مورد إلكتروني
Effective sustained nurse home visiting: Who benefits, how and why?
| العنوان: | Effective sustained nurse home visiting: Who benefits, how and why? |
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| بيانات النشر: | University of New South Wales. Community Medicine 2018 |
| تفاصيل مُضافة: | Zapart, Sieglinde, Community Medicine, Faculty of Medicine, UNSW |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Background: Early childhood sustained nurse home visiting (SNHV) programs haveshown positive impacts on maternal and child health and well-being. How interventionswork is still a “black box”, and who benefits and why, is not well understood. Programshave shown benefits for psychologically vulnerable mothers, but how psychologicalvulnerability manifests in SNHV populations is poorly understood. The aim of thisresearch was to investigate the contribution SNHV makes to achieving mothers’perceived positive outcomes, particularly for mothers with psychological vulnerability.Research objectives: The research had four objectives: Improved understanding of 1)the meaning of psychological vulnerability and how this may impact on parenting andthe effectiveness of SNHV programs; 2) what mothers believe they receive fromSNHV; 3) what enables mothers to parent effectively in difficult circumstances; 4) howfactors contributing to perceived positive outcomes work together and the contributionof SNHV.Methods: A complementary developmental four stage mixed methods design wasutilised. Stages one to three used quantitative and qualitative data. Stage fourqualitatively combined and developed findings from stages one to three. Participantswere mothers who participated in the Maternal Early Childhood Sustained Home-Visiting trial.Results: Stage 1. Factor analysis of the Edinburgh Depression Scale (EPDS) revealed‘distress’ and ‘anhedonia’ factors. Mothers with high levels of psychologicalvulnerability had lower levels of openness to help-seeking. Evidence that psychologicalvulnerability is a core persistent trait was not strong. Stage 2. Mothers perceivedpositive impacts on their emotional well-being, confidence and help-seeking behaviour,and the parenting of their program child and older and subsequent children. Mostcontinued to apply program learnings after program completion. Stage 3. Most mothersdescribed emotional reactions to stressors such as fear, anger and sadness. Mothersmanaged |
| مصطلحات الفهرس: | Mixed-methods research, Sustained nurse home visiting, Mothers' perceptions, At-risk mothers', Psychological vulnerability, Thesis, PhD Doctorate |
| URL: | |
| الإتاحة: | Open access content. Open access content https://creativecommons.org/licenses/by-nc-nd/4.0 free_to_read |
| ملاحظة: | English |
| أرقام أخرى: | LJ1 oai:unsworks.library.unsw.edu.au:1959.4/60240 https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51264/SOURCE2?view=true 1048364042 |
| المصدر المساهم: | UNIV OF NEW S WALES From OAIster®, provided by the OCLC Cooperative. |
| رقم الأكسشن: | edsoai.on1048364042 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |