Key role in the prevention of child neglect and abuse in Germany: Continuous care by qualified family midwives

Ayerle, Gertrud M.; Makowsky, Katja; Schücking, B.

doi:10.1016/j.midw.2011.05.009

Cited by 18 publications

(23 citation statements)

References 5 publications

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“…Thirty-six papers were included in the review. Eleven papers described research in low- and middle-income country (LMIC) contexts (Uganda, South Africa, Indonesia, Kenya, Cameroon, Rwanda and Tanzania) [ 39 – 49 ] and 25 from high-income contexts (HIC) (Germany, the United Kingdom, the United States, Canada, Australia, The Netherlands, New Zealand) [ 50 – 74 ]. Four papers were concerned with outcomes related to midwife-led interventions (antenatal, intrapartum and postnatal care and prevention of child abuse) [ 41 , 50 , 57 , 58 ], while 32 focus on nursing, some on specific health issues including asthma [ 62 ], eczema [ 54 , 69 ], cardiovascular disease [ 44 ], diabetes care [ 42 , 45 , 51 , 66 , 72 ], HIV/AIDS [ 39 , 47 , 48 ], mental health [ 40 , 61 , 65 ] and women’s health [ 46 ].…”

Section: Resultsmentioning

confidence: 99%

Approaches to improving the contribution of the nursing and midwifery workforce to increasing universal access to primary health care for vulnerable populations: a systematic review

2015

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BackgroundDespite considerable evidence showing the importance of the nursing and midwifery workforce, there are no systematic reviews outlining how these cadres are best supported to provide universal access and reduce health care disparities at the primary health care (PHC) level. This review aims to identify nursing and midwifery policy, staffing, education and training interventions, collaborative efforts and strategies that have improved the quantity, quality and relevance of the nursing and midwifery workforce leading to health improvements for vulnerable populations.MethodsWe undertook a structured search of bibliographic databases for peer-reviewed research literature using a focused review question and inclusion/exclusion criteria. The quality of retrieved papers was appraised using standard tools. The characteristics of screened papers were described, and a deductive qualitative content analysis methodology was applied to analyse the interventions and findings of included studies using a conceptual framework.ResultsThirty-six papers were included in the review, the majority (25) from high-income countries and nursing settings (32). Eleven papers defined leadership and governance approaches that had impacted upon the health outcomes of disadvantaged groups including policies at the national and state level that had led to an increased supply and coverage of nursing and midwifery staff and scope of practice. Twenty-seven papers outlined human resource management strategies to support the expansion of nurse’s and midwives’ roles that often involved task shifting and task sharing. These included approaches to managing staffing supply, distribution and skills mix; workloads; supervision; performance management; and remuneration, financial incentives and staffing costs. Education and training activities were described in 14 papers to assist nurses and midwives to perform new or expanded roles and prepare nurses for inclusive practice. This review identified collaboration between nurses and midwives and other health providers and organizations, across sectors, and with communities and individuals that resulted in improved health care and outcomes.ConclusionsThe findings of this review confirm the importance of a conceptual framework for understanding and planning leadership and governance approaches, management strategies and collaboration and education and training efforts to scale up and support nurses and midwives in existing or expanded roles to improve access to PHC for vulnerable populations.

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Section: Resultsmentioning

confidence: 99%

Approaches to improving the contribution of the nursing and midwifery workforce to increasing universal access to primary health care for vulnerable populations: a systematic review

2015

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“…Zur metaanalytischen Synthese der Ergebnisse zur Wirksamkeit der Projekte wurden zunächst standardisierte Mittelwertsdifferenzen und standardisierte mittlere Veränderungen berechnet (Lipsey u. Wilson, 2001 Da die Generalisierbarkeit der Ergebnisse aufgrund der eher geringen Anzahl der identifizierten Projekte eingeschränkt ist, wurde für die metaanalytische Synthese das Modell fester Effekte gewählt (Lipsey u. Wilson, 2001 (Lohmann, Bastian, Lenzmann, Böttcher, Ziegler, 2010), bei einem anderen fehlte die KG (Ayerle, Makowsky, Schücking, 2012). Ein weiteres Programm zielte auf die Intervention eines konkreten Störungsbildes nach Diagnosestellung der Kleinkinder und musste somit ebenfalls ausgeschlossen werden (Schlarb, Brandhorst, Hautzinger, 2012).…”

Section: Statistische Auswertungunclassified

Zur Wirksamkeit präventiver Früher Hilfen in Deutschland - ein systematisches Review und eine Metaanalyse

Taubner

Münder²,

Unger³

et al. 2013

Praxis der Kinderpsychologie und Kinderpsychiatrie

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Nutzungsbedingungen Summary Effectiveness of Early Prevention Programs in Germany: A Systematic Review and a Meta-AnalysisThe number of scientific evaluations of early preventions programs has considerably increased since the foundation of the national center of early prevention in Germany. Early primary and secondary intervention programs are designed to address parents with little children (prenatal until three years) to improve the parent-child-relationship and parental educational competencies. This is thought to enhance child development and to avoid maltreatment in terms of neglect and abuse. During a systematic review, six data-bases were searched for publications on studies about the effectiveness of early prevention programs in Germany between 2003 and 2013. Eight studies were found to fulfill inclusion criteria and were included in a meta-analysis. In comparison to the control groups the early prevention programs had a small effect on maternal symptom burden (d = 0.28), however there was no effect on maternal competences (d = 0.10) and perceived social support (d = -0.06). In addition, there was no effect on psychic child development (d = 0.05) but no effect on the physical development of the children (d = 0.00). Results are discussed as preliminary due to a current lack of a sufficient amount of studies in Germany.Prax. Kinderpsychol. Kinderpsychiat. 62/2013, 598-619 Keywords systematic review -early intervention, meta-analysis -prevention -effectiveness Zusammenfassung

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“…On the one hand, midwives can be involved performing an early assessment of parental resources and referring families to other disciplines when indicated (Austin, Colton, Priest, Reilly, & Hadzi-Pavlovic, 2013;Berglund, Lindberg, Nystrom, & Lindmark, 2007;Blackmore et al, 2006;Spyridou, Schauer, & Ruf-Leuschner, 2015). On the other hand, midwives can provide prolonged and specialised care for burdened families themselves as part of the interprofessional collaboration team (Ayerle, Makowsky, & Schücking, 2012;Hesselink & Harting, 2011;Sidor et al, 2013;Windorfer, 2009). Caseload midwifery can be a mean to enhance the involvement of midwives and increase referral rates (Rayment-Jones, Murrells, & Sandall, 2015), and educational programmes can support the comfort and competences of midwives and other professionals regarding the assessment of risk factors (Gunn et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Postpartum midwifery care and familial psychosocial risk factors in Switzerland: A secondary data analysis / Hebammenbetreuung im Wochenbett und familiäre psychosoziale Risikofaktoren in der Schweiz: eine Sekundäranalyse

Erdin

Iljuschin

Pehlke-Milde

2017

International Journal of Health Professions

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Introduction: Psychosocial resources of parents are vital for the health and development of their children. Families in stressful circumstances should receive early seamless care to strengthen their parental resources. Independent midwives provide ambulant postpartum care in most families in Switzerland, and hence could play an important role in the early assessment and care of families at risk. Methods: Comprehensive routine data of Swiss independent midwives were used for secondary analysis. Frequencies of known psychosocial risk factors were derived and compared to other data sources. Group comparisons were made with respect to family characteristics and midwifery care. Results: Only some of the considered risk factors are representable in the midwives' data. 18.6% of all families have one and 6.25% have multiple such representable risk factors. Immigrant mothers from developing and emerging countries, very young or older mothers and large families are thereby particularly often affected. Burdened families receive more home visits, but have a later onset of ambulant postpartum care. They suffer more often from breast-feeding problems and are more frequently referred to other disciplines. Discussion: Independent midwives in Switzerland document some of the known psychosocial risk factors and adapt their care in routine practice. The collection of data with a better coverage of the known psychosocial risk factors, ideally using validated assessment instruments, is recommended, and further research is required for a more in-depth understanding of the current interdisciplinary collaboration and the needs of families and care providers.

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Key role in the prevention of child neglect and abuse in Germany: Continuous care by qualified family midwives

Cited by 18 publications

References 5 publications

Approaches to improving the contribution of the nursing and midwifery workforce to increasing universal access to primary health care for vulnerable populations: a systematic review

Approaches to improving the contribution of the nursing and midwifery workforce to increasing universal access to primary health care for vulnerable populations: a systematic review

Zur Wirksamkeit präventiver Früher Hilfen in Deutschland - ein systematisches Review und eine Metaanalyse

Postpartum midwifery care and familial psychosocial risk factors in Switzerland: A secondary data analysis / Hebammenbetreuung im Wochenbett und familiäre psychosoziale Risikofaktoren in der Schweiz: eine Sekundäranalyse

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