Public health nurse (PHN) home visiting is a context for delivering socially complex interventions to effectively address diverse health problems of women at risk for adverse parenting outcomes. However, the content of PHN home visiting interventions is not known. Intervention content must be explicated and tested so effective evidence-based interventions can be disseminated to practice settings. Barnard's (1988) Clinical Nursing Model (CNM) provides a framework for studying PHN interventions. Barnard’s CNM study demonstrated differential improvement in mothers based on intervention content, maternal competence, and parity. Use of the Omaha System (Martin & Scheet, 1992) as a standardized language for automated nursing documentation provides a mechanism for collecting and analyzing intervention content to test CNM in a naturalistic setting. Purposes of this study are to describe intervention content employed with women at risk for adverse outcomes; and to assess whether the type of intervention service (therapeutic versus informing) differentially affects mothers’ knowledge, behavior, and status outcomes by maternal competence and parity. The target population includes at-risk pregnant, postpartum, and parenting women who received PHN home visiting services in one Minnesota county from 2000-2005. This descriptive and comparative study will utilize descriptive and inferential statistics. Linear and logistic regression analyses will be employed (for continuous and discrete dependent variables, respectively) to assess maternal outcomes by competence and parity. Practice implications include validation of outcomes using practice data, and translation of evidence from research to practice. Research implications include assessing the utility and validity of informatics-generated standardized language data from practice settings for research.

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See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)