Yanicki, Sharon
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Browsing Yanicki, Sharon by Subject "Home visitation"
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- ItemThe safety of Canadian early discharge guidelines: effects of discharge timing on readmission in the first year post-discharge and exclusive breastfeeding to four months(Canadian Public Health Association, 2002) Yanicki, Sharon M.; Paul, Hasselback; Mark, Sandilands; Chris, Jensen-RossBackground: Few studies have examined earlier discharge in relation to Canadian guidelines for earlier discharge and infant feeding. We addressed differences in readmission (1 year post-discharge) and exclusive breastfeeding (4 months) for newborns and mothers discharged within 48 hours compared to those with a longer hospital stay. Method: A cohort of 1,357 vaginally delivered singleton normal newborns and their mothers (births between January 1, 1996 and March 31, 1997) were studied by linking five databases and a chart audit. Results: Overall there were no differences in infant and maternal readmission or rates of exclusive breastfeeding. Conclusion: Canadian guidelines for earlier discharge appear appropriate for vaginally delivered singleton normal newborns and their mothers with timely home visitation.
- ItemSocial support and family assets: the perceptions of low-income lone-mother families about support from home visitation(Canadian Public Health Association, 2005) Yanicki, Sharon M.Background: Research on lone-mother families has commonly focussed on psychosocial risk factors and deficits rather than family assets (strengths and resiliency characteristics). The negative impacts of poverty and social isolation have been well documented. Home visitation programs provide formal support to overburdened families, yet little research has focussed on the meaning of support (e.g., formal and informal) from the perspective of families. Methods: This qualitative exploratory descriptive study was completed in southwestern Alberta, with a purposeful sample of 13 families (mean annual income of $15,423 and 2.1 children) using mixed measurement (clinical tools and 2 semi-structured interviews). Results: Similarities and differences in support and three lone-mother family structures were identified. A few lone-mother families described transformative experiences related to affirmative support from the home visitor. Not all families reported having ‘enough support’ to meet their needs. Sources of change in family assets included: a) support from the home visitor, b) ‘other supports’, or c) personal growth. On balance, support from home visitation was most commonly described as supporting these changes. Summary: Support and assets were explored from a broad family and environmental context. Practice implications for home visitation and areas for future research were identified.