Nurse case management for pregnant women experiencing or at risk for abuse. Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG. [J Obstet Gynecol Neonatal Nurs] Journal article

Title	Nurse case management for pregnant women experiencing or at risk for abuse.
Author(s)	Curry MA, Durham L, Bullock L, Bloom T, Davis J
Institution	School of Nursing at Oregon Health & Science University, Portland, OR 97239-2941, USA.
Source	J Obstet Gynecol Neonatal Nurs 2006 Mar-Apr; 35(2):181-92.
MeSH	Adolescent Adult Battered Women Case Management Female Humans Maternal-Child Nursing Middle Aged Midwestern United States Needs Assessment Northwestern United States Nurse's Role Nursing Assessment Nursing Evaluation Research Patient Education Pregnancy Pregnancy Complications Pregnancy Outcome Pregnant Women Prenatal Care Risk Assessment Spouse Abuse Stress, Psychological
Abstract	OBJECTIVE: To determine whether individualized nursing case management can decrease stress among pregnant women at risk for or in abusive relationships. DESIGN: A multisite randomized controlled trial. SETTING: Two prenatal clinics in the Pacific Northwest and rural Midwest. PARTICIPANTS: 1,000 women who spoke English and were 13 to 23 weeks pregnant at time of recruitment. INTERVENTION: All intervention group women (N = 499) were offered an abuse video and had access to a nurse case manager 24/7. Additionally, participants at risk for or in abusive relationships received individualized nursing care management throughout the pregnancy. RESULTS: The most frequent nursing care management activities were providing support (38%) and assessing needs (32%). The nursing care management group received an average of 22 contacts, most (80%) by telephone and had a significant reduction in stress scores as measured by the Prenatal Psychosocial Profile. Compared to the control group, the differences were in the predicted direction, but not statistically different. A major finding was the choice by abused women to focus on basic needs and their pregnancies rather than the abuse, although all received safety planning. CONCLUSIONS: Pregnant women at risk for or in abusive relationships experience very stressful and complex lives. Nurses need to focus on the needs they identify, which may not be the abusive relationship.
Language	eng
Pub Type(s)	Journal Article Multicenter Study Randomized Controlled Trial
PubMed ID	16620243

Advertise on this site.