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Public health nurses' perceptions of their interactions with child protection services when supporting socioeconomically disadvantaged young mothers in British Columbia, Canada.
Marcellus, Lenora; Tonmyr, Lil; Jack, Susan M; Gonzalez, Andrea; Sheenan, Debbie; Varcoe, Colleen; Kurtz Landy, Christine; Campbell, Karen; Catherine, Nicole; MacMillan, Harriet; Waddell, Charlotte.
Afiliación
  • Marcellus L; School of Nursing, University of Victoria, PO Box 1700 STN CSC, Victoria, BC, Canada. Electronic address: lenoram@uvic.ca.
  • Tonmyr L; Public Health Agency of Canada, Family Violence Surveillance, 785 Carling, AL 6807B, Ottawa, ON K1A 0K9, Canada. Electronic address: lil.tonmyr@canada.ca.
  • Jack SM; School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada. Electronic address: jacksm@mcmaster.ca.
  • Gonzalez A; Department of Psychiatry and Behavioural Neurosciences, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada. Electronic address: gonzal@mcmaster.ca.
  • Sheenan D; Children's Health Policy Centre, Faculty of Health Sciences, Simon Fraser University, 515 West Hastings Street, Vancouver, BC V6B 5K3, Canada.
  • Varcoe C; School of Nursing, T201-2211 Wesbrook Mall, University of British Columbia, Vancouver, BC V6T 2B5, Canada. Electronic address: colleen.varcoe@ubc.ca.
  • Kurtz Landy C; Faculty of Health, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada. Electronic address: kurtzlcm@yorku.ca.
  • Campbell K; School of Nursing, Western University, London, ON N6A 3K7, Canada. Electronic address: kcamp232@uwo.ca.
  • Catherine N; Children's Health Policy Centre, Faculty of Health Sciences, Simon Fraser University, 515 West Hastings Street, Vancouver, BC V6B 5K3, Canada. Electronic address: nicole_catherine@sfu.ca.
  • MacMillan H; Offord Centre for Child Studies, McMaster Innovation Park, Suite 201A, McMaster University, 1280 Main St. West, Hamilton, ON L8S 4K1, Canada. Electronic address: macmilnh@mcmaster.ca.
  • Waddell C; Children's Health Policy Centre, Faculty of Health Sciences, Simon Fraser University, 515 West Hastings Street, Vancouver, BC V6B 5K3, Canada. Electronic address: charlotte_waddell@sfu.ca.
Child Abuse Negl ; 124: 105426, 2022 02.
Article en En | MEDLINE | ID: mdl-34995927
BACKGROUND: Children of girls and young women experiencing socioeconomic disadvantage are at risk of maltreatment and associated health and developmental problems. Nurse-Family Partnership (NFP) is an early intervention program designed to improve child and maternal health outcomes. The effectiveness of NFP is being evaluated in British Columbia (BC) through a randomized controlled trial, augmented by a process evaluation to identify influences on how NFP was implemented. OBJECTIVE: To describe how public health nurses providing NFP perceived their interactions with child protection professionals. PARTICIPANTS AND SETTING: Forty-seven public health nurses across BC. METHODS: The principles of interpretive description informed the qualitative component of the process evaluation. Data from interviews and focus groups were analyzed using the framework analysis approach. A thematic framework was generated through processes of coding, charting and mapping, with a focus on organizational and systems influences. RESULTS: Nurses' practice in supporting families often involved engagement with child protection services. Four themes about the nature of this work were identified: 1) developing a deeper understanding of the disciplinary perspectives of child protection, 2) striving for strengthened collaboration, 3) navigating change and uncertainty, and 4) responding to family and community complexity. CONCLUSIONS: Participants valued the contribution of child protection professionals and expressed willingness to collaborate to support families. However, collaboration was constrained by multiple structural barriers. Collaborative models offer possibilities for integrated practice, although can be difficult to implement within current health and child protection systems and child protection regulatory contexts.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermeras de Salud Pública / Madres Tipo de estudio: Clinical_trials / Qualitative_research Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Child / Female / Humans País/Región como asunto: America do norte Idioma: En Revista: Child Abuse Negl Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermeras de Salud Pública / Madres Tipo de estudio: Clinical_trials / Qualitative_research Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Child / Female / Humans País/Región como asunto: America do norte Idioma: En Revista: Child Abuse Negl Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido