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Description of public health nursing nutrition assessment and interventions for home‐visited women
Author(s) -
Horning Melissa L.,
Olsen Jeanette M.,
Lell Shay,
Thorson Diane R.,
Monsen Karen A.
Publication year - 2018
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12410
Subject(s) - psychological intervention , medicine , public health , family medicine , intervention (counseling) , gerontology , descriptive statistics , multivariate analysis , nursing , statistics , mathematics
Abstract Objective(s) The purpose of this manuscript was to describe: Public Health Nurse ( PHN ) home‐visited, female client Nutrition Knowledge (K), Behavior (B), and Status (S); the number and types of nutrition interventions PHN s used with these clients; and the types of clients receiving nutrition interventions. Design and Sample This descriptive study used PHN ‐generated Omaha System, electronic health record data from January 2012 to July 2015. The analytic sample contains 558 women who received home visits in a rural Midwestern U.S. county that employed universal nutrition assessment for clients. Measurements Omaha System data included nutrition KBS scores (from 1 = low to 5 = high) and nutrition interventions delivered. Analyses included descriptive, bivariate, and multivariate analyses (means, frequencies, chi‐squares, general linear models). Results PHN s assessed nutrition KBS scores for 84.1% of clients; average Nutrition Knowledge was 3.4 ( SD = 0.7), Behavior 3.7 ( SD = 0.8), and Status 4.3 ( SD = 1.0). PHN s provided 0‐36 nutrition interventions per client. Nutrition intervention patterns were detected by the type of visit clients received. Conclusions Results suggest home‐visited women have room to improve Nutrition KBS and PHN s utilize myriad nutrition interventions. Results also point to opportunities to improve home‐visited client care by providing more nutrition interventions, especially to those not receiving interventions, and revising standard care plans to reflect important Case Management nutrition interventions.