Home environmental change for child injury prevention in Nepal: A qualitative study.

IF 1.3 4区 医学 Q3 NURSING
Santosh Bhatta, Julie Mytton, Toity Deave
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Abstract

In Nepal, unintentional home injury is a leading reason for death and disability among pre-school children. However, there is a lack of evidence to inform culturally appropriate interventions to reduce home injuries. This study explored the potential for home environmental change at a community level to prevent unintentional home injury in children and identified the barriers to, and facilitators of, such changes. Focus groups were conducted in the Nepali language with mothers, fathers, teachers, school students and community health volunteers in rural areas of Makwanpur district in Nepal. The discussions were audio-recorded, transcribed, translated into English and analysed thematically. NVivo software was used to support coding and identification of themes. Five focus groups, involving forty-seven participants, were completed leading to the development of four themes. Overall, the findings highlight that community people perceive injuries to be a normal part of childhood and, therefore, few prevention measures were considered. Parents were, however, able to identify ways to change their environment that made it safer. Changes included removing hazards or adding safety equipment, adapting the home or restricting access to potential hazards. Barriers to implementation included limited awareness about injury hazards and risk management, poor quality housing and financial constraint. Facilitators included raising community awareness, acquiring resources and financial support and involving the family and community. Development of interventions to prevent injuries at home in pre-school children should reflect local context and culture; this is best achieved through engagement with parents.

Abstract Image

尼泊尔家庭环境变化对儿童伤害预防的影响:一项定性研究。
在尼泊尔,意外的家庭伤害是学龄前儿童死亡和残疾的主要原因。然而,缺乏证据来告知文化上适当的干预措施,以减少家庭伤害。本研究探讨了社区层面家庭环境变化的潜力,以防止儿童意外的家庭伤害,并确定了这种变化的障碍和促进因素。在尼泊尔Makwanpur地区的农村地区,用尼泊尔语与母亲、父亲、教师、学生和社区卫生志愿者进行了焦点小组讨论。对讨论进行了录音、抄写、翻译成英文并按主题进行了分析。使用NVivo软件支持主题的编码和识别。有47名与会者参加的五个焦点小组已经完成,从而形成了四个主题。总的来说,研究结果强调,社区居民认为受伤是童年的正常部分,因此很少考虑预防措施。然而,父母们能够找到改变环境的方法,使其更安全。改变包括消除危险或增加安全设备,改造房屋或限制接触潜在危险。实施的障碍包括对伤害危险和风险管理的认识有限、住房质量差和财政拮据。促进因素包括提高社区意识、获取资源和财政支持以及家庭和社区的参与。预防学龄前儿童在家受伤的干预措施的制定应反映当地的情况和文化;这最好通过与父母的接触来实现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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