DeMay Diane A
State of Alaska, Department of Health and Human Services, Division of Public Health, Section of Public Health Nursing, Juneau, Alaska 99811, USA.
Public Health Nurs. 2003 May-Jun;20(3):228-36. doi: 10.1046/j.0737-1209.20310.x.
This qualitative study reports on the content analysis of 62 essays written by clients about their experiences in an Alaska public health nursing home visitation project for prevention of child abuse and neglect. Home visitation services were provided to two groups of demographically matched first-time mothers: intense protocol services (intervention group) and "usual" services (current practice group). Intervention and current practice group essays were analyzed separately. The purpose was to determine how congruent client experiences were with public health nurse perspectives of the care they gave to clients. Similarities and differences between groups were also examined. Although in different order of frequency, themes about knowledge and learning, nurse qualities, validation of parenting skills, and suggestions emerged for both groups, but the intervention group essays were, on average, seven times longer and more descriptively rich. Client experiences were similar to public health nurse concepts of effective service and to other findings in existing research.
这项定性研究报告了对62篇由客户撰写的文章的内容分析，这些文章讲述了他们在阿拉斯加一个预防虐待和忽视儿童的公共卫生家庭访视项目中的经历。家庭访视服务提供给了两组人口统计学特征匹配的初为人母者：强化方案服务（干预组）和“常规”服务（现行做法组）。对干预组和现行做法组的文章分别进行了分析。目的是确定客户的经历与公共卫生护士对他们给予客户的护理的看法的一致程度。还研究了两组之间的异同。尽管出现的频率顺序不同，但两组都出现了关于知识与学习、护士素质、育儿技能验证和建议的主题，但干预组的文章平均要长七倍，描述也更丰富。客户的经历与公共卫生护士对有效服务的概念以及现有研究中的其他发现相似。
