Family Nursing Care to Improve Self Care in Stunting Prevention: A Systematic Literature Review
DOI:
https://doi.org/10.59585/ijhs.v2i4.560Keywords:
Family Nursing Care, Stunting Prevention, Self-Care, Child Health, Systematic ReviewAbstract
Stunting affects approximately 22.3% of children under five globally, with higher prevalence in low- and middle-income countries. While family nursing interventions may play a crucial role in preventing stunting through improved self-care practices, comprehensive evidence synthesis is lacking. This systematic review aimed to evaluate the effectiveness of family nursing care interventions in improving self-care practices related to stunting prevention, identify successful strategies, analyze outcomes, and provide evidence-based recommendations for healthcare practitioners.Following PRISMA 2020 guidelines, we systematically searched PubMed/MEDLINE, Scopus, CINAHL, and Science Direct for studies published between 2019 and 2024. Two independent reviewers assessed methodological quality using standardized tools. Data were synthesized narratively due to intervention heterogeneity. Twenty-five studies met inclusion criteria, including mixed-methods, quantitative observational, randomized controlled trials, and qualitative studies. Family nursing interventions improved health literacy (35.4% increase) and growth monitoring compliance (68.5% increase). Culturally adapted educational approaches and home-based support showed the most substantial evidence for effectiveness. Stunting prevalence decreased by 17.5% among intervention groups, with improved height-for-age Z-scores (mean improvement: 0.45 SD). Success factors included cultural competency, regular supervision, and clear intervention protocols.Conclusion: Family nursing interventions effectively improve self-care practices and contribute to stunting prevention when incorporating cultural adaptation, regular monitoring, and integrated community support. Future research should focus on long-term outcomes and standardized measurement tools across diverse settings.
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Adams, C., Hooker, L., & Taft, A. (2021). Managing maternal and child health nurses undertaking family violence work in Australia: a qualitative study. Journal of Nursing Management, 30(6), 1620-1628. https://doi.org/10.1111/jonm.13466
Basrowi, R. W., Dilantika, C., Sitorus, N. L., & Yosia, M. (2022). Impact of Indonesian Healthcare Worker in Stunting Eradication Danone Specialized Nutrition Indonesia. IJCOM, 2(2).
Broekema, S., Paans, W., Roodbol, P. F., & Luttik, M. L. (2019). Nurses’ application of the components of family nursing conversations in home health care: a qualitative content analysis. Scandinavian Journal of Caring Sciences, 34(2), 322-331. https://doi.org/10.1111/scs.12731
Çeli̇k, M. Y. and Kılıç, M. (2022). Family relationship of nurses in COVID-19 pandemic: a qualitative study. World Journal of Clinical Cases, 10(19), 6472-6482. https://doi.org/10.12998/wjcc.v10.i19.6472
Chairani, R. and Tukiran, T. (2023). Implementation of nursing care in hypertension patients with a family approach: a case study. International Journal of Multidisciplinary Research and Analysis, 06(05). https://doi.org/10.47191/ijmra/v6-i5-28
Chen, K., Wei, L., Zhang, Y., Jiang, W., Wang, J., & Pan, Y. (2022). Work stress in nurses returning to tertiary a general hospitals in China after the delivery of their second child: a cross-sectional study. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-07912-8
Clarke, E., Pugh, G., Heuvel, E. v. d., Winstanley, M., Wood, A. C., Laughton, S., … & Lovell, A. L. (2023). Understanding the patient and family experience of nutrition and dietetic support during childhood cancer treatment. Supportive Care in Cancer, 31(6). https://doi.org/10.1007/s00520-023-07787-3
Collyer, S., Curran, M. A., Garfinkel, I., Harris, D., Parolin, Z., Waldfogel, J., … & Wimer, C. (2023). The child tax credit and family well-being: an overview of reforms and impacts. The ANNALS of the American Academy of Political and Social Science, 706(1), 224-255. https://doi.org/10.1177/00027162231205148
Duarte, E. D., Braga, P. P., Guimarães, B. R., Silva, J. B. d., & Caldeira, S. (2022). A qualitative study of the spiritual aspects of parenting a child with down syndrome. Healthcare, 10(3), 546. https://doi.org/10.3390/healthcare10030546
Fajar, N. A., Zulkarnain, M., Taqwa, R., Sulaningsi, K., Ananingsih, E. S., Rachmayanti, R. D., & Sin, S. C. (2023). Family Roles and Support in Preventing Stunting: A Systematic Review. Jurnal Promosi Kesehatan Indonesia, 19(1), 50–57. https://doi.org/10.14710/jpki.19.1.50-57
Fentiana, N., Achadi, E. L., Besral, Kamiza, A., & Sudiarti, T. (2022). A Stunting Prevention Risk Factors Pathway Model for Indonesian Districts/Cities with a Stunting Prevalence of ≥30%. Kesmas, 17(3), 175–183. https://doi.org/10.21109/kesmas.v17i3.5954
Han, M. (2023). Influence of family structure on children’s well-being – challenges and pathways to promote positive development. SHS Web of Conferences, 180, 02008. https://doi.org/10.1051/shsconf/202318002008
Hanifah, L., & Astuti, A. W. (2023). Promotive and Preventive Efforts of Health Workers in Reducing Stunting: A Scoping Review. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 8(1). https://doi.org/10.30604/jika.v8i1.1603
Huang, L., Huang, X., Wang, J., Zhang, F., Yang, F., Tang, J., … & Wang, Y. (2023). Factors influencing parent-child relationships in Chinese nurses: a cross-sectional study. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01413-7
Huynh, G., Vishram, A., Graham-Parker, C., Blatz, D., Carroll, M., & Turner, J. (2022). Mealtime support: a pilot case series study of an effective, cost-saving outpatient hunger-based feeding program for tube dependency. JPGN Reports, 3(1), e154. https://doi.org/10.1097/pg9.0000000000000154
Lutz, B., & Camicia, M. (2023). Family systems nursing conversations (FSNCs) have the potential to improve family functioning and well-being. Evid Based Nurs, 26(2):55. doi: 10.1136/ebnurs-2022-103591.
Martin, S.l., McCann, J., Gascoigne, E., Allotey, D., Fundira, D., & Dickin, K. L. (2021). Engaging family members in maternal, infant and young child nutrition activities in low‐ and middle‐income countries: a systematic scoping review. Maternal &Amp; Child Nutrition, 17(S1). https://doi.org/10.1111/mcn.13158
Maulina, R., Retnaningsih, R., Safitri, R., & Amalia, W. (2024). Factor analysis of stunting toddler feeding patterns using transcultural nursing approach. Amerta Nutrition, 8(1), 98-103. https://doi.org/10.20473/amnt.v8i1.2024.98-103
Mauro, A.D., Cucolo, D.F., & Perroca, M.G. (2023). Nursing Actions For Continuity Of Care In Primary Health Care: A Validation Study. Texto contexto – enferm, 32. DOI: 10.1590/1980-265x-tce-2023-0058en.
McCulloch, H., Campbell‐Yeo, M., Richardson, B., Dol, J., Hundert, A., Dorling, J., & Smit, M. (2021). The impact of restrictive family presence policies in response to COVID-19 on family integrated care in the NICU: a qualitative study. HERD: Health Environments Research &Amp; Design Journal, 15(2), 49-62. https://doi.org/10.1177/19375867211065178
Perry, B., Thirsk, L. M., & Gordon, B. (2023). Facilitating family‐focused care of older adults living in long‐term care in Canada during restricted visiting due to covid‐19. International Journal of Older People Nursing, 18(2). https://doi.org/10.1111/opn.12527
Pitch, N., Davidson, L., Mekhuri, S., Patel, R., Patel, S., Ambreen, M., & Amin, R. (2023). Exploring the experience of family caregivers of children with medical complexity during COVID-19: a qualitative study. BMC Pediatrics, 23(1). https://doi.org/10.1186/s12887-023-03944-z
Rahmadiyah, D., Sahar, J., & Widyatuti, W. (2022). Public Health Interventions to Reduce Stunting in Toddlers: A Systematic Review. Open Access Macedonian Journal of Medical Sciences, 10(F), 158–167. https://doi.org/10.3889/oamjms.2022.8610
Rangkuti, J. A., Hadi, A. J., Ahmad, H., Yetti, E., Sallipadang, E., Hadisaputro, R., Sudarman, S., & Sakka, L. (2023). Developing Family Life Support Model Towards Stunting Children Born Through Sectio Caesarea in Padangsidimpuan City, Indonesia. International Journal of Membrane Science and Technology, 10(3).
Rodrigues, W. d. S., Badagnan, H. F., Nobokuni, A. C., Fendrich, L., Zanetti, A. C. G., Giacon, B. C. C., … & Galera, S. A. F. (2021). Family nursing practice scale: Portuguese language translation, cross-cultural adaptation, and validation. Journal of Family Nursing, 27(3), 212-221. https://doi.org/10.1177/10748407211002152
Rokhmah, D., Dewi Moelyaningrum, A., Ma, I., & Rohmawati, N. (2022). Sociodemographic Factors Associated with Stunting Cases Among Tobacco Plantation Society in Jember District, Indonesia Faktor Demografi dan Sosial Terkait Kasus Stunting di Masyarakat Perkebunan Tembakau Kabupaten Jember, Indonesia. Amerta Nutrition, 6, 25–31. https://doi.org/10.20473/amnt.v6i1SP.2022.25
Salaguinto, T., Guzman, Y., Lowry, S. J., Liljenquist, K., LaFontaine, R., Ortiz, J. E., & Coker, T. R. (2023). Can a clinic-based community health worker intervention buffer the negative impact of the COVID-19 pandemic on health and well-being of low-income families during early childhood. International Journal of Environmental Research and Public Health, 20(14), 6407. https://doi.org/10.3390/ijerph20146407
Shawky, M., Salem, M. R., Abouhashima, F., Abdelaziz, S. B., & Aguizy, F. H. E. (2022). Use of a m-health approach for the training of health-care providers on nutrition counseling in a malnutrition clinic. Open Access Macedonian Journal of Medical Sciences, 10(E), 1350-1358. https://doi.org/10.3889/oamjms.2022.9728
Susmarini, D., Ninh, D. T., & Shin, H. (2024). Family resilience and caregiver’s well-being across different age groups of children with ADHD in the United States: a cross-sectional study. Child Health Nursing Research, 30(2), 97-107. https://doi.org/10.4094/chnr.2024.003
Yani, D. I., Rahayuwati, L., Sari, C. W. M., Komariah, M., & Fauziah, S. R. (2023). Family Household Characteristics and Stunting: An Update Scoping Review. Nutrients, 15(1). https://doi.org/10.3390/nu15010233
Yoo, S. Y. and Cho, H. (2020). Exploring the influences of nurses’ partnership with parents, attitude to families’ importance in nursing care, and professional self-efficacy on quality of pediatric nursing care: a path model. International Journal of Environmental Research and Public Health, 17(15), 5452. https://doi.org/10.3390/ijerph17155452
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