Centre for Midwifery, University of Technology, Sydney, Australia.
J Clin Nurs. 2012 Nov;21(21-22):3306-14. doi: 10.1111/j.1365-2702.2012.04270.x. Epub 2012 Sep 20.
This study investigated what Family Partnership Model practice means in the day-to-day practice of child and family health nurses working with parents.
The Family Partnership Model has been widely implemented in child and family health services in Australia and New Zealand, with limited understanding of the implications for nursing practice.
A qualitative interpretive study design was used.
Semi-structured interviews were conducted with 22 nurse participants, who had completed the Family Partnership Model training programme. Subsequent focus groups enabled these participants to validate the themes identified in the initial analysis and to confirm that the nurses concurred with the issues raised. Thematic content analysis produced rich descriptions and explanation of nurses' experiences and perspectives. results: Four themes emerged from the analysis: experience of changing practices, exploring with parents, challenging unhelpful constructions and a commitment to examining practice.
Overall, the participants embraced the use of the Family Partnership Model, providing examples of change and increasing confidence in their approach to working with parents.
This study demonstrates that the effective utilisation of the Family Partnership Model in nursing practice is a more complex and dynamic process than simply embracing the model. There are significant challenges to be negotiated when implementing new ways of working with parents, particularly questioning existing dominant forms of practice for nurses, managers and wider health organisations, and their clients. This paper also raises issues about sustaining practice innovation, which extends beyond the best intent of individual nurses, requiring receptive organisational conditions and leadership.
本研究调查了家庭伙伴模式在与父母合作的儿童和家庭健康护士的日常实践中意味着什么。
家庭伙伴模式在澳大利亚和新西兰的儿童和家庭健康服务中得到了广泛的实施，但对其对护理实践的影响的理解有限。
采用定性解释性研究设计。
对 22 名完成家庭伙伴模式培训计划的护士参与者进行了半结构化访谈。随后的焦点小组使这些参与者能够验证初步分析中确定的主题，并确认护士同意提出的问题。主题内容分析产生了对护士经验和观点的丰富描述和解释。结果：分析产生了四个主题：改变实践的经验、与父母探讨、挑战无益的结构以及致力于检查实践。
总的来说，参与者接受了家庭伙伴模式的使用，提供了变革的例子，并增加了对与父母合作的方法的信心。
本研究表明，在护理实践中有效利用家庭伙伴模式是一个比简单地接受模式更复杂和动态的过程。在实施与父母新的工作方式时，存在着许多需要协商的挑战，特别是对护士、管理人员和更广泛的卫生组织及其客户现有的主导实践形式提出质疑。本文还提出了关于维持实践创新的问题，这不仅超出了个别护士的最佳意图，还需要有接受的组织条件和领导力。
