Nursing Research-Analysis & Interpretation Phase

Running head: ARTICLE ANALYSIS
Nursing Research-Analysis & Interpretation Phase
Name of the Student
Name of the University
Author Note

1ARTICLE ANALYSIS
Internet based nursing intervention
Part 1
A randomized control trial was conducted in order to determine the effects of infancy and
prenatal home visitation services on the outcomes related to pregnancy childhood injuries and
repeated childbearing in a community. The study was based on findings that home visitation
services have proved effective in bringing about an improvement in child and maternal outcomes
in different populations (Olds et al., 2014). The randomized control trial was conducted in the
public system that focused on obstetric care in Memphis. An average of seven visits was made
during pregnancy, followed by 26 visits from birth of the child to the second birthday. The
intervention primarily composed of adherence to a detailed visit-by-visit protocol that guided the
women in enhancing their health related behavior, steps of taking care of their children and life
goals development such as, educational achievement, pregnancy planning, and workforce
participation (Kitzman et al., 1997).
The intervention also made the nurses provide assistance to the women to complete a day
long diet history on regular basis, followed by plotting the gain of weight on every visit.
Smoking cigarettes and use of alcohol or other illegal drugs were also measured by the nurses,
followed by a behavioral analysis, which made the women reduced their adherence to substance
abuse. The home visit programs also helped in teaching the women the early signs and
symptoms, which should be identified in relation to pregnancy complications, and also
encouraged them to take necessary steps for informing office staff about the prevailing
conditions, thus facilitating their treatment. Following delivery of the child during home visits,
the nursing professional also supported the caregivers and mothers to improve the emotional and

2ARTICLE ANALYSIS
physical care of the children, followed by teaching the parents the strategies that should be
adopted to recognise signs of illness and other disease among the children, recording of
temperatures and communicating with office staff about the presenting complaints. Home visits
also focused on promotion of child-parent interaction with the use of communication signals,
enhancement of interest in children's play and promoting the cognitive and emotional
development. The intervention also placed due focus on helping women gain a sound
understanding of the objectives and goals, which in turn helped in solving the problems that they
had encountered while finding work, planning for education, or family planning. Hence, it can be
said that the development and implementation of the program plan that focused on home visits
were discussed in details by the researchers (Kitzman et al., 1997).
While the researchers did not elaborate on presence of one treatment and one control
group, they explained in details the four treatment groups to which the women were randomized.
Treatment 1 comprised of 166 women who were given free round-trip cab transportation for the
prenatal appointments. However, they did not get any postpartum assessment of services.
Treatment 2 comprised of 515 women who were given free transportation for prenatal and
developmental screening, besides referral services for children during 6, 12 and 24 months. 231
women present in treatment 3 also received the free screening and transportation services like
treatment 2, in addition to intensive nurse home visitation programs during pregnancy,
postpartum visits in the hospital prior to discharge, and at their homes. 228 women were placed
in treatment 4 who received same services as that of treatment 3. However, the nurses continued
to visit them in their houses till the second birthday of the child. Thus, it can be stated that the
authors took all possible efforts in order to determine the effectiveness of the home visitation