延伸家访可为父母提供多维的、适配的专业支持——一项干预研究。
Extended home visits can provide multidimensional adapted professional support for parents - an intervention study.
机构信息
School of Health Sciences, University of Skövde, Skövde, Sweden.
Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
出版信息
Prim Health Care Res Dev. 2023 Jul 5;24:e44. doi: 10.1017/S1463423623000336.
AIM
The aim of this study was to explore healthcare professionals' experiences of working with extended home visits for parents.
BACKGROUND
It is essential to identify parents, both expectant and with a newborn child, who need support in their parenting abilities at an early stage because children's health and well-being are affected by their home environment as well as by their parents' health and social relationships. Home visits represent a cost-effective way of identifying and supporting families with a newborn. Further research is needed to explore healthcare professionals' experiences working with extended home visits for parents.
METHODS
This was a qualitative interview study focusing on an intervention introduced in the project in Sweden. Data were collected via 13 semi-structured interviews with healthcare professionals who provide the intervention in antenatal care (midwives) and child health care (CHC nurses and family supporters), and a qualitative content analysis was performed.
FINDINGS
Data analysis resulted in one theme and four categories. The theme - to provide multidimensional adapted professional support, - and the four categories - strengthened collaboration between professionals enriches their work. Home visits provide time for conversation, which promotes continuity of care and relationships with parents; being humble guests in parents' homes provides insight; and home visits provide the opportunity to strengthen parenting and participation in the family centre. The goals of the project were to strengthen parents' confidence in their parenting abilities and to build trusting relationships with healthcare professionals. The conclusion of this study, from the participants' perspective, is that these goals can be achieved with the intervention.
IMPLICATIONS FOR PRACTICE
Extended home visits seem to help healthcare professionals provide collaborative, multi-professional support for parents, both expectant and with a newborn child, with unique support needs.
目的
本研究旨在探讨医疗保健专业人员在为父母提供扩展家访方面的工作经验。
背景
及早识别需要在育儿能力方面得到支持的父母（包括准父母和新生儿父母）至关重要，因为儿童的健康和福祉不仅受到家庭环境的影响，还受到其父母的健康和社会关系的影响。家访是识别和支持有新生儿的家庭的一种具有成本效益的方式。需要进一步研究来探讨医疗保健专业人员在为父母提供扩展家访方面的工作经验。
方法
这是一项定性访谈研究，重点关注瑞典项目中引入的干预措施。数据通过 13 名提供产前护理（助产士）和儿童保健（CHC 护士和家庭支持者）干预措施的医疗保健专业人员的半结构化访谈收集，并进行了定性内容分析。
结果
数据分析产生了一个主题和四个类别。主题为“提供多维适应专业支持”，四个类别为“加强专业人员之间的合作丰富了他们的工作。家访提供了交谈的时间，促进了护理的连续性和与父母的关系；作为父母家中的谦逊客人提供了深入了解；家访提供了加强育儿和参与家庭中心的机会。该项目的目标是增强父母对育儿能力的信心，并与医疗保健专业人员建立信任关系。从参与者的角度来看，本研究的结论是，该干预措施可以实现这些目标。
实践意义
扩展家访似乎有助于医疗保健专业人员为有特殊需求的预期父母和新生儿父母提供协作的多专业支持。
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