Implementation of the Family Nurse Partnership programme in England: experiences of key health professionals explored through trial parallel process evaluation

BMC Nursing

卷:18

Katy Addison¹  Mike Robling¹  Sue Channon¹  J. Sanders²  Kristina Bennert³  Nina Gobat⁴ 

[1] Centre for Trials Research, Cardiff University;

[2] Clinical Nursing and Midwifery, School of Healthcare Sciences;

[3] Department of Psychology, Clinical Psychology;

[4] Division of Population Medicine, Cardiff University;

关键词: Family nurse partnership;    Teenage;    Pregnancy;    Early years;    Home visiting;    Public health nursing;   

DOI  :  10.1186/s12912-019-0338-y

来源: DOAJ

【 摘 要 】

Abstract Background The Family Nurse Partnership (FNP) programme was introduced to support young first-time mothers. A randomised trial found FNP added little short-term benefit compared to usual care. The study included a comprehensive parallel process evaluation, including focus groups, conducted to aid understanding of the introduction of the programme into a new service and social context. The aim of the focus groups was to investigate views of key health professionals towards the integration and delivery of FNP programme in England. Methods Focus groups were conducted separately with Family Nurses, Health Visitors and Midwives at trial sites during 2011–2012. Transcripts from audio-recordings were analysed thematically. Results A total of 122 professionals participated in one of 19 focus groups. Family Nurses were confident in the effectiveness of FNP, although they experienced practical difficulties meeting programme fidelity targets and considered that programme goals did not sufficiently reflect client or community priorities. Health Visitors and Midwives regarded FNP as well-resourced and beneficial to clients, describing their own services as undervalued and struggling. They wished to work closely with Family Nurses, but felt excluded from doing so by practical barriers and programme protection. Conclusion FNP was described as well-resourced and delivered by highly motivated and well supported Family Nurses. FNP eligibility, content and outcomes conflicted with individual client and community priorities. These factors may have restricted the potential effectiveness of a programme developed and previously tested in a different social milieu. Building Blocks ISRCTN23019866 Registered 20/04/2009.

【 授权许可】

Unknown