Online Program

318721
Safety Hazards Education for Mothers Who Are Homeless


Monday, November 2, 2015

Susan Fliesher, RN, DNP, CPNP, Goldfarb School of Nursing, Barnes Jewish College, Saint Louis, MO
Susann Farberman, RN, DNP, MEd, CPNP, College of Nursing, University of Missouri-Saint Louis, MO
Mary Curtis, PhD, RN, ANP-C, Goldfarb School of Nursing, Barnes Jewish College, Saint Louis, MO
Unintentional injury is the leading cause of death in children. Unintentional injury is 13% higher among homeless children compared to lower socioeconomic children with housing. Limited understanding of child safety hazards in a constantly changing environment impedes homeless mothers’ ability to ensure their children’s safety.

This scholarly project aimed to evaluate the effectiveness of safety hazard education on homeless mothers’ ability in identifying child safety hazards.  Twenty three pregnant or recently delivered mothers participated in a 45-minute interactive educational class focusing on knowledge and perceptions of home safety hazards. Before and after the class, mothers entered a home-like mobile van that provided simulation of hazardous conditions. Child safety hazards were identified and scored by checklists. Subjective feedback was obtained.

Seventeen mothers (20-34 years old) from two homeless shelters in Missouri completed the study. Upon class completion, mothers identified more safety hazards in the areas of the: living room (23% improvement), kitchen (17%), dining room (28%), and bedroom (28%). Overall, a significant improvement was evidenced in the mother’s ability in identifying safety hazards after education (p < .001).  Qualitative data revealed that in addition to an increased awareness, mothers recognized the importance of home assessment and were more confident about protecting their children from home hazards.  They also expressed the desire of more education about safety hazards outside the home.

This project demonstrates a need of a comprehensive child safety hazards education for low income, high risk mothers. Creativity is important in the delivery of educational programs.

Learning Areas:

Advocacy for health and health education
Implementation of health education strategies, interventions and programs

Learning Objectives:
Describe the value of providing child safety hazard education to homeless mothers and the value of using simulation for assessment

Keyword(s): Homelessness, Child Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: This research was the scholarly project for the completion of my DNP degree. My interest in the prevention of unintentional injury in children developed early in my career and continues to be a special interest of study. Having worked in a pediatric emergency room, public health clinics as a PNP, perinatal nursing outreach, school nursing and nursing education, I have the experience to analyze the barriers homeless mothers face and offer insights into creative interventions.
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.