Training the Trainers of Postpartum Nurse Home Visitors

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Purpose:

This two-day Institute supports nurses who train other nurses to deliver postpartum home visits. The Public Health Nurse's role as trainer and content expert is facilitated through the use of a comprehensive curriculum that addresses issues related to postpartum care of the mother and infant, the family's transition and other concerns that the family may have.

Audience:

The Institute is designed for Public Health Nurses to train those nurses implementing a postpartum home visiting program to all families.

Institute Features:

The Institute provides a rich and engaging learning environment that includes:
  • A comprehensive manual prepared by Canadian experts in public health nursing, early intervention, child development and family support.
  • A customization process that gives local communities the opportunity to ensure the manual and training reflect local philosophies, programs and systems supporting families with newborns.
  • 8 ready-to-deliver modules with training plans, activities and handouts on such topics as maternal and infant physical and emotional health; infant feeding; parenting, attachment and the newborn; and child abuse.
  • References to additional information and resources.
  • Diverse learning formats including small- and large-group work, expert presentation, video analysis and case studies.

Institute Goals:

  • To enhance and develop the knowledge and skills of those training professional nurse home visitors in postpartum care.
  • To build local capacity to train professional nurse home visitors on an ongoing basis.
  • To affirm the importance of training for postpartum home visiting.
  • To raise the level of knowledge and skills of professionals that work with at-risk families with young children and their role in postpartum intervention.
  • To affirm the valuable role professional nurse home visitors have in the lives of new parents.

The Curriculum

  1. An Introduction to Postpartum Home Visiting

    • Vision, goals, guidelines and components of the Healthy Babies, Healthy Children Program
    • Importance of the postpartum home visit within the continuum of services for families with new babies
    • Parental perception about parenting and the implications for the postpartum home visit
    • Concept of "at risk" and identification of children who may be "at risk"
    • Appropriate action for children at risk

  2. Conducting the Postpartum Home Visit

    • The role of the Public Health Nurse and the requirements of the postpartum home visit
    • Scope of possible interventions
    • Importance of working within an interdisciplinary team to meet the needs of families
    • Awareness of issues related to cultural diversity and strategies to address the issue
    • Strategies for increased personal safety

  3. Maternal Physical and Emotional Health

    • Assessment of maternal physical and emotional health in the postpartum period
    • Distinction between normal and abnormal findings
    • Assessment of red flag findings
    • Appropriate teaching and nursing interventions
    • Assessment of postpartum depression
    • Nursing interventions for postpartum depression

  4. Infant Physical Health and Safety

    • Assessment of infant's physical health in the early postpartum period
    • Distinction between normal and abnormal findings
    • Assessment of red flag findings
    • Importance of health and safety issues for new parents

  5. Infant Feeding

    • Exploration of different approaches and beliefs toward breastfeeding
    • Benefits of breastfeeding for the mother and the newborn
    • Assessment of successful feeding
    • Identification and correction of common feeding problems
    • Linkage to breastfeeding support systems
    • Exploration of different approaches and beliefs toward breastfeeding
    • Benefits of breastfeeding for the mother and the newborn
    • Assessment of successful feeding
    • Identification and correction of common feeding problems
    • Linkage to breastfeeding support systems

  6. Family Transitions and Baby

    • Common challenges faced by families in adjusting to a newborn
    • Strategies for supporting the family's transition to a new baby
    • Responses to commonly expressed concerns by parents of newborns
    • Use of a postpartum home visit to alleviate parental anxieties and discuss the basics of baby care

  7. Parenting, Attachment and the Newborn

    • Importance of the parent-infant relationship during the first few days of life
    • Recognition of signs of a poor attachment
    • Supporting families to become familiar with the meaning of infant cues
    • Supporting families to promote a secure attachment with their baby
    • Characteristics and significance of infant temperament
    • Interventions to support bereaved families

  8. Child Abuse and Family Violence

    • Definition of and factors contributing to child abuse
    • Indicators that an infant may have been abused or is at risk for abuse
    • Documentation of indicators of abuse
    • How to respond to a disclosure of abuse
    • Feelings that interfere with mandatory reporting
    • Provincial child protection legislation
    • Reporting procedures and responsibilities



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