TY - JOUR
T1 - Nurse home visitation with vulnerable families in rural areas
T2 - A qualitative case file review
AU - Wideman, Ellie S.
AU - Dunnigan, Allison
AU - Jonson-Reid, Melissa
AU - Kohl, Patricia
AU - Constantino, John
AU - Tandon, Mini
AU - Recktenwald, Angela
AU - Tompkins, Ron
N1 - Funding Information:
This project was funded through a grant from the Health Resources and Services Administration (R62MC24947). Points of view expressed in this article do not necessarily reflect those of the funding agency
Publisher Copyright:
© 2019 Wiley Periodicals, Inc.
PY - 2020/3/1
Y1 - 2020/3/1
N2 - Objective: Nurse home visiting may address challenges and resource disparities that threaten maternal and infant well-being in rural areas, but little is known about United States' program implementation. This qualitative study explored how family and community characteristics affected rural nurse home visiting. Sample: The sample for content analysis included families beginning services in 2010–2011 living in the rural counties with the highest caseloads (433 families). Design: Electronic nurse home visiting case files from three rural counties were analyzed using a content analysis approach. The partner agency provided input on key constructs of interest but independent coding was also done to capture additional themes. Quantitative county level data and comments from member checking informed interpretation. Member checking included individual nurses serving the selected counties (n = 3) and input from an agency level supervisory meeting for validation. Results: Concerns of families served (e.g., mental health) may not be unique to rural areas, but challenges to accessing resources and constellation of needs were. Nurses adapted engagement and service strategies to meet these needs. Conclusion: Agencies serving rural areas should allocate resources and adapt training to support nurses based on unique community profiles. More research on rural nurse home visiting practice and outcomes is needed.
AB - Objective: Nurse home visiting may address challenges and resource disparities that threaten maternal and infant well-being in rural areas, but little is known about United States' program implementation. This qualitative study explored how family and community characteristics affected rural nurse home visiting. Sample: The sample for content analysis included families beginning services in 2010–2011 living in the rural counties with the highest caseloads (433 families). Design: Electronic nurse home visiting case files from three rural counties were analyzed using a content analysis approach. The partner agency provided input on key constructs of interest but independent coding was also done to capture additional themes. Quantitative county level data and comments from member checking informed interpretation. Member checking included individual nurses serving the selected counties (n = 3) and input from an agency level supervisory meeting for validation. Results: Concerns of families served (e.g., mental health) may not be unique to rural areas, but challenges to accessing resources and constellation of needs were. Nurses adapted engagement and service strategies to meet these needs. Conclusion: Agencies serving rural areas should allocate resources and adapt training to support nurses based on unique community profiles. More research on rural nurse home visiting practice and outcomes is needed.
KW - nurse home visitation
KW - rural postpartum services
UR - http://www.scopus.com/inward/record.url?scp=85077075701&partnerID=8YFLogxK
U2 - 10.1111/phn.12699
DO - 10.1111/phn.12699
M3 - Article
C2 - 31860152
AN - SCOPUS:85077075701
SN - 0737-1209
VL - 37
SP - 234
EP - 242
JO - Public Health Nursing
JF - Public Health Nursing
IS - 2
ER -