257895 Home Visiting Initiatives: Developing and implementing a new maternal, infant and child health home visitation program for field public health nurses

Tuesday, October 30, 2012

Annamarie Tirsbier, RN, PHN , Public Health Nursing, County of San Diego, Health and Human Services Agency, San Diego, CA
Martha Garcia, RN, BSN , Public Health Nursing, County of San Diego, Health and Human Services Agency, San Diego, CA
Fely Bonifacio, RN, MSN, PHN , Public Health Nursing, County of San Diego, Health and Human Services Agency, Chula Vista, CA
Ute Powell, RN, PHN , Public Health Nursing, County of San Diego, Health and Human Services Agency, Chula Vista, CA
Cristeta Soriano, RN, BSN , Public Health Nursing, County of San Diego, Health and Human Services Agency, El Cajon, CA
Ofelia Gamez, RN, BSN , Public Health Nursing, County of San Diego, Health and Human Services Agency, San Diego, CA
Libby Grasse, RN, BSN, PHN , Public Health Nursing, County of San Diego, Health and Human Services Agency, San Diego, CA
Debal Acquaro, PHN, MSN , Public Health Nursing, County of San Diego, Health and Human Services Agency, Oceanside, CA
Joanne Klein, RN, BSN, PHN , Public Health Nursing, County of San Diego, Health and Human Services Agency, Escondido, CA
Linda Lake, RN, PHN, MSN , Chief Public Health Nurse, County of San Diego, Health & Human Services Agency, San Diego, CA
Paulina Bobenrieth, MPH, PHN, RN , County of San Diego, Health and Human Services Agency, South Region, San Diego, CA
This presentation will provide an overview of the development and implementation of the Maternal Child Health (MCH) home visitation program for pregnant women and children 0-6 yrs of age. Public Health Nursing would like to strengthen its efforts to meet the needs of our communities and the expectations set forth under the County of San Diego's Health Strategy Agenda and the Affordable Health Care for America Act. Public Health Nursing (PHN) found limited research on evidence-based nurse home visitation programs with the exception of Nurse Family Partnership. Therefore, an MCH Workgroup was established incorporating all levels of Public Health Nursing. Evidence-based, promising and best practice programs related to PHN home visiting were extensively researched. This body of knowledge was incorporated, along with practical experience of the PHNs participating in the workgroup and Albert Bandura's Social Cognitive Theory, throughout the new protocols and guidelines. Emphasis is placed on developing the PHNs' ability to build a therapeutic relationship and to enhance the client's self-efficacy. The MCH Workgroup has completed the following activities: revised and implemented MCH protocols and outcomes; identified evidence-based assessment tools and developed a comprehensive database to capture outcomes based on the new protocols. The outcomes will be evaluated and compared to a baseline that was established through a retrospective study. A quarterly meeting was established to evaluate the program's progress and effectiveness and provide ongoing support and training to the MCH PHNs. The workgroup plans to complete the development of home visitation guidelines by the fall of 2012.

Learning Areas:
Public health or related nursing

Learning Objectives:
Describe the steps involved with developing and implementing a best practice/evidence-based nurse home visitation program.

Keywords: Maternal and Child Health, Home Visiting

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have facilitated and participated in the MCH Workgroup over the last year and a half. The workgroup has completed new MCH protocols, an outcomes database and guidelines. The workgroup is currently involved in a research study pertaining to this process.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.