Maternal child home visiting program improves nursing practice for screening of woman abuse

Public Health Nursing
Sharon VanderburgGreg Zimmerman

Abstract

This study investigated changes in public health nurse practices and the incidence of abuse inquiry and disclosure. A retrospective record review of cross-sectional data was collected before and after implementation of the Routine Universal Comprehensive Screening (RUCS) protocol within a maternal child home visiting program. Records of postpartum women receiving a universal home visit within 48 hr of discharge from the hospital were reviewed (pre-RUCS, n=459; post-RUCS, n=485). Also reviewed were the records of women receiving a family assessment for at risk home visiting (pre-RUCS, n=79; post-RUCS, n=66). The variables collected consisted of abuse inquiry, abuse disclosure, and the alone status. Documentation of women's alone status significantly improved for both types of home visits: the 48-hr home visits ( p<.001) and the at risk home visits ( p<.01). Disclosures of abuse significantly increased in both types of home visits ( p<.01). Ensuring privacy by not asking abuse questions if women were not alone during a visit significantly improved ( p<.001). Implementing a protocol to screen for woman abuse into an existing maternal child home visiting program demonstrated improved practices related to the safety and privacy of w...Continue Reading

References

Feb 15, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Loraine BacchuSusan Bewley
Aug 10, 2002·BMJ : British Medical Journal·Jean RamsayGene Feder
Feb 13, 2003·JAMA : the Journal of the American Medical Association·C Nadine Wathen, Harriet L MacMillan
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Mar 5, 2004·Annals of Internal Medicine·Heidi D NelsonUNKNOWN U. S. Preventive Services Task Force
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Nov 14, 2006·Public Health Nursing·Denise GraftonSusan Ralyea
Aug 2, 2007·MCN. the American Journal of Maternal Child Nursing·Kathleen FurnissSusan Rovi

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Citations

Mar 8, 2016·Global Qualitative Nursing Research·Megan AstonPatricia Randel
Jan 4, 2018·Journal of Interpersonal Violence·Melissa A SutherlandJennifer Katz
Jan 23, 2019·Journal of Public Health·Jenny WoodmanRuth Gilbert

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