Systematic review: An exploration of core componentry characterizing effective sustained nurse home visiting programs.
active ingredients
adverse childhood experiences
child health
home visiting
maternal health
nurses
parenting behaviour
program componentry
psychosocial development
systematic review
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
revised:
09
11
2020
received:
30
09
2020
accepted:
07
12
2020
pubmed:
23
1
2021
medline:
22
6
2021
entrez:
22
1
2021
Statut:
ppublish
Résumé
To identify the core components or potential 'active ingredients' of sustained nurse home visiting (SNHV) programs that have demonstrated positive effects on maternal or child health, psychosocial development, or self-sufficiency outcomes among disadvantaged families in high-income countries. Systematic review with narrative summary. Programs were identified from searches of several reputable evidence clearing houses and the following bibliographic databases: Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, and Cochrane Central Register of Controlled Trials. Year of publication was originally restricted from 2008 -2018, with additional searches conducted up to 2019. This review of SNHV program componentry builds on a previous evaluation of program effectiveness. Programs were selected for inclusion if they had been tested in a randomized or cluster-randomized controlled trial (RCT/CRCT). Componentry characteristics related to program delivery, nurse provider, and outcome-specific intervention content were then extracted. Comparison of the seven eligible programs showed seven common core components: antenatal commencement, support to child age 2 years, at least 19 scheduled visits and experienced or highly qualified nurses with program-specific training, caseloads of approximately 25 families, regular supervision, and multidisciplinary supports. Outcome-specific program content was generally not well reported. The findings from this review have utility in guiding the development of minimum standard benchmarks and best-practice recommendations for SNHV programs and call for more detailed publication of core content componentry in the SNHV literature. Identification of the core componentry underpinning program effectiveness should inform policy decisions on program selection, adaptation for specific populations, and quality control. Such evidence-based decision-making should in turn lead to better maternal and child outcomes among disadvantaged families in high-income countries, reducing societal and economic burdens of inequity.
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2581-2594Subventions
Organisme : Australian National Health and Medical Research Council (NHMRC)
ID : Practitioner Fellowship APP1155290
Organisme : Victorian Government Operational Infrastructure Support Program
Organisme : Paul Ramsay Foundation
Organisme : Eureka Benevolent Foundation
Informations de copyright
© 2021 John Wiley & Sons Ltd.
Références
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