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Nursing in project Head Start: improving health
1Barnes College of Nursing, University of Missouri, St. Louis 63121, USA.
Issues in Comprehensive Pediatric Nursing
|October 1, 1996
Summary
A nurse-led health program for Head Start (HS) children reduced upper respiratory illness symptoms. While injury rates rose, most occurred outside the program, indicating the intervention
Area of Science:
- Pediatric Health
- Health Promotion Programs
- Early Childhood Education
Background:
- Preschool children in Head Start (HS) programs are susceptible to upper respiratory illnesses.
- Effective health promotion is crucial for managing childhood illnesses and injuries in early education settings.
Purpose of the Study:
- To assess a nurse-directed health promotion program's impact on reducing upper respiratory illness symptoms and injury rates in HS preschoolers.
- To evaluate the effectiveness of targeted health education for HS staff.
Main Methods:
- A nurse conducted weekly health assessments for 47 children over 8 weeks (4 weeks pre-intervention, 4 weeks post-intervention).
- The health promotion program for staff covered illness symptoms, infection control, injury prevention, and first aid.
- The Child Health Assessment Inventory was used to evaluate children's health status.
Main Results:
- A significant decrease in upper respiratory illness symptoms was observed post-intervention.
- Overall injury rates increased, but analysis revealed 88% of these injuries occurred in the home environment.
- The program demonstrated positive effects on illness symptom management within the HS setting.
Conclusions:
- The nurse-directed health promotion program effectively reduced upper respiratory illness symptoms in preschool children.
- The program's impact on injury rates requires further investigation, considering the high percentage of home-related injuries.
- Implementing targeted health education for HS staff can improve child health outcomes.