Health Visiting

Specialist Community Public Health Nursing

3rd Edition - November 1, 2021
Editors: Patricia Burrows, Jean Cowie
Language: English
Paperback ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 0 0 7 - 4
eBook ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 0 0 8 - 1

This popular book encompasses contemporary theory and practice relevant to effective health visiting across all four nations of the United Kingdom, now and into the future. Now in… Read more

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This popular book encompasses contemporary theory and practice relevant to effective health visiting across all four nations of the United Kingdom, now and into the future.

Now in its third edition, the text has been completely rewritten and updated by new editors Patricia Burrows and Jean Cowie to reflect the many changes that have occurred as health visiting practice evolves. These include a strong focus on parental and child emotional and mental health wellbeing; speech, language and communication development for children; the impact of trauma and adverse childhood experiences; and the relevance of technology to health visiting practice.

The book is strongly grounded in evidence and is suitable both for student health visitors as well as qualified practitioners wishing to further their practice and academic development.

Cover
Title page
Table of Contents
Copyright
Contributors
Foreword
Acknowledgements
Introduction to the third edition
Part 1: Foundations of Public Health and Health Visiting
1: Foundations of public health and health visiting
Introduction
Overview of public health
Underpinning the philosophy and perspectives of public health
The history of public health: does it matter?
Health promotion: promoting the public's health
Health visiting and public health
Changes to the delivery of health visiting
Changes in times of crisis
Conclusion
2: The history of health visiting
Introduction
Health visiting – a global perspective
The history of health visiting within the United Kingdom
The need for a health visiting service
UK health visiting in the 21st century
Proportionate universalism
Early intervention
Public health priorities
Integrated services
Conclusion
3: Professional practice and practitioner well-being
Introduction
Well-being and work
The transition from student to health visitor
Supporting the individual
Supervision
Preceptorship and mentoring
Health visiting team
Case study
Inequality
Organisations and practitioner well-being
Dealing with reality
Conclusion
4: Social policy, context of public health and the organisation of health visiting service provision
Introduction
The national approach to public health within the United Kingdom
Social policy
Organisation of health visiting service provision
Conclusion
Part 2: Fundamentals of Health Visiting Practice
5: Home visiting and therapeutic relationship-building to support the transition to parenthood
Introduction
What is a therapeutic relationship and why is it important?
How health visitors develop effective relationships for practice
Motivational interviewing
Authenticity in therapeutic relationships
Therapeutic relationships and safeguarding
Trust
Universal services and therapeutic relationships
Home visiting and relationship-building
Community working and relationship-building
Relationships and inclusive practice
Trauma-informed practice and relationship-building
Building relationships with fathers
Equality, diversity and inclusion in health visiting
Conclusion
6: Assessment
Introduction
Clinical decision-making
The use of assessment tools
Barriers to using assessment tools
Assessment and screening tools frequently used in practice
Working in partnership with parents
Working with the family
Strength-based approach and matching agendas
Virtual assessments and the impact of the COVID-19 pandemic
Conclusion
7: Evidence-based practice and early intervention to support children and families
Introduction
Early years policy and practice
What is evidence-based practice?
Hierarchy of evidence
Limitations of the hierarchy
Research and evidence in health visiting
Evidence-based practice: more than evidence
Shared decision-making
Quality improvement
Quality
Quality monitoring and review
Care assurance
Early intervention
Early intervention and investment in the early years
Targeted home visiting
Human ecology theory
Early intervention and child development
Risk
Managing risk
Risk assessment
Conclusion
8: Leadership skills for leading health visiting practice
Introduction
National context
Overview of leadership theory
A model of leadership development for health visiting
Self-awareness – seeing yourself as a leader/leadership identity
Developing leadership capability
Conclusion
9: Technology and health visiting practice
What does technology mean?
Examples of technology
The policy context for technology and health visiting practice
Characteristics of a digitally enhanced health service
Implications for health visiting practice
The workforce strategy
Core digital ability
Essential digital skills for health visitors
Health visiting practice
Record-keeping and documentation
Record keeping and the law
To create a SLIC record, the health visitor should
In order not to create a SLAC record, the health visitor should
Conclusion
10: Facilitating healthy behaviour – an empowerment approach
Introduction
The history of behaviour change
Reducing the intention-behaviour gap–taking action and maintaining it
Facilitating healthy behaviour: empowering individuals and their families, groups and communities
Evaluating the impact of health visitor interventions
Conclusion
Part 3: Health Visitor Practice-Focused Interventions
11: Childhood adversity and trauma
Introduction
Outline concepts and definitions
Trauma, adversity, health and well-being
Physical environment
Resources
Attachment
Moderate and resolved stress
Stimulation
Assessment, analysis and intervention
Reflective practice
Conclusion
12: Building effective safeguarding skills: A shift from the ‘what’ to the ‘how’ in practice
Introduction
The path to achieving ‘unconscious competence’ in practice
Conclusion
13: Perinatal mental health
Introduction
Overview of perinatal mental health disorders
Risk factors for perinatal mental health disorders
Identification of perinatal mental health disorders
Post-adoption depression
Impact of maternal antenatal mental health disorders
Impact of maternal postnatal mental health disorders
Impact of paternal mental health disorders
Financial implication of perinatal mental health disorders
Impact of Covid-19 on maternal and paternal mental health
Interventions to support women and their families
Conclusion
14: Emotional and mental health well-being and development of infants and children
Introduction
Infant and child mental health in context
Brain architecture – an overview
The ‘experience-dependent’ brain
Impact of neglect on brain architecture
Parent–infant interaction
Serve and return interactions
Rupture and repair
Theories of emotional development
Parental representations
Risk factors that impact on infant and child emotional and mental health, well-being and development
The impact of parental mental health difficulties on infant and child emotional mental health and well-being
The impact of domestic violence and abuse on infant and child emotional mental health and well-being
The impact of substance abuse or misuse on infant and child emotional mental health and well-being
Summary
Relationship-based therapeutic interventions
Programmes that promote attachment and parental sensitivity
Programmes involving live demonstrations
Media-based methods
Baby massage
Programmes that promote emotional, social and behavioural development
Professional roles in supporting positive attachments
Containment
Providing the experience of a safe, nurturing relationship
Observing, describing and being curious
Understanding child development and appropriate expectations
Harnessing a sense of wonder
Modelling, in particular play
Facilitating appropriate support for caregivers individually and, where appropriate, as a couple
Conclusion
15: Communication and language development
Introduction
How do children's SLC skills develop?
Risk of SLC Need
Identification of Speech, Language and Communication Needs
The role of the health visitor
Early intervention approaches
Home learning Environments
Supporting children with language difficulties in the early years
Working in partnership: Health visiting and speech and language therapy
Conclusion
16: Management of common childhood ailments and accident prevention
Introduction
Accident prevention
Health visitor action in accident prevention
Search for health needs
Stimulation of an awareness of health needs
Influence on policies affecting health
Facilitation of health-enhancing activities
Management of common childhood ailments
Role of the health visitor
Consider the patient
Caring for the baby or sick child
Conclusion
17: Transition to school
Introduction
Transition to school – opportunities and challenges
What is transition?
Development and resilience
Transitions around the UK
Index