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Nurse home visitation with vulnerable families in rural areas: A qualitative case file review
Author(s) -
Wideman Ellie S.,
Dunnigan Allison,
JonsonReid Melissa,
Kohl Patricia,
Constantino John,
Tandon Mini,
Recktenwald Angela,
Tompkins Ron
Publication year - 2019
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.12699
Subject(s) - nursing , agency (philosophy) , content analysis , rural area , sample (material) , resource (disambiguation) , qualitative research , mental health , rural health , psychology , medicine , sociology , computer network , social science , chemistry , pathology , chromatography , computer science , psychotherapist
Objective Nurse home visiting may address challenges and resource disparities that threaten maternal and infant well‐being in rural areas, but little is known about United States' program implementation. This qualitative study explored how family and community characteristics affected rural nurse home visiting. Sample The sample for content analysis included families beginning services in 2010–2011 living in the rural counties with the highest caseloads (433 families). Design Electronic nurse home visiting case files from three rural counties were analyzed using a content analysis approach. The partner agency provided input on key constructs of interest but independent coding was also done to capture additional themes. Quantitative county level data and comments from member checking informed interpretation. Member checking included individual nurses serving the selected counties ( n = 3) and input from an agency level supervisory meeting for validation. Results Concerns of families served (e.g., mental health) may not be unique to rural areas, but challenges to accessing resources and constellation of needs were. Nurses adapted engagement and service strategies to meet these needs. Conclusion Agencies serving rural areas should allocate resources and adapt training to support nurses based on unique community profiles. More research on rural nurse home visiting practice and outcomes is needed.