Young families\u27 utilisation, self-perceived requirements, and satisfaction with child health services in the City of Belmont, Western Australia

The expectations of young families regarding care they would like to receive from community nurses working in the child health area is affected by the relationship between those expectations, utilisation and sociocultural factors such as family type, family composition and ethnicity. These factors influence family dynamics, needs, functioning and interactions with the wider community. A descriptive study with both quantitative and qualitative components was used to identify and analyse the self-identified requirements of young families utilising Child Health Services in the Belmont area, Western Australia, and their patterns of utilisation. Twenty five women who had a child or children under 5 years of age were interviewed. The study was guided by a conceptual framework provided by the Ottawa Charter (World Health Organisation-Health and Welfare Canada-Canadian Public Health Organisation, 1996). The three main themes that emerged from the data showed that the young families identified knowledge acquisition, reassurance of normal growth and development and accessibility as their key self-perceived requirements of Child Health Services. Family type, family composition and ethnicity were examined within the contexts of these themes, resulting in a greater understanding of the child health issues relating to all types of family groups. The challenge for the providers of Child Health Services is to provide culturally appropriate Child Health Services based on the principles of primary health care within an environment experiencing fiscal restraint The long term benefits to the families and the health care system are not easily evaluated but have important and wide ranging positive effects on the health and wellbeing of the community

Costs of meals and parking for parents of hospitalised children in an Australian paediatric hospital

Costs to parents of hospitalised children have been extensively explored, from financial costs to psychological, social and emotional costs. No matter what perspective is taken an admission to hospital of a child means added cost to any family’s budget. For those whose income is dependent on a low wage, or welfare, costs of such an event take up a larger proportion of an income than for families from well-to-do backgrounds. In this paper, we explore the potential impact on a family budget of costs of parking and meals incurred during a child’s admission to hospital.To determine costs, a survey was conducted at food outlets to examine types and availability of meals, opening times, proximity to wards and the cost of average types of meals on offer at different facilities. Costs of parking were determined. We took income figures for a family from the website of the Australian Bureau of Statistics (ABS). An estimate of the costs of food and parking to support one parent to remain with the child was at least 30% of the average weekly family disposable income. For one-parent families, their income is significantly proportionally depleted by covering costs of food and parking for an accompanying parent. We recommend that parents be provided with meals whilst staying with their hospitalised child; that provision be made to allow families to eat together and that free parking be made available to all parents

Community-based child health nurses: An exploration of current practice

The purpose of this research was to define, the practice domain of community-based child health nursing in light of widespread political, economic and social changes in Western Australia. The project was conducted by a group of nurse researchers with experience in child health nursing from the School of Nursing and Midwifery at Curtin University and the Child and Adolescent Community Health Division at the Department of Health, Western Australia. The overall aim of the project was to map the scope of nursing practice in the community child health setting in Western Australia and to identify the decision making framework that underpins this nursing specialty. Given the widespread social, economic and health service management changes, it was important for nurses involved with, or contemplating a career in, community-based child health to have the role accurately defined. In addition, consumer expectations of the service needed to be explored within the current climate.A descriptive qualitative study was used for this project. A purposive sample of 60 participants was drawn from the pool of child health nurses in the South Metropolitan Community Health Service, North Metropolitan Health Service and Western Australian Country Health Service. Following ethical approval data was collected via participants keeping a 2-week work diary. The data was coded and thematic analysis was applied. Several themes emerged from the analysis which were validated by follow up focus group interviews with participants. This clearly demonstrated common, recurring issues. The results identified that the community-based child health nurses are currently undertaking a more complex and expanded child health service role for an increasingly diverse client population, over their traditional practices which are still maintained. Excessive workloads and lack of human and non human resources also presented challenges. There are increasing requirements for child health nurses to engage in community development and capacity building, often through a multidisciplinary partnership, which requires them to have sound brokerage and facilitation skills to enable community inclusion and inter-agency collaboration at the local level.The study has highlighted the importance and multifaceted nature of the role of the community-based child health nurse. To enable them to function optimally, the following suggestions/recommendations are offered. These being: More physical resources be allocated to community-based child health nursing, More resources allocated to assist community-based child health nurses to support culturally and linguistically diverse families, Mapping of child health nurses' workloads, The development of community health client dependency rating criteria reflecting the social determinants of health in order for health service refinement of staffing allocations based on an acuity scale, Specific staff development opportunities to reflect the increased workload complexity, Managerial support for the implementation of formal clinical (reflective) supervision, Additional clerical assistance with non-nursing duties

The WA Goldfields Aboriginal Community Antenatal Program: A community midwifery initiative

Aim: To investigate the acceptability and satisfaction with the Aboriginal Community Antenatal Program by staff in the program and partner agencies. Design: A Strengths, Weaknesses, Opportunities and Threats framework guided the research and data collection methods. Mixed methodology was used, accessing qualitative and quantitative information from data bases, program and supporting agency staff. Quantitative data were analysed through a social sciences statistical package. Qualitative data were identified through questionnaires and analysed using thematic analysis. Setting: Remote Aboriginal communities in the Goldfields region of Western Australia. Participant sources: Twenty two participants including program and supporting agency staff. Main outcome measures: This study measures acceptability and satisfaction of program antenatal and pre-conception activities by program staff and partner agencies. Results: Qualitative results indicate acceptability and satisfaction with the program, identifying a range of organisational, staffing, cultural and interagency issues relating to a model of service provision. Quantitative data suggested positive program outputs from service delivery. Conclusion: Findings suggest the Aboriginal Community Antenatal Program and partner agencies are increasing provision of community based pre-conception and antenatal health services and enhancing collaboration between a range of health provider agencies, with partnerships between Aboriginal and non-Aboriginal program staff contributing to an emerging model of community antenatal care

Rainbows: A primary health care initiative for primary schools

Within the current Australian health system is the understanding of a need to change from the predominate biomedical model to incorporate a comprehensive primary health care centred approach, embracing the social contexts of health and wellbeing. Recent research investigated the benefits of the primary health care philosophy and strategies in relation to the Rainbows programme which addresses grief and loss in primary school aged students in Western Australia. A multidisciplinary collaboration between the Western Australian Departments of Health and Education enabled community school health nurse coordinators to train teacher facilitators in the implementation of Rainbows, enabling support for students and their parents. The results of this qualitative study indicate that all participants regard Rainbows as effective, with many perceived benefits to students and their families

Enhancing access to parenting services using digital technology supported practices

Background: Early parenting services (EPS) in Australia provide a range of expanding and rapidly changing services, including innovative digital technologies to improve service access for metropolitan and rural families. Aim: This research aims to provide comprehensive information required for the planning, implementation and evaluation of the use of digital technologies for service delivery with parenting/child and family services in Australia and New Zealand in metropolitan and rural settings. Methods: An interpretive descriptive approach was applied using semi-structured interviews from 23 EPS practitioners and managers in five sites. Findings: These are presented as five main themes – preparing the way, practitioner qualities, benefits of using technology, presenting challenges, and management and professional development requirements. The findings have provided recommendations for the ongoing work in this area, the recruitment of new employees, and ongoing professional development and planning of services using digital supported technologies. Conclusion: This study has explored the experiences of both practitioners and managers, with a positive response despite navigating the initial and ongoing challenges that can occur with technology and internet capabilities. The use of digital technologies has significant benefits for rural and remote families due to many not having easy access to parenting services locally

The emerging role of the urban-based Aboriginal peer support worker: A Western Australian study

Purpose: To explore the self-perceived role of the Aboriginal peer support worker working with families with young children. This study was a component of a larger participatory action research study undertaken in a Western Australian metropolitan setting to develop and evaluate the suitability, feasibility and effectiveness of an Aboriginal peer-led home visiting program. Methods: Focus group interviews were carried out with peer support workers using unstructured and semi-structured interviews within Action Learning Sets. Data were analysed using thematic analysis. Results: The overarching theme on the self-perceived role of the Aboriginal peer support worker was Giving Parent Support, with subsidiary themes relating to development and ongoing sustainability of the support. Discussion: The peer support workers viewed their role as providing parent support through enabling strategies which developed client acceptance and trust, delivered culturally relevant support, advocated for families, developed therapeutic engagement and communication strategies, and created safe home visiting practices. They recognised the importance of linking families with community support such as community child health nurses which was important for improving long term physical and psychosocial health outcomes for children. Conclusion: Aboriginal Peer Support Workers identified their emerging integral role in the development of this unique culturally acceptable home visitingsupport for Aboriginal parents. Innovative approaches towards client engagement demonstrated their value in developing creative ways of working in partnership with families, community support services and child health nurses across a range of challenging psychosocial environments

Family-centered care for hospitalized children aged 0-12 years: a systematic review of qualitative studies

The foundation for a family-centered approach to pediatric health care is the belief that a child'semotional and developmental needs, and overall family wellbeing are best achieved when the service system supports the ability of the family to meet the needs of their child by involving families in their child’s care. There are a range of potential benefits and difficulties associated with the provision of family centred care, e.g. role negotiation, parental expectations in regard to participation in their child’s care, and issues relating to power and control. Currently, however, there is limited systematic information on how the principles of family-centered care are implemented in the delivery of care to the hospitalized child and their family, and the impact on the family and the health care providers

Yanan Ngurra-ngu Walalja Halls Creek Community Family Programme

Home-based parent support is an important strategy for assisting parents to develop their parenting confidence and capacity, across a range of physical and psychosocial environments. Social, biological, environmental and family influences during the early years have lifelong impacts on children. The introduction of an Indigenous, peer-led parent support programme in a remote, socially disadvantaged town in Western Australia has allowed the local community to develop culturally appropriate strategies to support their own families. Their anecdotal evidence has demonstrated effective engagement with progrmme visitors with the families, using a partnership approach to promote behaviour and attitudinal changes to parenting