This is an interesting question to address health promotion and disease prevention. Do I have correct understanding by saying that this is a question of ineffective nurses in health promotion and disease prevention? Please add more data to get connected to your question. What are the health care activities done by nurses related to parenting and developmental plagiocephaly? What is the nursing practice setting in educating parents about developmental plagiocephaly? Did you assess why nurses failed to educate parents on developmental plagiocephaly? When you say “In spite of lectures and practical training there seems to be more work to do” in what aspect of engagement in providing health care nurses are ineffective and why? Can you specify what are those works to do when you say “there seems to be more work to do.” Good luck

We have education for health care nurses, with both lecture (reason, what to do, prevent, treat) and practical training (to assess head shape) in spite of this we see to many with palgiocephaly and brachycephaly. There may be a lot of new nurses at the health care centers (all Swedish infants goes to this centers). I do not know if not all aknowledge the problem or what. I am planing to do a survey to investigate what information and assessment the nurses do and at the same time ask parents what information they have got and what assessment their infant have had in their opinion. There may be a discrapance..

I am interested in your topic. I am looking at three factors that may contribute to the increasing number of infants with palgiocephaly and brachycephaly : Effective primary health care program, parents' compliance, and maternal factor (pre-natal history like prenatal alcoholism and malnutrition). If nurses are effective in providing health care to prevent palgiocephaly and brachycephaly then the increasing number of infants with palgiocephaly and brachycephaly should address poor parents' compliance and maternal factor/pre-natal care. Hope I can help.

Yes I agrre, but are all nurses effective enough? How do we increase their effectivity? And how increase parents compliance?

We probably never get zero of plagiocephaly and brachycephaly but it ought to be possible to deacrese it more.

I admire you for your advocacy. Your doing interdisciplinary collaboration to decrease the number of plagiocephaly and brachycephaly through health promotion and disease prevention. Nurses were given lectures and practical training yet there is still increasing number of plagiocephaly and brachycephaly. Then health care implementation needs to be evaluated. Are parents aware of the risk of lifelong disability related to plagiocephaly and brachycephaly? How to motivate parents for compliance? How to direct behavior towards compliance? I have no answer yet. I will get back when good answer is available. Thank you.

There seem to be a decrease after the first years of education of nurses, but I guess you have to keep them informed and updated in some way. Maybe I ask the nurses at next time for education how to keep it up. Could also be asked in the survey, or maybe in a focus group. Talking about it may give new ways.

Hi Anna! I agree with you that nurses needs updates. Have you tried distributing health promotion and disease prevention leaflets, poster display, and television viewing in the health centers or clinics and other settings where target population is available? Another strategy is mobilizing and organizing the community members. Community Participatory Action Program (CPAP) is modification of COPAR (Community Organizing Participatory Action Research). It is a strategy for community development and people empowerment that helps community workers to generate community participation in development activities. Best wishes.

Thanks for constructive and good suggestions, I have done leaflets and somne nurses are very good in giving them to parents, best is probably if they also talk about it.

I will consider doing posters, probably best in cooperation with some nurse in one of the health care clinics.

About CPAP I have to investigate a little bite more how it couls work.

What do you think about using a focus group, discussing how health care nurses best can help to prevent developmental plagiocephaly?

Yes focus group discussion is a good idea.

Thanks

It is probably also a positive factor to have nurses more involved in the work