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British Columbia Healthy Connections Project process evaluation: a mixed methods protocol to describe the implementation and delivery of the Nurse-Family Partnership in Canada.

Jack SM, Sheehan D, Gonzalez A, MacMillan HL, Catherine N, Waddell C, BCHCP Process Evaluation Research Te - BMC Nurs (2015)

Bottom Line: Summaries of team meetings and supervisory sessions will be analyzed.Data will be used to compare, corroborate and explain results and variances across the five regional Health Authorities.The process evaluation results will be of immediate instrumental use to the program implementers to inform intervention delivery.

View Article: PubMed Central - PubMed

Affiliation: School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON Canada L8S 4K1.

ABSTRACT

Background: The Nurse-Family Partnership is a home visitation program for first-time, socially and economically disadvantaged mothers. The effectiveness of this public health intervention has been well established in the United States; however, whether the same beneficial outcomes will be obtained within the Canadian context is unknown. As part of the British Columbia Healthy Connections Project, which includes a trial comparing Nurse-Family Partnership's effectiveness with existing services in British Columbia, we are conducting a process evaluation to describe and explain how the intervention is implemented and delivered across five regional Health Authorities.

Methods: A convergent parallel mixed methods research design will be used to address the process evaluation objectives. The principles of interpretive description will guide all sampling, data collection and analytic decisions in the qualitative component of the study. The full population of public health nurses and supervisors (n = 71) will discuss their experiences of implementing and delivering the program in interviews (or focus groups). Managers (n = 5-15) responsible for this portfolio will also be interviewed annually. Fidelity reports with quantitative data on the reach and the dose of the intervention will be collected and analyzed. Summaries of team meetings and supervisory sessions will be analyzed. Data will be used to compare, corroborate and explain results and variances across the five regional Health Authorities.

Discussion: The process evaluation results will be of immediate instrumental use to the program implementers to inform intervention delivery. Findings will contribute to the emerging body of evidence surrounding: 1) professional nurse home visitation practice issues; 2) best practices for meeting the needs of families living in rural and remote communities; 3) a deeper understanding of how health and social issues such as mental health problems including substance misuse and exposure to intimate partner violence affect a young mother's capacity to parent; and 4) strategies to support professionals from the primary care, public health and child welfare sectors to work collaboratively to meet the needs of children and families who are at risk or experiencing maltreatment.

No MeSH data available.


Related in: MedlinePlus

Pursposeful sampling framework for the qualitative arm of the BCHCP process evaluation
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Fig1: Pursposeful sampling framework for the qualitative arm of the BCHCP process evaluation

Mentions: Primary data will be collected from all BC NFP PHNs and supervisors (including the NFP Provincial Coordinator). These individuals will be eligible to participate in the process evaluation (basic or expanded) if they: 1) have completed, or are in the process of completing, the NFP education; 2) are delivering the NFP intervention to enrolled participants in the BCHCP (RCT intervention arm or process evaluation); and 3) who speak English. A purposeful sample of senior public health managers from each HA, who have the NFP program within the portfolio of services for which they are responsible, will also be invited to participate. Informed consent will be sought from all NFP service providers eligible to participate in the process evaluation. The total sample size at the commencement of the study is 71 participants including: supervisors + NPF provincial coordinator (n = 11) and PHNs (basic process evaluation n = 13, expanded process evaluation n = 47) (Fig. 1). Through a process of snowball sampling, we estimate inviting 5–15 senior public health managers (1–3 per participating health authority) to also participate. We anticipate that the sample size will increase during the study as new PHNs or supervisors hired to deliver the NFP during the participant recruitment period of the BCHCP will be invited to participate in the process evaluation following the completion of their NFP core education.Fig. 1


British Columbia Healthy Connections Project process evaluation: a mixed methods protocol to describe the implementation and delivery of the Nurse-Family Partnership in Canada.

Jack SM, Sheehan D, Gonzalez A, MacMillan HL, Catherine N, Waddell C, BCHCP Process Evaluation Research Te - BMC Nurs (2015)

Pursposeful sampling framework for the qualitative arm of the BCHCP process evaluation
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4574451&req=5

Fig1: Pursposeful sampling framework for the qualitative arm of the BCHCP process evaluation
Mentions: Primary data will be collected from all BC NFP PHNs and supervisors (including the NFP Provincial Coordinator). These individuals will be eligible to participate in the process evaluation (basic or expanded) if they: 1) have completed, or are in the process of completing, the NFP education; 2) are delivering the NFP intervention to enrolled participants in the BCHCP (RCT intervention arm or process evaluation); and 3) who speak English. A purposeful sample of senior public health managers from each HA, who have the NFP program within the portfolio of services for which they are responsible, will also be invited to participate. Informed consent will be sought from all NFP service providers eligible to participate in the process evaluation. The total sample size at the commencement of the study is 71 participants including: supervisors + NPF provincial coordinator (n = 11) and PHNs (basic process evaluation n = 13, expanded process evaluation n = 47) (Fig. 1). Through a process of snowball sampling, we estimate inviting 5–15 senior public health managers (1–3 per participating health authority) to also participate. We anticipate that the sample size will increase during the study as new PHNs or supervisors hired to deliver the NFP during the participant recruitment period of the BCHCP will be invited to participate in the process evaluation following the completion of their NFP core education.Fig. 1

Bottom Line: Summaries of team meetings and supervisory sessions will be analyzed.Data will be used to compare, corroborate and explain results and variances across the five regional Health Authorities.The process evaluation results will be of immediate instrumental use to the program implementers to inform intervention delivery.

View Article: PubMed Central - PubMed

Affiliation: School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON Canada L8S 4K1.

ABSTRACT

Background: The Nurse-Family Partnership is a home visitation program for first-time, socially and economically disadvantaged mothers. The effectiveness of this public health intervention has been well established in the United States; however, whether the same beneficial outcomes will be obtained within the Canadian context is unknown. As part of the British Columbia Healthy Connections Project, which includes a trial comparing Nurse-Family Partnership's effectiveness with existing services in British Columbia, we are conducting a process evaluation to describe and explain how the intervention is implemented and delivered across five regional Health Authorities.

Methods: A convergent parallel mixed methods research design will be used to address the process evaluation objectives. The principles of interpretive description will guide all sampling, data collection and analytic decisions in the qualitative component of the study. The full population of public health nurses and supervisors (n = 71) will discuss their experiences of implementing and delivering the program in interviews (or focus groups). Managers (n = 5-15) responsible for this portfolio will also be interviewed annually. Fidelity reports with quantitative data on the reach and the dose of the intervention will be collected and analyzed. Summaries of team meetings and supervisory sessions will be analyzed. Data will be used to compare, corroborate and explain results and variances across the five regional Health Authorities.

Discussion: The process evaluation results will be of immediate instrumental use to the program implementers to inform intervention delivery. Findings will contribute to the emerging body of evidence surrounding: 1) professional nurse home visitation practice issues; 2) best practices for meeting the needs of families living in rural and remote communities; 3) a deeper understanding of how health and social issues such as mental health problems including substance misuse and exposure to intimate partner violence affect a young mother's capacity to parent; and 4) strategies to support professionals from the primary care, public health and child welfare sectors to work collaboratively to meet the needs of children and families who are at risk or experiencing maltreatment.

No MeSH data available.


Related in: MedlinePlus