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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >A Qualitative Evaluation of Engagement and Attrition in a Nurse Home Visiting Program: From the Participant and Provider Perspective
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A Qualitative Evaluation of Engagement and Attrition in a Nurse Home Visiting Program: From the Participant and Provider Perspective

机译：在护士家庭访问计划中的参与和消耗的定性评估：来自参与者和提供者的观点

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Beginning parenting programs in the prenatal and early postnatal periods have a large potential for impact on later child and maternal outcomes. Home-based parenting programs, such as the Nurse Family Partnership (NFP), have been established to help address this need. Program reach and impact is dependent on successful engagement of expecting mothers with significant risks; however, NFP attrition rates remain high. The current study qualitatively examined engagement and attrition from the perspectives of NFP nurses and mothers in order to identify mechanisms that enhance service engagement. Semi-structured interviews were conducted in focus groups composed of either engaged (27 total mothers) or unengaged (15 total mothers) mothers from the NFP program. NFP nurses (25 total nurses) were recruited for individual semi-structured interviews. Results suggest that understanding engagement in the NFP program requires addressing both initial and sustained engagement. Themes associated with enhanced initial engagement include nurse characteristics (e.g., flexible, supportive, caring) and establishment of a solid nurse-family relationship founded on these characteristics. Factors impacting sustained engagement include nurse characteristics, provision of educational materials on child development, individualized services for families, and available family support. Identified barriers to completing services include competing demands and lack of support. Findings of this study have direct relevance for workforce planning, including hiring and training through integrating results regarding effective nurse characteristics. Additional program supports to enhance parent engagement may be implemented across home-based parenting programs in light of the current study's findings.
机译：在产前和早期出生时期的育儿计划开始对后期儿童和孕产妇结果产生巨大潜力。已经建立了基于家庭的育儿计划，例如护士家庭伙伴关系（NFP），以帮助解决这种需求。计划范围和影响取决于期待母亲的成功参与具有重要风险的母亲;然而，NFP磨损率仍然很高。目前的研究定性地检查了NFP护士和母亲的角度的敬意和消耗，以确定加强服务参与的机制。半结构化访谈是在焦点小组中进行的，由NFP计划携带（27名母亲）或未成立（15名母亲）母亲组成。 NFP护士（25个中国护士）被招募了个人半结构化访谈。结果表明，理解纳税计划的参与要求既有初始和持续参与。与增强型初始参与相关的主题包括护士特征（例如，灵活，支持，关怀）以及建立在这些特征上的坚实护士家庭关系。影响持续参与的因素包括护士特征，为儿童发展提供教育材料，家庭的个性化服务和可用的家庭支持。确定服务的障碍包括竞争需求和缺乏支持。本研究的调查结果对劳动力规划有直接相关，包括通过整合关于有效护士特征的结果来招聘和培训。根据目前的研究发现，可以在基于家庭的育儿计划中实施提升父母参与的其他计划支持。

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