Mothers susceptible to child maltreatment and requiring public health nurses’ continuous support

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A Isumi ◽

S Doi ◽

T Fujiwara

Keyword(s):

Public Health ◽

Treatment Group ◽

Child Maltreatment ◽

Active Treatment ◽

Intervention Study ◽

Home Visitation ◽

Active Treatment Group ◽

Health Centers ◽

Public Health Nurses ◽

Control Group

Abstract Background In Japan, public health nurses provide home visitation with pregnant women who are at high risk for child maltreatment, but its effectiveness in preventing child maltreatment has not been evaluated because contents and quality of home visitation vary from municipality to municipality. This study aims to evaluate whether the tablet app developed to standardize and assist perinatal home visitation by public health nurses is effective in preventing child maltreatment. Methods An intervention study was conducted in 2018 in Adachi City, Tokyo, Japan. Public health nurses at two public health centers used the tablet app when they support high-risk pregnant women through home visitation and interviews, while public health nurses at the other three public health centers provided support as in the past. Because two public health centers were different in usage of the app, the treatment group was further divided into two groups: active and inactive. As fatal abuse among infants, frequency of shaking and smothering was assessed as an outcome through a self-reported questionnaire at the 4-month health check, and compared between the active treatment group, inactive treatment group, and control group, using multiple logistic regression (N = 5,651). Results Prevalence of infant abuse was 0.82% in the active treatment group, 1.34% in the inactive treatment group, and 1.50% in the control group. When adjusted for parental demographics and parenting situations, mothers in the active treatment group were less likely to shake or smother their baby than those in the control group (Odds ratio: 0.51, p = 0.093). Conclusions It possibly suggests that the tablet app developed to assist perinatal home visitation by public health nurses was effective in preventing infant abuse. Key messages An intervention study was conducted at public health centers in Adachi City, Tokyo, Japan, using the tablet app developed to standardize and assist perinatal home visitation by public health nurses. The finding suggested that the tablet app may be effective in preventing shaking and smothering among 4-month old infants.

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How Public Health Nurses Identify and Intervene in Child Maltreatment Based on the National Clinical Guideline

Nursing Research and Practice ◽

10.1155/2014/425460 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 5

Author(s):

Paavilainen Eija ◽

Helminen Mika ◽

Flinck Aune ◽

Lehtomäki Leila

Keyword(s):

Public Health ◽

Child Maltreatment ◽

Clinical Guideline ◽

Public Health Nurses ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Web Based ◽

Content Areas ◽

Maltreated Children ◽

The Public

Objectives. To describe how Finnish public health nurses identify and intervene in child maltreatment and how they implement the National Clinical Guideline in their work.Design and Sample. Cross-sectional survey of 367 public health nurses in Finland.Measures. A web-based questionnaire developed based on the content areas of the guideline: identifying, intervening, and implementing.Results. The respondents reported they identify child maltreatment moderately (mean 3.38), intervene in it better (4.15), and implement the guideline moderately (3.43, scale between 1 and 6). Those with experience of working with maltreated children reported they identify them betterP<0.001, intervene betterP<0.001, and implement the guideline betterP<0.001than those with no experience. This difference was also found for those who were aware of the guideline, had read it, and participated in training on child maltreatment, as compared to those who were not aware of the guideline, had not read it, or had not participated in such training.Conclusions. The public health nurses worked quite well with children who had experienced maltreatment and families. However, the results point out several developmental targets for increasing training on child maltreatment, for devising recommendations for child maltreatment, and for applying these recommendations systematically in practice.

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Public Health Nurses’ Professional Practices to Prevent, Recognize, and Respond to Suspected Child Maltreatment in Home Visiting: An Interpretive Descriptive Study

Global Qualitative Nursing Research ◽

10.1177/2333393621993450 ◽

2021 ◽

Vol 8 ◽

pp. 233339362199345

Author(s):

Susan M. Jack ◽

Andrea Gonzalez ◽

Lenora Marcellus ◽

Lil Tonmyr ◽

Colleen Varcoe ◽

...

Keyword(s):

Public Health ◽

Child Maltreatment ◽

Child Protection ◽

Home Visiting ◽

Public Health Nurses ◽

Child Safety ◽

Interpretive Description ◽

Parenting Skills ◽

Client Relationships ◽

Client Relationship

The purpose of this analysis was to understand public health nurses’ experiences in preventing and addressing suspected child maltreatment within the context of home visiting. The principles of interpretive description guided study decisions and data were generated from interviews with 47 public health nurses. Data were analyzed using reflexive thematic analysis. The findings highlighted that public health nurses have an important role in the primary prevention of child maltreatment. These nurses described a six-step process for managing their duty to report suspected child maltreatment within the context of nurse-client relationships. When indicators of suspected child maltreatment were present, examination of experiential practice revealed that nurses developed reporting processes that maximized child safety, highlighted maternal strengths, and created opportunities to maintain the nurse-client relationship. Even with child protection involvement, public health nurses have a central role in continuing to work with families to develop safe and competent parenting skills.

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Public Health Nurses’ Support Process for Specified Expectant Mothers: Continuous Support from Pregnant, Postpartum to Child-rearing

Journal of Japan Academy of Nursing Science ◽

10.5630/jans.37.114 ◽

2017 ◽

Vol 37 (0) ◽

pp. 114-122 ◽

Cited By ~ 1

Author(s):

Keiko Kurokawa ◽

Yasuko Irie

Keyword(s):

Public Health ◽

Child Rearing ◽

Public Health Nurses ◽

Expectant Mothers ◽

Continuous Support

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Identifying and Intervening in Child Maltreatment and Implementing Related National Guidelines by Public Health Nurses in Finland and Japan

Nursing Research and Practice ◽

10.1155/2017/5936781 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

Kayoko Suzuki ◽

Eija Paavilainen ◽

Mika Helminen ◽

Aune Flinck ◽

Natsuko Hiroyama ◽

...

Keyword(s):

Public Health ◽

Child Maltreatment ◽

Public Health Nurses ◽

National Guidelines ◽

Cross Sectional ◽

Knowledge And Skills ◽

Child Maltreatment Prevention ◽

Cross Sectional Design ◽

Better Than ◽

Nurses Knowledge

Aim.This study aimed to investigate how public health nurses identify, intervene in, and implement the guidelines on child maltreatment in Finland and Japan and to compare the data between the two countries.Method.This study employed a cross-sectional design. Public health nurses’ knowledge and skills with respect to child maltreatment prevention were assessed using a questionnaire consisting of three categories: identification, intervention, and implementation of guidelines. Public health nurses working in the area of maternal and child health care in Finland (n=193) and Japan (n=440) were the participants.Results. A significantly higher percentage of Japanese public health nurses identified child maltreatment compared to Finnish public health nurses, while Finnish nurses intervened in child maltreatment better than their Japanese counterparts. In both countries, public health nurses who had read and used the guidelines dealt with child maltreatment better than those who did not.Conclusion.The results suggest that effective training on child maltreatment and the use of guidelines are important to increase public health nurses’ knowledge and skills for identifying and intervening in child maltreatment.

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