Sociocultural evaluation The Nurse-Family Partnership (NFP) home-visiting program was developed to specifically help first-time disadvantage mothers and their children who have the following risks: teenage mothers, unmarried, and/or are of low socioeconomic status (Howard & Brooks-Gunn, 2009). The program was developed in 1977 by psychologist David L. Olds, and it was established initially in Elmira, New York serving White rural adolescent mothers (Dawley et al., 2007). Over the course of almost forty years, NFP has been tested in three distinct empirically controlled trials: Elmira-New York, Memphis-Tennessee, and Denver-Colorado (Howard & Brooks-Gunn, 2009; Olds, 2010). In the studies conducted in Elmira, 400 White young women (unmarried, …show more content…
Exchanges provided by the nurses of NFP help mothers to change their character by making them feel more adept to deal with her new life and of their infants (Dawley et al., 2007; Howard & Brooks-Gunn, 2009). What is even more, the NFP program has been effective making radical perceptual changes in mothers of low socioeconomic status in four areas: increase in maternal employment, lower use of welfare programs, reduction spending for health and other public services, and decrease in criminal behaviors (Howard & Brooks-Gunn, 2009; NFP, …show more content…
Examples of precise outcomes of the program include: 48% decrease in child abuse and neglect; 56% drop in emergency room visits due to accidents and poisonings; 32% decrease in subsequent pregnancies; 67% reduction in behavioral and cognitive problems in 6 year old children; 59% drop in child arrests at age 15; and 82% increase in employing mothers (Dawley et al., 2007). NFP also works in conjunction with other nationwide organizations such as A Stop Smoking in Schools Trial, Adolescent Coping with Depression, Be Proud! Be Responsible!, Big Brothers Big Sisters of America, Child First, Coping Power, Familias Unidas, Family Foundations, New Beginnings, and Strong African American Families Program to name a few (NFP,
Their ethnographic study included about 162 women. The sample was limited to mothers making less than $16,000 per year, placing them under the federal poverty line. All the women lived in neighborhoods where at least twenty percent were poor. Each had at least one child under eighteen living at home. They also were classified single mothers, though few actually maintained their own household. They ranged in age from fifteen to fifty-six, with an average of twenty five years of age. Forty-five percent had no high school diploma, but fifteen percent had a GED. Of these women, forty percent worked low income service jobs. The authors had informal interactions with the wome...
Strasser, Judith A., Shirley Damrosch, and Jacquelyn Gaines. Journal of Community Health Nursing. 2. 8. Taylor & Francis, Ltd., 1991. 65-73. Print.
Roberts (2012) believed there were 120,000 troubled families that have problems and also cause problems; however, this then stereotypes those that have problems believing that they also cause the problems that they face, this not only adds stigma to the family but does not solve their problem. Adding to this the coalition government attempt to work alongside troubled families to get children back to school, reduce youth crime, get adults back into work and reduce the high costs that these families cause to the welfare system. Furthermore, they are also responsible for a large amount of social problems; these are not only towards themselves but also for the community. Roberts also discussed previous initiatives which have also focussed on families, the Family Intervention Project (FIP) was introduced to aid families toward a better living and supports them, this was an initiative that was also introduced to target families in need. Previous initiatives such as Sure Start Centres are also under cuts due to the high costs the families cause to them, therefore The Troubled Families Agenda has been put into place as an early intervention. The Troubled Families policy also encourages families to engage in activities within the local community, families are
Mothers are the principal caregivers and are the connection between agency and child. A moderate number of caregivers don’t cooperate with outreach and denied services. Services at Kristi House are offered to families whose children have experienced sexual abuse and it is an open door agency. Every family that is
The concept behind home visitation as a coping strategy to curb child abuse is to alleviate it before it happens or to find signs of child abuse by having public health works conduct visits to every hou...
Wright, L. M., & Leahey, M. (2013). Nurses and families: A guide to family assessment and intervention (6th ed.). Philadelphia, PA: F. A. Davis
The educator role of the APHN and NP includes health education within a nursing framework and professional nurse educator roles. The APHN analyzes groups at risk within a community and implements health education interventions. The APHN and NP boost wellness and contribute to conserving and advocating health by teaching the importance of a healthy lifestyle, stress management, physical exercise, and good nutrition. They educate about disease processes and the importance of following treatment systems. In addition, they provide guidance and educate clients on the use of birth control methods, diet, medications, and other therapeutic procedures. They also counsel groups, families, clients, and the community on the importance of assuming responsibility for their own
Cultural competence has to do with one’s culture. Culture affects among other factors, how children are raised, how families communicate, what is considered normal or abnormal, ways of coping with issues, the way we dress, when and where we seek medical treatment, and so forth. I should know because I come from a very cultural home where it is considered bad to talk to a male doctor about anything gynecological.
In such a multicultural world, being knowledgeable and understanding of not only your cultural background, but that of others is essential. Building my awareness on cultures different from my own, and how it shapes an individual’s identity, will foster my personal and professional development. Subsequently, I conducted a cultural interview with an individual whose cultural background differed from my own. Several similarities and differences between our cultures were apparent in the interview, specifically in the areas of race, ethnicity, language, values, and worldview.
Haight, Wendy L., James E. Black, Sarah Mangelsdorf, Grace Giorgio, Lakshmi tata, Sarah J. Schoppe, and Margaret Szewcyk. "Making Visits Better: The Perspective of Parents, foster Parents, and Child Welfare Workers." EBSCOhost. EBSCO, 1 Mar. 2002. Web. 13 Dec. 2013.
A common program found among the literature was the use of early childhood home visiting. The basis for such programs includes promoting the “…safe growth and development of infants and children in at-risk families (Heaman, Chalmers, Woodgate, & Brown, 2006, p. 291). Home visiting programs, such as Canada’s Baby First program (Heaman et al., 2006) have a dual benefit of helping achieve positive health outcomes for parents and young children. According to the Evaluation of Ontario’s Healthy Babies, Healthy Children Program (HBHC) 2004, visited children scored higher on many developmental infant measures and parents had increased confidence in their own skills as well as a stronger connection with community services available to them. The focus on strength and positive aspects within these at risk families is noteworthy for the mental health wellbeing of both parent and young child hence, the possibility for preventing foster care placement. Although the evidence p...
Problems in the society such as poverty, homelessness, unemployment, substance abuse, HIV/AIDS, unequal education, family and community violence, and racism all can affect families and impact child welfare and the system itself (Chipungu and Goodley, pp. 76, 2004) There is often a incongruity between the services being offered to children and families in foster care and what they actually need. One example that Chipungu and Goodley (2004) made was birth parents being offered training and counseling when services such as housing assistance and childcare are more critically needed but not available (pp. 79).
...or state organizations to provide these additional services for families, they are in need of government funding. “States can use about 10% of federal dedicated child welfare funds flexibly for family services and supports, including prevention or reunification services…”. More funds are needed for the organizations to provide services to all members of the family, both directly and indirectly involved. The Nurse-Family Partnership program found a “48% lower level of abuse and neglect for children served through the program than children in the control group”. So having access to these services has shown a reduction in child abuse. As discussed in class, the goal is always to keep the child in the home. This article is aiming to do that but need funds and additional resources in order to accomplish this. (Pew Charitable Trust, 2008)
Kaakinen, J. R., Gedaly-Duff, V., Coehlo, D. P., & Harmon Hanson, S. M. (2010). Family Health Care Nursing: Theory, Practice and Research. (4th ed.). Philadelphia, PA: F.A. Davis .
Nies, M. A., & McEwen, M. (2011). Community/public health nursing: Promoting the health of populations (5th ed.). St.Louis, MO: Saunders.