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CONTEXT Home-visitation services have been promoted as a means of improving maternal and child health and functioning. However, long-term effects have not been examined. OBJECTIVE To examine the long-term effects of a program of prenatal and early childhood home visitation by nurses on women's life course and child abuse and neglect. DESIGN Randomized(More)
CONTEXT Home visitation to families with young children has been promoted as an effective way to prevent child maltreatment, but few studies have examined the conditions under which such programs meet this goal. OBJECTIVE To investigate whether the presence of domestic violence limits the effects of nurse home visitation interventions in reducing(More)
CONTEXT A program of home visitation by nurses has been shown to affect the rates of maternal welfare dependence, criminality, problems due to use of substances, and child abuse and neglect. However, the long-term effects of this program on children's antisocial behavior have not been examined. OBJECTIVE To examine the long-term effects of a program of(More)
Official reports of maltreatment involving adolescent victims were compared to those involving younger children in a representative sample of protective services' reports drawn from New York State in 1985. Specific case characteristics, including age, gender, ethnicity of the victim, and source of report, are described and their relation to case(More)
The epidemiology of child abuse was investigated with data from the Second National Incidence and Prevalence Study of Child Abuse and Neglect. A statistical comparison of incidence rates suggested that age, family income, and ethnicity were risk factors for both sexual abuse and physical abuse, but county metrostatus was not. Gender was a risk factor for(More)
This study investigated the relationship between child maltreatment and the early onset of problem behaviors in the Elmira Nurse Home Visitation Program. Participants were predominantly low-income and unmarried mothers and their first-born children who were randomized either to receive over 2 years of home-visitation services by nurses or to be placed in a(More)
A sample of 223 adolescents who sought services from runaway and homeless youth programs in New York State during 1986-1987 was identified as having a history of maltreatment. A demographic profile is presented and the nature of their maltreatment described. The majority of these youth were female and between 15-16 years of age. Less than 25% came from(More)
Guidelines define the professional, ethical and legal responsibilities involved when challenging or delegating patient assignments. Maintaining safe nursing practice levels is possible through such alternatives as enabling practice environments and cross-training. These significant factors identify options available to nurse managers and their staff without(More)
Objective: A key tenet of patient safety programs is the elimination of the " culture of blame. " The On-line Patient Safety Climate Survey was developed to evaluate the corporate safety climate of the U.S. Army Medical Department (AMEDD). Methods: The survey tool was designed to measure willingness to report errors, problem-solving processes, and(More)