J Obstet Gynecol Neonatal Nurs. 2024 Nov;53(6):679-688. doi: 10.1016/j.jogn.2024.06.005. Epub 2024 Jul 20.
To describe how a college of nursing and urban academic medical center partnered with the local health department to plan, implement, and evaluate a universal nurse home visit service to improve health equity in the postpartum period.
Evidence-based practice.
SETTING/LOCAL PROBLEM: Wide health disparity in rates of maternal and infant morbidity and mortality in Chicago, Illinois.
All patients who gave birth at the medical center and lived in Chicago.
INTERVENTION/MEASUREMENTS: A nurse home visit was offered after birth to all eligible patients beginning in March 2020. We used data from a Web-based platform to determine key performance indicators for the program and examined patient demographics to determine equitable delivery of the service for all visits provided in 2022.
There were 1,488 patients eligible for a home visit and 714 who received a home visit. The average contact rate was 76%, the scheduling rate was 63%, the completion rate for scheduled visits was 76%, and the population reach was 48%. Sixty-eight percent of families visited were from high-economic-hardship zip code areas of the city. Eighty-one percent of visits resulted in at least one referral to meet a family's need, and 98% of patients surveyed rated their visit as "very helpful."
The successful implementation of this public-private partnership was due in part to an organizational culture that supports health equity initiatives, the inclusion of system-wide stakeholders, having a process in place to monitor outcomes, and hiring a diverse team of nurses who prioritize respectful patient-centered care.
描述一所护理学院和城市学术医疗中心如何与当地卫生部门合作，规划、实施和评估普遍的护士家访服务，以改善产后期间的健康公平性。
基于证据的实践。
设置/当地问题：伊利诺伊州芝加哥母婴发病率和死亡率存在广泛的健康差距。
在医疗中心分娩并居住在芝加哥的所有患者。
干预/措施：自 2020 年 3 月起，向所有符合条件的患者提供产后护士家访。我们使用基于网络的平台的数据来确定该计划的关键绩效指标，并检查患者人口统计学数据，以确定 2022 年提供的所有服务的公平交付情况。
有 1488 名患者有资格接受家访，其中 714 名患者接受了家访。平均联系率为 76%，预约率为 63%，预约完成率为 76%，人口覆盖率为 48%。接受家访的家庭中，有 68%来自该市高经济困难地区的邮政编码区。81%的家访至少促成了一次转介，以满足家庭的需求，98%接受调查的患者认为他们的家访“非常有帮助”。
这种公私合作伙伴关系的成功实施部分归因于一种支持健康公平倡议的组织文化，包括系统范围的利益相关者，制定了监测结果的流程，以及聘请了优先考虑尊重患者为中心的护理的多元化护士团队。
