Abstract
ObjectiveThis study aimed at evaluating the outcomes of planned home visits of intern public health nurses enrolled to a school of health over 8 educational years. MethodThe descriptive research consisted of 181 families (N = 745 individuals) who received primary services through the planned home visits undertaken by 431 intern public health nurses at Kocaeli province in Turkey. The data were collected from Family Nursing Process Records and Family Health Achievement Forms. Both of these data collection forms were classified according to North American Nursing Diagnosis Association (NANDA) Taxonomy II. ResultsIntern public health nurses provided primary health services to 181 families (N = 745 persons) with a total of 8771 planned home visits undertaken over 802 days and 14.874 student/practice days. A total of 1539 nursing diagnoses were identified and 1677 achievements about these diagnoses were reported. Nursing diagnosis per family and per individual turned out to be 8.50 and 2.1, respectively, and achievements were 9.3 per family and 2.3 per individual. Among the nursing diagnosis domains, health promotion (20.3%), safety/protection (16.8%), and activity/rest (16.0%) were the top 3 domains identified. The most common diagnoses turned out to be ineffective health maintenance (47.4%) in health promotion domain and risk for trauma (18.2%) in safety/protection domain. The achievements were reported most in health promotion (37.9%), activity/rest (17.6%), and safety/protection (9.6%), respectively. ConclusionsPlanned and continuous home visits by intern public health nurses resulted in positive health achievements in families, especially for women and children.
Highlights
IntroductionHome visits are planned and targeted activities aimed at health promotion and health maintenance of individuals, as well as prevention of illness and other health problems, and are regarded as one of the important tools of maintaining primary health services.[1,2] Randomized controlled studies on impacts of home visits revealed that women developed positive health behavior and experienced healthier pregnancies,[3,4] maternal mortality related to preventable causes declined considerably,[5] and communication between mother and child significantly improved.[6,7] the studies foundOzkan and OzdemirOutcomes of Home VisitsAnnals of Global Health, VOL. 82, NO. 5, 2016 September eO ctober 2 0 1 6 : 8 8 5 – 8 9 6 that fathers’ participation in child care was enhanced[8] and labor force participation of mothers increased.[3,8] reported were better nutrition of infants with breastfeeding[9,10]; increases in fetal weight and growth and development of children; and declines in behavioral problems in childhood, deceit, and abuse,[3,8,11] as well as injuries, application to emergency services, and hospitalization.[3]
The sample consisted of 181 families (N 1⁄4 745 persons) who received primary health services through the planned home visits undertaken by 431 intern public health nurses enrolled in the fourth grade of the Kocaeli School of Health (KSH) in Turkey
Course topics were taught in line with nursing diagnoses of North American Nursing Diagnosis Association (NANDA).[16]
Summary
Home visits are planned and targeted activities aimed at health promotion and health maintenance of individuals, as well as prevention of illness and other health problems, and are regarded as one of the important tools of maintaining primary health services.[1,2] Randomized controlled studies on impacts of home visits revealed that women developed positive health behavior and experienced healthier pregnancies,[3,4] maternal mortality related to preventable causes declined considerably,[5] and communication between mother and child significantly improved.[6,7] the studies foundOzkan and OzdemirOutcomes of Home VisitsAnnals of Global Health, VOL. 82, NO. 5, 2016 September eO ctober 2 0 1 6 : 8 8 5 – 8 9 6 that fathers’ participation in child care was enhanced[8] and labor force participation of mothers increased.[3,8] reported were better nutrition of infants with breastfeeding[9,10]; increases in fetal weight and growth and development of children; and declines in behavioral problems in childhood, deceit, and abuse,[3,8,11] as well as injuries, application to emergency services, and hospitalization.[3]. All such positive results were reported more for women in low-income families and less developed countries or regions.[3,4,7]
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