The content and effectiveness of home‐based nursing interventions to promote health and well‐being in families with small children: a systematic review

Tanninen, Hanna-Mari; Häggman‐Laitila, Arja; Pietilä, Anna‐Maija; Kangasniemi, Mari

doi:10.1111/scs.12251

Cited by 5 publications

(5 citation statements)

References 48 publications

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“…The COPD‐Home model with joint visits, telephone checks, a support call centre, an individual self‐management plan with pharmacological and nonpharmacological interventions can offer needed components and were tailored to meet an individual's specific needs that emerge from their personal social determinants of health . The CP models in this review are mostly considering seniors but in the future the demand for preventive family nursing is growing specially families with small children . People could have a more active role in his/her own health while using integrated people‐centred health services.…”

Section: Discussionmentioning

confidence: 99%

The core components of Community Paramedicine – integrated care in primary care setting: a scoping review

Rasku

Kaunonen

Thyer

et al. 2019

Scandinavian Caring Sciences

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Background Since the beginning of 2000, the primary healthcare services around the globe are challenged between demands of home care and number of staff delivering it. The delivery of healthcare needs new models to reduce the costs, patient's readmission and increase their possibilities to stay at home. Several paramedicine programmes have been developed to deliver home care as an integral part of the local healthcare system. The programmes varied in nature and the concept of Community Paramedicine (CP) has not been established, demanding clarity. The aim of this review was to identify and describe the core components of CP, and identify research gaps for the further study. Method A scoping review was performed using five electronic databases: Medline; CINAHL; Academic Search Premier; PubMed and the Cochrane Library for the period 2005 – June 2018. The references of articles were checked, and papers were assessed against inclusion criteria and appraised for quality. Results From 803 initial articles, 21 met the criteria and were included. Inductive content analysis was carried out. The four core components of Community Paramedicine emerged (a) Community engagement, (b) Multi‐agency collaboration, (c) Patient‐centred prevention and (d) Outcomes of programme: cost‐effectiveness and patients’ experiences. Conclusion The Community Paramedicine programmes are perceived to be promising. However, Community Paramedicine research data are lacking. Further research is required to understand whether this novel model of healthcare is reducing costs, improving health and enhancing people's experiences.

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Section: Discussionmentioning

confidence: 99%

The core components of Community Paramedicine – integrated care in primary care setting: a scoping review

Rasku

Kaunonen

Thyer

et al. 2019

Scandinavian Caring Sciences

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“…The way to a healthy and optimal developed child is through their mother’s well-being. Fortunately, many effective (home-based) intervention and prevention programs were designed to enhance maternal well-being and family functioning, thereby improving both parenting practices and child well-being ( Beeber et al, 2004 ; Diamond et al, 2007 ; Groeneveld et al, 2016 ; Tanninen et al, 2016 ). These interventions and prevention programs address different familial constellations, at risk families, various age groups, as well as clinical and non-clinical groups (for current research on evidence-based interventions and parenting programs, see Luthar and Eisenberg, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Relations Among Maternal Life Satisfaction, Shared Activities, and Child Well-Being

et al. 2018

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Maternal well-being is assumed to be associated with well-being of individual family members, optimal parenting practices, and positive developmental outcomes for children. The objective of this study was to examine the interplay between maternal well-being, parent-child activities, and the well-being of 5- to 7-year-old children. In a sample of N = 291 mother-child dyads, maternal life satisfaction, the frequency of shared parent-child activities, as well as children’s self-regulation, prosocial behavior, and receptive vocabulary were assessed using several methods. Data were collected in a special study of the Socio-Economic Panel Study (SOEP), a representative longitudinal survey of private households in Germany. Using structural equation modeling, significant positive direct and indirect relations between maternal life satisfaction, frequency of shared parent-child activities, children’s self-regulation, prosocial behavior, and receptive vocabulary were found. The more satisfied the mother was, the more she shared activities with her child and the more the child acted prosocially. Furthermore, the higher the frequency of shared parent-child activities, the higher the child scored in all three analyzed indicators of children’s well-being: self-regulation, prosocial behavior, and receptive vocabulary. The current study supports the assumption of maternal well-being as the basis of positive parenting practices and child well-being.

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“…limited to the prenatal or post‐partum period) and the review did not include any programs trialed after the year 2000 (McNaughton, 2004). The other review excluded programs targeting families with specific risks such as teen pregnancy or domestic violence and identified only three randomized controlled trials (Tanninen et al., 2016).…”

Section: Introductionmentioning

confidence: 99%

Systematic review: Effects of sustained nurse home visiting programs for disadvantaged mothers and children

Molloy

Beatson

Harrop³

et al. 2020

Journal of Advanced Nursing

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Aims To systematically evaluate published experimental studies of sustained nurse home visiting (SNHV) programs. This review summarizes the evidence and identifies gaps in the literature to inform practice, policy, and future research. Design Restricted systematic review with narrative summary. Data Sources Databases searched were Medline, CINAHL, PsycINFO, and Cochrane Central Register of Controlled Trials. Year of publication was originally restricted from 2008 to the date of search (13 February 2018, with supplementary searches conducted to identify more recent publications (up to 2019). Several reputable evidence clearinghouses were also searched. Review Methods Studies were included if they used a randomized or cluster‐randomized controlled trial to evaluate a home visiting program that: (a) targeted disadvantaged mothers; (b) commenced during pregnancy or prior to the child's first birthday; (c) had an intended duration of at least 12 months from the time of enrolment; and (d) was substantively delivered by nurses or midwives. Meta‐analyses and reviews of studies meeting these criteria were also included. A quality appraisal was conducted for all studies. Results Of 1,393 total articles, 30 met inclusion criteria. Seven specific SNHV programs were identified. Each demonstrated evidence of a positive statistical effect on at least one child or maternal outcome. Conclusion Sustained nurse home visiting programs benefit disadvantaged families, though effects vary across outcomes and subgroups. Further research is needed to discern the critical components of effective programs. Impact As SNHV programs have gained policy appeal, the need to evaluate the evidence‐base supporting such interventions has become imperative. The findings of this review will assist policy‐makers and practitioners in high‐income countries to make evidence‐informed decisions about which programs are best suited to addressing specific maternal and child outcomes for disadvantaged families. This should in turn ameliorate some of the inequalities in child development that have significant social and economic costs.

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The content and effectiveness of home‐based nursing interventions to promote health and well‐being in families with small children: a systematic review

Abstract: Greater knowledge of interventions is needed in the future, to develop program content and to explore the validity and reliability of used measurements. In addition, more effort is needed to develop quality appraisal tools for preventive interventions in families' homes.

Cited by 5 publications

References 48 publications

The core components of Community Paramedicine – integrated care in primary care setting: a scoping review

The core components of Community Paramedicine – integrated care in primary care setting: a scoping review

Relations Among Maternal Life Satisfaction, Shared Activities, and Child Well-Being

Systematic review: Effects of sustained nurse home visiting programs for disadvantaged mothers and children

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