Children’s community nursing services: models of care delivery. A review of the United Kingdom literature

Eaton, Nicola

doi:10.1046/j.1365-2648.2000.01419.x

Cited by 23 publications

(17 citation statements)

References 22 publications

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“…Employing newly qualified nurses in the community had been resisted up to this point because they were thought to lack the skills or ability to work autonomously (Cramp et al, 2003;Eaton, 2000). These small teams were traditionally composed of ''highly qualified staff'' (Tatman & Woodroffe, 1993, p. 678) who held both a community and a children's nursing qualification (Eaton, 2000;RCN, 2000) which suggests that newly qualified nurses were unlikely to be working in them.…”

Section: Study Contextmentioning

confidence: 93%

A different world?: the transition experiences of newly qualified children’s nurses taking up first destination posts within children’s community nursing teams in England

Darvill

Fallon

Livesley

2014

Issues in Comprehensive Pediatric Nursing

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The concept of transition is of fundamental concern to those seeking to prepare, recruit, and retain newly qualified staff. The pioneering work of researchers such as Kramer (1974) who explored the transition experiences of nurses has transcended international boundaries (Whitehead & Holmes, 2011) to influence the educational preparation of nurses worldwide. However, much of what we know about the transition experiences of newly qualified nurses is based on research with adult nurses and in the acute care settings. This article outlines the findings from a qualitative study about the experiences of a group of newly qualified children's nurses in England who had taken up first destination posts in community children's nursing teams at a time when such posts were novel, and had previously been met with some resistance. Data were collected using semi-structured interviews and fieldwork observation, and analyzed using a combination of thematic analysis (Braun & Clarke, 2006) and the framework approach (Ritchie & Lewis 2003; Smith & Firth 2011). The findings are outlined under the broad headings of "Shadowing," "The Visits," and "Emerging Identity" and support previous research that highlights how good formal support and the physical presence of a preceptor is valued by newly qualified nurses since it reduces occupational stress. However, the study also highlights the downside of such support which occurred because some accepted practices inadvertently reduced confidence and therefore inhibited a smooth transition. The ideal transition experience therefore necessitated a more individual approach, allowing for different rates of progression. The primary care environment allowed for such individuality which may account for the significant finding that the nurses in this study did not report feelings of reality shock (Kramer, 1974) as experienced by those in acute care settings. The study therefore highlights how the development of a new professional identity as a community children's nurse is not just dependent on the actions of the newly qualified nurse, but also of those with whom they work.

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Section: Study Contextmentioning

confidence: 93%

A different world?: the transition experiences of newly qualified children’s nurses taking up first destination posts within children’s community nursing teams in England

Darvill

Fallon

Livesley

2014

Issues in Comprehensive Pediatric Nursing

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“…While not all families have access to community children's nurses (CCN) (Forys, 2001;Eaton, 2000;MacDonald, 1991;Kirk, 1999) this may be problematic. Equally, Clinical Nurse Specialists (CNS) in hospital are not always available, yet the studies that have used a CNS find improved satisfaction of information provision to families (Bradford and Singer, 1991;Wesseldine et al, 1999;Mancini and While, 2001;Shesser and Kling, 1986).…”

Section: Information Needsmentioning

confidence: 99%

A literature review of the care of babies and young children in hip spicas

Smith

2004

Journal of Orthopaedic Nursing

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“…location of service (primary or acute) and role (generalist or specialist). Further classification work by Eaton (2000) developed this initial model further still, using the dimension of base/location of the team but adding the degree of specialization of the team members, thus describing six models of community children's nursing services.…”

Section: Introductionmentioning

confidence: 99%

Workforce Planning and Community Children’s Nurses: It’s all in the Advertisements

Winter

Teare

2002

J Child Health Care

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This paper outlines a study exploring job advertisements for community children's nurses (CCNs). A post-structural approach was taken to illuminate the development of community children's nursing services (CCNS) and the profile of characteristics, skills and caseload within a workforce-planning context. An analysis of 100 advertisements looked at title, skills, caseload, qualifications and evolving roles. The analysis comprised an initial quantitative descriptive account of data, followed by further analysis of the text using thematic analysis and coding. The skills identified were compared to those identified by Proctor et al. (1999). The most commonly occurring skills were interpersonal (35%), multi-professional team working (33%), clinical (28%), management (18%) and leadership (16%). The analysis was limited, but provides a unique insight into employers' perceived needs in providing CCN services, evolving titles and roles and could inform practitioners, contribute to service evaluation, future service provision and workforce planning.

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Children’s community nursing services: models of care delivery. A review of the United Kingdom literature

Cited by 23 publications

References 22 publications

A different world?: the transition experiences of newly qualified children’s nurses taking up first destination posts within children’s community nursing teams in England

A different world?: the transition experiences of newly qualified children’s nurses taking up first destination posts within children’s community nursing teams in England

A literature review of the care of babies and young children in hip spicas

Workforce Planning and Community Children’s Nurses: It’s all in the Advertisements

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