Dataset Information

Routine conversations about violence conducted in Swedish child health services-A mixed methods study of nurses' experiences.

ABSTRACT:

Aim

To evaluate an intervention where nurses in child health care services routinely talk to and inform parents about violence.

Methods

The intervention included providing information during home visits and individual conversations with mothers and fathers/partners in connection with screening for parental depression. A convergent mixed-methods design was used with a documentation form for each child (n = 475) and results from focus group interviews with nurses. Quantitative data were analysed using descriptive statistics and qualitative with manifest content analysis.

Results

Almost all families participated in the intervention; individual conversations were conducted with nearly all the mothers, and to a somewhat lesser extent with the fathers/partners. Initially, the nurses felt slightly uncomfortable about these conversations, but described experiencing development and professionalisation in their role of talking about violence. Parents' reactions were generally positive and they expressed appreciation for this topic being raised.

Conclusion

The results show that the intervention has been carried out successfully. The newborn period is a phase in which mothers and fathers are interested and receptive to knowledge and support in sensitive matters. Prerequisites for implementation were the preparation phase for the nurses, the use of routine questioning and a questionnaire as a basis for the conversations.

SUBMITTER: Nimborg J

PROVIDER: S-EPMC10084205 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Publications

Routine conversations about violence conducted in Swedish child health services-A mixed methods study of nurses' experiences.

Nimborg Jennie J Lindskog Ulrika U Nordgren Lena L Annerbäck Eva-Maria EM

Acta paediatrica (Oslo, Norway : 1992) 20220414 3

<h4>Aim</h4>To evaluate an intervention where nurses in child health care services routinely talk to and inform parents about violence.<h4>Methods</h4>The intervention included providing information during home visits and individual conversations with mothers and fathers/partners in connection with screening for parental depression. A convergent mixed-methods design was used with a documentation form for each child (n = 475) and results from focus group interviews with nurses. Quantitative data ...[more]

PMID: 35398911

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Project description:Insufficient progress has been made to reduce morbidity and mortality for women, children and adolescents particularly in Humanitarian and Fragile settings (HFS). Midwives play a critical and unique role in ensuring communities receive quality and safe essential sexual, reproductive, maternal, newborn, child, and adolescent health services. A lack of knowledge exists on the availability and experiences of midwifery services in HFS. This manuscript provides an overview of the midwifery density in HFS and a synthesis of the experiences of women receiving midwifery care, and barriers and facilitators for midwives providing essential SRMNCAH services in HFS. Guided by an expert committee, a concurrent mixed methods approach was applied, using secondary analysis of primary quantitative and qualitative data sources. Quantitative analysis of the global distribution of midwives compared to fragility was undertaken. Qualitative analysis of experiences of receipt and provision of midwifery care was undertaken across four settings providing humanitarian care. There is a critically low density of midwives in humanitarian and fragile settings. Sub-Saharan Africa accounts for the highest levels of fragility yet lowest density of midwives able to provide SRMNCAH services. Lack of finances both constrains midwives from effectively providing services and prevent communities from utilising services. Sub-optimal working conditions through rising workloads, insufficient and/or inconsistent resources were frequently reported to impede midwives from providing care in HFS. Uniquely for HFS, threats to the safety and security of midwives to conduct their work was widely reported. Key facilitators identified included, complex adaptive health system designs to respond effectively to the rapidly changing HFS environment, realisation of supporting "power, agency and status" as instrumental for midwives to provide quality care and promotion of community-centric approaches may enable continuity of care and uptake of essential SRMNCAH services. Midwives are critical to protect the health and well-being of communities. They require urgent protection and prioritisation in HFS areas where the need is greatest.

Dataset Information

Routine conversations about violence conducted in Swedish child health services-A mixed methods study of nurses' experiences.

Aim

Methods

Results

Conclusion

Publications

Routine conversations about violence conducted in Swedish child health services-A mixed methods study of nurses' experiences.

Similar Datasets

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