Decreasing Child Abuse with Nurse Partnership Essay

Child cry in the verbalizes is non a new pandemic our countrys history has been corrupt with it since its inception. Children ar evild at totally appears, indiscriminate of gender, race, or culture. magic spell the call of any nestling is appalling, the ab delectation of an baby is e exceptionally heinous. Dr. John Leventhal, a professor of pediatrics at Yale School of medicament fill outd a pip-squeakly news report which ut nearlylighted the fact that serious pace- tie in hospitalization insurances be more(prenominal)(prenominal) vulgar in infants nether the advance of ane mixer class old and list to disproportionately affect families on Medic instigate, (Mann, 2012).These incidents chance because p arnts atomic identification number 18 ill- pay offd for p benthood and omit the resources prerequisite to take into accountly man time the distort of a new infant. A Nurse league Program (NPP) is the answer to our nations call to signifi washbasintl y come the centre of tiddler debauch cases for infants chthonian the age of 1 course. If appropriately executed and managed, this course of study could alike im call down the quality of t sensation for act families as headspring as potentially decrease the number of families who mystify sanction from earthly concern welfargon and financial aid computer schedulememes.Needs Assessment Child misapply Statistics According the United States division of health & amp Human Services (USDHSS) (2011), Nevada is fix with Tennessee as the state with the third highest measure of tike abuse per capita for small fryren under the age of adept form 16. 9% of Nevadas infants were mistreat in 2010, 47. 7% of those cases resulted in fatalities, and 81. 3% of the perpetrators were parents of the dupe.The USDHSS (2011) also reports that the federal political relations Fourth National incident Study of Child abuse gear up that abuse is three times more common in poor f amilies and pretermit is seven times more common in poor families as come up (poor as defined by interior(a) poverty line). Poverty Statistics The U. S. Census position reports that 16. 4% of Nevada residents live in poverty, which places Nevada as 38th in the nation (2010). In terms of pure numbers, 306K people run into Medicaid in the state of Nevada (Haynes, Vogel, and Tetreault, 2012).Nevada has a open accomplished target community for this design and as the third worst state in the union for tiddler abuse of infants, Nevada has show a dire unavoidableness for action. special Target Population The target world for the Nurse fusion Program would be expectant renders who are Medicaid recipients. The Nevada State discussion section of Human and wellness Services and the proceed Child call Nevada organization would make out as gameing agencies since both organizations already work to prevent and reign baby bird abuse in Nevada.The NPP would also value from th e interest of dedicated societal doers. residential district Level imbibe diagnosis Nursing diagnosis One The target population is at chance for impaired parenting related to situational characteristics that precipitate sister abuse. Previously menti superstard statistics prove that a disproportional amount of fry abuse cases for children under one class of age occur in families who lift up Medicaid. Child abuse, neglect, and revilement are categorise as impaired parenting.According to the USDHHS (2012), search has uncovered a number of attempt factors or situational characteristics that create a higher(prenominal)(prenominal) probability of child abuse deep down families. These situational characteristics of parents or bearingtakers admit previous wound history, altered psychogenic health, and an un goodly or negative response to stress. Research also indicates a link between subject abuse and child maltreatment. There is also an ontogenyd luck when childr en are increase by a single parent, when one parent is already to victim of domesticated violence, and when parents are genially isolated.Nursing Diagnosis Two umpteen schoolboyish or adolescent parents receive public aid and Medicaid, which places them in the target population. These newfangled and teenage parents are at risk for futile coping related to lack of neighborly and stirred up congest, lower economic positioning, high stress levels, and inadequate education. Brownridge and Douglas fix that lack of or inadequate employment, education, social and emotional support, and self-esteem are associated with child abuse among children of adolescent m another(prenominal)s (2008, pp. 9-42). Without a sufficient support system or education to prepare young parents for the monumental task of sympathize with for infants, they are rendered inadequately prepared to do it with the stresses of early parenthood. Cancain, Slack, and Yang (2012) state that researchers and poli cy makers consent big recognized that children living in families with limited economic resources are at a higher risk for maltreatment than children from higher socioeconomic strata. Nursing Diagnosis ThreeThe children of the target population are risk for trauma related to their strung-out role in the parent child kinship. Infants are especially susceptible to maltreatment due to their early cultureal status and need for constant share. As Dr. Leventhal (2012) stated, when abuse occurs in children under the age of one year abused, they are more possible to incur serious injuries that require hospitalization than abused children over the age of one year. lying-in remnants, Objectives, and Interventions A Nurse Partnership Program would match a registered confine with an expectant mother, who would in turn fork up education and mentorship throughout the pregnancy and prime(prenominal) year of the childs spirit. The curb would perform home visits and help oneself th e mother prepare the home as well as herself for the estimable arrival of the infant. The comfort would advocate for a tidy pregnancy and assist the mother in decision the resources she would need to facilitate that brawny pregnancy. dapple paygrade of the closes would imply examine the drift of child abuse cases among those enrolled in the NPP with those in the ontrol class, the boilersuit evaluation of the schedule would take on the evaluate of families who set and find out educational and professional remainders as well as achieve and check economic emancipation of governance aid architectural plans. declare oneself Goal One The send-off finish of this program is to improve pregnancy outcomes of the targeted population. This would start with coordinated an expectant mother with a registered declare early in the pregnancy. This initial relationship builds the foundation for a successful remedy relationship and the overall success of this program.The accom modate would educate the woman on prohibitive practices during pregnancy to hold prenatal care, appropriate diets, and any behavior modifications that may need to occur lots(prenominal) as the use of cigarettes, alcohol, or drugs. The success of interpolations and determination of conflux this cultivation would be evaluated by comparing the stray of healthy births by mothers enrolled in the program with the rate of healthy births by mothers in a control group not participating in the NPP. determine Goal TwoThe second ending of this program would be to create a safe home environment for children to shrivel up the likelihood of accidental injuries. This process would also create confidence in young parents as they take control and state for the safety of their child. Duva & Metzger (2010) found that a lack of confidence and self-esteem increase the risk of children suffering from abuse. Ongoing evaluation of this goal would occur during the home visits and overall evalu ation of this goal would let in the affinity of accidental injuries to children whose family is enrolled in the NPP to the control group.Project Goal Three Project goal three would include t to each oneing the young parents how to build an appropriate support system. boylike parents need to be able to slip by to others what their needs are. Something as simple as asking someone to watch their child so they can come a break could benefit the parents and child, providing a stress centering tool which can decrease the likelihood of child abuse. Support systems include families, friends, and community networks ( much(prenominal) as other parents, churches, etc. ). valuation consists of comparing the rate of child abuse cases among those enrolled in the NPP with those in the control group. Child abuse cases among the participants would be screened to settle down if they were successful at building that special support system. Nurses can evaluate the progress of this goal during t heir home visits throughout the jump year of the childs life. Project Goal Four Project goal four includes improving child health and letment. Nurses would work hand in hand with a commissioned social worker to help parents declare oneself responsible and effective care.This goal revolves around the main intervention of education. Their education would include stress management techniques, effective parenting skills, early childhood arrestment, and the development of realistic expectations for themselves as parents and their children. This goal would include home visits by both the social worker and hold up throughout the prime(prenominal) year of the infants life. Participants in this program are both students and parents. This unequalled compilation creates a situation ensample for the involvement of social workers.According to the Illinois tie-in of School Social role players (2012), social workers help people understand themselves and others, cope with stress, devel op decision making skills, help parents to meet and understand the needs of their childrens social and emotional needs, how to identify and utilize resources effectively, tender counseling services, and advocate for patients. They are a valued partner in the proposed program as the collaboration between the social worker, nurse, and parents are fundamental to the success of the NPP. valuation of this goal outcome includes comparing the rate of child abuse cases among those enrolled in the NPP with those in the control group. Project Goal quin Project goal five is the headstone for the overall success of the program. The final goal is to improve the economic self-sufficiency of parents. This would include the nurse and the social worker collaborating with the participants to develop goals for their own hereafters by completing their education, develop employable skills, finding employment, and readying future pregnancies.The success of this goal would be determine by the umber of cases who achieve economic liberty, no longer utilize government aid programs, and sacrifice no casual pregnancies within two days of the childs birth. That number would then be compared to the control group. Estimated Cost Discussing the cost of the program would by an in enti affirmice without discussing the possible nest egg the program could also produce. Child abuse and neglect costs the U. S. $124 billion from just one year of confirmed cases of child maltreatment and the lifetime cost for each victim of child maltreatment who lived was $210,012 (Fang, X. , Brown, D. , Florence, C. , & Mercy, J. 2012).The Nurse-Family Partnership organization reports that a recent cost-benefit update by Washington State Institute for Public Policy (2012) decided that long term benefits could equal as much as $23,000 per participant of a NPP. As families gain economic independence of government aid programs, the government saves money. This program would also decrease the amount o f Medicaid dollars dog-tired as children are expected to be born within a healthy birth weight and generally healthy overall when compared to the control group. In comparison, the cost of the program would be significantly little per family.The supporting agencies are already in place in the targeted community. The Nevada State Department of Human and health Services and the preclude Child Abuse Nevada organization both work to prevent and control child abuse in Nevada the infrastructure is already open. The cost would be allocated to initiate a new program within the stay Child Abuse Nevada organization with the unmindfulness of the Nevada State Department of Human and Health Services. The Nurse-Family Partnership organization has estimated the cost of such a program to be or so $5,000 per family per year.Ideally, in order to establish and maintain continuity and oversight throughout the program, it would be managed by a single entity such as the Prevent Child Abuse Nevada organization. This is different than other programs which are managed respectively by hospitals and smaller organizations. Some may balk at utilizing government funds, besides funding this program is more economical than paying the price of child abuse. Fang et al. (2012) fixed the lifetime cost for each victim of child maltreatment who lived was $210,012, which includes medical and level-headed costs, as well as other costs associated with child abuse (social services, etc. . It is definitely cheaper to teach them than it is to treat them. collaborationism With a Licensed Social Worker This program proposal was discussed with a authorize social worker, Mandy S. , in the state of Nevada. This licensed social worker stated person programs exist through hospitals and smaller organizations, except agreed that a larger program with a single point of managerial oversight in the county would be the almost beneficial.I proposed the ideal situation would include State Legislature m andating Medicaid recipients to participate in such a program in order to receive benefits of Medicaid and other public assistance programs such as welfare, provender stamps, and Women, Infants, and Children (WIC). WIC allow fors Federal grants to states for supplemental foods, health care carry onrals, and nutrition education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk (Food & Nutrition Service, 2012).Mandy S. stated that this legislative push would be a goal to pursue after the success rate of the NPP could be established. Implementation The program would be administered and managed by the Prevent Child Abuse Nevada organization. The Nevada State Department of Human and Health Services would maintain oversight and admonisher outcomes of the program. It also requires the cooperation of hospitals and physician offices as they impart be the initial referral s ource for patients to the program.Ideally, if successful, patients would refer their friends and family to the program as well. There are only two qualification standards for participation in the program. First, the woman must be less than 24 weeks pregnant to hold back adequate time for prenatal care to maximize the success rate of advise goal one. Second, the family must be at or below the government established poverty line. A registered nurse and licensed social worker would be designate to the woman to pick up the come across goals and planning with the patient in her home.The same registered nurse and licensed social worker would complete home visits ever one or two weeks throughout the pregnancy and first year of the infants life. The frequence of visits would be heady during the initial assessment and re-evaluated as required to ensure participants are receiving the interventions they need to ensure success in the program. Each goal is monitored by the nurse and soci al worker throughout the familys participation in the program and changes or new interventions are developed as required. The participation would continue during the pregnancy thru the childs first birthday.During that year participants are armed with the knowledge and resources to ensure safe and healthy environments for their children, healthy support networks, compress or eliminate negative behaviors, provide responsible and competent care to their children, and to be economically independent of government aid programs. If patients are determine to not be safely discharged from the program, they may be determined eligible for additional assistance. Evaluation of Project Overall evaluation of the program is difficult to ascertain as this program would take over a year to achieve results.However, nurse partnership programs hand begun to gain popularity throughout our country and have achieved wonderful results. So much so, that the Centers for indisposition Control have named t hese programs as effective with a abundant potential to keep down economic burden of child maltreatment. gain ground collaboration with the licensed social worker, Mandy S. , determined a weakness in this program. While the pilot burner goal was to decrease the number of child abuse cases in children under the age of one year, it was determined by the social worker that many of her clients had children under the age of two and required much assistance from her.My initial plan to provide services thought the first year of the childs life was inadequate. Together, we determined participation through the second year of the childs life would be most beneficial to participants. Mandy S. was a great resource as she stated that the volume of child abuse cases she personally supervises are due to a lack of support, resources, and most importantly, education. This program provides those things to participants, thus decreasing the risk of child abuse and trauma, increasing supreme paren ting skills, and developing positive coping skills.Interviews with young mothers proved positive. When asked if they would be interested in participating in a NPP program or would have liked to have a program available when they were expecting, 22 of the 25 polled stated yes, they would have been aflame to participate. Those 22 mothers unanimously stated they felt they would benefit from such a program. Although the original program did not include support groups of participants, the polled mothers stated they would enjoy the social benefits of participating in support group comprised of participants.This would be a great resource for those participants who do not have a family or other social circle to rely on for support. The community overall benefits from a program that decreases the rate of child abuse. It breaks a cycle that research has proven exists. Many times people who have been abused continue the cycle of abuse Clark County has the chance to stop that cycle. Children who are subject to abuse are at a higher risk of developing mental health issues, substance abuse problems, and overall negative health behaviors (Herrenkohl, R. Harrenkohl, T. , Moylan, C. , & Sousa, C. , Tajima, E. 2008).The community not only saves money with this program, but it builds a strong community where healthy families exposit and prosper. Summary Parenting can be a challenging and lonely experience. The course of this project has taught me that preparation is the key to success. The more we can prepare young mothers for the challenges of parenthood, the more we are likely to decrease the rate of child abuse among children under the age of one year.Young parents are often go about with the stress of financial dependence on others and government programs the NPP provides resources to set and meet goals to complete education and achieve employment to maximize financial independence. This is not a lifelong program. The intention of the program is to provide parents th e mental tool box and resources they need in order to provide a healthy life and economical independent life for their children. The concept is relatively new, and I am excited to see the proven long term effects in the years to come.