在基于证据的护士家庭访问中,让社区优先考虑改善家庭健康的结果:使用修改后的e-Delphi方法
Venice Ng Williams1, Jennifer Marshall2, Mirine Richey3
1Prevention Research Center for Family & Child Health, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA. venice.williams@cuanschutz.edu.
Maternal and child health journal
|November 22, 2023
概括
护士家庭伙伴关系 (NFP) 扩大到新生母亲和迟到注册者. 儿童虐待是优先考虑的,结果包括母亲健康和分娩结果,使用社区参与的过程.
科学领域:
- 孕产妇和儿童的健康
- 项目评估 项目评估
- 公共卫生政策 公共卫生政策
背景情况:
- 基于证据的家庭访问计划,如护士家庭伙伴关系 (NFP),改善了母亲和儿童的健康结果.
- 传统上,NFP服务于怀孕早期注册的首次母亲.
- 最近,NFP扩大了服务于佛罗里达州的多胎妇女和晚期注册者 (怀孕28周后).
研究的目的:
- 评估扩大NFP服务到多夫妻妇女和迟到注册者的过程和影响.
- 通过多元化的咨询委员会指导佛罗里达州NFP扩张评估.
主要方法:
- 在三轮数据收集中使用了经过修改的e-Delphi方法.
- 参与了各种合作伙伴,以确定评估的过程和影响结果.
- 咨询委员会确定了测量结果的潜在数据来源.
主要成果:
- 儿童虐待被确定为最优先的结果.
- 关键的过程结果包括计划覆盖范围,客户注册和参与度.
- 影响结果包括母亲的身体和心理健康,物质使用,分娩结果和母乳养.
结论:
- 社区参与的流程对于选择关键成果和确保合作伙伴参与计划评估至关重要.
- 电子德尔菲方法在严格的决策中被证明是可行的和有效的,即使是在COVID-19流行病等不确定性之中.
- 这种方法支持对扩展的NFP服务进行可靠的评估.
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