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245 10: $a Empirical evaluation of the changes in public health nursing interventions after the implementation of an evidence-based family home visiting guideline / $c Karen A. Monsen, Sadie M. Swenson, Lisa Klotzbach, Michelle A. Mathiason, Karen E. Johnson

504 __: $a Literatura

520 9_: $a The objective of this quality evaluation was to evaluate the changes in public health nursing (PHN) interventions after the implementation of an evidence-based family home visiting (EB-FHV) guideline encoded using the Omaha System. Design and sample: This quality improvement evaluation was conducted using a secondary dataset of 27,910 PHN family home visiting interventions from visits to 129 adult clients enrolled in EB-FHV programs in a Midwestern PHN agency. The interventions were documented 12 months before and 14 months after EB-FHV Guideline implementation. The EB-FHV consisted of 94 PHN interventions for 10 Omaha System problems, with electronic health record (EHR) data generated by PHNs during routine clinical documentation. Standard descriptive and inferential statistics were employed in the analysis. Measures: The Omaha System was used to compare PHN practice before and after the guideline implementation. Results: Documentation patterns revealed that PHNs tailored interventions while also shifting toward the use of the EB-FHV guideline interventions. Ten EB-FHV problems accounted for 96.3% of interventions documented before and 98.5% of interventions documented after implementation. The proportion of interventions before and after EB-FHV by problem differed significantly for all problems except Substance use. Fewer interventions were provided after EB-FHV for the primary problems of Pregnancy and Postpartum, with a shift to more interventions for Caretaking/parenting. Conclusion: The PHN documentation demonstrated an adherence to the EB-FHV guideline, while tailoring the evidence-based interventions differentially by problem. Further research is needed to extend this quality improvement approach to other guidelines and populations.

520 9_: $a komunitní péče

650 _7: $a řízení veřejného zdraví $7 D011635 $2 czmesh

650 _7: $a služby domácí péče $x pracovní síly $x trendy $x využití $7 D006699 $2 czmesh

650 _7: $a zdravotní sestry $7 D009726 $2 czmesh

650 _7: $a standardizovaná ošetřovatelská terminologie $7 D000072917 $2 czmesh

650 _7: $a zajištění kvality zdravotní péče $x metody $x normy $7 D011785 $2 czmesh

650 _7: $a ošetřovatelská péče $7 D009732 $2 czmesh

650 _7: $a komplexní management jakosti $7 D017749 $2 czmesh

650 _7: $a medicína založená na důkazech $7 D019317 $2 czmesh

653 00: $a klasifikace ošetřovatelských intervencí

653 00: $a klasifikační systémy

653 00: $a Omaha Systém

653 00: $a ošetřovatelství založené na důkazech

700 1_: $a Swenson, Sadie M. $u Olmsted County Minnesota, Department of Public Health, Rochester, MN, USA

700 1_: $a Klotzbach, Lisa $u Olmsted County Minnesota, Department of Public Health, Rochester, MN, USA

700 1_: $a Mathiason, Michelle A. $u University of Minnesota, School of Nursing, Minneapolis, MN, USA

700 1_: $a Johnson, Karen E. $u University of Texas-Austin, School of Nursing, Austin, TX, USA

773 0_: $t Kontakt $x 1212-4117 $g Roč. 19, č. 2 (2017), s. 83-92 $w MED00011467

856 41: $u http://casopis-zsfju.zsf.jcu.cz/kontakt/ $y domovská stránka časopisu

910 __: $a BOE205 $y 0

990 __: $a 20171123110438 $b BOE205

991 __: $a 20171123110438 $b BOE205

BAS __: $a 3

BMC __: $a 2017 $b 19 $c 2 $d 83-92 $x MED00011467 $i 1212-4117 $m Kontakt $n Kontakt (Čes. Budějovice Print)

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Empirical evaluation of the changes in public health nursing interventions after the implementation of an evidence-based family home visiting guideline

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