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Engagement and Retention of Families in Universal Australian Nurse-Home-Visiting Services: A Mixed-Methods Study

Author

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  • Belinda Mawhinney

    (Sydney Nursing School, University of Sydney, Susan Wakhil Health Building, Camperdown, NSW 2050, Australia)

  • Jennifer A. Fraser

    (Sydney Nursing School, University of Sydney, Susan Wakhil Health Building, Camperdown, NSW 2050, Australia)

Abstract

Family support is offered to Australian parents of young children using a mix of targeted and universal child and family health services including nurse-home-visiting programmes. These rely on the voluntary engagement of families. In this study, the capacity to engage and retain families, including those at risk of becoming involved with child protection services, was examined. The broad objective was to identify nursing practices used at the interface of health and child protection services and to articulate those practices. Child and Family Health Nurses (CFHN) ( n = 129) participated in a pragmatic, multilevel mixed-methods study. A questionnaire was used to identify nursing practices in the first phase of this study followed by focus groups in the second phase to describe these practices in more detail. Three practice themes were identified and described: enrolment, retention and conclusion of the nurse–family relationship. Universal child and family health services feature flexible, advanced, and multidimensional family support services including child protection practices. This paper focuses on practices employed by nurses to engage and retain families where child protection concerns are identified.

Suggested Citation

  • Belinda Mawhinney & Jennifer A. Fraser, 2023. "Engagement and Retention of Families in Universal Australian Nurse-Home-Visiting Services: A Mixed-Methods Study," IJERPH, MDPI, vol. 20(15), pages 1-17, July.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:15:p:6472-:d:1205400
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    References listed on IDEAS

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    1. McCurdy, Karen & Daro, Deborah & Anisfeld, Elizabeth & Katzev, Aphra & Keim, Ann & LeCroy, Craig & McAfee, Courtney & Nelson, Carnot & Falconnier, Lydia & McGuigan, William M. & Park, Jennifer K. & Sa, 2006. "Understanding maternal intentions to engage in home visiting programs," Children and Youth Services Review, Elsevier, vol. 28(10), pages 1195-1212, October.
    2. Jillian Taylor & Pam Smith & Julie Taylor, 2017. "A hermeneutic phenomenological study exploring the experience health practitioners have when working with families to safeguard children and the invisibility of the emotions work involved," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(3-4), pages 557-567, February.
    3. Tina Saltmarsh & Denise Wilson, 2017. "Dancing around families: neonatal nurses and their role in child protection," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(15-16), pages 2244-2255, August.
    4. Horwath, Jan & Morrison, Tony, 2011. "Effective inter-agency collaboration to safeguard children: Rising to the challenge through collective development," Children and Youth Services Review, Elsevier, vol. 33(2), pages 368-375, February.
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