Wednesday, July 17, 2019

Decreasing Child Abuse with Nurse Partnership Essay

tyke plague in America is non a refreshful epidemic our countrys history has been tainted with it since its inception. nestlingren ar horrord at all durations, indiscriminate of gender, race, or culture. While the debauch of any nipper is appalling, the convolute of an infant is e circumscribedly heinous. Dr. thr ane Leventhal, a professor of pediatrics at Yale School of Medicine subd a recent study which highlighted the fact that wicked cry- think hospitalizations be to a greater extent than than common in infants beneath the period of unrivaled stratum old and tend to disproportionately instill families on Medicaid, (Mann, 2012).These incidents occur because p bents atomic number 18 ill- prompt for put forwardhood and insufficiency the resources necessary to fittingly make the direction of a new infant. A comfort confederation curriculum (NPP) is the act to our e produces call to importantly descend the hail of pincer curse cases for infants under the term of 1 year. If appropriately executed and man daysd, this architectural plan could excessively amelio prescribe the quality of life for participating families as wellspring as potentially belittle the consequence of families who receive aid from exoteric welf atomic number 18 and avail computer weapons platformmes.Needs judgment Child poke fun Statistics accord the unite acress subdivision of Health & humane shape (USDHSS) (2011), Nevada is tied with Tennessee as the state with the one-third highest aim of fry demoralise per capita for minorren under the age of one year 16. 9% of Nevadas infants were abhorrenced in 2010, 47. 7% of those cases resulted in fatalities, and 81. 3% of the perpetrators were parents of the victim.The USDHSS (2011) as well as reports that the federal administrations Fourth matter Incident Study of Child Abuse run aground that deprave is three condemnations more than common in ugly families and neglect is s even times more common in poor families as well (poor as defined by national p all overty line). Poverty Statistics The U. S. nose count Bureau reports that 16. 4% of Nevada residents live in poverty, which redacts Nevada as 38th in the nation (2010). In terms of pure numbers, 306K mountain receive Medicaid in the state of Nevada (Haynes, Vogel, and Tetreault, 2012).Nevada has a large invest population for this chopineme and as the third worst state in the union for minor maltreatment of infants, Nevada has demonstpaced a dire pauperism for action. Specific Target Population The aim population for the Nurse partnership Program would be expectant mothers who are Medicaid recipients. The Nevada realm Department of Human and Health service and the prohibit Child Abuse Nevada institution would serve as musical accompaniment agencies since both(prenominal) organizations already work to prevent and run into s wearr abuse in Nevada.The NPP would also benefit from the par ticipation of dedicated affable thespians. Community Level breastfeed diagnosing nursing Diagnosis One The target population is at gamble for impair parenting related to situational characteristics that precipitate tike abuse. antecedently mentioned statistics prove that a disproportional amount of child abuse cases for children under one year of age occur in families who receive Medicaid. Child abuse, neglect, and maltreatment are classified as impaired parenting.According to the USDHHS (2012), inquiry has uncovered a number of venture factors or situational characteristics that occasion a higher probability of child abuse within families. These situational characteristics of parents or caretakers admit previous trauma history, altered mental wellness, and an windburned or negative response to stress. inquiry also indicates a link amidst substance abuse and child maltreatment. in that respect is also an gaind risk when children are raised by a unity parent, when one parent is already to victim of domestic violence, and when parents are accessiblely isolated.Nursing Diagnosis Two Many new-fangled or teenage parents receive cosmos aid and Medicaid, which places them in the target population. These novel and teenage parents are at risk for ineffective coping related to lack of sociable and emotional hold back, lower frugalalal status, high stress levels, and inadequate fostering. Brownridge and Douglas found that lack of or inadequate involution, education, brotherly and emotional support, and self-esteem are associated with child abuse among children of adolescent mothers (2008, pp. 9-42). Without a commensurate support system or education to prepare preteen parents for the monumental job of caring for infants, they are rendered inadequately prepared to cope with the stresses of early parenthood. Cancain, Slack, and Yang (2012) state that researchers and policy makers shake a bun in the oven tenacious recognized that childr en reenforcement in families with limited economic resources are at a higher risk for maltreatment than children from higher socioeconomic strata. Nursing Diagnosis ThreeThe children of the target population are risk for trauma related to their dependent role in the parent child relationship. Infants are especially open to maltreatment due to their early victimizational status and indispensability for constant care. As Dr. Leventhal (2012) verbalise, when abuse occurs in children under the age of one year abused, they are more likely to incur serious injuries that hold hospitalization than abused children over the age of one year. regard Goals, Objectives, and InterventionsA Nurse Partnership Program would match a registered nurse with an expectant mother, who would in piece forget education and mentorship passim the motherliness and prototypal year of the childs life. The nurse would perform home visits and garter the mother prepare the home as well as herself for the s afe arrival of the infant. The nurse would advocate for a well-grounded pregnancy and assist the mother in finding the resources she would need to facilitate that rosy pregnancy.While military rating of the intentions would entangle examine the rate of child abuse cases among those enrolled in the NPP with those in the ontrol group, the boilersuit evaluation of the chopine would embroil the rate of families who set and gibe educational and professional tendencys as well as achieve and corroborate economic in dependance of authorities aid rowing of instructions. run across Goal One The starting signal intention of this program is to improve pregnancy outcomes of the targeted population. This would clams with matching an expectant mother with a registered nurse early in the pregnancy. This sign relationship builds the foundation for a prospered therapeutic relationship and the boilersuit succeeder of this program.The nurse would educate the adult female on preven tative practices during pregnancy to include prenatal care, appropriate diets, and any behavior modifications that whitethorn need to occur much(prenominal) as the use of cigarettes, alcohol, or drugs. The victory of discourses and design of decenting this aim would be evaluated by comparing the rate of sound saves by mothers enrolled in the program with the rate of anicteric births by mothers in a incorporate group not participating in the NPP. jutting Goal TwoThe wink address of this program would be to create a safe home milieu for children to reduce the likelihood of accidental injuries. This offset would also create confidence in young parents as they take support and responsibility for the safety of their child. Duva & Metzger (2010) found that a lack of confidence and self-esteem increase the risk of children suffering from abuse. Ongoing evaluation of this destination would occur during the home visits and overall evaluation of this goal would include the s imilarity of accidental injuries to children whose family is enrolled in the NPP to the chasteness group.Project Goal Three Project goal three would include t apieceing the young parents how to build an appropriate support system. infantile parents need to be able to pass on to others what their needs are. Something as simple as asking someone to watch their child so they can have a break could benefit the parents and child, providing a stress steering tool which can decrease the likelihood of child abuse. Support systems include families, friends, and lodge ne bothrks ( such as other parents, churches, etc. ). military rank consists of comparing the rate of child abuse cases among those enrolled in the NPP with those in the control group. Child abuse cases among the participants would be screened to construe if they were successful at building that special support system. Nurses can evaluate the get on with of this goal during their home visits by dint ofout the commencem ent ceremony year of the childs life. Project Goal Four Project goal four includes improving child health and directment. Nurses would work bargain in hand with a commissioned affable thespian to jock parents translate responsible and commensurate care.This goal revolves around the main intervention of education. Their education would include stress management techniques, effective parenting skills, early childhood partment, and the development of realistic expectations for themselves as parents and their children. This goal would include home visits by both the mixer proletarian and nurse throughout the first year of the infants life. Participants in this program are both students and parents. This crotchety compilation creates a situation specimen for the involvement of brotherly histrions.According to the Illinois connexion of School Social Workers (2012), societal workers help nation understand themselves and others, cope with stress, develop decision making sk ills, help parents to hit and understand the needs of their childrens social and emotional needs, how to identify and utilize resources effectively, provide counseling services, and advocate for patients. They are a valued partner in the proposed program as the collaboration between the social worker, nurse, and parents are fundamental to the success of the NPP.Evaluation of this goal outcome includes comparing the rate of child abuse cases among those enrolled in the NPP with those in the control group. Project Goal volt Project goal five is the rachis for the overall success of the program. The final goal is to improve the economic self-sufficiency of parents. This would include the nurse and the social worker collaborating with the participants to develop goals for their own proxs by completing their education, growing employable skills, finding employment, and planning future pregnancies.The success of this goal would be unconquerable by the umber of cases who achieve econ omic independence, no longer utilize government aid programs, and have no chance(prenominal) pregnancies within 2 years of the childs birth. That number would then be compared to the control group. Estimated Cost Discussing the monetary value of the program would by an in erectice without discussing the possible nest egg the program could also produce. Child abuse and neglect be the U. S. $124 billion from just one year of confirmed cases of child maltreatment and the spirit cost for each victim of child maltreatment who lived was $210,012 (Fang, X. , Brown, D. , Florence, C. , & Mercy, J. 2012).The Nurse-Family Partnership organization reports that a recent cost-benefit update by Washington relegate imbed for Public Policy (2012) mulish that long term benefits could equal as a good deal as $23,000 per participant of a NPP. As families gain economic independence of government aid programs, the government saves money. This program would also decrease the amount of Medicaid d ollars spent as children are expected to be innate(p) within a well birth weight and generally healthy overall when compared to the control group. In comparison, the cost of the program would be significantly less per family.The supporting agencies are already in place in the targeted biotic community. The Nevada State Department of Human and Health Services and the Prevent Child Abuse Nevada organization both work to prevent and control child abuse in Nevada the infrastructure is already established. The cost would be allocated to initiate a new program within the Prevent Child Abuse Nevada organization with the inadvertence of the Nevada State Department of Human and Health Services. The Nurse-Family Partnership organization has estimated the cost of such a program to be approximately $5,000 per family per year.Ideally, in baffle to establish and maintain tenacity and oversight throughout the program, it would be managed by a single entity such as the Prevent Child Abuse Neva da organization. This is dissimilar than other programs which are managed individually by hospitals and smaller organizations. Some may disablement at utilizing government funds, moreover championship this program is more economical than salaried the price of child abuse. Fang et al. (2012) decided the lifetime cost for each victim of child maltreatment who lived was $210,012, which includes medical and legal costs, as well as other costs associated with child abuse (social services, etc. . It is definitely cheaper to teach them than it is to treat them. Collaboration With a Licensed Social Worker This program proposal was discussed with a licensed social worker, Mandy S. , in the state of Nevada. This licensed social worker stated individual programs come through through hospitals and smaller organizations, but concur that a larger program with a single point of managerial oversight in the county would be the most honorable.I proposed the ideal situation would include Sta te Legislature mandating Medicaid recipients to participate in such a program in order to receive benefits of Medicaid and other public assistance programs such as welfare, food stamps, and Women, Infants, and Children (WIC). WIC provides national grants to states for supplemental foods, health care referrals, and livelihood education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk (Food & food Service, 2012).Mandy S. stated that this legislative push would be a goal to pursue by and by the success rate of the NPP could be established. murder The program would be administered and managed by the Prevent Child Abuse Nevada organization. The Nevada State Department of Human and Health Services would maintain oversight and monitor outcomes of the program. It also requires the cooperation of hospitals and atomic number 101 offices as they will be the sign referral sou rce for patients to the program.Ideally, if successful, patients would refer their friends and family to the program as well. There are only two qualification standards for participation in the program. First, the woman mustiness be less than 24 weeks pregnant to batten down adequate time for prenatal care to maximize the success rate of project goal one. Second, the family must be at or on a lower floor the government established poverty line. A registered nurse and licensed social worker would be assigned to the woman to complete the project goals and planning with the patient in her home.The same registered nurse and licensed social worker would complete home visits of all time one or two weeks throughout the pregnancy and first year of the infants life. The frequency of visits would be determined during the initial assessment and re-evaluated as need to ensure participants are receiving the interventions they need to ensure success in the program. Each goal is monitored by t he nurse and social worker throughout the familys participation in the program and changes or new interventions are developed as required. The participation would refer during the pregnancy thru the childs first birthday.During that year participants are armed with the intimacy and resources to ensure safe and healthy environments for their children, healthy support networks, reduce or divert negative behaviors, provide responsible and workmanlike care to their children, and to be economically self-sufficing of government aid programs. If patients are determined to not be safely carry out from the program, they may be determined pensionable for additional assistance. Evaluation of Project general evaluation of the program is difficult to watch as this program would take over a year to achieve results.However, nurse partnership programs have begun to gain popularity throughout our country and have achieved wonderful results. So much so, that the Centers for Disease Control h ave named these programs as effective with a coarse potential to reduce economic send of child maltreatment. Further collaboration with the licensed social worker, Mandy S. , determined a flunk in this program. While the original goal was to decrease the number of child abuse cases in children under the age of one year, it was determined by the social worker that many of her clients had children under the age of two and required much assistance from her.My initial plan to provide services image the first year of the childs life was inadequate. Together, we determined participation through the second year of the childs life would be most beneficial to participants. Mandy S. was a abundant resource as she stated that the majority of child abuse cases she personally supervises are due to a lack of support, resources, and most importantly, education. This program provides those things to participants, hence decreasing the risk of child abuse and trauma, increasing validating pare nting skills, and developing positive coping skills.Interviews with young mothers proved positive. When asked if they would be interested in participating in a NPP program or would have liked to have a program available when they were expecting, 22 of the 25 polled stated yes, they would have been excited to participate. Those 22 mothers nem con stated they felt they would benefit from such a program. Although the original program did not include support groups of participants, the polled mothers stated they would venerate the social benefits of participating in support group comprised of participants.This would be a great resource for those participants who do not have a family or other social circle to rely on for support. The community overall benefits from a program that decreases the rate of child abuse. It breaks a cps that research has prove exists. Many times people who have been abused continue the cycle of abuse Clark County has the opportunity to stop that cycle. Chi ldren who are subject to abuse are at a higher risk of developing mental health issues, substance abuse problems, and overall negative health behaviors (Herrenkohl, R. Harrenkohl, T. , Moylan, C. , & Sousa, C. , Tajima, E. 2008).The community not only saves money with this program, but it builds a strong community where healthy families thrive and prosper. Summary Parenting can be a challenging and lonely experience. The course of this project has taught me that preparation is the key to success. The more we can prepare young mothers for the challenges of parenthood, the more we are likely to decrease the rate of child abuse among children under the age of one year.Young parents are frequently faced with the stress of financial dependence on others and government programs the NPP provides resources to set and meet goals to complete education and achieve employment to maximize financial independence. This is not a lifelong program. The intention of the program is to provide parents the mental tool box and resources they need in order to provide a healthy life and economical freelancer life for their children. The concept is relatively new, and I am excited to see the proven long term effects in the years to come.

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