A nurse-led minor illness and injury home-visiting service for young children

Lesley Mountney1, Lee Gadsby

  • 1NHS Nottingham City.

Nursing Times
|April 24, 2009
PubMed

Insights

A new nurse-led home-visiting service supports families with young children. This initiative reduced emergency department visits and improved child health management skills in a deprived area.

Area of Science:

  • Community health nursing
  • Pediatric primary care
  • Public health initiatives

Background:

  • High rates of pediatric emergency department (A&E) attendances in deprived areas.
  • Need for enhanced parental knowledge and skills in managing childhood illness and injury.
  • Limited access to timely, supportive healthcare for families with young children.

Purpose of the Study:

  • To describe the implementation of a nurse-led home-visiting service.
  • To evaluate the service's impact on A&E attendances.
  • To assess the service's effectiveness in supporting families with unwell or injured children aged 0-5 years.

Main Methods:

  • Community-based participatory approach.
  • Home-visiting intervention by registered nurses.
  • Data collection on A&E attendance rates and family-reported outcomes.

Main Results:

  • Significant reduction in non-urgent A&E attendances.
  • Improved parental confidence and competence in managing childhood health issues.
  • Positive feedback from participating families regarding support received.

Conclusions:

  • Nurse-led home visiting is an effective strategy for supporting families and reducing healthcare system burden.
  • Targeted interventions in deprived areas can yield significant public health benefits.
  • Empowering families with knowledge and skills enhances child health outcomes.

Related Concept Videos

Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Aims Of Nursing01:29

Aims Of Nursing

Nursing involves independent, cooperative, person-centered care for people of all ages, families, groups, and communities. Nurses assist the sick or the well person in all settings. Nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. Health promotion encourages people to take responsibility for their health. It focuses on the healthy behavior of individuals, families, and the community and the factors that impact their health. Examples of...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...