期刊论文详细信息
BMC Nursing
Mothers’ experiences in the Nurse-Family Partnership program: a qualitative case study
Harriet L MacMillan1  Debbie Sheehan3  Olive Wahoush2  Susan M Jack2  Christine Kurtz Landy2 
[1] Departments of Psychiatry and Behavioural Neurosciences and Pediatrics, Offord Centre for Child Studies, McMaster University, Patterson Building, 1200 Main Street West, Hamilton, ON L8N 3Z5, Canada;School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4K1, Canada;Faculty of Health Sciences, Simon Fraser University, 515 West Hastings Street, Vancouver, BC, V6B 5K3, Canada
关键词: Mother’s experiences;    Young mothers;    Low income;    Nurse home visiting;   
Others  :  1092299
DOI  :  10.1186/1472-6955-11-15
 received in 2012-01-20, accepted in 2012-08-31,  发布年份 2012
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【 摘 要 】

Background

Few studies have explored the experiences of low income mothers participating in nurse home visiting programs. Our study explores and describes mothers' experiences participating in the Nurse-Family Partnership (NFP) Program, an intensive home visiting program with demonstrated effectiveness, from the time of program entry before 29 weeks gestation until their infant's first birthday.

Methods

A qualitative case study approach was implemented. A purposeful sample of 18 low income, young first time mothers participating in a pilot study of the NFP program in Hamilton, Ontario, Canada partook in one to two face to face in-depth interviews exploring their experiences in the program. All interviews were digitally recorded and transcribed verbatim. Conventional content analysis procedures were used to analyze all interviews. Data collection and initial analysis were implemented concurrently.

Results

The mothers participating in the NFP program were very positive about their experiences in the program. Three overarching themes emerged from the data: 1. Getting into the NFP program; 2. The NFP nurse is an expert, but also like a friend providing support; and 3. Participating in the NFP program is making me a better parent.

Conclusions

Our findings provide vital information to home visiting nurses and to planners of home visiting programs about mothers' perspectives on what is important to them in their relationships with their nurses, how nurses and women are able to develop positive therapeutic relationships, and how nurses respond to mothers' unique life situations while home visiting within the NFP Program. In addition our findings offer insights into why and under what circumstances low income mothers will engage in nurse home visiting and how they expect to benefit from their participation.

【 授权许可】

   
2012 Kurtz Landy et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Kitzman H, Olds DL, Henderson CR, Hanks C, Cole R, Tatelbaum R, McConnochie KM, Sidora K, Luckey DW, Shaver D, Engelhardt K, James D, Barnard K: Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial. JAMA 1997, 27(8):644-652.
  • [2]Olds DL, Henderson CR, Chamberlin R, Tatelbaum R: Preventing child abuse and neglect: a randomized trial of nurse home visitation. Pediatrics 1986, 78(1):65-78.
  • [3]Olds DL, Robinson J, O'Brien R, Luckey DW, Pettitt LM, Henderson CR, Ng RK, Sheff KL, Korfmacher J, Hiatt S, Talmi A: Home visiting by paraprofessionals and by nurses: a randomized, controlled trial. Pediatrics 2002, 110(3):486-496.
  • [4]Olds DL, Henderson CR, Tatelbaum R, Chamberlin R: Improving the delivery of prenatal care and outcomes of pregnancy: a randomized trial of nurse home visitation. Pediatrics 1986, 77(1):16-28.
  • [5]Olds DL, Eckenrode J, Henderson CR, Kitzman H, Powers J, Cole R, Sidora K, Morris P, Pettitt LM, Luckey D: Long-term effects of home visitation on maternal life course and child abuse and neglect: fifteen-year follow-up of a randomized trial. J Am Med Assoc 1997, 278(8):637-643.
  • [6]Olds DL, Kitzman H, Cole R, Robinson J, Sidora K, Luckey DW, Henderson CR, Hanks C, Bondy J, Holmberg J: Effects of nurse home-visiting on maternal life course and child development: age 6 follow-up results of a randomized trial. Pediatrics 2004, 114(6):1550-1559.
  • [7]Kitzman H, Olds DL, Sidora K, Henderson CR, Hanks C, Cole R, Luckey DW, Bondy J, Cole K, Glazner J: Enduring effects of nurse home visitation on maternal life course: a 3- year follow-up of a randomized trial. JAMA 2000, 283(15):1983-1989.
  • [8]Olds DL, Eckenrode J, Henderson CR, Kitzman H, Powers J, Cole R, Sidora K, Morris P, Pettitt LM, Luckey D: Long-term effects of home visitation on maternal life course and child abuse and neglect. Fifteen-year follow-up of a randomized trial. JAMA 1997, 278(8):637-643.
  • [9]Olds D, Henderson CR, Cole R, Eckenrode J, Kitzman H, Luckey D, Pettitt L, Sidora K, Morris P, Powers J: Long-term effects of nurse home visitation on children's criminal and antisocial behavior: 15-year follow-up of a randomized controlled trial. J Am Med Assoc 1998, 280(14):1238-1244.
  • [10]Eckenrode J, Campa M, Luckey DW, Henderson CR, Cole R, Kitzman H, Anson E, Sidora-Arcoleo K, Powers J, Olds D: Long-term effects of prenatal and infancy nurse home visitation on the life course of youths: 19-year follow-up of a randomized trial. Arch Pediatr Adolesc Med 2010, 164(1):9-15.
  • [11]Kitzman HJ, Olds DL, Cole RE, Hanks CA, Anson EA, Arcoleo KJ, Luckey DW, Knudtson MD, Henderson JR, Holmberg JR: Enduring effects of prenatal and infancy home visiting by nurses on children: follow-up of a randomized trial among children at age 12 years. Arch Pediatr Adolesc Med 2010, 164(5):412-418.
  • [12]Jack SM, DiCenso A, Lohfeld L: A theory of maternal engagement with public health nurses and family visitors. J Adv Nurs 2005, 49(2):182-190.
  • [13]SmithBattle L: Reframing the risks and losses of teen mothering. MCN. Am J Matern Child Nurs 2009, 34(2):122-128.
  • [14]Paris R: "For the dream of being here, one sacrifices…": voices of immigrant mothers in a home visiting program. Am J Orthopsychiat 2008, 78(2):141-151.
  • [15]Paris R, Dubus N: Staying connected by nuturing an infant: a challenge of new motherhood. Fam Relat 2005, 54:72-83.
  • [16]Wiggins M, Oakley A, Roberts I, Turner H, Rajan L, Austerberry H, Mujica R, Mugford M, Barker M: Postnatal support for mothers living in disadvantaged inner city areas: a randomized controlled trial. J Epidemiol Community Health 2005, 59(4):288-295.
  • [17]Paulsell D, Avellar S, Sama Marting E, Del Grosso P: Home visiting evidence of effectiveness review: Executive summary. Washington, DC: Office of Planning, Research, and Evaluation, Administration for Children and Families, U S Department of Health and Human Services; 2011:1-14. HHSP2332009564WC/HHSP23337007T
  • [18]MacMillan HL, Wathen CN, Barlow J, Fergusson JM, Leventhal JM, Taussig HN: Interventions to prevent childmaltreatment and associated impairment. Lancet 2009, 373:250-266.
  • [19]Falk-Rafael A: Empowerment as a process of evolving consciousness: a model of empowered caring. ANS 2001, 24(1):1-16.
  • [20]Fiscella K, Kitzman HJ, Cole RE, Sidora KJ, Olds D: Does child abuse predict adolescent pregnancy? Pediatrics 1998, 101(4 I):620-624. ate of Pubaton: Ar 1998
  • [21]DeMay DA: The experience of being a client in an Alaska public health nursing home visitation program. Public Health Nurs 2003, 20(3):228-236.
  • [22]Kurtz Landy C, Sword W, Valaitis R: The experiences of socioeconomically disadvantaged postpartum women in the first 4 weeks at home. Qual Health Res 2009, 19(2):194-206.
  • [23]Better Outcomes Registry & Network (BORN) Ontario: Perinatal Health Report 2009–2010. Ottawa ON: Waterloo Wellington and Hamilton Niagara Haldimand Brant–LHINs 3 & 4; 2011.
  • [24]Statistics Canada: Low income lines, 2009–2010. Catalogue no. 75F0002M. Ottawa: Ministry of Industry; 2011. http://www.statcan.gc.ca/pub/75f0002m/75f0002m2011002-eng.pdf webcite
  • [25]Ministry of Health and Long Term Care: Inpatient Discharge Main Table, Ontario Ministry of Health and Long-Term Care, Intelli HEALTH ONTARIO. Ontario; 2009.
  • [26]Yin RK: Case study research: design and methods. 4th edition. Thousand Oaks: Sage; 2009.
  • [27]Hsieh HF, Shannon SE: Three approaches to qualitative content analysis. Qual Health Res 2005, 15(9):1277-1288.
  • [28]Miles MB, Huberman AM: Qualitative data analysis: an expanded source book. Sage: Thousand Oaks; 1994.
  • [29]Morgan DL: Qualitative content analysis: a guide to paths not taken. Qual Health Res 1993, 3(1):112-121.
  • [30]Patton M: Qualitative research and evaluation methods. Sage: Thousand Oaks; 2002.
  • [31]Briggs C: Nursing practice in community child health: developing the nurse--client relationship. Contemp Nurse 2006, 23:303.
  • [32]Vehvilainen-Julkunen K: The characteristics of clients and public health nurses in child health services interactions. Scand J Caring Sci 1993, 7(1):11-16.
  • [33]Vaughn LM, Forbes JR, Howell B: Enhancing home visitation programs: input from a participatory evaluation using photovoice. INFANTS YOUNG CHILD 2009, 22(2):132-145.
  • [34]Marcellus L: The ethics of relation: public health nurses and child protection clients. J Adv Nurs 2005, 51(4):414-420.
  • [35]Peckover S: Supporting and policing mothers: an analysis of the disciplinary practices of health visiting. J Adv Nurs 2002, 38(4):369-377.
  • [36]SmithBattle L: Pregnant with possibilities: drawing on hermeneutic thought to reframe home-visiting programs for young mothers. Nurs Inq 2009, 16(3):191-200.
  • [37]Aston M, Meagher-Stewart D, Sheppard-Lemoine D, Vukic A, Chircop A: Practice applications of research. Family health nursing and empowering relationships. Pediatr Nurs 2006, 32(1):61-67.
  • [38]Peter E, Morgan KP: Explorations of a trust approach for nursing ethics. Nurs Inquiry 2001, 8(1):3-10.
  • [39]Porr C: Shifting from preconceptions to pure wonderment. Nurs Philos 2005, 6(3):189-195.
  • [40]Gadow S: Relational narrative: the postmodern turn in nursing ethics. Scholar Inq Nurs Pract 1999, 13(1):57-70.
  • [41]Smithbattle L: Legacies of advantage and disadvantage: the case of teen mothers. Public Health Nurs 2007, 24(5):409-420.
  • [42]Spear HJ, Lock S: Qualitative research on adolescent pregnancy: a descriptive review and analysis. J Pediatr Nurs 2003, 18(6):397-408.
  • [43]Swartz TT: Intergenerational family relations in adulthood: Patterns, variations, and implications in the contemporaru United States. Annu Rev Sociol 2009, 35:191-212.
  • [44]Eshbaugh EM, Lempers J, Luze GJ: Objective and self-perceived resources as predictors of depression among urban and non-urban adolescent mothers. J Youth Adolesc 2006, 35(5):839-847.
  • [45]Holub CK, Kershaw TS, Ethier KA, Lewis JB, Milan S, Ickovics JR: Prenatal and parenting stress on adolescent maternal adjustment: identifying a high-risk subgroup. Matern Child Health J 2007, 11(2):153-159.
  • [46]Leininger LJ, Ryan RM, Kalil A: Low-income mothers' social support and children's injuries. Soc Sci Med 2009, 68(12):2113-2121.
  • [47]Whitson ML, Martinez A, Ayala C, Kaufman JS: Predictors of parenting and infant outcomes for impoverished adolescent parents. J Fam Soc Work 2011, 14(4):284-297.
  • [48]Domian EW, Baggett KM, Carta JJ, Mitchell S, Larson E: Factors influencing mothers' abilities to engage in a comprehensive parenting intervention program. Public Health Nurs 2010, 27(5):399-407.
  • [49]Afifi TO: Child abuse and adolescent parenting: developing a theoretical model from an ecological perspective. J Aggression Maltreat Trauma 2007, 14(3):89-105.
  • [50]Zelenko MA, Huffman L, Lock J, Kennedy Q, Steiner H: Poor adolescent expectant mothers: can we assess their potential for child abuse? J Adolesc Health 2001, 29(4):271-278.
  • [51]Berkman LF, Glass T, Brissette I, Seeman TE: From social integration to health: Durkheim in the new millenium. Soc Sci Med 2000, 51(843):857.
  • [52]Cairney J, Boyle M, Offord DR, Racine Y: Stress, social support and depression in single and married mothers. Soc Psychiatry Psychiatr Epidemiol 2003, 38(8):442-449.
  • [53]Bogossian FE: Social support: proposing a conceptual model for application to midwifery practice. Women Birth 2007, 20(4):169-173.
  • [54]Logsdon MC, Davis DW: Social and professional support for pregnant and parenting women. MCN. Am J Matern Child Nurs 2003, 28(6):371-376.
  • [55]Speiker SJ, Bensley L: Roles of living arrangements and grandmother social support in adolescent mothering and infant attachment. Dev Psychol 1994, 30:102-111.
  • [56]Seguin L, Potvin L, St-Denis M, Loiselle J: Depressive symptoms in the late postpartum among low socioeconomic status women. Birth 1999, 26(3):157-163.
  • [57]Logsdon MC, McBride AB, Birkimer JC: Social support and postpartum depression. Res Nurs Health 1994, 17(6):449-457.
  • [58]Barnet B, Duggan AK, Wilson MD, Joffe A: Association between postpartum substance use and depressive symptoms, stress, and social support in adolescent mothers. Pediatrics 1995, 96(4 Pt 1):659-666.
  • [59]Roye CF, Balk SJ: Evaluation of an intergenerational program for pregnant and parenting adolescents. Matern Child Nurs 1996, 24(1):32-40.
  • [60]Harris MJ, Kotch JB: Unintentional infant injuries: sociodemographic and psychosocial factors. Public Health Nurs 1994, 11(2):90-97.
  • [61]Bishop SJ, Leadbeater BJ: Maternal social support patterns and child maltreatment: Comparison of maltreating and nonmaltreating mothers. Am J Orthopsychiatry 1999, 69(2):172-181.
  • [62]Fägerskiöld A, Timpka T, Ek A: The view of the child health nurse among mothers. Scand J Caring Sci 2003, 17(2):160-168.
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