scholarly journals Maternal-child nursing care for adolescent mothers: health education

2020 ◽  
Vol 73 (4) ◽  
Author(s):  
Raquel Dully Andrade ◽  
Jeniffer Stephanie Marques Hilário ◽  
Jaqueline Silva Santos ◽  
José de Paula Silva ◽  
Luciana Mara Monti Fonseca ◽  
...  
Keyword(s):  
Health Care ◽  
Child Care ◽  
Adolescent Mothers ◽  
Educational Intervention ◽  
Adolescent Women ◽  
Adolescent Motherhood ◽  
Children Health ◽  
Third Stage ◽  
Women And Children ◽  
Care Technology

ABSTRACT Objectives: to develop an educational intervention through a game that addresses aspects related to adolescent motherhood and child care. Methods: this is an action research based on diagnosis, intervention and apprehension stages. Results: the situational diagnosis was based on a literature review on adolescent motherhood and child care. In the intervention stage, the educational game’s first version was elaborated. In the third stage constituted by apprehension, the game was submitted to assessment of interdisciplinary experts. Suggestions of experts were adopted and the game had its second version. Final Considerations: the educational intervention in the present study appears a care technology that adds knowledge and practices to the work of nurses in Primary Health Care, focusing on adolescent women and children health care.

scholarly journals Comparison of the course of labour in adolescent mothers (aged ≤17 years) and young women (aged 18-19 years)

2021 ◽  
Author(s):  
Marzena Kaźmierczak ◽  
Karolina Tymanowska ◽  
Grażyna Gebuza ◽  
Maciej W. Socha
Keyword(s):  
Adolescent Mothers ◽  
Young Women ◽  
Medical Records ◽  
The Body ◽  
Pregnancy Induced Hypertension ◽  
Related Complication ◽  
Adolescent Women ◽  
Adolescent Motherhood ◽  
Induced Hypertension ◽  
Biological Development

Introduction: Adolescent motherhood is associated with a high risk of health problems due to the unfinished process of biological development of the body. Aim: To compare the course of labour among adolescent mothers (aged up to 17 years) and young women (aged 18–19 years). Material and methods: The study was performed on the basis of a retrospective analysis of medical records from 2010 to 2018 in one of the clinical hospitals in Poland. The analysis included the births given by 133 adolescent mothers and 169 young women. Results and discussion: There was a downward trend in the percentage of births given by adolescent mothers and young women over a 9-year period. The placenta of adolescent women was lighter, by 25 g on average (P = 0.011), and had a smaller size (P = 0.038) than the placenta of young women. In adolescent women, pregnancy-related complications were significantly more often associated with pregnancy-induced hypertension (P = 0.037), and in young women with gestational diabetes (P = 0.003). The rapture of membranes was observed significantly more often at the first stage of labour among mothers aged 18–19 years than in mothers aged up to 17 years (P = 0.043). Conclusions: A decrease in the number of births given by adolescent mothers and young women over 9 years was demonstrated. Among adolescent mothers a pregnancy-related complication was pregnancy-induced hypertension. The placenta of adolescent mothers was significantly lighter and smaller than of young women. The rapture of membranes (in the first stage of labour) concerned more often women aged 18–19 years.

The fundamental role of educational intervention on improving health care workers’ knowledge, attitude and practice towards infection control precautions

2016 ◽  
Vol 12 (3) ◽  
Author(s):  
Rasha H. Bassyouni ◽  
Ahmed-Ashraf Wegdan ◽  
Naglaa A El-Sherbiny
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Educational Intervention ◽  
Health Care Workers ◽  
Standard Precautions ◽  
Attitude And Practice ◽  
Care Workers ◽  
Atp Bioluminescence ◽  
Knowledge Attitude And Practice

To evaluate the role of educational intervention on health care workers' (HCWs) compliance to standard precautions and cleaning of frequently touched surfaces at critical care units, forty-nine HCWs at 2 intensive care units (ICUs) and one neonatology unit at Fayoum University hospital were evaluated for knowledge, attitude and practice (KAP) towards standard precautions as well as obstacles affecting their compliance to standard precautions before and after a 32-hour purposed-designed infection control education program. A structured self-administrated questionnaire as well as observational checklists were used. Assessment of Environmental cleaning was investigated by observational checklist, ATP bioluminescence and aerobic bacteriological culture for 118 frequently touched surfaces. Pre-intervention assessment revealed that 78.6% of HCWs were with good knowledge, 82.8% with good attitude and 80.8% had good practice. Obstacles identified by HCWs were as follow: making patient-care very technical (65.3%), deficiency of hand washing facilities (59.2%), skin irritation resulting from hand hygiene products (51%), and unavailability of PPE (38.8%). High significant improvements of knowledge, attitude and practice were detected after one month of educational intervention (P= 0.000). During the pre-interventional period only 30.5% of surfaces were considered clean versus 97.45% post intervention (P< 0.05). The highest Median ATP bioluminescence values were obtained from telephone handset, light switches and Blood pressure cuffs. S. aureus was the most common isolated organism followed by Enterococcus spp and E.coli (52, 38 and 19 surfaces respectively). In conclusion, contentious training of HCWs on standard precautions should be considered a mandatory element in infection control programs

scholarly journals Building trust and enhancing localization to improve access to women’s health services in Afghanistan

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F R Rab ◽  
S S Stranges ◽  
A D Thind ◽  
S S Sohani
Keyword(s):  
Health Care ◽  
Health Services ◽  
Vulnerable Populations ◽  
Time Trend ◽  
Health Workers ◽  
Healthcare Services ◽  
Delivery Of Healthcare ◽  
Care Services ◽  
Women And Children ◽  
Delivery Of Health Services

Abstract Background Over 34 million people in Afghanistan have suffered from death and devastation for the last four decades as a result of conflict. Women and children have borne the brunt of this devastation. Afghanistan has some of the poorest health indicators in the world for women and children. In the midst of armed conflict, providing essential healthcare in remote regions in the throws of conflict remains a challenge, which is being addressed the Mobile Health Teams through Afghan Red Crescent (ARCS). To overcome socio-cultural barriers, ARCS MHTs have used local knowledge to hire female staff as part of the MHTs along with their male relatives as part of MHT staff. The present study was conducted to explore the impact of engaging female health workers as part of MHTs in conflict zones within Afghanistan on access, availability and utilization of maternal and child health care. Methods Quantitative descriptive and time-trend analysis were used to evaluate impact of introduction of female health workers. Qualitative data is being analyzed to assess the possibilities and implications of engaging female health workers in the delivery of health services. Results Preliminary results show a 96% increase in uptake of services for expectant mothers over the last four years. Average of 18 thousand services provided each month by MHTs, 70% for women and children. Service delivery for women and children significantly increased over time (p &lt; 0.05) after inclusion of female health workers in MHTs. Delivery of maternity care services showed a more significant increase (p &lt; 0.001). Time trend and qualitative analyses is ongoing. Conclusions Introduction of female health workers significantly improved uptake of health care services for women and children especially in extremely isolated areas controlled by armed groups in Afghanistan. Engaging with local stakeholders is essential for delivery of health services for vulnerable populations in fragile settings like Afghanistan. Key messages Understanding cultural norms results in socially acceptable solutions to barriers in delivery of healthcare services and leads to improvements in access for women and children in fragile settings. Building local partnerships and capacities and using local resources result in safe, efficient and sustainable delivery of healthcare services for vulnerable populations in fragile settings.

scholarly journals Nutrition Standards For Infants and Young Children can be Implemented by Family Child Care Home Providers

2021 ◽  
Vol 8 ◽  
pp. 2333794X2198955
Author(s):  
Lorrene D. Ritchie ◽  
Victoria Keeton ◽  
Danielle L. Lee ◽  
Klara Gurzo ◽  
Elyse Homel Vitale ◽  
...  
Keyword(s):  
Child Care ◽  
Educational Intervention ◽  
Care Home ◽  
Family Child Care ◽  
Average Score ◽  
Post Intervention ◽  
Convenience Sample ◽  
Nutrition Standards ◽  
Infants And Young Children ◽  
Provider Surveys

The study evaluated an educational intervention with family child care home (FCCH) providers to implement nutrition standards. A convenience sample of licensed California FCCH providers (n = 30) attended a 2-hour, in-person group training in English or Spanish on nutrition standards for infants and children aged 1 to 5 years. Provider surveys and researcher observations during meals/snacks were conducted pre- and 3 months post-intervention. Providers rated the training as excellent (average score of 4.9 on a scale of 1-5). Adherence, assessed by survey and observation and compared over time using paired t-tests, increased from an average of 36% pre-intervention to 44% post-intervention ( P = .06) of providers (n = 12) for infant standards and from 59% to 68% ( P < .001) of providers (n = 30) for child standards. One-third (39%) of providers rated infant standards and 19% of providers rated child standards as difficult to implement. Nutrition standards can be implemented by FCCH providers after an educational intervention; a larger study is warranted with a representative group of providers.

Home Visitation Investment

PEDIATRICS ◽  
1992 ◽  
Vol 89 (1) ◽  
pp. 169-169
Author(s):  
NORMAN J. SISSMAN
Keyword(s):  
Health Care ◽  
Home Visits ◽  
Cost Benefit ◽  
Home Visitation ◽  
Benefit Ratio ◽  
Health Care Resources ◽  
Detailed Consideration ◽  
Cost Benefit Ratio ◽  
Women And Children ◽  
The Cost

To the Editor.— Two recent reviews in Pediatrics1,2 provide much interesting information on the effect of home visits on the health of women and children. However, I was disappointed not to find in either article more than token reference to the cost of the programs reviewed. In this day of increasingly scarce health care resources, we no longer have the luxury of evaluating programs such as these without detailed consideration of their cost-benefit ratio.

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