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An Integrative Review of Home Care Service for Pregnant Women, Mothers, Infants, and Toddlers in Vulnerable group

Journal of Korean Academy of Nursing 2017³â 47±Ç 5È£ p.577 ~ 588
KMID : 0806120170470050577
±è´Ù¼Ø ( Kim Da-Som ) - ¼­¿ï´ëÇб³ °£È£´ëÇÐ

ÀÌÀμ÷ ( Lee In-Sook ) - ¼­¿ï´ëÇб³ °£È£´ëÇÐ

Abstract

Purpose: This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groupsthrough an integrative literature review.

Methods: We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials,CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of communityhealth nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns inthe selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verifiedby assessors on whether they clearly reflected the interventions in the papers.

Results: Among 878 searched papers, we selected 16 papersafter excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers werecategorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planningand intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling motherchildattachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach.

Conclusion: As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was foundthat it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studieson developing intervention programs based on the elements.
KeyWords
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Mothers, Infants, Preschool child, Vulnerable populations, Home care services
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