants and children. The literature revealed the complexity of the roles undertaken by CFHNs when caring for infants and children. Review findings indicated that CFHNs' work is distinctive because it is conducted in home and community settings, is relational and salutogenic in nature and is also located in the domain of preventative health and early intervention.
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Affiliation(s)
- Louise Wightman
- College of Nursing and Health Sciences, 1065Flinders University, Adelaide, SA, Australia
| | - Alison Hutton
- School of Nursing and Midwifery, Faculty of Health and Medicine, 5982The University of Newcastle, Callaghan NSW, Australia
| | - Julian Grant
- School of Nursing, Midwifery & Indigenous Health, 89470Charles Sturt University, Bathurst, NSW, Australia
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2
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Ridgway L, Hackworth N, Nicholson JM, McKenna L. Working with families: A systematic scoping review of family-centred care in universal, community-based maternal, child, and family health services. J Child Health Care 2021; 25:268-289. [PMID: 32602735 DOI: 10.1177/1367493520930172] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Children's long- and short-term health and developmental outcomes can be improved when families are engaged and supported, and inform care planning. Family-centred care (FCC) underpins policy directions for universal, community-based, child and family health services in the early years, although its implementation in this context is poorly understood. This systematic scoping review of the current literature aimed to improve understanding of FCC implementation in maternal, child, and family health universal services. Key databases and grey literature were searched using descriptors of maternal, child, and family health population and context, and FCC concept. Reference checking identified further literature for analysis. Thirteen included papers reported on nine studies from Australia, New Zealand, and the United Kingdom. Limited participant representation of fathers and diverse community members was evident. Deductive thematic analysis identified four areas of FCC demonstrated in this literature: respectful relationships, effective communication to foster shared understanding, flexible and contextualized care, and support for autonomy and agency. The literature demonstrated the interplay between organizational, professional, and recipient factors and their impact on the implementation of FCC. For successful FCC implementation, all these elements should be considered.
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Affiliation(s)
- Lael Ridgway
- 110497School of Nursing and Midwifery La Trobe University, Australia.,Judith Lumley Centre, 2080La Trobe University
| | - Naomi Hackworth
- Judith Lumley Centre, 2080La Trobe University.,435100Parenting Research Centre, Australia.,Murdoch Childrens Research Institute, Australia
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3
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Appleton J, Fowler C, Laws R, Russell CG, Campbell KJ, Denney-Wilson E. Professional and non-professional sources of formula feeding advice for parents in the first six months. MATERNAL AND CHILD NUTRITION 2020; 16:e12942. [PMID: 31943773 PMCID: PMC7296819 DOI: 10.1111/mcn.12942] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Revised: 11/16/2019] [Accepted: 12/15/2019] [Indexed: 12/15/2022]
Abstract
Breastfeeding is beneficial to both the mother and infant, yet many infants are either partially or fully fed with formula milk. Those parents feeding with formula receive less support from professional sources than those breastfeeding and may rely on more non‐professional sources for advice, and this contributes to negative emotional experiences such as guilt. This paper explores the sources of advice for formula feeding, factors associated with using professional or non‐professional sources and compares these sources with those used for breastfeeding advice. A secondary analysis of Australian survey data from 270 mothers was performed. Mothers of six‐month‐old infants participated in an online survey, providing information on advice they received or read about formula feeding and/or breastfeeding from professional and non‐professional sources. A fifth of mothers who were formula feeding did not receive any formula feeding advice from professional sources, and only a small fraction (4.5%) of mothers breastfeeding did not received any breastfeeding advice from professional sources. Compared with those mothers breastfeeding receiving breastfeeding advice, fewer mothers formula feeding receive formula feeding advice from both professional and non‐professional sources. The tin of formula was the most used source of formula advice. Mothers feeding with formula at six months were more likely to have received formula feeding advice from professional sources if they had been fully formula feeding before their infant was under the age of three months. Further research is needed to understand the specific barriers to accessing formula feeding advice and what other factors influence access to formula feeding advice.
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Affiliation(s)
- Jessica Appleton
- Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, New South Wales, Australia
| | - Cathrine Fowler
- Child and Family Health, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia.,Tresillian Family Care Centres, Belmore, Sydney, New South Wales, Australia
| | - Rachel Laws
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences Deakin University Geelong, Victoria, Australia
| | - Catherine Georgina Russell
- Centre for Advanced Sensory Science, School of Exercise and Nutrition Sciences Deakin University Geelong, Victoria, Australia
| | - Karen J Campbell
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences Deakin University Geelong, Victoria, Australia
| | - Elizabeth Denney-Wilson
- Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, New South Wales, Australia.,Sydney Local Health District, Camperdown, Sydney, New South Wales, Australia
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Reticena KDO, Yabuchi VDNT, Gomes MFP, Siqueira LD, Abreu FCPD, Fracolli LA. Role of nursing professionals for parenting development in early childhood: a systematic review of scope. Rev Lat Am Enfermagem 2019; 27:e3213. [PMID: 31826157 PMCID: PMC6896803 DOI: 10.1590/1518-8345.3031.3213] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Accepted: 08/03/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE map available evidence regarding the role of nursing professionals in early childhood care through the development of parenting. METHOD systematic review of scope, with selection of studies about the role of nursing professionals for the development of parenting in the context of early childhood care, using a standardized data extraction tool and qualitative thematic analysis. RESULTS nineteen studies were included, showing the role of nursing professionals covers nine dimensions: promoter of parental role construction; guidance and support for the implementation of physical health care; guidance for promoting safe environment; application of theories, principles and methods of maternal and child programs; development of therapeutic relationships; implementation of maternal and child care management; promotion of access to support network; guidance for the life course of parental figures; and use of scientific evidence to guide practice. CONCLUSION nursing professionals offer important knowledge and significant practices for the development of parenting in early childhood care. These findings provide the basis for improving the clinical practice of these professionals, showing relevant areas of action and interventions to early childhood.
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Affiliation(s)
- Kesley de Oliveira Reticena
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.,Universidade Paulista, UNIP Assis, Assis, SP, Brazil
| | | | | | - Lucíola D'Emery Siqueira
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.,Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil
| | - Flávia Corrêa Porto de Abreu
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.,Universidade Paulista, UNIP Limeira, Limeira, SP, Brazil
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Rossiter C, Fowler C, Hesson A, Kruske S, Homer CS, Kemp L, Schmied V. Australian parents’ experiences with universal child and family health services. Collegian 2019. [DOI: 10.1016/j.colegn.2018.09.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Hrybanova Y, Ekström A, Thorstensson S. First-time fathers' experiences of professional support from child health nurses. Scand J Caring Sci 2019; 33:921-930. [PMID: 31058340 DOI: 10.1111/scs.12690] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2018] [Accepted: 03/12/2019] [Indexed: 11/28/2022]
Abstract
Nowadays, in Sweden, fathers are expected to be active in their father role and to share caring responsibilities for their children equally with mothers. This active role of a father in a family can be challenging, especially for the first-time fathers. Child health nurses' support is an important factor for fathers to become confident caregivers. The Father Perceived Professional Support scale (FaPPS scale) can be used in nursing practice for better understanding father's needs of professional support. The aim of this study was to describe first-time fathers' experiences of the professional support received from child health nurses and to validate the instrument: 'FaPPS scale'. A qualitative design, with inductive and deductive approaches, was used in this study. Twelve first-time fathers participated in the semi-structured interviews, thereafter grading the FaPPS scale items and commenting on them. The fathers experienced nurses' support positively when nurses provided practical information and stimulated them to be involved in care of their children. In contrast, the support was experienced negatively because of nurses' lack of commitment, availability and adaptation to the fathers' individual needs. The fathers also felt inequality between the support received by fathers and by mothers. Although some fathers perceived it as negative, others considered it fair, believing that mothers needed more support. In addition, fathers expect nurses to actively offer support to them and supervise them in childcare. The fathers also needed meeting other parents, for example in parental groups. This study also indicates that FaPPS scale can be used both in research and clinical practice, though still needing further development.
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Affiliation(s)
- Yana Hrybanova
- Department of Health Sciences, Hogskolan Vast, Trollhattan, Sweden
| | - Anette Ekström
- Hälsovetenskap, Hogskolan Vast Institutionen for Omvardnad Halsa och Kultur, Trollhattan, Sweden
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Hopwood N, Clerke T, Nguyen A. A pedagogical framework for facilitating parents' learning in nurse-parent partnership. Nurs Inq 2017; 25:e12220. [PMID: 28921759 DOI: 10.1111/nin.12220] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/12/2017] [Indexed: 11/29/2022]
Abstract
Nursing work increasingly demands forms of expertise that complement specialist knowledge. In child and family nursing, this need arises when nurses work in partnership with parents of young children at risk. Partnership means working with parents in respectful, negotiated and empowering ways. Existing partnership literature emphasises communicative and relational skills, but this paper focuses on nurses' capacities to facilitate parents' learning. Referring to data from home visiting, day-stay and specialist toddler clinic services in Sydney, a pedagogical framework is presented. Analysis shows how nurses notice aspects of children, parents and parent-child interactions as a catalyst for building on parents' strengths, enhancing guided chance or challenging unhelpful constructs. Prior research shows the latter can be a sticking point in partnership, but this paper reveals diverse ways in which challenges are folded into learning process that position parents as agents of positive change. Noticing is dependent on embodied and communicative expertise, conceptualised in terms of sensory and reported channels. The framework offers a new view of partnership as mind-expanding for the parent and specifies the nurse's role in facilitating this process.
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Affiliation(s)
- Nick Hopwood
- School of Education, University of Technology Sydney, Broadway, NSW, Australia.,University of Stellenbosch, Matieland, South Africa
| | - Teena Clerke
- School of Education, University of Technology Sydney, Broadway, NSW, Australia
| | - Anne Nguyen
- School of Education, University of Technology Sydney, Broadway, NSW, Australia
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Corr L, Rowe H, Fisher J. Mothers' perceptions of primary health-care providers: thematic analysis of responses to open-ended survey questions. Aust J Prim Health 2015; 21:58-65. [PMID: 24134820 DOI: 10.1071/py12134] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2012] [Accepted: 08/27/2013] [Indexed: 11/23/2022]
Abstract
General practitioners and maternal, child and family health nurses have a central role in postpartum primary health care for women and their infants. Positive client-provider relationships are particularly important for women experiencing mental health problems or unsettled infant behaviour. However, little is known about their experiences of postnatal primary health care. The study aimed to describe views of postnatal primary health care among women completing a residential early parenting programme and to identify potential strategies to enhance provider-patient interactions. Participants (n=138) were women admitted with their infants to a private or a public early parenting service in Melbourne, Australia. Women completed a detailed self-report survey, including open-ended questions about experiences of primary health-care services, and a structured psychiatric interview to diagnose anxiety and depression. Survey responses were analysed thematically. Womens' experiences of primary health care were influenced by their perceptions of provider competence and the quality of interactions. While similar positive characteristics of doctor and nurse care were valued, medical and nursing practices were judged in different ways. Women described GPs who listened, understood and were thorough as providing good care, and maternal, child and family health nurses were valued for providing support, advice and encouragement. Threats to therapeutic relationships with doctors included feeling rushed during consultations, believing that GPs were not mental health-care providers and the clinician not being 'good' with the infant; with nurses, problems included feeling judged or given advice that was inconsistent or lacked an evidence-base. Postpartum primary health care will be improved by unhurried consultations, empathic recognition, encouragement, evidence-informed guidance and absence of criticism.
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Affiliation(s)
- L Corr
- Jack Brockhoff Child Health and Wellbeing Program, McCaughey Centre, Melbourne School of Population and Global Health, The University of Melbourne, Level 5, 207 Bouverie Street, Carlton, Vic. 3010, Australia
| | - H Rowe
- Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, 89 Commercial Road, Prahran, Vic. 3004, Australia
| | - J Fisher
- Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, 89 Commercial Road, Prahran, Vic. 3004, Australia
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Bradt L, Vandenbroeck M, Lammertyn J, Bouverne-De Bie M. Parental expectations of maternal and child health services. SOCIAL WORK IN PUBLIC HEALTH 2015; 30:197-206. [PMID: 25602976 DOI: 10.1080/19371918.2014.992586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
This article reports on survey research (N = 1,418) aimed at examining whether parental expectations of maternal and child health (MCH) services are influenced by group characteristics (e.g., socioeconomic status [SES], ethnicity, at risk of poverty) and/or individual parenting context variables (e.g., received social support) in a context where these services are available to all. The findings reveal that parents have different expectations about the technical and relational expertise of MCH nurses. However, the authors found only very weak associations between family characteristics and parental expectations, suggesting that individual differences matter more than SES and other more traditional distinctions. Implications for MCH services are made.
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Affiliation(s)
- Lieve Bradt
- a Department of Social Welfare Studies , Ghent University , Ghent , Belgium
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Myors KA, Schmied V, Johnson M, Cleary M. 'My special time': Australian women's experiences of accessing a specialist perinatal and infant mental health service. HEALTH & SOCIAL CARE IN THE COMMUNITY 2014; 22:268-277. [PMID: 24224792 DOI: 10.1111/hsc.12079] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/12/2013] [Indexed: 06/02/2023]
Abstract
Women who have few social supports, poor health and a history of stressful life events are at risk of poor mental health during the perinatal period. Infants of parents whose parenting capacity is compromised are also at risk of adverse outcomes. Specifically, poor perinatal mental health can impact maternal-infant attachment. To identify women at risk of poor perinatal mental health, psychosocial assessment and depression screening in the antenatal and early postnatal periods are recommended. This qualitative study is part of a larger mixed methods study, which explored two specialist perinatal and infant mental health (PIMH) services in New South Wales (Australia). Eleven women who had accessed and been discharged from a PIMH service participated in either face-to-face or telephone interviews. Data were transcribed verbatim and analysed thematically. One overarching theme, 'my special time' and three sub-themes, 'there is someone out there for me', 'it wasn't just a job' and 'swimming or stranded: feelings about leaving the service', were identified. The themes describe the women's experiences of being a client of a PIMH service. Overall, women reported a positive experience of the service, their relationship with the clinician being a key component. Findings from this study highlight the importance of the relational aspect of care and support; however, women need self-determination in all therapeutic processes, including discharge, if recovery and self-efficacy as a mother are to be gained. Importantly, further research is needed about how clinicians model a secure base and how mothers emulate this for their infants.
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Affiliation(s)
- Karen A Myors
- School of Nursing and Midwifery, The University of Western Sydney, Penrith South DC, New South Wales, Australia
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Myors KA, Schmied V, White E. Child and family health nurses working with families of preschool-aged children. J Clin Nurs 2013; 23:181-90. [DOI: 10.1111/jocn.12249] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/14/2012] [Indexed: 11/30/2022]
Affiliation(s)
- Karen A Myors
- Clinical Nurse, School of Nursing and Midwifery; University of Western Sydney; Penrith South DC NSW Australia
| | - Virginia Schmied
- Clinical Nurse, School of Nursing and Midwifery; University of Western Sydney; Penrith South DC NSW Australia
| | - Edward White
- Osman Consulting Pty Ltd; Sydney NSW Australia
- School of Psychiatry; University of New South Wales; Sydney NSW Australia
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12
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Eronen R, Calabretto H, Pincombe J. Improving the professional support for parents of young infants. Aust J Prim Health 2011; 17:186-94. [DOI: 10.1071/py10062] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2010] [Accepted: 12/10/2010] [Indexed: 11/23/2022]
Abstract
The objective of this study was to discuss ideas for improving child health services on the basis of findings of an observational study that was designed to explore the role of child health nurses in supporting parents during the first 6 months following the birth of an infant. As part of a larger study in a child health service in urban Australia, surveys were used to collect data from two independent samples of both parents and nurses at an 8-month interval. Data were condensed using factor analysis; regression analyses were used to determine which aspects of care were most important for the parents, and importance–performance analysis was used to determine which aspects of care needed improvement. While the majority of parents valued support from child health nurses, a need for improvement was identified in empowering parents to make their own decisions, discussing emotional issues with parents, providing continuity of care and giving consistent advice. Organisations should value and provide support for child health nurses in their invisible, non-quantifiable work of supporting families. The structure of child health services should also provide child health nurses continuity of care with the families they support.
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