Weathering the rural reality: delivery of the Nurse-Family Partnership home visitation program in rural British Columbia, Canada
| dc.contributor.author | Campbell, Karen A. | |
| dc.contributor.author | MacKinnon, Karen | |
| dc.contributor.author | Dobbins, Maureen | |
| dc.contributor.author | Van Borek, Natasha | |
| dc.contributor.author | Jack, Susan M. | |
| dc.contributor.author | Catherine, Nicole | |
| dc.contributor.author | Gonzalez, Andrea | |
| dc.contributor.author | Landy, Christine Kurtz | |
| dc.contributor.author | MacMillan, Harriet | |
| dc.contributor.author | Marcellus, Lenora | |
| dc.contributor.author | Sheehan, Debbie | |
| dc.contributor.author | Tonmyr, Lil | |
| dc.contributor.author | Varcoe, Colleen | |
| dc.contributor.author | Waddell, Charlotte | |
| dc.date.accessioned | 2020-11-02T22:51:50Z | |
| dc.date.available | 2020-11-02T22:51:50Z | |
| dc.date.copyright | 2019 | en_US |
| dc.date.issued | 2019 | |
| dc.description.abstract | Background Pregnant girls/young women and new mothers living in situations of social and economic disadvantage are at increased risk for poor health. Rural living may compound marginalization and create additional challenges for young mothers. Public health nurses (PHNs) delivering the Nurse-Family Partnership (NFP) to mothers living in rural communities may help to improve maternal and child health outcomes. The purpose of this analysis, grounded in data collected as part of a broader process evaluation, was to explore and understand the influence of rural geography on the delivery of NFP in British Columbia, Canada. Methods For the analysis of this qualitative data, principles of inductive reasoning based on the methodology of interpretive description were applied. A total of 10 PHNs and 11 supervisors providing the NFP program in rural communities were interviewed. Results The results of this analysis reflect the factors and challenges of providing the NFP program in rural communities. PHNs noted the importance of NFP in the lives of their rural clients, especially in the face of extreme financial and social disparity. Remaining flexible in their approach to rural nursing and protecting time to complete NFP work supported nurses practicing in rural environments. Rural PHNs were often the sole NFP nurse in their office and struggled to remain connected to their supervisors and other NFP colleagues. Challenges were compounded by the realities of rural geography, such as poor weather, reduced accessibility, and long travel distances; however, these were considered normal occurrences of rural practice by nurses. Conclusions PHNs and NFP supervisors are well-positioned to identify the modifications that are required to support the delivery of NFP in rural geography. NFP nurses need to articulate what classifies as rural in order to effectively determine how to best provide services to these populations. Environmental conditions must be considered when offering NFP in rural communities, particularly if they impact the time required to deliver the program and additional services offered to young mothers. Regular NFP meetings and education opportunities address common problems associated with rural nursing but could be enhanced by better use of technology. | en_US |
| dc.description.reviewstatus | Reviewed | en_US |
| dc.description.scholarlevel | Faculty | en_US |
| dc.description.sponsorship | This research was supported by the Public Health Agency of Canada (PHAC) under Contract # 4500309971. PHAC had no input into the design of the study but did have an opportunity to provide high-level feedback on topics and concepts to be explored in the interviews and focus groups across each wave of data collection for the BCHCP process evaluation. PHAC had no role in the analysis or interpretation of data. PHAC had the opportunity to review and provide high-level feedback on the final version of the manuscript but had no editorial influence or control. The overarching BCHCP is funded by the BC Ministry of Health with support from the BC Ministry of Children and Family Development and from Fraser Health, Interior Health, Island Health, Northern Health and Vancouver Coastal Health. Additional funding for the BCHCP process evaluation was received from the Injury and Child Maltreatment Section, Centre for Chronic Disease Prevention, Public Health Agency of Canada. Karen Campbell was funded in part by the Canadian Nurses Foundation Sigma Theta Tau International and Dr. Alice Girard Awards. Dr. Nicole Catherine is supported by the Djavad Mowafaghian Foundation. Dr. Andrea Gonzalez is supported by a Canadian Institutes of Health Research New Investigator Award. Dr. Harriet MacMillan is supported by the Chedoke Health Chair in Psychiatry. Dr. Charlotte Waddell is supported by the Canada Research Chairs Program. | en_US |
| dc.identifier.citation | Campbell, K. A., MacKinnon, K., Dobbins, M., Van Borek, N., Jack, S. M., & For the British Columbia Healthy Connections Project Process Evaluation Research Team. (2019) Weathering the rural reality: delivery of the Nurse-Family Partnership home visitation program in rural British Columbia, Canada. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0341-3 | en_US |
| dc.identifier.uri | https://doi.org/10.1186/s12912-019-0341-3 | |
| dc.identifier.uri | http://hdl.handle.net/1828/12293 | |
| dc.language.iso | en | en_US |
| dc.publisher | BMC Nursing | en_US |
| dc.subject | Public health nursing | |
| dc.subject | Rural | |
| dc.subject | Nurse-family partnership | |
| dc.subject | Interpretive description | |
| dc.subject | Home visitation | |
| dc.subject.department | School of Nursing | |
| dc.title | Weathering the rural reality: delivery of the Nurse-Family Partnership home visitation program in rural British Columbia, Canada | en_US |
| dc.type | Article | en_US |