Home Visit PDF
Home Visit PDF
Home Visit PDF
NURSING DEPARTMENT
ACADEMIC NO : 438800131
OBJECTIVE
Introdaction
Meaning &Definition
Purposes
Phases of Home Visit
Introduction to the family, or social phase.
Preparation phase for the visit.
Nurse's behavior in the home.
Implementation phase: taking actions to meet the identified needs.
Closing phase.
Documentation phase.
Research Article
Conclusions & results
Reference
INTRODUCTION
the home visit is one of the most important aspects of community health services. and It is
the backbone of community health nursing.
the Home visiting is very essential and important aspect to the community health services,
because majority of the patients are found in the home.
and The home is utilised for many reasons in relation to the health of the family. The home
is also utilised frequently to provide nursing services.
but The services in the home requires technical skills, knowledge of preventive and
therapeutic measures, teaching ability, judgement and a full understanding of human
relations.
MEANING & DEFINITION
Meaning Definition
Home visit means visiting the family at their It is defined as providing the services to family
place to assess the health needs, to provide at their door step to maintain the health & to
services such as preventive, promotive , reduce the mortality & morbidity in family.
curative or rehabilitative services at their
door step by the community health nurse or
health workers.
PURPOSES
The nurse should first introduce herself to each member of the family, shake hands.
Efforts should be made to assist all members of the family to feel comfortable and relaxed.
The nurse should state the purpose of the home visit clearly and ask family members to correct or
add to the information according to their individual understanding.
The nurse should talk directly to each individual member of the family in a way that communicates
that each one is valued.
Clear questions must be asked and family members are expected to give clear answers. When
answers are vague, the nurse should seek clarification until the answer is clear.
The nurse should always be a model of confidence.
She should collect any necessary additional data about the family.
She should identify any new problems that may have developed.
CONT…
Work at mutual goal setting for solutions to any identified problem with the client and family.
Restructure priorities based on new data.
Utilize the bag technique for carrying out the practical part of the home visit such as physical assessment, baby
weighing, checking vital signs, and the home assessment checklist.
Use home facilities as much as possible.
Implement nursing interventions as planned, or modify the plan as the situation dictates.
Refer to community health facilities and resources if needed.
Evaluate the effectiveness of the nursing interventions in terms of the client's response.
CLOSING PHASE OF THE HOME VISIT
Terminate the visit with a brief review of the important points made.
Stress the positive aspects, emphasizing family strengths.
Repeat the plans the client and family will carry out in the nurse's absence.
The nurse and the family schedule the next visit together. This includes establishing a date and time
convenient for the family and the nurse.
DOCUMENTATION PHASE OF THE VISIT:
Over the past decade, a body of qualitative research has been developed which describes the home
visiting practice of public health nurses (PHNs) to maternal-child clients.This article reports a
synthesis of these studies.The purpose of the synthesis was to identify common elements and
differences between the research reports that would lead to theory development or support of
existing theories. Methods were based on Miles and Huberman's (1994) text on qualitative data
analysis. Results of the synthesis indicated that building and preserving relationships with the client is
the central focus of home visiting and provides a foundation for problem identification and problem
solving. Clients control access to their homes as well as the information they are willing to share with
the nurse.The goals of home visiting relate to empowering mothers, supporting their independence
and decision making. Similarities to Peplau's theory of Interpersonal Relations and Cox's Interaction
Model of Client Health Behavior (IMCHB) are noted.
CONCLUSIONS & RESULTS
Conclusions Results
Home visitation by paraprofessionals is an Studies that scored 13 or greater out of a total
intervention that holds promise for disease high- of 15 on the validity tool (n = 21) are the focus of
risk families . Initiating the intervention and this review. All studies are randomized
increasing the number of visits improves controlled trials and most were conducted in the
development and health outcomes for particular United States. Significant improvements to the
groups of patients. Future studies should development and health as a result of a home-
consider what dose of the intervention is most visiting program are noted for particular groups
beneficial and address retention issues. However, overall home-visiting programs are
limited in improving the lives of socially high-risk
children who live in disadvantaged families.
REFERENCE
Abidin, R. R. (1995). PSI-SF: Parenting Stress Index, 3rd edition short form.
Retrieved from https://www.parinc.com/Products/Pkey/332.
Bavolek, S. J., & Keene, R. G. (2001). Adult-Adolescent Parenting Inventory
AAPI-2: Administration and development handbook. Retrieved
from http://www.nurturingparenting.com/ValidationStudiesAAPI.html.
Knight JR, Goodman E, Pulerwitz T, DuRant RH. Reliabilities of short substance
abuse screening tests among adolescent medical
patients. Pediatrics. 2000;105:948–953. [PubMed] [Google Scholar]
Brand T, Jungmann T. Implementation differences of two staffing models in the
german home visiting program “pro kind”. J Community Psychol.
2012;40(8):891–905. [ Links ]