Abstract
Objectives: This study was conducted to examine the ideas and opinions of nursing students about the home visiting practice which was implemented as a part of their “Public Health Nursing” course. Method: The population of this descriptive study was comprised of final year students enrolled in a Public Health Nursing course of a nursing faculty. Students carried out home visits as a part of their internship program for three days in a week over the spring semester for ten weeks. A total of 143 students participated in this study. In this context, a total of 429 families were visited by the students. A statistical software package was used to evaluate the data. Percentages were used to assess the variables. Chi-square test was performed to determine the difference between the years of the study. Findings: Of the students, 43% said ‘health education’ was the most fulfilled nursing role they achieved during their home visits, while 35% said ‘communication’, 15% ‘ensuring healthy change’ and 5% ‘care’. When for the first time they attended a home visit program, 15.9% of the students reported that they experienced negative feelings, 66.7% felt nervous, 47.8% got excited, 44.9% felt afraid, 21% felt positive feelings. Conclusions and Recommendation: Nursing students contributed to the protection and improvement of the health of individuals, families and communities during home visits. Nursing students initially stated negative opinions and thoughts about home visits but they overcame their anxieties and fears, and made a range of positive contributions to the families in promoting their health. In this context, it was seen that the students need to be prepared psychologically for the internship program beforehand, and that educating students with practical exercises and with realistic role-play activities in the appropriate environments would have a positive effect on the students’ preparedness for their internship program. Such realistic preparation for the home visit portion could only have a positive effect on the whole program. The most important suggestion of this study is to provide nursing students of nursing faculties/programs who will carry out home visits within their internship program with practical exercises and role-play activities in simulated environments before the start of their home visits to enhance their preparedness, and that this practical training before home visits should be adopted as a standard practice.
Keywords
References
- Minnesota Department of Health. Family Health Visiting Program. http://www.health.state.mn.us/divs/cfh/program/fhv/index. cfm#collapse Erişim Tarihi:10.12.2016.
- Phillips J, Grant JS, Milligan GW, Moss J. Using a Multicultural Family Simulation in Public Health Nursing Education. Clinical Simulation in Nursing 2012;8:e187–91. https://doi.org/10.1016/j.ecns.2011.08.007 3. Allender JA, Spradley BW. The Family as Client; Community Health Nursing. Concepts and Practice. Lippincott, New York, 2001:427–57.
- Chaffin M., Bonner BL, Hill RF. Family preservation and family support programs: child maltreatment outcomes across client risk levels and program types. Child Abuse Negl 2001;25:1269–89.
- Melnick AL, Rdesinski RE, Creach ED, Choi D, Harvey SM. The Influence of Nurse Home Visits, Including Provision of 3-Months of Contraceptives and Contraceptive Counseling, on Perceived Barriers to Contraceptive Use and Contraceptive Use Self-Efficacy. Womens Health Issues 2008;18:471–81. https://doi.org/10.1016/j. whi.2008.07.011
- Basavanthappa BT. Community Health Nursing. Chapter 6: Family Health Nursing. 2nd ed. New Delhi: Jaypee Brothers Medical Publishers; 2008. pp. 108–89.
- Cowley S, Whittaker K, Malone M, Donetto S, Grigulis A, Maben J, Why health visiting? Examining the potential public health benefits from health visiting practice within a universal service: A narrative review of the literature. Int J Nurs Stud 2015;52:465–80. https://doi. org/10.1016/j.ijnurstu.2014.07.013
- Schmied V, Donovan J, Kruske S, Kemp L, Homer C, Fowler C. Commonalities and challenges: a review of Australian state and territory maternity and child health policies. Contemp Nurse 2011;40:106–17. https://doi.org/10.5172/ conu.2011.40.1.106
- Dodge KA, Goodman WB, Murphy RA, O’Donnell K, Sato J. Randomized controlled trial of universal postnatal nurse home visiting: impact on emergency care. Pediatrics 2013;132 Suppl 2:S140–6. https://doi.org/10.1542/peds.2013-1021M
- Elkan R, Kendrick D, Hewitt M, Robinson JJ, Tolley K, Blair M, et al. The effectiveness of domiciliary health visiting: a systematic review of international studies and a selective review of the British literature. Health Technol Assess 2000;4:1–339.
- Karakaya N, Koçoğlu MF. Ev Ziyaretlerinde Karşılaşılan Güçlükler. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi GÜSBD 2016;5:23–8.
- Lundy KS, Janes S. Community Health Nursing: Caring For The Public’s Health, 3rd ed. Massachusetts: Jones and Bartlett Publishers; 2016. pp. 882–911.
- Altay B, Öz Ö, Hemşirelik Bölümü Son Sınıf Öğrencilerinin Halk Sağlığı Kapsamında Yaptıkları Ev Ziyaretlerinde Karşılaştıkları Güçlükler ve Profesyonel Hemşirelik Rolleri. Samsun Sağlık Bilimleri Dergisi 2016;1:1.
- Robertson MC, Devlin N, Gardner MM, Campbell AJ. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls 1: Randomised controlled trial. BMJ 2001;32:697–701.
- Barkauskas VH. Effectiveness of public health nurse visits to primarous mothers and their infants. Am J Public Health 1983;73:573–80.
- Kaakinen JR, Duff VG, Coehlo DP, Hanson SMH. Family Health Care Nursing. Theory, Practice and Research, 4th Edition. Philadelphia: Davis Company; 2010. pp. 1–640.
- Maurer FA, Smith CM. Community/Public Health Nursing Practice: Health for Families and Populations, 5th ed. Missouri, St. Louis, Mo.: Elsevier/Saunders; 2013.
Abstract
Araştırmanın Amacı: Bu araştırma; “Halk Sağlığı Hemşireliği” dersi kapsamında yapılan ev ziyaretleri uygulaması hakkında hemşirelik öğrencilerinin düşünce ve görüşlerinin incelenmesi amacıyla yapılmıştır.Yöntem: Tanımlayıcı nitelikte yapılan bu araştırmanın evrenini bir hemşirelik fakültesinin Halk Sağlığı Hemşireliği dersini alan son sınıf öğrencileri oluşturmuştur. Dersin staj uygulaması kapsamında öğrenciler, bahar yarıyılı süresince on hafta boyunca ve haftada üç gün ev ziyaretine çıkmışlardır. Bu uygulamaya toplam 143 öğrenci katılmıştır. Bu kapsamda öğrenciler tarafından toplam 429 aileye ulaşılmıştır. Verilerin değerlendirilmesinde istatistik paket programı kullanılmıştır. Değişkenlerin değerlendirilmesinde yüzdelik kullanılmıştır. Çalışmanın yılları arasındaki farkı belirlemek için de ki-kare testi yapılmıştır.Bulgular: Ev ziyaretlerinde en çok yerine getirildiği düşünülen hemşirelik fonksiyonu sorulduğunda; öğrencilerin %43’ü eğitim, %35’i iletişim, %17’si değişim ve %5’i ise bakım olarak yanıt vermişlerdir. Öğrenciler, ev ziyaretine ilk gittiklerinde %15,9’u olumsuz duygular hissettiğini, %66,7’si tedirginlik hissettiğini, %47,8’i heyecanlandığını, %44,9’u korktuğunu, %21’i olumlu duygular hissettiğini ifade etmiştir.Sonuç ve öneriler: Hemşire öğrenciler; ev ziyaretleri sırasında bireylerin, ailelerin ve bu yolla toplumun sağlığının geliştirilmesine ve korumasına katkı sağlamışlardır. Hemşirelik öğrencileri ev ziyaretleri konusunda başlangıçta olumsuz görüş ve düşünce belirtirken, ev ziyareti surecinin sonuna doğru hem kendi tedirginlik ve korkularını yenmiş hem de ailelerin sağlığını geliştirme anlamında olumlu yönde birçok katkı sağlamışlardır. Bu bağlamda staj öncesinde öğrencilerin psikolojik açıdan da staj uygulamasına hazır hale getirilmesi gerektiği görülmüş ve bu noktada aslına uygun ortamlarda gerçekçi roller ile teatral şekilde hazırlanmalarının öğrencilerin staja hazırlanmasında pozitif etki sağlayacağı görülmüştür. Bu çalışmanın en önemli önerisi, Hemşirelik Fakülteleri/bölümlerinde halk sağlığı dersi kapsamında ev ziyaretlerine çıkacak hemşire öğrencilerin ev ziyaretleri uygulaması öncesinde, aslına uygun ortamlarda, gerçekçi roller ile teatral şekilde hazırlanmalarını sağlayacak ortamların hazırlanması ve planlanmasının standart uygulama haline getirilmesi gerektiğidir
Keywords
References
- Minnesota Department of Health. Family Health Visiting Program. http://www.health.state.mn.us/divs/cfh/program/fhv/index. cfm#collapse Erişim Tarihi:10.12.2016.
- Phillips J, Grant JS, Milligan GW, Moss J. Using a Multicultural Family Simulation in Public Health Nursing Education. Clinical Simulation in Nursing 2012;8:e187–91. https://doi.org/10.1016/j.ecns.2011.08.007 3. Allender JA, Spradley BW. The Family as Client; Community Health Nursing. Concepts and Practice. Lippincott, New York, 2001:427–57.
- Chaffin M., Bonner BL, Hill RF. Family preservation and family support programs: child maltreatment outcomes across client risk levels and program types. Child Abuse Negl 2001;25:1269–89.
- Melnick AL, Rdesinski RE, Creach ED, Choi D, Harvey SM. The Influence of Nurse Home Visits, Including Provision of 3-Months of Contraceptives and Contraceptive Counseling, on Perceived Barriers to Contraceptive Use and Contraceptive Use Self-Efficacy. Womens Health Issues 2008;18:471–81. https://doi.org/10.1016/j. whi.2008.07.011
- Basavanthappa BT. Community Health Nursing. Chapter 6: Family Health Nursing. 2nd ed. New Delhi: Jaypee Brothers Medical Publishers; 2008. pp. 108–89.
- Cowley S, Whittaker K, Malone M, Donetto S, Grigulis A, Maben J, Why health visiting? Examining the potential public health benefits from health visiting practice within a universal service: A narrative review of the literature. Int J Nurs Stud 2015;52:465–80. https://doi. org/10.1016/j.ijnurstu.2014.07.013
- Schmied V, Donovan J, Kruske S, Kemp L, Homer C, Fowler C. Commonalities and challenges: a review of Australian state and territory maternity and child health policies. Contemp Nurse 2011;40:106–17. https://doi.org/10.5172/ conu.2011.40.1.106
- Dodge KA, Goodman WB, Murphy RA, O’Donnell K, Sato J. Randomized controlled trial of universal postnatal nurse home visiting: impact on emergency care. Pediatrics 2013;132 Suppl 2:S140–6. https://doi.org/10.1542/peds.2013-1021M
- Elkan R, Kendrick D, Hewitt M, Robinson JJ, Tolley K, Blair M, et al. The effectiveness of domiciliary health visiting: a systematic review of international studies and a selective review of the British literature. Health Technol Assess 2000;4:1–339.
- Karakaya N, Koçoğlu MF. Ev Ziyaretlerinde Karşılaşılan Güçlükler. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi GÜSBD 2016;5:23–8.
- Lundy KS, Janes S. Community Health Nursing: Caring For The Public’s Health, 3rd ed. Massachusetts: Jones and Bartlett Publishers; 2016. pp. 882–911.
- Altay B, Öz Ö, Hemşirelik Bölümü Son Sınıf Öğrencilerinin Halk Sağlığı Kapsamında Yaptıkları Ev Ziyaretlerinde Karşılaştıkları Güçlükler ve Profesyonel Hemşirelik Rolleri. Samsun Sağlık Bilimleri Dergisi 2016;1:1.
- Robertson MC, Devlin N, Gardner MM, Campbell AJ. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls 1: Randomised controlled trial. BMJ 2001;32:697–701.
- Barkauskas VH. Effectiveness of public health nurse visits to primarous mothers and their infants. Am J Public Health 1983;73:573–80.
- Kaakinen JR, Duff VG, Coehlo DP, Hanson SMH. Family Health Care Nursing. Theory, Practice and Research, 4th Edition. Philadelphia: Davis Company; 2010. pp. 1–640.
- Maurer FA, Smith CM. Community/Public Health Nursing Practice: Health for Families and Populations, 5th ed. Missouri, St. Louis, Mo.: Elsevier/Saunders; 2013.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | June 1, 2018 |
| Published in Issue | Year 2018Issue: 2 |