My studies dealt with the blood of early home health nursing handling, tiddler abuse and electropositive parenting skills. All of the studies shared the purpose of looking at at early intervention and attempting to show a positive correlation in early home nursing intervention and positive health related behaviors, positive perinatal show upcomes, and complaisant competence.
All of the studies had an independent variable of increasing the position to face contact time in the home by the existence health nurse. They all also shared the common possible action that child abuse would fall down and positive parenting would increase from this change magnitude home visitation time. Settings varied among the studies; 1 in California, 1 in a New York community, 1 in a large metropolitan area, and ane in Newark, New Jersey. The world-class debate analyzed 144 adolescents; they were then stratified and randomised using key variables. The control sort received purpose pre and post partum aftercare and one the experimental group received up to 17 home care visits. In 6 of the 7 instruments utilise in this study, validity and reliability were non addressed. curb interviews and a turn out that was videotaped were validated by 4 nurses with expertise in research. The validity on that test was easily established, as was the reliability. The interior consistency was 0.83 and Cronbach?s of import was 0.80 on that test which was a videotaped Nursing Child Assessment Satellite Training. checkup records were also used in this study. That study showed a relationship between intensifier home care and improved outcomes notwithstanding was not significant enough to prove the hypothesis.
        In the randomness study involved an otherwise at risk group provided at risk because of their drug abuse kinda of young age. This group was of 60 drug abusing women and their instruments showed more logical validity and reliability testing was still not well documented. This study depended on a lot of self-reporting by the participants and over again showed positive effects only not significant.
The third study was somewhat of a study within a study. in the beginning 400 participants were involved in a study and this is a byproduct of that study. 56 of the participants were extracted to complete the promontory: ?In families where contumely is known will home health care visits decrease the incidence of child abuse.? In this study it appears that the hypothesis was back up but by what cause is still up for grabs. The question is raised in the results that did these parents take better care of their children because they had intense home care contact or were the problems just caught kind of because there was a home care nurse intervening. promote studies were suggested. Study #4 did not split the participants into separate groups but rather did pre and post intervention testing. 2 of the 3 instruments used were not well documented for validity and reliability but the third one was construct validity tested, test-retest reliabilities between 0.75 and 0.91 and internal consistency reliability tested with a Cronbach?s alpha of 0.93. In this study adolescents were placed on a aim 1 when admitted to the program and assigned a mentor which meant intense home care of visits 1 time per week by a nursing paraprofessional supervised by a nurse. As issues resolved themselves and the participants had slight crisis?
they would move up a take and consume less(prenominal) intensive involvement until they reached level IV and that would be virtual independence but with the understanding they could use up for help if needed. The specific hypothesis being tested in this study were; #1 Decrease pct of low birthweight infants to less than 13.5%. #2 Percentage of infant mortality to be less than 1.5%. #3 Experience a decrease in get ahead for potential child abuse. #4 Obtain a percentage of age appropriate immunized infants higher than 62%. They back up 3 of the 4 hypothesis. The third hypothesis was not support based on the fact that the questionnaire was too long and the participants did not want to complete it. The common limitation in these studies was the galore(postnominal) dependent variables made it difficult to pick out the genuine causal effects. There were also many variables that were totally out of anyone?s control such as alcohol use, other people living in the homes, self reporting of learning instead of objective tests for things such as drug use.
I learned a tremendous amount about research, the omit of studies done by nurses, the inconsistent way in which iterate studies are conducted, not enough validation of earlier studies. I was surprised by the inability of the studies to prove the hypothesis that intensive home care would have an overwhelmingly positive response by parents. I was encouraged that there is some tell apart that could support these hypotheses but more studies are needed to unloose the extra money that would be spent by intensify home health to these populations. By the way only one study even mentioned the amount of money it costs to have increased home care, it was $1655,00 per child per year.
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