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首页> 外文期刊>Journal of clinical nursing >Supporting the case for 'progressive universalism' in health visiting: Scottish mothers and health visitors' perspectives on targeting and rationing health visiting services, with a focus on the Lothian Child Concern Model
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Supporting the case for 'progressive universalism' in health visiting: Scottish mothers and health visitors' perspectives on targeting and rationing health visiting services, with a focus on the Lothian Child Concern Model

机译：支持卫生保健探视中的“进步普遍主义”：苏格兰母亲和卫生保健探视者针对和定额保健探视服务的观点，重点关注“洛锡安儿童关注模型”

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Aims and objectives. To explore parents and professionals' experience of family assessment in health visiting (public health nursing), with a focus on the Lothian Child Concern Model. Background. Health visitors currently assess families as requiring core, additional or intensive support, and offer support at a corresponding level. The majority of families are assessed as core and receive no pro-active support beyond the early days. Previous assessment tools, consisting of checklists, have been criticised as being ineffective in identifying a range of health needs and unacceptable to parents and health visitors. The Lothian Child Concern Model was developed and introduced in the study area to promote a partnership approach with parents and assess strengths as well as difficulties in parents' capacity to care for their child. Methods. Qualitative methods were used. Ten mothers and 12 health visitors took part in individual semi-structured interviews. Results. Most mothers were aware of the assessment process but some felt that they were not involved in the decision-making process. Explaining the assessment process to parents is problematic and not all health visitors do so. The assessment process was stressful for some mothers. Health visitors find the model useful for structuring and documenting the assessment process. Many believe that most families benefit from some support, using public health approaches. Health visitors said that families are often assessed as core because there are insufficient resources to support all those who meet the criteria of the additional category and that managers assess caseloads in terms of families with child protection concerns. Conclusions. The study findings significant the concept of 'progressive universalism' that provides a continuum that intensity of support to families, depending on need. Mothers would like better partnership working with health visitors. Relevance to clinical practice. The study endorses proposed policy changes to re-establish the public health role of health visitors and to lower the threshold for families to qualify for support.
机译：目的和目标。探索父母和专业人士在健康访问（公共健康护理）中进行家庭评估的经验，重点是洛西恩儿童关注模型。背景。当前，健康访问者将家庭评估为需要核心，额外或强化支持，并提供相应级别的支持。大多数家庭被评估为核心家庭，在早期以外没有得到任何积极的支持。以前的包括清单的评估工具被批评为无法确定一系列健康需求，并且父母和健康来访者无法接受。开发了Lothian儿童关注模型，并将其引入研究领域，以促进与父母的伙伴关系方法，并评估父母照顾孩子的能力方面的优势和困难。方法。使用定性方法。十位母亲和十二位健康访问者参加了个别的半结构化访谈。结果。大多数母亲都知道评估过程，但有些母亲认为他们没有参与决策过程。向父母解释评估过程是有问题的，并非所有健康访问者都这样做。评估过程对一些母亲来说压力很大。卫生访问者发现该模型可用于构建和记录评估过程。许多人认为，大多数家庭可以使用公共卫生方法从一些支持中受益。保健访问者说，家庭经常被评估为核心，因为没有足够的资源来支持所有符合附加类别标准的人，并且管理人员根据关注儿童保护的家庭来评估病例量。结论。研究发现重要的“进步普遍主义”概念根据需要为家庭提供了连续的支持强度。母亲们希望与健康访问者建立更好的伙伴关系。与临床实践有关。该研究支持拟议的政策变更，以重新确立健康访客的公共卫生角色，并降低家庭获得支持的门槛。

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