Sustained Nurse Home Visiting in Early Childhood: Exploring Australian Nursing Competencies

Kemp, Lynn; Anderson, Teresa; Travaglia, Joanne; Harris, Elizabeth

doi:10.1111/j.0737-1209.2005.220309.x

Cited by 28 publications

(22 citation statements)

References 13 publications

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“…“A sense of belonging” to the community relates to the reality that community nursing is grounded in the social model of health. Community nursing practice entails working with individuals, families and community groups (Besner, ; Kemp, Anderson, Travaglia, & Harris, ). The practice involves coordinating care in multidisciplinary environments and provision of visiting services to clients in complex situations that often require advanced problem‐solving skills (Besner, ; Kemp et al, ).…”

Section: Discussionmentioning

confidence: 99%

Facilitating an early career transition pathway to community nursing: A Delphi Policy Study

et al. 2019

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AimTo further develop and validate a new model of the early career transition pathway in the speciality of community nursing.DesignDelphi policy approach, guided by a previous systematic review and semi‐structured interviews.MethodsFour rounds of an expert panel (N = 19). Rounds one, two and four were questionnaires consisting of a combination of closed (Likert response) and open‐ended questions. Round three comprised of a focus group conducted using virtual meeting technology.ResultsThe final model demonstrated reliable and valid measures. There were deficiencies in “pre‐entry”—where the marketing of community nursing was negligible and the support around orientation informal and minimal, mainly due to tight budgetary concerns. Community practice holds a whole new dimension for nurses transitioning from acute care as the concept of “knowing your community” took time and support—time to be accepted reciprocally and develop a sense of belonging to the community.

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Section: Discussionmentioning

confidence: 99%

Facilitating an early career transition pathway to community nursing: A Delphi Policy Study

et al. 2019

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“…Partnership work with parents is not a new activity for nurses and is well documented (Kemp et al. 2005, Olds 2006, Coyne 2007, Kilpatrick et al.…”

Section: Introductionmentioning

confidence: 99%

Working in partnership with parents: the experience and challenge of practice innovation in child and family health nursing

Fowler¹,

Rossiter²,

Bigsby³

et al. 2012

Journal of Clinical Nursing

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This study demonstrates that the effective utilisation of the Family Partnership Model in nursing practice is a more complex and dynamic process than simply embracing the model. There are significant challenges to be negotiated when implementing new ways of working with parents, particularly questioning existing dominant forms of practice for nurses, managers and wider health organisations, and their clients. This paper also raises issues about sustaining practice innovation, which extends beyond the best intent of individual nurses, requiring receptive organisational conditions and leadership.

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“…& Mid-trial qualitative, quantitative, and mixed-method analyses of intervention processes (Kardamanidis, Kemp, and Schmied 2009;Kemp, Anderson, Travaglia, and Harris 2005;Kemp et al 2006); and & Post-trial qualitative and mixed-method causal modeling (Maxwell 2012) of relationships between processes and outcomes (Kemp et al 2013;Zapart, Knight, and Kemp 2016).…”

Section: Core Ingredientsmentioning

confidence: 99%

Adaptation and Fidelity: a Recipe Analogy for Achieving Both in Population Scale Implementation

Kemp

2016

Prev Sci

Self Cite

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Balancing adherence to fidelity of evidence-based programs and adaptation to local context is one of the key debates in the adoption and implementation of effective programs. Concern about maintaining fidelity to achieve outcomes can result in replication of research-based models that can be a poor fit with the real world. Equally, unplanned adaptation can result in program drift away from the core elements needed to achieve outcomes. To support implementation of the Maternal Early Childhood Sustained Home-visiting (MECSH) program in multiple sites in three countries, an analogy was developed to identify how both fidelity and adaptation can be managed and successfully achieved. This article presents the Commonsense Cookery Book Basic Plain Cake with Variations recipe analogy to articulate the dual requirements of both fidelity and adaptation to achieve quality implementation of the MECSH program. Components classified by the analogy include identification of core ingredients, methods, and equipment that contribute to fundamental outcomes and fidelity to the evidence-based program, and a planned, collaborative approach to identification of needed variations to suit locally sourced capacity, needs, and tastes. Quality is achieved by identifying and measuring the core ingredients and the variations. Sourcing local ingredients and honoring of context support sustainability of quality practice. Using this analogy has assisted adopters of the MECSH program to understand that effective implementation requires uncompromised commitment to expectations of fidelity to the core components and methods; planned, proactive adaptation; systematic monitoring of both core program and agreed variations; and local ownership and sustainability.

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Sustained Nurse Home Visiting in Early Childhood: Exploring Australian Nursing Competencies

Cited by 28 publications

References 13 publications

Facilitating an early career transition pathway to community nursing: A Delphi Policy Study

Facilitating an early career transition pathway to community nursing: A Delphi Policy Study

Working in partnership with parents: the experience and challenge of practice innovation in child and family health nursing

Adaptation and Fidelity: a Recipe Analogy for Achieving Both in Population Scale Implementation

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