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APN telephone follow up to low-income first time mothers.
- Source :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.); Jan2013, Vol. 22 Issue 1-2, p262-270, 9p, 1 Chart
- Publication Year :
- 2013
-
Abstract
- Aims and objectives. To examine the effects of a low cost advanced practice nurse telephone intervention for 2 months postbirth in low-income first time mothers with healthy full term infants. Background. Currently women with non-complicated, healthy full term newborn deliveries receive little to no routine postpartum support. This is problematic if mothers are first time mothers, poor, have problems accessing health care, have language barriers and sparse social support. Design. A two group randomised clinical trial. This study was conducted in an inner city South Florida county hospital. Methods. A control group ( n = 69) received routine hospital discharge care. An intervention group ( n = 70) received routine hospital discharge care plus APN follow up telephone calls for week 8 postdischarge. Comparison of outcomes included maternal health (stress, social support, physical health), infant health (routine medical visits, immunisations, weight gain), morbidity (urgent care visits, emergency room visits, re-hospitalisations), and health care charges (urgent care visits, emergency room visits, re-hospitalisations). Data were analysed using descriptive statistics and two-sample t-tests. Results. Intervention group mothers had significantly lower perceived stress, significantly greater perceived maternal health and social support; infants had healthier weight gain, fewer emergency room visits; significantly lower total health care charges ($14,333 vs. $70,834) compared to controls. Conclusion. Study results indicate that APN follow up telephone calls to low-income first time mothers with healthy full term infants is an effective, safe, low cost, easy to apply intervention that improved mothers' and infants' health outcomes and reduced healthcare charges. Relevance to clinical practice. APNs are uniquely positioned to conduct follow up interventions aimed at providing continuity of care including APN telephone follow up. This is imperative for vulnerable populations especially during times of major budget cuts that affect health care services. [ABSTRACT FROM AUTHOR]
- Subjects :
- EMERGENCY medical services
CHI-squared test
CHILD health services
CONTINUUM of care
DISEASES
HEALTH services accessibility
PATIENT aftercare
HOSPITAL charges
IMMUNIZATION
MEDICAL appointments
EVALUATION of medical care
MOTHERS
NURSE practitioners
SENSORY perception
PUERPERIUM
SCALES (Weighing instruments)
STATISTICS
PSYCHOLOGICAL stress
T-test (Statistics)
TELEPHONES
WEIGHT gain
STATISTICAL power analysis
DATA analysis
SOCIAL support
SOCIOECONOMIC factors
RANDOMIZED controlled trials
DISCHARGE planning
CONTROL groups
PATIENT readmissions
DESCRIPTIVE statistics
ECONOMICS
Subjects
Details
- Language :
- English
- ISSN :
- 09621067
- Volume :
- 22
- Issue :
- 1-2
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 84087197
- Full Text :
- https://doi.org/10.1111/j.1365-2702.2011.04065.x