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Evaluation of the Family Nurse Partnership Programme in NHS Lothian, Scotland - Late Pregnancy and Postpartum

Description
ISBN9781780458960
Official Print Publication Date
Website Publication DateJune 29, 2012

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Rachel Ormston & Susan McConville, ScotCen Social Research
Jacki Gordon, Jacki Gordon Associates

ISBN 978 1 78045 896 0 (Web only publication)
ISSN 2045 6964
DPPAS 13095

This document is also available in pdf format (721k)

CONTENTS

ACKNOWLEDGEMENTS

EXECUTIVE SUMMARY
Background
Relationships
FNP programme content in the late pregnancy to post-partum phase
Services, resources and referrals
Professional views and experiences of delivering the programme in the late pregnancy to post-partum period
Implementing FNP in Lothian

1 BACKGROUND AND INTRODUCTION
About this report
The Family Nurse Partnership (FNP) programme
Testing FNP in the UK
FNP in NHS Lothian, Edinburgh

2 SUMMARY OF EVALUATION AIMS AND METHODS
Evaluation aims and objectives
Monitoring and evaluation framework
Overview of research methods
Data included in this report
Reporting conventions

3 RELATIONSHIPS
Relationships between clients and Family Nurses
Client retention and engagement
Level of contact between clients and Family Nurses
Nature of the relationship between clients and Family Nurses
Relationships between Family Nurses and the client's wider family
Impact of FNP on clients' wider relationships
Key points

4 FNP PROGRAMME CONTENT IN THE LATE PREGNANCY TO POST-PARTUM PHASE
Introduction
Visit content figures
Perceived fit of the programme
Specific topics covered in the late pregnancy to post-partum period
Preparedness for birth
Infant feeding
Bonding and attachment
Baby health and safety and baby development
Mother's health and wellbeing
Future plans around work and education
Challenging topics
Key points

5 SERVICES, RESOURCES AND REFERRALS
Referrals to other services
Perceptions of Family Nurses' role in linking clients with other services
Impact of FNP referrals on clients
Perceptions of differences between FNP and antenatal and postnatal services
FNP perceptions of working relations with other services
Key points

6 PROFESSIONAL VIEWS AND EXPERIENCES OF DELIVERING THE PROGRAMME IN THE LATE PREGNANCY TO POST-PARTUM PERIOD
Key achievements
Key challenges
Workload
Other challenges
Training
Supervision
Key points

7 IMPLEMENTING FNP IN LOTHIAN
Learning from FNP in Scotland
Learning from Lothian for other FNP sites
Learning from Lothian for wider services
Key points

8 CONCLUSIONS AND KEY LEARNING
Is the programme being implemented as intended?
How does the programme work in Lothian?
How do Nurses, clients and wider services respond to the programme?
What are the implications for future nursing practice?
What factors support or inhibit delivery of the programme?
What is the potential for FNP to impact on short, medium and long-term outcomes relevant to Scotland?

REFERENCES

The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.

This report is available on the Scottish Government Social Research website only
www.scotland.gov.uk/socialresearch.