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J E Corrarino

Publications and source records attributed to J E Corrarino.

5 recordsLinked to original sources

Does teaching scald burn prevention to families of young children make a difference? A pilot study.

This article reports a pilot project designed to ascertain what scald burn prevention practices parents of young children used and whether teaching would lead to implementation of burn-related home-safety practices. The sample (n = 49) was followed up longitudinally, and participants completed a survey during two home interviews conducted at 4-week intervals. There was a statistically significant change in the number of scald burn prevention measures (p <.001) implemented by parents after public health nurses provided teaching. Changes in parental behavior were correlated with ethnicity (p <.05). The results have implications for teaching families effective scald burn prevention strategies.

Accidents, Home↗

Perinatal hepatitis B: update & recommendations.

The hepatitis B virus (HBV) is the most prevalent chronic infectious disease in the world, and should be better understood by nurses caring for families. Perinatal acquisition is the major cause of infection in infants and children. Without vaccine during infancy, 90% of infants born to women positive for the virus will go on to become lifelong carriers. There are significant sequelae associated with HBV infection, ranging from fulminant HBV to chronic liver disease to an increased risk for carcinoma. A comprehensive prevention and treatment strategy has been developed by the Centers for Disease Control and Prevention, which includes screening of all pregnant women for the presence of HBV, the administration of hepatitis B immunoglobulin (HBIG) at birth, and the administration of hepatitis B vaccine at birth, at 1 month of age, and at 6 months of age. Nurses working in the perinatal and pediatric specialties must understand the implications of HBV to help prevent transmission and to assist in the coordination of care and advocacy for affected populations. The community health implications for the care of women and children with HBV are clear, giving nurses the opportunity to develop a closer linkage between hospital- and community-based nursing practice.

Female↗

A program to educate woman who test positive for the hepatitis B virus during the perinatal period.

This computerized patient education program targeted the woman's self-identified learning needs and educated her about etiology, prognosis, and risk of transmission to the infant and other contacts. The educational program is an 18-page color slide presentation intended to be viewed jointly by the nurse and patient during a home visit. It uses strategies known to be effective for women with low literacy skills; the nurse uses this as an adjunct teaching tool to traditional one-on-one verbal instruction. Because many women who test positive for hepatitis B surface antigen during the perinatal period lack basic knowledge regarding the hepatitis B virus, it is essential that nurses teach this important information to at-risk populations.

Adult↗

The Cool Kids Coalition.

The Cool Kids Coalition was initiated as a community response to more than 214 hospitalizations of children under the age of five for burns over a 6-year period in one township in Long Island, NY. The coalition was started by public health nurses in partnership with the local chapter of the National Safe Kids Campaign. Goals included: 1. parent education regarding scald burn prevention; 2. development of innovative interventions for those at risk; and 3, development of innovative community approaches to scald prevention. Coalition members had diverse backgrounds and the coalition integrated non-traditional partners in injury control. The coalition doubled in size due to overwhelming community interest, growing within a few months from an initial group of 15 to a well-represented group of 30. Innovative programs were implemented that reached more than 3,000 parents, both in the community and home. Teaching was conducted with parents in the target population in Head Start centers, homeless shelters, the home, libraries, child care centers, a shelter for teen parents, etc. Member agencies incorporated the booklet and materials into their individual programs. The development of the Cool Kids Coalition illustrates the power of nursing in community health.

Burns↗

Linking substance-abusing pregnant women to drug treatment services: a pilot program.

OBJECTIVE: To conduct a pilot study to assist pregnant substance abusers to enter drug treatment. DESIGN: A nonexperimental design provided eligible women with outreach/home visits from a team led by a public health nurse. SETTING: All services for the women were provided in homes in the northeastern United States. PARTICIPANTS: Ten pregnant substance-abusing women who were not in drug treatment upon entry into prenatal care enrolled in the project. INTERVENTIONS: Home visits by a public health nurse were provided to the women to jointly develop a plan of care targeted to each woman's needs. A substance abuse counselor was available as a consultant and for home visits. An interdisciplinary team met monthly to coordinate services, discuss therapeutic approaches and treatment strategies, and address needed changes in the health services system. MAIN OUTCOME MEASURES: Rates of entry into substance abuse treatment, retention of custody of the index child, and scores on the Addiction Severity Index (ASI). RESULTS: Although the expected rate of entry into treatment was 10%, 90% of the women (n = 9) entered treatment. All had full-term newborns. Eighty percent (n = 8) retained custody of the index child. Upon the participants' enrollment, ASI scores indicated a moderate to extreme problem with alcohol and drug use for all women, and moderate to extreme psychiatric problems for 89% of the women. Subsequent ASI scores demonstrated marked improvement in all three subscales. CONCLUSION: This project provides strategies that nurses can use to assist substance-abusing pregnant women to enter drug treatment.

Adolescent↗