Working with complexity: experiences of caring for mothers seeking residential parenting services in New South Wales, Australia.

Publisher:
Blackwell Publishing Inc.
Publication Type:
Journal Article
Citation:
Journal of Clinical Nursing, 2017, 26 (3-4), pp. 524 - 534
Issue Date:
2017
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To investigate staff perception of the changing complexity of mothers and infants admitted to two residential parenting services in New South Wales in the decade from 2005-to-2015.For many mothers with a young child parenting is difficult and stressful. If parenting occurs within the context of anxiety, mental illness or abuse it often becomes a high-risk situation for the primary caregiver. Residential parenting services provide early nursing intervention before parenting problems escalate and require physical or mental health focused care.A qualitative descriptive design using semi-structured interview questions was used as phase three of a larger study. Data were gathered from 35 child and family health nurses and ten physicians during eight focus groups.Three main themes emerged: 1) dealing with complexity; 2) changing practice; and 3) appropriate knowledge and skills to handle greater complexity.There was a mix of participant opinions about the increasing complexity of the mothers presenting at residential parenting services during the past decade. Some of the nurses and physicians confirmed an increase in complexity of the mothers while several participants proposed that it was linked to their increased psychosocial assessment knowledge and skill. All participants recognised their work had grown in complexity regardless of their perception about the increased complexity of the mothers. This article is protected by copyright. All rights reserved.
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