Sustained nurse home‐visiting with culturally and linguistically diverse families: Australian nurses’ perspectives

Tehrani, Mehrnoush Bonakdar; Kemp, Lynn; Baird, Kelly

doi:10.1111/phn.12996

Cited by 9 publications

(7 citation statements)

References 17 publications

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“…It was also apparent that the interpersonal level mother-nurse trust relationship is a core factor in access to and engagement with CFHN services and SNHV programs [ 9 ]. The CALD women in this study identified some issues around nurse-mother relationships they experienced, particularly those with LEP, who found nurses accents difficult to understand.…”

Section: Discussionmentioning

confidence: 99%

“…Limited English proficiency is a significant vulnerability that may create particular issues with CALD families and has an adverse impact in accessing and engaging with health services. In addition, program delivery related issues including access to translated information, low level of health literacy, lack of understanding of the role of CFHNs and trust relationship issues significantly influenced engagement of CALD mothers with services available [5,6,8,9]. In Australia, child and family health nursing (CFHN) services are universal and publicly funded and delivered by specialist child and family health nurses (CFHNs); registered nurses with postgraduate qualifications in child and family health.…”

Section: Introductionmentioning

confidence: 99%

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Having to manage: culturally and linguistically diverse mothers’ lived experiences with sustained nurse home visiting programs

Tehrani

Baird

Trajkovski

et al. 2023

BMC Health Serv Res

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Background Culturally and linguistically diverse (CALD) mothers with young children with limited English proficiency (LEP) encounter multiple barriers in accessing and engaging with primary healthcare services. The aim of this study was to explore the lived experiences and perceptions of CALD mothers with LEP in receiving child and family health nursing (CFHN) services and sustained nurse home visiting (SNHV) programs. Methods Fourteen mothers were interviewed from two large Local Health Districts in Sydney. All interviews were audio-recorded for transcription purposes. Interpretative Phenomenology Analysis (IPA) was used for analysis and the socioecological approach was applied to interpret the data. Results CALD mothers with LEP experienced both challenges and facilitators in their access and engagement with CFHN services and SNHV programs that were identified in four themes: managing culture; managing the service system; managing the relationship; and strengths and weaknesses of CFHN services. Conclusion The integration of strategies such as building trusting relationships, using female professional interpreters and better understanding of CALD mothers’ cultural practices may address CALD mothers’ needs and facilitate communication. Design and development of model of support involving CALD mothers with LEP in ways that voice their ideas could meet their needs and contribute to better engagement of this vulnerable population with CFHN services and SNHV programs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Having to manage: culturally and linguistically diverse mothers’ lived experiences with sustained nurse home visiting programs

Tehrani

Baird

Trajkovski

et al. 2023

BMC Health Serv Res

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“…Finally, this study shows that increasing the number of public health nurses, which has received little attention in previous studies, provides an effective human resource to prevent the spread of COVID-19. Regarding the generalizability of this study, the work content and lifelong education system of public health nurses differ from country to country [ 18 , 38 , 39 ]. In addition, the infection status of COVID-19 also differs from country to country [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Number of public health nurses and COVID-19 incidence rate by variant type: an ecological study of 47 prefectures in Japan

Tomioka

Shima

Saeki

2022

Environ Health Prev Med

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Background Community health activities by public health nurses (PHNs) are known to improve lifestyle habits of local residents, and may encourage the practice of infectious disease prevention behaviors during the COVID-19 pandemic. We investigated the association between prefecture-level COVID-19 incidence rate and the number of PHNs per population in Japan, by the COVID-19 variant type. Methods Our data were based on government surveys where prefectural-level data are accessible to the public. The outcome variable was the COVID-19 incidence rate (i.e., the cumulative number of COVID-19 cases per 100,000 population for each variant type in 47 prefectures). The explanatory variable was the number of PHNs per 100,000 population by prefecture. Covariates included socioeconomic factors, regional characteristics, healthcare resources, and health behaviors. The generalized estimating equations of the multivariable Poisson regression models were used to estimate adjusted incidence rate ratio (IRR) and 95% confidence interval (CI) for the COVID-19 cases. We performed stratified analyses by variant type (i.e., wild type, alpha variant, and delta variant). Results A total of 1,705,224 confirmed COVID-19 cases (1351.6 per 100,000 population) in Japan were reported as of September 30, 2021. The number of PHNs per 100,000 population in Japan was 41.9. Multivariable Poisson regression models showed that a lower number of PHNs per population was associated with higher IRR of COVID-19. Among all COVID-19 cases, compared to the highest quintile group of the number of PHNs per population, the adjusted IRR of the lowest quintile group was consistently significant in the models adjusting for socioeconomic factors (IRR: 3.76, 95% CI: 2.55–5.54), regional characteristics (1.73, 1.28–2.34), healthcare resources (3.88, 2.45–6.16), and health behaviors (2.17, 1.39–3.37). These significant associations were unaffected by the variant type of COVID-19. Conclusion We found that the COVID-19 incidence rate was higher in prefectures with fewer PHNs per population, regardless of the COVID-19 variant type. By increasing the number of PHNs, it may be possible to contain the spread of COVID-19 in Japan and provide an effective human resource to combat emerging infectious diseases in the future. Supplementary information The online version contains supplementary material available at https://doi.org/10.1265/ehpm.22-00013 .

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“…Language difficulties have also been shown to be associated with service avoidance, perpetuating poor health outcomes [ 49 , 50 ]. A qualitative study [ 51 ] found that home visiting nurses reported difficulties in communication and in the building of relationships with culturally and linguistically diverse (CALD) mothers. Language barriers hindered the effective engagement of mothers with CALD backgrounds [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Does customised care improve satisfaction and positively enable parents in sustained home visiting for mothers and children experiencing adversity?

Kanda

Blythe

Grace

et al. 2022

BMC Health Serv Res

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Background The Maternal Early Childhood Sustained Home-visiting program (MECSH) is a structured nurse-delivered program designed to address health inequities experienced by families experiencing significant adversity. There is strong evidence for the effectiveness of this program, but limited research exploring the practice and process elements that are core to positive parent outcomes. This study aimed to examine the relationship between customised care related to the mother’s risk factors and parent satisfaction and enablement in the delivery of a MECSH-based program. Methods A cross-sectional study design was used. Program delivery data collected as part of a large randomised controlled trial of a MECSH-based sustained nurse home visiting program in Australia (right@home) were analysed. This study used the data collected from the intervention arm in the trial (n = 352 women). Parent satisfaction was measured at child age 24 months using the modified short-form Patient Satisfaction Questionnaire. Parent enablement was measured at child age 24 months by a modified Parent Enablement Index. Customised care was defined as appropriate provision of care content in response to four maternal risks: smoking, mental health, domestic violence and alcohol and drugs. Logistic analysis was performed to assess the impact of customised care on parent satisfaction and enablement while adjusting for covariates such as sociodemographic factors. A significance level of 95% was applied for analysis. Results Our results indicated high levels of satisfaction with the care provided and positive enablement. There were several sociodemographic factors associated with satisfaction and enablement, such as language spoken at home and employment experience. The mothers who received customised care in response to mental health risk and domestic violence had significantly greater satisfaction with the care provided and experienced an increase in enablement compared to those who did not receive such care. Conclusion This study contributes to the existing body of empirical research that examines the relationship between care processes and client outcomes in the delivery of home visiting services. It is essential for the sustained nurse home visiting service model to be flexible enough to cater for variations according to family circumstances and needs while maintaining a core of evidence-based practice.

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Sustained nurse home‐visiting with culturally and linguistically diverse families: Australian nurses’ perspectives

Cited by 9 publications

References 17 publications

Having to manage: culturally and linguistically diverse mothers’ lived experiences with sustained nurse home visiting programs

Having to manage: culturally and linguistically diverse mothers’ lived experiences with sustained nurse home visiting programs

Number of public health nurses and COVID-19 incidence rate by variant type: an ecological study of 47 prefectures in Japan

Does customised care improve satisfaction and positively enable parents in sustained home visiting for mothers and children experiencing adversity?

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