Developing a family resilience assessment tool for health visiting/public health nursing practice using virtual commissioning, high-fidelity simulation and focus groups

Abstract

UK public health nurse assessment of family resilience is a necessary component of monitoring family health and children’s development and identifying areas for change. This research was part of an exploration of Welsh public health nurses’ understanding of ‘family resilience’ as a concept underpinning their practice. From it, the Family Resilience Assessment Instrument Tool (FRAITTM www.frait.wales/) was developed for public health nurses use. We report on a virtual commissioning process using focus groups and an immersive simulation suite to test a FRAIT prototype in a safe environment before field testing. Virtual commissioning design: Hydra-Minerva Immersive Simulation Suite – individual public health nurses presented with a multi-media scenario as they used the prototype FRAIT. Follow-up focus groups for usability insights before field testing. Virtual commissioning raised real-world issues which public health nurses discussed in focus groups. Issues were scoring, absence of information, focusing on family resilience, identifying adults caring for children, potential for use, identifying need and monitoring change, potential impact of using FRAIT and fitting it to everyday practice. Prototype testing like this allowed us to fine tune the FRAIT for field testing.

A nursing socio‐environmental approach for acute pesticide poisoning: A qualitative focus group study

“…Having said that, this emerging strategy using a primary care simulation‐based poisoning case can provide a realistic public health clinical experience in a local setting while also preparing the context for the development of global citizenship values (Pontin et al, 2020; Sanchez‐Cristal et al, 2019). In terms of increasing conceptual, practical and methodological knowledge of the rural working environment, rural workers and pesticide use, the use of a socio‐environmental care approach provides a major contribution to and impact the field of nursing in public health, particularly for the care of rural populations (Conti et al, 2018; Silvério et al, 2020).…”

A systematic review of the use of the concept family resilience in interventions with families with children and young people

“…FRAIT was grounded in the academic literature during its development phase and a rigorous narrative review was undertaken (Pontin et al., 2019). Following the evaluation of its use in practice, it was considered appropriate to carry out a systematic review of the literature around public health nurses/HVs using family resilience as a concept when working with families with children under 5 years.…”

“…An All‐Wales consultation process with senior HVs and frontline HVs identified levels of family resilience as central to HV assessments. A group concept mapping exercise (GCM) was undertaken with HVs in 2014 (Wallace et al., 2019). GCM is a structured methodology that rapidly organizes a group's ideas about a given phenomenon to form a commonly agreed framework.…”