scholarly journals “The Hardest Job You Will Ever Love”: Nurse Recruitment, Retention, and Turnover in the Nurse-Family Partnership Program in British Columbia, Canada

2019 ◽  
Author(s):  
Karen A Campbell ◽  
Natasha Van Borek ◽  
Lenora Marcellus ◽  
Christine Kurtz Landy ◽  
Susan M Jack
Keyword(s):  
Public Health ◽  
British Columbia ◽  
Work Experience ◽  
Family Health ◽  
Public Health Nurses ◽  
Development Education ◽  
Nurse Turnover ◽  
Geographical Factors ◽  
Nurse Family Partnership ◽  
Family Partnership

Abstract Background: Nurse turnover is a significant issue and complex challenge for all sectors of healthcare and is exacerbated by a global nursing shortage. Nurse-Family Partnership is a community health program for first-time pregnant and parenting girls and young women living in situations of social and economic disadvantage, delivered exclusively by public health nurses and only within a research context in Canada. The aim of this article is to explore and describe factors that contribute to recruitment, retention, and turnover of public health nurses delivering Nurse-Family Partnership in British Columbia, Canada. Methods: Interpretive description was used to guide sampling, data collection and analytic decisions in this qualitative component drawn from the British Columbia Healthy Connections Project mixed methods process evaluation. Semi-structured, individual interviews were conducted with 28 public health nurses who practiced in and then exited Nurse-Family Partnership. Results: Nurses were motivated to join this program because they wanted to deliver an evidence-based program for vulnerable young mothers that fit with their personal and professional philosophies and offered nurse autonomy. Access to program resources attracted nursing staff, while delivering a program that prioritizes maintaining relationships and emphasizes client successes was a positive work experience. Opportunities for ongoing professional development/ education, strong team connections, and working at full-scope of nursing practice were significant reasons for nurses to remain in Nurse-Family Partnership. Personal circumstances (retirement, family/health needs, relocation, career advancement) were the most frequently cited reasons leading to turnover. Other factors included: involuntary reasons, organizational and program factors, and geographical factors. Conclusions: Public health organizations that deliver Nurse-Family Partnership may find aspects of job embeddedness theory useful for developing strategies for supporting recruitment and retention and reducing nurse turnover. Hiring nurses who are the right fit for this type of program may be a useful approach to increasing nurse retention. Fostering a culture of connectivity through team development along with supportive and communicative supervision are important factors associated with retention and may decrease turnover. Many involuntary factors were specific to being in a study environment. Program, organizational, and geographical factors affecting nurse turnover are modifiable.

scholarly journals “The Hardest Job You Will Ever Love”: Nurse Recruitment, Retention, and Turnover in the Nurse-Family Partnership Program in British Columbia, Canada

2020 ◽  
Author(s):  
Karen A Campbell ◽  
Natasha Van Borek ◽  
Lenora Marcellus ◽  
Christine Kurtz Landy ◽  
Susan M Jack
Keyword(s):  
Public Health ◽  
British Columbia ◽  
Work Experience ◽  
Family Health ◽  
Public Health Nurses ◽  
Development Education ◽  
Nurse Turnover ◽  
Geographical Factors ◽  
Nurse Family Partnership ◽  
Family Partnership

Abstract Background: Nurse turnover is a significant issue and complex challenge for all sectors of healthcare and is exacerbated by a global nursing shortage. Nurse-Family Partnership is a community health program for first-time pregnant and parenting girls and young women living in situations of social and economic disadvantage, delivered exclusively by public health nurses and only within a research context in Canada. The aim of this article is to explore and describe factors that contribute to recruitment, retention, and turnover of public health nurses delivering Nurse-Family Partnership in British Columbia, Canada. Methods: Interpretive description was used to guide sampling, data collection and analytic decisions in this qualitative component drawn from the British Columbia Healthy Connections Project mixed methods process evaluation. Semi-structured, individual interviews were conducted with 28 public health nurses who practiced in and then exited Nurse-Family Partnership. Results: Nurses were motivated to join this program because they wanted to deliver an evidence-based program for vulnerable young mothers that fit with their personal and professional philosophies and offered nurse autonomy. Access to program resources attracted nursing staff, while delivering a program that prioritizes maintaining relationships and emphasizes client successes was a positive work experience. Opportunities for ongoing professional development/ education, strong team connections, and working at full-scope of nursing practice were significant reasons for nurses to remain in Nurse-Family Partnership. Personal circumstances (retirement, family/health needs, relocation, career advancement) were the most frequently cited reasons leading to turnover. Other factors included: involuntary reasons, organizational and program factors, and geographical factors. Conclusions: Public health organizations that deliver Nurse-Family Partnership may find aspects of job embeddedness theory useful for developing strategies for supporting recruitment and retention and reducing nurse turnover. Hiring nurses who are the right fit for this type of program may be a useful approach to increasing nurse retention. Fostering a culture of connectivity through team development along with supportive and communicative supervision are important factors associated with retention and may decrease turnover. Many involuntary factors were specific to being in a study environment. Program, organizational, and geographical factors affecting nurse turnover are modifiable.

scholarly journals Adaptation, mise à l’épreuve et évaluation d’interventions complexes en santé publique : lec¸ons tirées du Nurse-Family Partnership dans le secteur de la santé publique au Canada

2015 ◽  
Vol 35 (8/9) ◽  
pp. 161-170
Author(s):  
S. M. Jack ◽  
N. Catherine ◽  
A. Gonzalez ◽  
H. L. MacMillan ◽  
D. Sheehan ◽  
...  
Keyword(s):  
British Columbia ◽  
Santé Publique ◽  
Services De Santé ◽  
Soins De Santé ◽  
Nurse Family Partnership ◽  
Base De Données ◽  
Services Sociaux ◽  
Family Partnership ◽  
Sante Publique

Introduction Le Nurse-Family Partnership (NFP) est un programme de visites à domicile destiné aux nouvelles jeunes mères défavorisées sur le plan socioéconomique. Les données issues de trois essais contrôlés randomisés (ECR) américains ont solidement démontré l’efficacité des interventions quant à l’amélioration de l’issue de la grossesse, de la santé et du développement des enfants ainsi que de l’autonomie économique des mères. Cependant, l’efficacité du NFP dans le contexte canadien des services de santé et des services sociaux, qui diffère de celui des États-Unis, reste à déterminer. Cet article vise à décrire le processus complexe suivi pour adapter la recherche sur le NFP et mettre ainsi en oeuvre ce programme au Canada. Méthodologie L’évaluation menée au Canada se divise en trois étapes : 1) adaptation de l’intervention, 2) mise à l’épreuve de l’intervention dans des études de faisabilité et d’acceptabilité à petite échelle et 3) réalisation d’un ECR et d’une évaluation du processus dans le cadre de l’étude intitulée British Columbia Healthy Connections Project (BCHCP). Cette évaluation à grande échelle permettra d’enrichir la base de données probantes du NFP par la tenue d’une étude supplémentaire sur les mécanismes biologiques susceptibles de témoigner de la relation entre l’intervention et les effets sur le comportement des enfants. Résultats L’adaptation de la documentation du NFP pour les visites à domicile est un processus continu. Un projet pilote a montré la faisabilité du recrutement des femmes admissibles au NFP. Il a aussi révélé qu’il était préférable au Canada que le NFP soit mis en oeuvre par les organismes de santé publique et que les infirmières et infirmiers en santé publique (ISP) s’occupent des interventions. Enfin, il a montré que ce programme intensif de visites à domicile a bénéficié d’une réception positive de la part des clientes, des membres de leur famille et des fournisseurs de soins de santé. Les prochaines étapes – à savoir l’ECR et l’évaluation du processus – ont été entamées dans le cadre du BCHCP. Ce projet jettera les bases d’une évaluation à long terme des principaux résultats en matière de santé publique concernant des familles hautement vulnérables.

scholarly journals Adapting, piloting and evaluating complex public health interventions: lessons learned from the Nurse–Family Partnership in Canadian public health settings

2015 ◽  
Vol 35 (8/9) ◽  
pp. 151-159 ◽  
Author(s):  
S. M. Jack ◽  
N. Catherine ◽  
A. Gonzalez ◽  
H. L. MacMillan ◽  
D. Sheehan ◽  
...  
Keyword(s):  
Public Health ◽  
Process Evaluation ◽  
Health Care Providers ◽  
Home Visit ◽  
Small Scale ◽  
Care Providers ◽  
Nurse Family Partnership ◽  
Health And Social Care ◽  
Family Partnership ◽  
First Time

Introduction The Nurse–Family Partnership (NFP) is a home-visit program for young and first-time, socially and economically disadvantaged mothers. Evidence from three United States randomized controlled trials (RCTs) on the effectiveness of this intervention at improving pregnancy outcomes, improving child health and development, and increasing maternal economic self-sufficiency is robust. However, the effectiveness of the NFP in Canada, with its different health and social care context, needs to be determined. The purpose of this article is to describe the complex process for moving the NFP from the research arena to full implementation in Canada. Methods This process of evaluation in Canada includes (1) adapting the intervention; (2) piloting the intervention in small-scale feasibility and acceptability studies; and (3) conducting an RCT and process evaluation through a study called the British Columbia Healthy Connections Project (BCHCP). This large-scale evaluation also creates an opportunity to expand the NFP evidence base by conducting an additional study to examine potential biological mechanisms linking intervention and behavioural outcomes in children. Results Adaptation of the NFP home-visit materials is a continuous process. A pilot project determined that it was feasible to enrol eligible women into the NFP. This pilot also determined that, in Canada, it was most appropriate for public health agencies to implement the NFP and for public health nurses to deliver the intervention. Finally, the pilot showed that this intensive home-visit program was acceptable to clients, their family members and health care providers. Through the BCHCP, the next steps—the RCT and process evaluation—are currently underway. The BCHCP will also set the foundation for long-term evaluation of key public health outcomes in a highly vulnerable population of families. The function of home-visit programs should not be viewed in isolation. Rather, their potential can be maximized when they collaborate and share information with other agencies to provide better services for first-time mothers.

Developing a family resilience assessment tool for health visiting/public health nursing practice using virtual commissioning, high-fidelity simulation and focus groups

2019 ◽  
Vol 24 (2) ◽  
pp. 195-206
Author(s):  
David Pontin ◽  
Michelle Thomas ◽  
Georgina Jones ◽  
Jane O’Kane ◽  
Liz Wilson ◽  
...  
Keyword(s):  
Public Health ◽  
Focus Groups ◽  
Assessment Tool ◽  
Family Health ◽  
Field Testing ◽  
Family Resilience ◽  
Assessment Instrument ◽  
Public Health Nurses ◽  
Virtual Commissioning ◽  
Resilience Assessment

UK public health nurse assessment of family resilience is a necessary component of monitoring family health and children’s development and identifying areas for change. This research was part of an exploration of Welsh public health nurses’ understanding of ‘family resilience’ as a concept underpinning their practice. From it, the Family Resilience Assessment Instrument Tool (FRAITTM www.frait.wales/) was developed for public health nurses use. We report on a virtual commissioning process using focus groups and an immersive simulation suite to test a FRAIT prototype in a safe environment before field testing. Virtual commissioning design: Hydra-Minerva Immersive Simulation Suite – individual public health nurses presented with a multi-media scenario as they used the prototype FRAIT. Follow-up focus groups for usability insights before field testing. Virtual commissioning raised real-world issues which public health nurses discussed in focus groups. Issues were scoring, absence of information, focusing on family resilience, identifying adults caring for children, potential for use, identifying need and monitoring change, potential impact of using FRAIT and fitting it to everyday practice. Prototype testing like this allowed us to fine tune the FRAIT for field testing.

scholarly journals “The hardest job you will ever love”: Nurse recruitment, retention, and turnover in the Nurse-Family Partnership program in British Columbia, Canada

PLoS ONE ◽  
2020 ◽  
Vol 15 (9) ◽  
pp. e0237028
Author(s):  
Karen A. Campbell ◽  
Natasha Van Borek ◽  
Lenora Marcellus ◽  
Christine Kurtz Landy ◽  
Susan M. Jack ◽  
...  
Keyword(s):  
British Columbia ◽  
Nurse Family Partnership ◽  
Family Partnership ◽  
Partnership Program ◽  
Nurse Recruitment

scholarly journals Coronavirus Disease-19: Public Health Nurses’ Knowledge, Attitude, Practices, and Perceived Barriers in Indonesia

2020 ◽  
Vol 8 (T1) ◽  
pp. 422-428
Author(s):  
Junaiti Sahar ◽  
Stefanus Mendes Kiik ◽  
Wiwin Wiarsih ◽  
Utami Rachmawati
Keyword(s):  
Public Health ◽  
Infection Control ◽  
Disease Transmission ◽  
Work Experience ◽  
Public Health Nurses ◽  
Sources Of Information ◽  
Related Factors ◽  
Travel History ◽  
Factors Associated ◽  
Linear Correlations

BACKGROUND: The coronavirus disease (COVID)-19 outbreaks and its rapid rise in prevalence has been a major concern internationally. We conducted a short survey to understand the knowledge, attitude, and practices regarding COVID-19 and estimated barriers to disease transmission perceived by public health nurses (PHN) in Indonesia. AIM: The study aimed to identify the association of sociodemographic characteristic with knowledge, attitude, and practices regarding COVID-19 among PHNs in Indonesia and highlight barriers to the control of infection perceived by PHNs. METHODS: A national, online, and cross-sectional survey was conducted from May 28 to June 9, 2020, with a total of 368 participants. A questionnaire was used to assess knowledge, attitude, and practice. An independent t-test was used to compare attitude differences of PHNs in gender and place of work. One-way analysis of variance was used to compare differences in attitude of PHNs by age, work experience, educational level, and source of information. The Pearson’s correlation test was used to measure the correlation between knowledge, attitude, and practices. RESULTS: The majority of participants had good knowledge of COVID-19 (77.4%), had mean scores of attitude toward COVID-19 of 33.0 ± 2.7, and had good practices regarding COVID-19 (84.2%). Factors associated with knowledge were sources of information (p = 0.013). Factors associated with attitude were gender (p = 0.003), work experience (p = 0.010), and sources of information (p = 0.035). Factors associated with practices were gender (p = 0.011) and sources of information (p = 0.029). There were significant, positive linear correlations between knowledge and attitude (r = 0.435, p = 0.000), knowledge and practices (r = 0.314, p = 0.000), and attitude and practices (r = 0.362, p = 0.000). Most participants strongly agreed that limitations on infection control materials (50.8%) and patients hiding their travel history, resulting in screening inaccuracies (59.8%), were barriers. CONCLUSIONS: A significant association between sources of information and knowledge, attitude, and practices, with the addition of other related factors. There were also significant positive linear correlations between knowledge, attitude, and practices. Nevertheless, the majority of the PHN perceived that limitations on infection control materials and patients hiding their travel history, resulting in screening inaccuracy, were major barriers.

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