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Journal of health visiting最新文献

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Teaching your grandmother (or plus ça change?) 教你的祖母(还是加上<s:1>改变?)
Pub Date : 2023-03-02 DOI: 10.12968/johv.2023.11.3.108
Bridget Halnan
What has changed in a generation in terms of weaning and introducing family foods? Bridget Halnan looks at the advice grandparents are giving and whether or not today's parents have new concerns
在断奶和引入家庭食品方面,一代人发生了什么变化?布丽吉特·哈尔南着眼于祖父母给出的建议,以及今天的父母是否有新的担忧
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引用次数: 0
Exploring the current practice of health visitors to assess and support paternal mental health 探讨目前的做法,健康访问,以评估和支持父亲的心理健康
Pub Date : 2023-03-02 DOI: 10.12968/johv.2023.11.3.113
Philippa Vipham
The importance of identifying and supporting paternal mental health during the perinatal period has been gathering momentum. Health visitors are ideally placed due to their contact with families to assess and support paternal mental health. The aim of this study was to explore health visitors' current practice to assess and support paternal mental health and identify any barriers preventing this in practice. A small-scale, anonymous electronic 12 question survey was conducted. Purposeful sampling method was used to recruit health visitors (n=120) from across three health visiting services provided by UK NHS Trust selected for this study. Survey response rate was low (n=36), limiting the potential to generalise findings to the wider health visiting population. Most respondents were discussing paternal mental health during contacts with families, and four main barriers impeding the assessment of paternal mental health were identified. Respondents identified that paternal mental health training would support their own practice.
在围产期确定和支持父亲心理健康的重要性日益增强。健康巡视员的理想位置是由于他们与家庭接触,以评估和支持父亲的心理健康。本研究的目的是探讨健康访视员目前评估和支持父亲心理健康的做法,并确定在实践中阻碍这一做法的任何障碍。进行了一项小规模的匿名电子问题调查。本研究采用有目的的抽样方法,从英国国民保健服务信托基金提供的三个健康访问服务中招募健康访问者(n=120)。调查回复率低(n=36),限制了将调查结果推广到更广泛的健康访问人群的可能性。大多数答复者在与家人接触时讨论了父亲的心理健康问题,并确定了妨碍评估父亲心理健康的四个主要障碍。答复者指出,父亲的心理健康培训将支持他们自己的做法。
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引用次数: 1
Best practice in perinatal mental healthcare 围产期精神保健的最佳做法
Pub Date : 2023-03-02 DOI: 10.12968/johv.2023.11.3.93
P. Moffat
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引用次数: 0
The importance of integration 整合的重要性
Pub Date : 2023-03-02 DOI: 10.12968/johv.2023.11.3.128
C. Oldman
Crystal Oldman explains how Integrated Care Boards in England are providing an opportunity for the commissioning of services that facilitate a smoother pathway to integrated care
Crystal Oldman解释了英国的综合护理委员会是如何为服务的委托提供机会的,这些服务有助于实现更顺畅的综合护理
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引用次数: 0
Would patient charges help to save the NHS? 病人收费能帮助拯救NHS吗?
Pub Date : 2023-03-02 DOI: 10.12968/johv.2023.11.3.106
P. Moffat
A former health secretary has suggested that, to secure its future, the NHS must look at new ways to meet rising demand and move away from the free at point of use model. Is charging patients to use healthcare part of the answer?
一位前卫生部长建议,为了确保NHS的未来,NHS必须寻找新的方式来满足不断增长的需求,并摆脱免费使用的模式。向患者收取医疗费用是解决问题的一部分吗?
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引用次数: 0
Fathers' self-reported wellbeing in the first postnatal year: How can health visitors help? 父亲在产后第一年自我报告的幸福感:健康访客如何提供帮助?
Pub Date : 2023-02-02 DOI: 10.12968/johv.2023.11.2.62
F. Black
For some fathers the transition to parenthood is an emotional time, affecting their physical and emotional wellbeing. This review aimed to examine fathers' wellbeing needs and support preferences in the first postnatal year, and explore how health visitors can help. A systematic meta-synthesis was conducted and studies published between 2009 and 2019 analysed using Prisma and CASP tools. A total of 15 studies were identified and the following themes extracted: forming an identity as a father; relationships; and emotional/physical wellbeing and father's support preferences. There were five sub-themes: work/home role; supporter/protector role; parental relationship; and father–baby relationship and father/health relationship. It is concluded that emotions relating to role negotiation, self-efficacy and separation/rejection affected wellbeing, and fathers felt ignored and sidelined by health professionals. Support preferences included more knowledge on the postnatal period, father/nurse groups, targeted leaflets and direction to online services. Health visitors need to improve awareness around paternal wellbeing, starting with SCPHN training. Inviting fathers to all appointments or innovative telephone contacts would promote a more father-focused service.
对于一些父亲来说,过渡到为人父母是一个情感时期,影响他们的身体和情感健康。本综述旨在研究父亲在产后第一年的健康需求和支持偏好,并探讨健康访客如何提供帮助。使用Prisma和CASP工具对2009年至2019年发表的研究进行了系统的综合分析。总共确定了15项研究,并提取了以下主题:形成父亲的身份;关系;情感/身体健康和父亲的支持偏好。共有五个副主题:工作/家庭角色;支持者/保护者的角色;父母的关系;父亲和孩子的关系以及父亲和健康的关系。结论是,与角色协商、自我效能和分离/拒绝相关的情绪影响健康,父亲感到被卫生专业人员忽视和边缘化。支持偏好包括更多关于产后期的知识、父亲/护士小组、有针对性的传单和在线服务的指导。保健巡视员需要提高对父亲福祉的认识,首先要进行SCPHN培训。邀请父亲参加所有的约会或创新的电话联系将促进更以父亲为中心的服务。
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引用次数: 1
State of Health Visiting survey: A profession under pressure 健康状况访问调查:压力下的职业
Pub Date : 2023-02-02 DOI: 10.12968/johv.2023.11.2.82
B. Boddy
The latest survey published by the Institute of Health Visiting has provided an insight into the complex issues facing the profession and the state of child health in the UK, as Bethany Boddy explains
健康访问研究所发布的最新调查提供了对该行业面临的复杂问题和英国儿童健康状况的见解,正如贝萨尼·博迪所解释的那样
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引用次数: 0
Exploring the lived experiences of mothers of extremely preterm infants in the UK 探索英国极度早产婴儿母亲的生活经历
Pub Date : 2023-02-02 DOI: 10.12968/johv.2023.11.2.72
Stephanie Robinson, Sophie T. Williams, J. Hallam, J. Jackson
The adverse impact of preterm birth on maternal mental health is well documented, yet there is limited available research regarding the subjective experiences of mothers of extremely preterm infants as a distinct cohort. The aim of this study was to explore the lived experiences of mothers of extremely preterm infants, born alive at less than 28 weeks gestation, in the UK. Three mothers of extremely preterm infants participated in a semi-structured interview conducted online, which invited them to share their experiences of pregnancy, their time in neonatal intensive care unit, the transition home and their present-day experiences. An interpretative phenomenological analysis explored a delayed transition to mothering and experiences relating to initial disconnection, missed moments and establishing a maternal connection. Owing to the traumatic experiences associated with an extremely preterm birth, it is concluded that mothers would benefit from health visitor support relating to attachment, mental health and connecting to parenting communities.
早产对产妇心理健康的不利影响有据可查,但关于极早产儿母亲作为一个独特群体的主观经历的现有研究有限。这项研究的目的是探索英国极度早产婴儿的母亲的生活经历,这些婴儿在怀孕不到28周时就活下来了。三位极早产婴儿的母亲参加了一项半结构化的在线访谈,该访谈邀请她们分享自己的怀孕经历、在新生儿重症监护病房的时间、过渡之家以及她们现在的经历。解释性现象学分析探讨了向母性过渡的延迟以及与初始断开、错过的时刻和建立母性联系相关的经验。由于与极度早产有关的创伤经历,得出的结论是,母亲将受益于保健访问者在依恋、心理健康和与育儿社区联系方面的支持。
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引用次数: 0
Families trapped in temporary accommodation 被困在临时住所的家庭
Pub Date : 2023-02-02 DOI: 10.12968/johv.2023.11.2.49
P. Moffat
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引用次数: 0
The Antenatal Risk Questionnaire: Identifying mothers at risk of developing perinatal mental illness 产前风险问卷:确定有患围产期精神疾病风险的母亲
Pub Date : 2023-01-02 DOI: 10.12968/johv.2023.11.1.32
Jenna Terry
Perinatal mental illness (PMI) often goes undiagnosed and untreated. Early identification of risk factors can help women receive timely intervention to reduce associated child and maternal comorbidities. This article considers the use of a validated screening tool to identify maternal risk factors of developing PMI. An analysis of a perinatal mental health policy, literature review and project implementation plan were carried out to explore current gaps in the research. Validated perinatal mental health risk assessment screening tools are being used across the world but not in the UK. It is concluded that the Antenatal Risk Questionnaire should be recommended for health visiting practice to promote early identification of PMI and intervention, which can improve outcomes for families.
围产期精神疾病(PMI)往往得不到诊断和治疗。早期识别危险因素可以帮助妇女及时接受干预,以减少相关的儿童和孕产妇合并症。本文考虑使用一种有效的筛选工具来确定产妇发展PMI的危险因素。通过对围产期心理健康政策的分析、文献综述和项目实施计划,探讨目前研究的不足之处。世界各地都在使用经过验证的围产期心理健康风险评估筛查工具,但英国没有。因此,建议在健康访视实践中使用产前风险问卷,以促进PMI的早期识别和干预,从而改善家庭的预后。
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引用次数: 0
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Journal of health visiting
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