Golsäter Marie, Andersson Ann-Christine
CHILD Research Group, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
The Child Health Care Service, Region Jönköping County, Jönköping, Sweden.
BMC Health Serv Res. 2024 Dec 3;24(1):1532. doi: 10.1186/s12913-024-12039-z.
All children should have the possibility to be healthy during childhood, according to the Convention on the Rights of the Child. In Sweden, the Child Health Services (CHS) support all parents and children from birth until the age of six to promote children's health and development. Some Swedish regions have introduced an extended home-visit programme, with CHS nurses and social workers visiting first-time parents together to provide parental support in collaboration. The programme aims to expand the task of promoting the child's health and increase the possibilities of discovering risk factors in families earlier. The aim of the present study is to describe the professionals' experiences of collaboration when introducing the extended home-visit programme to a broader population within the frame of a family centre.
The study used a reflexive thematic qualitative approach with focus group interviews. All staff at the family centre were invited to participate: CHS nurses, social workers, and managers who worked with the extended home-visit programme. Data were collected through focus group interviews with each profession separately and analysed through reflexive thematic analysis.
One overarching theme emerged: A key to facilitating early support. Three connected themes - Ease for everyone on the family's terms, From working alone to becoming a team, and A matter of supporting structures - illuminated the participants' experiences. Their driving force was early detection of risk factors or needs in the family, to be able to provide support. The collaboration was enhanced by the different professional competencies complementing each other. That all were located at the family centre together was also important to facilitate collaboration.
The extended home-visits were appreciated and experienced as useful by all participants. That a family centre organization already existed was one of the facilitators, functioning as a meeting point to expand the collaboration. The managers' support was essential, and it was experienced as positive that the organization invested resources to allow employees to participate in the development of the extended home-visit programmes. This way of working has the potential to add value for the children and families, and the CHS would benefit from using the extended home-visit programme further.
根据《儿童权利公约》，所有儿童在童年时期都应有保持健康的可能性。在瑞典，儿童健康服务机构（CHS）为所有父母和儿童提供从出生到六岁的支持，以促进儿童的健康和发展。瑞典的一些地区推出了一项扩展家访计划，CHS的护士和社会工作者会一起拜访初为父母的人，共同提供家长支持。该计划旨在扩大促进儿童健康的任务，并增加更早发现家庭中风险因素的可能性。本研究的目的是描述在家庭中心框架内向更广泛人群引入扩展家访计划时，专业人员的合作经验。
本研究采用反思性主题定性方法，进行焦点小组访谈。邀请了家庭中心的所有工作人员参与：参与扩展家访计划的CHS护士、社会工作者和管理人员。通过分别与每个职业进行焦点小组访谈收集数据，并通过反思性主题分析进行分析。
出现了一个总体主题：促进早期支持的关键。三个相关主题——以家庭条件让每个人都轻松、从独自工作到成为一个团队、以及支持结构的问题——阐明了参与者的经验。他们的动力是尽早发现家庭中的风险因素或需求，以便能够提供支持。不同专业能力的相互补充增强了合作。所有人都在家庭中心办公，这对促进合作也很重要。
扩展家访受到所有参与者的赞赏，并被认为是有用的。已经存在的家庭中心组织是促进因素之一，作为一个汇聚点来扩大合作。管理人员的支持至关重要，组织投入资源让员工参与扩展家访计划的开发被认为是积极的。这种工作方式有可能为儿童和家庭增加价值，CHS进一步使用扩展家访计划将从中受益。
