The Impact of a Public Health Nursing Program Entitled, "The Streets are not the Solution," on Preventing Children from Working on the Streets

Wednesday, 24 July 2013

Kader Mert, PhD
Community Health Nursing Department, Marmara University, Istanbul, Turkey
Hasibe Kadioglu, PhD
Community Health Nursing, Marmara University, Istanbul, Turkey

Learning Objective 1: The learner will be able to inform a program about preventing children from working on the streets.

Learning Objective 2: The learner will be recognize public health nurses's roles and responsibilities about children working on the streets.

Purpose: The purpose of this study was to assess the impact of a program entitled, "The Streets are not the Solution," which was developed by the researchers, on preventing children from working on the streets.

Methods: This semi-experimental study was conducted over the period April 2011 - July 2012. Thirty-six children working on the streets and their mothers were recruited into the study in Izmit, Turkey. The purpose of this program was to help mothers prevent their children from working on the streets by developing their parental roles, increasing social support and also giving them the opportunity to develop problem-solving skills. As part of the program, the subjects took part in nine educational sessions, received individual consulting services and the mothers attended a jewelry-making course. The impact of the program was evaluated three times, once before the activity, then at the end of the activity, and later, three months after the program was over.   The Family Evaluation Form, the Parental Acceptance-Rejection/Control Questionnaire (PARQ-C), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Problem Solving Inventory (PSI) were used as data collection tools. Means and percentages, the Mann-Whitney U test, the paired sample t test were used in the analysis of the data. Ethical approval was obtained from the Ethics Board of Marmara University Health Sciences Institute. Informed consent was obtained from the participants.

Results: Statistical differences were found between the mean scores on the PARQ-C (p<0.01), the PSI (p<0.01), and the MSPSS (p<0.01) before the program and at its end. At the end of the program, 15 out of the 36 children (41.6%) had stopped working in the streets.

Conclusion: This program was effective in helping mothers to develop their parental roles, increasing the mothers' network of social support, developing their problem-solving skills, and preventing their children from working on the streets.