scholarly journals The evolution and feasibility of a salutogenic home visit program in multiethnic first-time families in Norway.

2020 ◽  
Author(s):  
Maria J Leirbakk ◽  
Johan Torper ◽  
Stina Dolvik ◽  
Jeanette H Magnus

Abstract Background Explicit knowledge on how to develop a universal home visit program is warranted as most programs target high-risk, disadvantaged, pregnant young women. The New Families program, a salutogenic home visit program, was developed directed at all first-time families in a multiethnic district in Oslo in collaboration with the Public health nurses. The objective was to secure a healthy child development with long-term benefits. The current study describe the evolution of a project resulting in a sustainable and synergistic program of praxis to be implemented in the current Norwegian Child Health Service Clinic.Methods A feasibility study with qualitative data triangulation provided a comprehensive understanding of the acceptability, demand, practicality, and integration of the New Families program in the district’s Child Health Service Clinic. This two yearlong study included three focus group interviews with public health nurses who conducted 1109 home visits to 222 first-time families in the district, in addition to retrospective interviews with six participating families. The collected data was analysed using the six phases of thematic analysis recursive process.Results Developing a trusting relational continuity of care between the public health nurse and the family is at the core when facilitating support and help. The home visit was characterized as praxis oriented with a salutogenic focus, emphasizing the parents' strengths and resources, while engaging with the family in a collaborative and respectful way. The families and the public health nurse reported a decreased authoritative relationship without losing the experience professionalism.Conclusions An early home visit program for all new families delivered with proportionate universalism avoided stigmatizing vulnerable families and ensured high utilization of the health service. The participating families and public health nurses were in concert when endorsing the integration of the program in the Norwegian Child Health Service Clinic.

2010 ◽  
Vol 34 (4) ◽  
pp. 386 ◽  
Author(s):  
Margaret I. Barnes ◽  
Jan Pratt ◽  
Kathleen Finlayson ◽  
Barbara Pitt ◽  
Cheryl Knight

Community Child Health Nursing Services provide support for new mothers; however, the focus has often been on individual consultations, complemented by a series of group sessions soon after birth. We describe a new model of community care for first-time mothers that centres on group sessions throughout the whole contact period. The model was developed by practicing child health nurses for a large health service district in south-east Queensland, which offers a comprehensive community child health service. Issues identified by clinicians working within existing services, feedback from clients and the need for more resource-efficient methods of service provision underpinned the development of the model. The pilot program was implemented in two community child health centres in Brisbane. An early individual consultation to engage the family with the service was added in response to feedback from clinicians and clients. The modified model has since been implemented service-wide as the ‘First Steps Program’. The introduction of this model has ensured that the service has been able to retain a comprehensive service for first-time parents from a universal population, while responding to the challenges of population growth and the increasing number of complex clients placing demands on resources.


PEDIATRICS ◽  
1949 ◽  
Vol 3 (4) ◽  
pp. 569-570

Dr. Samuel M. Wishik, former assistant director of the Division of Health Services of the Children's Bureau in Washington, has been named head of the New York City Health Department's recently reorganized Bureau for Mothers and Young Children, Dr. Harry S. Mustard, Health Commissioner, has announced. In making the appointment, Dr. Mustard declared that his department's expanded program of services for the protection of premature babies and expectant mothers was "now well under way." The new Bureau Director is a graduate of Columbia University and the College of Physicians and Surgeons. He did child health work in the Health Department from 1939 to 1942, when he was appointed Senior Assistant Surgeon of the Public Health Service. He was assigned to Hawaii where he served both with the Public Health Service and the Hawaiian Board of Health in charge of maternal and child health.


2016 ◽  
Vol 33 (3) ◽  
pp. 242-248 ◽  
Author(s):  
Penny F. Stastny ◽  
Thomas G. Keens ◽  
Abbey Alkon

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Granrud ◽  
A Anderzen-Carlsson ◽  
B Bisholt ◽  
A K Steffenak

Abstract Background Mental health problems among adolescents account for a large portion of the global burden of disease and affect 10 - 20 % of children and adolescent worldwide. The public health nurse in the school health services is in the forefront for adolescents and play an important role in providing mental health. In order to identitfy and help the adolescents in secondary school with mental health problems the public health nurses are dependent on collaboration with other professionals. The aim of this study was to describe the variation in public health nurses perceptions of interprofessional collaboration related to mental health problems among adolescents in secondary school. Methods This study has a qualitative design and individual interviews were analyzed with a phenomenographic approach. Eighteen public health nurses working in school health services, strategically selected from different counties, both urban and rural areas, were included to ensure variation in the phenomena. Findings The analysis resulted in three descriptive categories: ’The formal structure has an impact on the interprofessional collaboration’, ’The public health nurse is an important but not always self-evident partner in interprofessional collaboration’ and ’The primary players are the teachers in collaboratioń. Conclusions The findings demonstrated that public health nurses are important but not always included in interprofessional collaboration and they were dependent especially of teachers to achieve good collaboration. There were variations in how public health nurses perceived interprofessional collaboration from school to school, which may give the adolescents with mental health different services. The knowledge from this study may be essential to strengthen public health nurses positions and presence in the school health service, which will benefit the adolescents with mental health problems. Key messages The public health nurse need to work actively to be included in interprofessional collaboration. The public health nurse are dependent on teachers and principals to achieve good collaboration.


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