Middle Managers’ Views on Participation in a Home Visiting Program for First-Time Parents in Scania, Sweden

Franzén, Cecilia; Nilsson, Eva-Lotta

doi:10.11114/ijsss.v9i6.5281

Cited by 2 publications

(1 citation statement)

References 37 publications

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“…The interview guide has previously been used in a study on dental professionals’ participation in the home visiting programme. The interview questions were based on the literature and the researchers’ theoretical knowledge of interprofessional collaboration, preventive work for improved health and wellbeing, and political support for equal health [ 33 ]. Prior to the interviews, the researchers emailed the professionals the aim of the study, the interview questions, and an invitation to participate.…”

Section: Methodsmentioning

confidence: 99%

Supporting first-time parents in their homes: an informal setting enabling interprofessional collaboration

Franzén,

Nilsson

2024

BMC Health Serv Res

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Background Home visiting programmes aiming to support parents and promote more equal health amongst young children have grown in Sweden and in other countries. These programmes involve interprofessional teams. Teamwork in interprofessional contexts often requires setting boundaries, but professionals’ boundary work in the home setting is unexplored. Therefore, this article focuses on interprofessional teams comprising child healthcare nurses, midwives, social workers, and dental hygienists in a home visiting programme for first-time parents in Sweden; it aims to explore how the professionals performed boundary work that enabled collaboration and to investigate important contextual conditions for this kind of boundary work. Methods The data were drawn from semi-structured interviews with twelve professionals from the four different disciplines. Content analysis was used to explore their boundary work. Results The findings show that the professionals performed three forms of collaborative boundary work. They maintained boundaries by clarifying their distinct roles and expertise. However, the differences were viewed as complementary, and the professionals worked together humbly to complement each other’s knowledge and perspectives. Lastly, they tended to drop perceptions of prestige and blurred the boundaries to accommodate their overlapping knowledge. Important conditions for the success of collaborative boundary work were meetings prior to the home visits, the opportunities for discussion and reflection after the home visits, and the informal character of the home setting. Consequently, the professionals were able to jointly contribute to a holistic view of the visited families, which increased the possibilities to meet these families’ needs. Conclusions This study contributes knowledge on boundary work in interprofessional collaborations in the home setting. The informal character of the home setting seemed to facilitate collaboration and contributed to creating informal professional roles. The findings suggest that having interprofessional teams in the home setting enabled collaboration as well as reinforced support for first-time parents, which emphasizes the merit of home visit programmes.

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Section: Methodsmentioning

confidence: 99%

Supporting first-time parents in their homes: an informal setting enabling interprofessional collaboration

Franzén,

Nilsson

2024

BMC Health Serv Res

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Perceptions of facilitators, barriers and solutions when preparing to implement a home visiting program in Sweden: a mixed-methods study

Lundgren,

Nilses,

Eckerdal

et al. 2024

Front. Health Serv.

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BackgroundAlthough there is growing awareness that early childhood development programs are important for a sustainable society, there is a knowledge gap about how to implement such programs. Successful implementation requires attention to implementation drivers (competency, organization, and leadership) during all phases of the implementation. The purpose of this study was to describe cross-sectoral operational workgroups’ perceptions of facilitators, barriers and solutions related to implementation drivers in the preparationphase of implementing an evidence-based early childhood home visiting program.MethodsQuantitative and qualitative data were collected from twenty-four participants, divided into 5 groups, during implementation planning workshops. The workshops were guided by a structured method informed by the principles of Motivational Interviewing and within a framework of implementation drivers. Groups sorted cards with statements representing implementation drivers according to perceptions of facilitators and barriers, and percentages were calculated for each type of implementation determinant, for each type of driver. The groups discussed their card sorting and wrote action plans to address barriers, yielding documentation that was analyzed using deductive qualitative content analysis.ResultsA mixed-methods analysis resulted identification of facilitators, barriers, unknowns and solutions in two to three subcategories under each main category of implementation driver. A competent and confident workforce, and enthusiasm and commitment were key facilitators. Key barriers were unclear roles and responsibilities, and insufficient articulation of local vision and goals. Many factors were described as yet unknown. Specific solutions were generated to support the implementation.ConclusionsOur study furthers the scientific understanding of how to take evidence-based early childhood programs from research to practice within an implementation drivers framework. Facilitators, barriers and solutions in key areas during the preparation phase were identified with the help of a novel tool. The results provide useful knowledge for decision makers and organizations preparing similar initiatives in communities striving to attain sustainable development goals.

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Middle Managers’ Views on Participation in a Home Visiting Program for First-Time Parents in Scania, Sweden

Cited by 2 publications

References 37 publications

Supporting first-time parents in their homes: an informal setting enabling interprofessional collaboration

Supporting first-time parents in their homes: an informal setting enabling interprofessional collaboration

Perceptions of facilitators, barriers and solutions when preparing to implement a home visiting program in Sweden: a mixed-methods study

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