266597 Evaluation of evidence-based practice for adolescent mothers in PHN home visiting care

Tuesday, October 30, 2012 : 11:10 AM - 11:30 AM

Karen Johnson, PhD, RN , School of Nursing, University of Texas at Austin, Austin, TX
Karen A. Monsen, PhD RN , School of Nursing, University of Minnesota, Minneapolis, MN
Background: The U.S. health system is not designed to meet needs of young people, and few health care providers are trained in adolescent health. Adolescent mothers are at high risk of receiving substandard health care due to poverty and lack of age-appropriate health care resources. Public health nurses (PHNs) are ideally suited to provide evidence-based practice (EBP) to pregnant and parenting adolescents through family home visiting programs. Methods: The purpose of this retrospective, descriptive study was to evaluate the services provided to high risk adolescents in local PHN visiting programs in the Midwest. We re-used a convenience sample of Omaha System data for 192 high risk mothers ages 13-17. We used descriptive analysis to evaluate the problems addressed with the adolescent mothers, compared to expected EBP guidelines. Results: Mothers ages 13-17 received services for problems related to poverty (96%), parenting (88%), pregnancy (63%), and postpartum (47%). Serious co-morbidities were addressed with some mothers, including mental health (33%), substance use (23%), and abuse (16%). No services were documented for critical adolescent health issues such as interpersonal relationships, nutrition, or physical activity. Conclusions: PHNs addressed health needs of high risk adolescent mothers; however, some critical EBP interventions were missing. Knowledge of EBP for adolescents may be lacking in the PHN workforce, or there may be missing data due to documentation protocols. Further research is needed to translate EBP into standardized care plans in electronic health records and provide training to PHNs, to guide and support PHN practice with pregnant and parenting adolescents.

Learning Areas:
Planning of health education strategies, interventions, and programs
Public health or related nursing

Learning Objectives:
1) Describe current PHN interventions with pregnant and parenting adolescent. 2) Identify potential strategies for improving PHN services provided to pregnant and parenting teens. 3) Discuss opportunities for using electronic health records to improve EBP with pregnant and parenting adolescents.

Keywords: Adolescent Health, Home Visiting

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a PhD candidate in nursing as well as a public health nurse who has worked with pregnant and parenting adolescents in the home visiting setting
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.