J Korean Soc Matern Child Health.  2021 Jan;25(1):31-41. 10.21896/jksmch.2021.25.1.31.

Infant Mother’s Experiences with the Sustained Nurse Home-Visiting Program

Affiliations
  • 1Department of Nursing, Soonchunhyang University, Cheonan, Korea
  • 2The Support Team for the Seoul Healthy First Step Project, Seoul, Korea
  • 3College of Nursing, Health Care Research Center, Kangwon National University, Chuncheon, Korea
  • 4College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Korea

Abstract

Purpose
The purpose of this study was to understand the experiences of mothers of infants who received sustained nurse home visiting services. The program of sustained home visit by nurses (Seoul Maternal Early Childhood Sustained Home-Visiting Program) is an intervention program. Its effectiveness has been verified in Australia, where services are provided to families in a vulnerable families during the period from prenatal period until the newborn is 2 years old.
Methods
The study protocol used qualitative approaches. Eleven mothers of infants who received nursing services in December 2015 were invited for an in-depth interview. The data collected were subjected to directed content analysis.
Results
The following 4 themes were identified from the analysis: (1) reduction in suspicion and increased feeling of benefit from the visiting service, (2) emotional support to the parents and use of community resources, (3) reliance on friendly nurses, and (4) gaining confidence about parenting and motherhood.
Conclusion
Sustained nursing home visiting services can be applied effectively in South Korea. The concrete narrations and descriptions of the experiences of mothers in this study can be used as a base for education, practice, and research.

Keyword

Infant, Home health nursing, Health status disparity, Qualitative research

Reference

Bang KS. Effects of an early nursing intervention program for infants' development and mother's child rearing in poverty. J Korean Acad Nurs. 2009. 39:796–804.
Bang KS., Huh BY., Kwon MK. The effect of a postpartum nursing intervention program for immigrant mothers. Child Health Nurs Res. 2014. 20:11–9.
Davis H. Family partnership model connecting and working in partnership with families. Aust J Child and Fam Health Nurs. 2013. 10:4–10.
Davis H., Day C. Working in partnership: the family partnership model. London: Pearson;2010. p. 111–38.
Erlingsson C., Brysiewicz P. A hands-on guide to doing content analysis. Afr J Emerg Med. 2017. 7:93–9.
Graneheim UH., Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004. 24:105–12.
Hsieh HF., Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005. 15:1277–88.
Jack SM., DiCenso A. Lohfeld L. A theory of maternal engagement with public health nurses and family visitors. J Adv Nurs. 2005. 49:182–90.
Jack SM., Sheehan D., Gonzalez A., MacMillan HL., Catherine N., Waddell C, et al. British columbia health connection project process evaluation: a mixed methods protocol to describe the implementation and delivery of the nurse-family partnership in Canada. BMC Nurs. 2015. 14:47.
Kemp L., Anderson T., Travaglia J., Harris E. Sustained nurse home visiting in early childhood: exploring Australian nursing competencies. Public Health Nurs. 2005. 22:254–59.
Kemp L., Harris E., McMahon C., Matthey S., Vimpani G., Anderson T, et al. Child and family outcomes of a long term nurse home visitation programme: a randomised controlled trial. Arch Dis Child. 2011. 96:533–40.
Khang YH., Cho SH., Kim YM., Lee JY., June KJ., Cho HJ. The Seoul healthy first step project: introduction and expansion, program content and performance, and future challenges. J Korean Soc Matern Child Health. 2018. 22:63–76.
Khang YH., June KJ., Cho SH., Lee JY., Kim YM., Cho HJ, et al. The 2015 report of the Seoul healthy first step project. Seoul (Korea): Seoul Metropolitan Government, SNU R&D Foundation;2016.
Landy CK., Jack SM., Wahoush O., Sheehan D., MacMillan HL. NFP Hamilton Research Team. Mothers' experiences in the nurse-family partnership program: a qualitative case study. BMC Nurs. 2012. 11:15.
Lee G., Yang SJ., Woo E. Past, present, and future of home visiting healthcare services based on public health centers in Korea. J Korean Public Health Nurs. 2018. 32:5–18.
Lee JY., June KJ., Cho SH. Competencies of nurses in a maternal early childhood sustained home-visiting program. J Korean Acad Community Health Nurs. 2017. 28:397–409.
Marmot M., Atkinson T., Bell J., Black C., Broadfoot P., Cumberlege J, et al. Fair society, healthy lives. The Marmot review executive summary [Internet]. London: The UCL Institute of Health Equity;2010 Feb. [cited 2020 Jun 10]. Available from:. http://www.instituteofhealthequity.org/resources-reports/fair-society-healthy-lives-the-marmot-review.
Miller TR. Projected outcomes of nurse-family partnership home visitation during 1996–2013 USA. Prev Sci. 2015. 16:765–77.
Moon YK. The effect of social support on infant mothers parenting behavior: the mediating effects of parenting stress and depression. J Korean Home Manag Assoc. 2012. 30:165–77.
Olds DL., Robinson J., O'Brien R., Luckey DW., Pettitt LM., Henderson CR Jr, et al. Home visiting by paraprofessionals and by nurses: a randomized, controlled trial. Pediatrics. 2002. 110:486–96.
Park SJ., Lee Y. The effects of a preventive tailored early intervention program for the quality of parenting of lowincome families. J Korean Home Econ Assoc. 2011. 49:67–8.
Paton L., Grant J., Tsourtos G. Exploring mothers' perspectives of an intensive home visiting program in Australia: a qualitative study. Contemp Nurse. 2013. 43:191–200.
Sama-Miller E., Akers L., Mraz-Esposito A., Coughlin R., Zukiewicz M. Home visiting evidence of effectiveness review: executive summary & brief–September 2019 [Internet]. Washington D.C.: Department of Health & Human Service;2019 Nov. [cited 2020 Aug 15]. Available from:. https://www.acf.hhs.gov/opre/resource/home-visiting-evidence-of-effectiveness-review-executive-summary-brief-september-2019.
UNSW Research Center for Primary Health Care and Equity. Maternal early childhood sustained home visiting (MECSH) program manual. Sydney (Australia): University of New South Wales;2012.
World Health Organization. Closing the gap in a generation: health equity through action on the social determinants of health [Internet]. Geneva (Switzerland): World Health Organization, Commission on Social Determinants of Health;2008 Jun. [cited 2020. Aug 15]. Available from:. https://www.who.int/social_determinants/thecommission/finalreport/en/.
Zapart S., Knight J., Kemp L. ‘It was easier because i had help’: mothers' reflections on the long-term impact of sustained nurse home visiting. Matern Child Health J. 2016. 20:196–204.
Full Text Links
  • JKSMCH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr