J Korean Acad Nurs.  2017 Oct;47(5):577-588. 10.4040/jkan.2017.47.5.577.

An Integrative Review of Home Care Service for Pregnant Women, Mothers, Infants, and Toddlers in Vulnerable Group

• Kim D
• Lee I

• KMID: 2394253
• DOI: http://doi.org/10.4040/jkan.2017.47.5.577

Abstract

PURPOSE
This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review.
METHODS
We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers.
RESULTS
Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach.
CONCLUSION
As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.

Keyword

Mothers; Infants; Preschool child; Vulnerable populations; Home care services

MeSH Terms

Child
Child, Preschool
Community Health Nursing
Female
Home Care Services*
House Calls
Humans
Infant*
Mothers*
Patient Selection
Pregnant Women*
Self Care
Vulnerable Populations

Figure

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  Figure 1. Quality assessment of selected studies. (A) Risk of bias for randomized controlled trials (RoB). (B) Risk of bias for non-randomized studies (RoBANS)

• 

  Figure 2. Flow diagram of study selection process.

Reference

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