Associations between family characteristics and public health nurses' concerns at children's health examinations

Poutiainen, Hannele; Hakulinen, Tuovi; Laatikainen, Tiina

doi:10.1111/scs.12035

Cited by 12 publications

(19 citation statements)

References 26 publications

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“…Detecting and addressing concerns early are key to supporting families and preventing problems . The study by Poutiainen et al . demonstrated that 8.6% of the health examinations of preschool‐aged children raised concerns about their physical health and 5.6% about their psychosocial development.…”

Section: Introductionmentioning

confidence: 99%

Family characteristics and parents' and children's health behaviour are associated with public health nurses' concerns at children's health examinations

Poutiainen

Hakulinen

Mäki

et al. 2016

Int J of Nursing Practice

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The study aimed to establish whether family characteristics and the health behaviour and illnesses of parents and children are associated with public health nurses' (PHNs') concerns about children's physical health and psychosocial development in the context of health examinations. Factors affecting children's health and well-being should be identified as early as possible to provide children and families appropriate support. In 2007-2009, a cross-sectional study in Finland collected information about PHNs' concerns, children's health and well-being as well as the background factors affecting them during health examinations of preschool-age children and school-aged children (n = 4795). Associations between family characteristics, parents' and children's behaviour and diseases, and PHNs' concerns were assessed using logistic regression analysis. Overweight in children, the long-term illnesses of both children and parents, and parental smoking were the factors most strongly associated with PHNs' concerns about a child's physical health whereas non-nuclear family types, the father's low educational level and unemployment, the child's lack of sleep, and bullying were associated with concerns about the child's psychosocial development. The connections found demonstrate that health examinations should address factors that affect the whole family's well-being so as to comprehensively promote children's health, growth and development.

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Section: Introductionmentioning

confidence: 99%

Family characteristics and parents' and children's health behaviour are associated with public health nurses' concerns at children's health examinations

Poutiainen

Hakulinen

Mäki

et al. 2016

Int J of Nursing Practice

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“…Collaboration between healthcare professionals is advocated to improve patient outcomes [ 33 ] and enhances the quality of care given to individuals and groups in communities [ 34 ]. Poutianen et al [ 35 ] showed that PCHC nurses’ understanding of the role of family characteristics could be valuable in promoting multidisciplinary work in healthcare. Collaboration between Dutch PCHC and other healthcare professionals exists but still is quite rare.…”

Section: Discussionmentioning

confidence: 99%

Postnatal screening and care for non-medical risk factors by preventive child healthcare in deprived and non-deprived neighbourhoods

Minde

Hulst

Raat

et al. 2018

BMC Health Serv Res

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BackgroundChildren born in families with non-medical risk factors, such as deprivation, have higher odds of preterm birth (< 37 weeks of gestation) or being born small for gestational age (birth weight < 10th percentile). In addition, growing up they are at risk for growth and developmental problems. Preventive Child Healthcare (PCHC) monitors growth and development of babies and children. Early identification of children at risk could result in early interventions to prevent growth and developmental problems in later life. Therefore, we aimed to assess current practices in postnatal risk screening and care for non-medical risk factors and the collaboration with other healthcare professionals, in both deprived and non-deprived neighbourhoods in the Netherlands.MethodsEight out of ten invited PCHC organisations, from different areas in the Netherlands, consented to participate in this study. A questionnaire was designed and digitally distributed to professionals working at these organisations, where 370 physicians and nurses were employed. Data was collected between June and September 2016. Descriptive statistics, chi square tests and t-tests were applied.ResultsEighty-nine questionnaires were eligible for analyses. Twenty percent of the respondents were working in a deprived neighbourhood and 70.8% of the respondents were employed as nurse. Most of them performed screening for non-medical risk factors in at least 50% of their consultations. PCHC professionals working in deprived neighbourhoods encountered significantly more often families with non-medical risk factors and experienced significantly more communication problems than their colleagues working in non-deprived neighbourhoods. 48.2% of the respondents were satisfied with the current form of postnatal risk screening in their organisation, whereas 41.2% felt a need for a structured postnatal risk assessment. Intensified collaboration is preferred with district-teams, general practitioners and midwifes, concerning clients with non-medical risk factors.ConclusionThis study shows that postnatal screening for non-medical risk factors is part of current PCHC practice, regardless the neighbourhood status they are deployed. PCHC professionals consider screening for non-medical risk factors as their responsibility. Consequently, they felt a need for a structured postnatal risk assessment and for an intensified collaboration with other healthcare professionals.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3243-2) contains supplementary material, which is available to authorized users.

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“…The support for parenthood is a key mission of the maternity and child health clinic services [ 9 , 10 , 17 – 21 ]. According to earlier studies, parents [ 13 ] and their public health nurses [ 34 ] have frequent worries regarding the health and psychosocial development of child as well as about parenthood. Further, dissatisfaction with the quality of their sexual relationship with their partner, [ 35 ] as well problems in the marital relationship are commonly reported by fathers with small children [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Relational continuity of care in integrated maternity and child health clinics improve parents’ service experiences

et al. 2014

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Introduction: In the Finnish primary health care, relational continuity of care is implemented in integrated maternity and child health clinics where the same nurse takes care of the family from the pregnancy until the child reaches school age. The aim of this study was to clarify the association between this relational continuity of care and the availability, utilisation and selected features of the maternity and child health clinic services, as evaluated by the parents.

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Associations between family characteristics and public health nurses' concerns at children's health examinations

Cited by 12 publications

References 26 publications

Family characteristics and parents' and children's health behaviour are associated with public health nurses' concerns at children's health examinations

Family characteristics and parents' and children's health behaviour are associated with public health nurses' concerns at children's health examinations

Postnatal screening and care for non-medical risk factors by preventive child healthcare in deprived and non-deprived neighbourhoods

Relational continuity of care in integrated maternity and child health clinics improve parents’ service experiences

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