title: Maternal child home visiting program improves nursing practice for screening of woman abuse.
abstract: OBJECTIVE
  This study investigated changes in public health nurse practices and the incidence of abuse inquiry and disclosure.
  
  
  METHODS
  A retrospective record review of cross-sectional data was collected before and after implementation of the Routine Universal Comprehensive Screening (RUCS) protocol within a maternal child home visiting program. Records of postpartum women receiving a universal home visit within 48 hr of discharge from the hospital were reviewed (pre-RUCS, n=459; post-RUCS, n=485). Also reviewed were the records of women receiving a family assessment for at risk home visiting (pre-RUCS, n=79; post-RUCS, n=66).
  
  
  METHODS
  The variables collected consisted of abuse inquiry, abuse disclosure, and the alone status.
  
  
  RESULTS
  Documentation of women's alone status significantly improved for both types of home visits: the 48-hr home visits ( p<.001) and the at risk home visits ( p<.01). Disclosures of abuse significantly increased in both types of home visits ( p<.01). Ensuring privacy by not asking abuse questions if women were not alone during a visit significantly improved ( p<.001).
  
  
  CONCLUSIONS
  Implementing a protocol to screen for woman abuse into an existing maternal child home visiting program demonstrated improved practices related to the safety and privacy of women, and an increase in abuse disclosures.
authors.affiliation: Algoma Public Health, Sault Ste Marie, Ontario, Canada. svanderburg@algomapublichealth.com
authors.forename: Sharon
authors.initials: S
authors.lastname: Vanderburg
authors.forename: Leslie
authors.initials: L
authors.lastname: Wright
authors.forename: Susan
authors.initials: S
authors.lastname: Boston
authors.forename: Greg
authors.initials: G
authors.lastname: Zimmerman
mesh_terms: D003430:Cross-Sectional Studies; D042241:Early Diagnosis; D005260:Female; D006699:Home Care Services / Q000458:organization & administration*; D006792:House Calls; D006801:Humans; D015994:Incidence; D008403:Mass Screening / Q000458:organization & administration* / Q000523:psychology; D016389:Maternal-Child Nursing / Q000458:organization & administration; D009731:Nursing Audit; D015403:Nursing Evaluation Research; D009864:Ontario; D009936:Organizational Innovation; D011181:Postnatal Care / Q000458:organization & administration* / Q000523:psychology; D057184:Practice Patterns, Nurses' / Q000458:organization & administration; D015397:Program Evaluation; D011637:Public Health Nursing / Q000458:organization & administration*; D012189:Retrospective Studies; D012650:Self Disclosure; D013179:Spouse Abuse / Q000175:diagnosis* / Q000523:psychology / Q000706:statistics & numerical data