Miller Irene, Barton Gil
Community Pract. 2013 Jul;86(7):32-5.
Health visitors in Scotland gift 'play@home', a book-based early intervention programme, to parents as part of the universal health visiting service. The provision of health improvement information to parents is recognised as a core function of health visiting and yet evidence shows that not every family receives the play@home resources. This paper discusses the perceived facilitators and barriers to implementing this programme through exploring the views of ten health visitors and four health visiting managers in two health board areas in Scotland. The findings conclude that increasingly vulnerable families, supported by fewer qualified health visitors, present challenges to the health visiting service. The play@home programme is valued by health visitors as a flexible tool with which to engage with families. Collaborative working with other services enhances provision and play@home does become embedded in practice over time. Strategic policy links to raise the profile of play@home are improving.
苏格兰的健康访视员会将“在家玩耍”（一项以书籍为基础的早期干预项目）作为全民健康访视服务的一部分赠送给家长。向家长提供健康改善信息被视为健康访视的一项核心职能，但有证据表明并非每个家庭都能获得“在家玩耍”的资源。本文通过探讨苏格兰两个卫生委员会辖区内十位健康访视员和四位健康访视经理的观点，讨论了实施该项目所察觉到的促进因素和障碍。研究结果表明，在合格健康访视员数量减少的情况下，越来越多的弱势家庭给健康访视服务带来了挑战。健康访视员认为“在家玩耍”项目是与家庭互动的灵活工具。与其他服务机构的合作性工作提高了服务的提供水平，并且随着时间的推移，“在家玩耍”项目确实融入到了实践中。提高“在家玩耍”项目知名度的战略政策联系正在改善。
