Two year group health reviews
The Central Health Visiting team decided to try group 2 year health reviews. We are able to use a local children centre play room with confidential room attached, and their staff are often around to offer families support. During the session we are able to complete a group talk to give parents advise to develop their parenting skills. Parents feedback has been positive.
This poster illustrates the health visiting pathway for teenage parents and their children in the Basingstoke locality. Our team of health visitors offer an enhanced programme offering individual and tailored support to some of our most vulnerable families aiming to improve outcomes for both the parents, their children and society as a whole through improved individual, soial and economic wellbeing.
The poster is to raise awareness to pregnant Mum's and families the risks of smoking in pregnancy as we felt that although we discourage it Parents were not always aware of the high risks of stillbirth etc. We also wanted parents to be more aware of where they can get help and support.
This poster demonstrates the reasons for introducing the School Asthma Champion project within the Winchester and Eastleigh Southern Parishes area. Evidence showed a high prevalence in asthma rates in the Southeast especially West Hampshire CCG area and its effects on hospital admissions and school attendance. A project with Asthma UK in Ealing schools had shown that supporting schools in the management of asthma helped to reduce these statistics. The poster shows the process that the project followed to introduce a select group of schools in both of these areas to enable them to be better informed about Asthma and its management and for the school nursing service to support them with introducing new policies and management plans as well as ongoing support that our service would hope to offer.
Our poster is to promote our new appointment system at Jewry street clinic called "behaviour matters". It is an opportunity for parents to talk to our Community Nursery Nurses for advice and support with managing their child/children's behaviours; from sleep to weaning and tantrums to toilet training. It was devised to reduce the waiting time for families, as we are able to see more families in one morning at the clinic than if we were to visit them in their own homes. The feed back from parents have been very positive so far.
Safeguarding Children Team Support
This poster demonstrates how the safeguarding children team are able to support practitioners to deliver the Healthy Child programme.The russian doll imagery depicts how each level of Health Child Programme delivery ,Universal,Universal Plus and Universal Partnership Plus adds a protective layer to safeguard the child. The safety of the child is always at the centre of everything we do.
Implementation of the Promotional Guide (Beyond train and hope)
A project report on the implementation of a Partnership Approach (Promotional Guide) in health visiting (HV) practice, to identify babies that may be at risk of adverse outcomes.
The association between exposure to toxic stress in utero and the first three years of life and adverse outcomes for children is widely accepted. The Promotional Guide (PG) is an evidence based approach which has been developed to identify health needs in the antenatal and post natal period. However it has been recognised that there have been difficulties embedding this approach in practice.
The project included the delivery of a PG training programme to all health visitors within a NHS Trust and support to address identified barriers to implementation. The project evaluated health visitor’s experiences using: post training evaluation (n=165); and a qualitative research study using semi structured interviews (n=9) using Normalisation Process Theory.
Health visitors reported that the PG supported “best practice”, improved job satisfaction, promoted the development of a positive health visitor-parent relationship with an individualised client centred approach, improved identification of health needs and improved uptake of health visiting services by parents. A number of factors were identified which affected the implementation of the PG, including: lack of service user awareness of the HV role; availability of ongoing support with HV skill development; difficulties with record keeping using electronic health records; absence of audit to monitor implementation and the importance of positive endorsement by senior management. These factors are currently being addressed in ongoing service development within The Trust.
Give Yourself a Health CiC - Health Information for Care leavers
The poster promotes the innovative work that the Children in Care service in Southern Health is doing to address the need for those young people who are about to leave the care of the local authority to have their health histories. Having consulted the care ambasadors , young people who have been in care and now left, they had indicated that they wished a modern way of receiving the information. Further discussion with them, their carers and other professionals the concept of a APP was identified and subseqently developed.
Central Gosport Project
This poster illustrates some of the work involved in the Central Gosport project. The health of people in Gosport is mixed compared with the England average and Southern Health School Nursing Service in partnership with Hampshire County Council recognised the need to implement a project within Gosport to support the early intervention evidence-based research. Within the Central Gosport project, key public health areas were identified and agreed with education, namely: obesity, emotional health, readiness for school, managing attendance, smoking cessation, dental health, sexual health. The school nurse continues to work with a number of targeted schools within Central Gosport in tackling issues on a 1:1 and group basis as need demands as well as meeting the universal school nursing provision agenda.
The local children’s partnership identified an issue with children starting school in nappies.
Joint working between school nurse, health visitor and nursery nurse, school head-teacher and SENCO, pre-school SENCO’s and inclusion officer for children with physical disabilities, has resulted in regular meetings between health and pre-school provision about children and families needing support in achieving their potential for school readiness.
Information has been developed in response to parent’s requests and is being currently assessed and resources for pre-school staff have been positively evaluated.
A draft referral pathway is being developed for continence in order that the need for early support can be identified and the appropriate help for the family provided.
An audit is taking place of continence issues arising in the autumn term 2014 so that we may measure any progress.
We hope to include families in developing further pathways related to school readiness.
Health Exercise Nutrition for the Really Young
Does HENRY (Health Exercise Nutrition for the Really Young) two day training equip health visitors and early years practitioners with the confidence and skills to work with parents of young children identified as high risk of developing childhood obesity?
Perinatal Maternal Morbidity and why early Health Visitor intervention is so important
Video Feedback: An Effective Intervention for Attachment Disorders?
An Exploratory Study into Maternal Fetal Attachment and Implications for Practice
Maternal fetal attachment or prenatal attachment describes the relationship between a pregnant woman and her fetus. It is based upon maternal cognitive representations of her pregnancy and describes the degree to which a woman engages in favourable behaviours towards the fetus (Alhusen 2008). It has been established that attachment to an unborn child is associated with attachment after the birth (Muller 1996, NSPCC 2010) and the relationship between the mother and her infant is paramount to the emotional well being of the child (Ainsworth 1978, Bowlby 1969). Early experiences, including those of the fetus during pregnancy can have a lasting effect on genetic predispositions that affect emerging brain structure and long term health (Shonkoff 2012). Hence, causal factors that impact stress in pregnancy, including that of the relationship between the woman and her fetus, should be examined to establish evidence to support early interventions that may help counterbalance adversity. In addition, understanding of prenatal attachment may potentially impact upon maternal wellbeing and adherence to and engagement in healthy behaviours (Ross 2012). Such compliance can have far reaching implications (Laxton-Kane and Slade 2002). Strong maternal fetal attachment has been associated with healthier behaviours during pregnancy (Ross 2012). Poor attachment is associated with harmful behaviours towards the fetus (Ross 2012) and in extreme cases, may culminate in child abuse and neglect (Pollock and Perry 1999, Zimmerman 2003, NSPCC 2010). Pinpointing factors and interventions that influence maternal fetal attachment and identifying strategies to facilitate improvements can hence be considered an essential public health measure.
Brent House Young Parents Project Havant
Teenage Pregnancy Pathway that works collaboratively with Midwifery, HV, Children's Centres and teenage mums in Eastleigh
Early Intervention with young parents to improve the lives of young children" The poster outlines a multi agency approach and early intervention pathway as part of the Healthy Child Programme provided by Southern Health Foundation Trust and its partner agencies.
Emotional & Psychological Wellbeing for our Children & Young PeopleYoung People
This poster illustrates how the Winchester School Nursing Improvement Project - 'Emotional Health and Wellbeing Drop-ins' - is being provided in secondary schools. Evidence based strategies, training and policy, have been identified to ensure that the school nurses are providing effective emotional support to young people through early intervention. The 6 'Cs' Care, Compassion, Courage, Communication, Competence and Commitment define our vision for providing the values and beliefs that underpin our school nurse drop-in service.
Women’s Refuge - Southern Domestic Abuse Services
Poster created by Barbara Ireland - Health Visitor Link/liaison for Havant Women's Refuge.
- The Health Visitor works closely with the staff at the Refuge, good communication links ensures quick knowledge of transfers in and out of the Refuge.
- Visiting as needed depending on the age of the children.
- Liaison with school nurse link also if necesary.
- Liaison with other professionals eg Previous Health visitor,Social Workers.
- Working to find unmet health needs.(Often the case, if unable to access healthcare prior to admittance to the Refuge).
Sugar Sweetened Beverages and Obesity
The purpose of the poster was to highlight the impact of sugar sweetened beverages on obesity. Low-income families are especially susceptible and research has shown that low-income families who are aware of the effects of sugar sweetened beverages are less likely to give them to their children. Health visitors should use every contact for health promotion and from the antenatal contact, promote the consumption of only milk and water when weaning.
Children’s Division Non- Medical Prescribing
The poster illustrates the Children’s division Non-Medical Prescribing Evidence Based Group key objectives developed after the Non-Medical Prescribing Audit in 2012 namely -
- To improve health outcomes for children, young people and families so that they have timely access to advice and treatment.
- To inform, develop and implement non-medical prescribing training across the Trust.
- Review research, gather evidence to inform, shape and deliver safe, competent and current prescribing practice.
- To address these objectives the Group set about raising the profile of Non-Medical prescribing within the Children’s Division by addressing the findings of the audit. The main actions (set in tablets of stone on the poster) were-
- To ensure all prescribers have a prescription pad and an up to date NPF formulary
- To ensure all prescribers attend an annual update
- To review literature to advice and update non- medical prescribing and disseminate this information to practitioners via ‘ Key Messages’
- To raise profile of non- medical prescribing across Trust
Second audit in 2013 found these actions had met the objectives and are shown in the red quotes from the audit, with improved use by Non-medical prescribers using all their skills to meet the prescribing needs of those clients in their care.
Southern Parishes School Nursing Years 6-7 Transition
This poster is developed to introduce children, young people & their families to their school nursing team.
It shows school nurses using the 6'C's to support year 6 children in their transition to secondary school, whilst promoting their health & wellbeing. This project also seeks to increase the understanding & uptake of NCMP & HPV programmes.
Premature Birth CSN Support
Poster highlights one important aspect of the role of the Staff Nurse within Health Visiting Teams. It shows how we support sick and premature babies on their discharge from hospital.
Reducing aclohol related hospital admissions
Public Health England have highlighted that compared to the rest of England the New Forest has a higher than average number of alcohol specific hospital stays in the under 18’s.
We conducted a research process into the issue to establish what best action School Health could take to improve this situation. As a result of our research we have organised training from Catch-22 to enable our team to conduct assessments and offer brief interventions for those young people that are referred to us following an alcohol related incident. We have compiled a care pathway to share with A&E, GP’s and schools to assist a smooth referral processes to our service. We have also developed an interactive lesson session for year 6 children and plan to offer this to our schools this year.
School Nurse input to refuges across Hampshire
The School Nurse Service is committed to working closely with our refuge colleagues. Care and compassion is offered by our staff to the families who have courageously sought a place of safety. Through their experience and skills can competently communicate health information and advice, to empower informed decision making to improve health and life chances.
School Nursing Improvement Nepalese Project
Postnatal Depression Dads
Mental health is seen as a Public Health priority,with a specific focus on maternal mental health and wellbeing. Postnatal depression can have a negative impact on early childhood attachment, and can indicate an increased risk of behavioural problems in children. The research suggests that where a mother is identified as having postnatal depression, there is a 40-50% risk that the father will also suffer from depression. Further research into this area is required, however, Health Visitors should consider a fathers' mental health, especially if postnatal depression in the mother is already identified.
Local Mapping Poster
Allocating the most appropriate cluster is part of formulating the best care plan
Accessing Health for 16-19 Year Old's
We have been meeting with college age students in order to get questionnaires completed. The responses have been interesting and have helped us to understand the areas that are of concern to the young people.
We have tried to liaise with pertinent agencies in order to understand how we might access 'vulnerable' groups, including NEETs, Young Carers and children/young people linked to YOT.
We have taken reference from the evidence cited on the poster; WHO, British Youth Council etc
Our interim outcomes include;
- -relevant information on dedicated webpage/s
- -information packs to be given on leaving school but possibly linked to a face to face contact (potentially a dedicated school assembly – ‘Readiness for Life’)
- -health awareness/promotion stalls at relevant colleges, six forms and potentially other public venues eg leisure centres.
- -liaison with colleges including talking to Health and Social Care students to raise the profile and understanding of the School Nursing role.
Emotional & Psychological Wellbeing for our Children & Young People
School Nursing Improvement Year 8-10 Website Development Project
We have been developing the existing successful Southern Health School Nurse Website to include health pages for young people in years 8-10. We have built pages on topics such as puberty, smoking, domestic violence, healthy lifestyles and bedwetting to name just a few. They are being trialed with young people and will be advertised through schools and at all contacts with young people.
Andover school nursing team Headphones Poster
This poster has been designed to demonstrate the importance of gathering feedback from all of the young people we work with as they need to have the opportunity to express their views and be heard. We were aware that the headphones were a little tight to allow the children to be able to hear the sounds on their hearing screening, however it was not until we started gathering patient experience feedback did we realise that the headphones were so tight for the children that it was hurting them and causing them not to enjoy playing the 'listening game' with us. Through this feedback we were able to address this issue and have the headphones altered so they were no longer too tight for the children.