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 (FRAIT^TM 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.

Keywords

Family resilience assessment focus groups high fidelity simulation training public health nursing/health visiting virtual commissioning

Get full access to this article

View all access options for this article.

References

Ashton

Bellis

Davies

et al. (2016) Adverse childhood experiences and their association with chronic disease and health service use in the Welsh adult population. Available at: http://www.wales.nhs.uk/sitesplus/documents/888/ACE%20Chronic%20Disease%20report%20%289%29%20%282%29.pdf (accessed 18 December 2018).

Auinger

Vorderwinkler

Buchtela

(1999) Interface driven domain-independent modelling architecture for “soft-commissioning” and “reality in the loop”. In: Farrington

Nembhard

Sturrock

Evans

(eds) Proceedings of the 1999 winter simulation conference, Phoenix, AZ, 5–8 December 1999, pp. 798–805. Phoenix, USA: IEEE.

Black

Lobo

(2008) A conceptual review of family resilience factors. Journal of Family Nursing 14: 33–55.

Cowley

Frost

(2006) The Principles of Health Visiting: Opening the Door to Public Health. London: CPHVA and UKSC.

Department for Work and Pensions, and Department for Education (2011) A new approach to child poverty: tackling the causes of disadvantage and transforming families’ lives. Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/177031/CM-8061.pdf (accessed 18 December 2018).

Department of Health, Social Services and Public Safety (2010) Healthy child, healthy future. A framework for the universal child health promotion programme in Northern Ireland. Available at: https://www.health-ni.gov.uk/publications/healthy-child-healthy-future (accessed 18 December 2018).

Henry

Morris

Harrist

(2015) Family resilience: moving into the third wave. Family Relations 64(1): 22–43.

Hofmann

Langer

Lang

et al. (2017) Integrating virtual commissioning based on high level emulation into logistics education. Procedia Engineering 178: 24–32.

Hoffmann

Maksoud

TMA

Schumann

et al. (2010) Virtual commissioning of manufacturing systems: a review and new approaches for simplification. In: Proceedings 24th European Conference on Modelling and Simulation. Available at: https://pdfs.semanticscholar.org/5908/02d10a6c5b41dc87beac4074fec6d5f833e1.pdf (accessed 18 December 2018).

10.

Hydra Foundation (2017) Welcome to the Hydra Foundation. Available at: http://www.hydrafoundation.org/ (accessed 18 December 2018).

11.

Institute of Health Visiting (IHV) (2018) What is a health visitor? Available at: http://ihv.org.uk/families/what-is-a-hv/ (accessed 18 December 2018).

12.

Johnson

(1989) Cooperation and Competition: Theory and Research. Edina: Interaction Book Company.

13.

Johnson

(2009) An educational psychology success story: social interdependence theory and cooperative learning. Educational Researcher 38(5): 365–379.

14.

Liu

Suchold

Diedrich

(2012) Virtual commissioning of automated systems. In: Kongoli F (ed) Automation. London: InTechOpen, pp. 131–148. Available at: https://pdfs.semanticscholar.org/fe16/a5f1d000d4ee762b6a386d0c1c79666636d0 (accessed 18 December 2018).

15.

Malone

(2000) A history of health visiting and parenting in the last 50 years. International History of Nursing Journal 5(3): 30–43.

16.

McCubbin

(1996) Resiliency in families: a conceptual model of family adjustment and adaptation in response to stress and crisis. In: McCubbin

Thompson

McCubbin

(eds) Family Assessment: Resiliency, Coping, and Adaptation: Inventories for Research and Practice. Madison: University of Wisconsin, pp. 1–64.

17.

McCubbin

Patterson

(1981) Broadening the scope of family strength: an emphasis on family coping and social support. In: Stinnett

Chesse

DeFrain (eds) Family Strengths III: Roots of Well-being. Lincoln: University of Nebraska Press, pp. 177–194.

18.

National Institute for Clinical Excellence (2014) NICE local government briefing: health visiting. Available at: https://www.nice.org.uk/guidance/lgb22/resources/health-visiting-60521203534021 (accessed 18 December 2018).

19.

NHS England (2014) National health visiting core service specification. Available at: https://www.england.nhs.uk/wp-content/uploads/2014/03/hv-serv-spec.pdf (accessed 18 December 2018).

20.

Nursing Midwifery Council (2016) SCPHN registration: specific information for specialist community public health nurses. Available at: https://www.nmc.org.uk/registration/staying-on-the-register/scphn-registration/ (accessed 18 December 2018).

21.

Patterson

(2002) Understanding family resilience. Journal of Clinical Psychology 58(3): 233–246.

22.

Royal College of Paediatrics and Child Health (2016) Child health matters: a vision for 2016 in Wales. Available at: https://www.wcva.org.uk/media/2645968/royal_college_of_paediatrics_and_child_health.pdf (accessed 18 December 2018).

23.

Rodgers

Knafl

(2000) Concept Development in Nursing: Foundations, Techniques and Applications. 2nd ed. Philadelphia: WB Saunders Company.

24.

Scottish Government (2015) Universal health visiting pathway in Scotland-pre birth to pre school. Available at: http://www.gov.scot/Publications/2015/10/9697/0 (accessed 18 December 2018).

25.

Simon

Murphy

Smith

(2005) Understanding and fostering family resilience. The Family Journal: Counseling and Therapy for Couples and Families 13(4): 427–436.

26.

Siverman

(2013) Doing Qualitative Research. 4th ed. Sage: London.

27.

Sixbey

(2005) Development of the family resilience assessment scale to identify family resilience constructs. PhD Thesis. University of Florida.

28.

Stewart

Shamdasani

(2014) Focus Groups: Theory and Practice. 3rd ed. London: Sage.

29.

Thompson

McCaughan

Cullum

et al. (2005) Barriers to evidence-based practice in primary care nursing – why viewing decision-making as context is helpful. Journal of Advanced Nursing 52(4): 432–444.

30.

Wallace

Dale

Jones

et al. (2018) Developing the health visitor concept of family resilience in wales using group concept mapping. Rural and Remote Health 18: 4604. Available at: https://doi.org/10.22605/RRH4604

31.

Walsh

(2002) A family resilience framework: innovative practice applications. Family Relations 51: 130–137.

32.

Walsh

(2006) Strengthening Family Resilience. 2nd ed. New York: The Guilford Press.

33.

Weeks

Sabin

Pontin

et al. (2013) Safety in numbers: an introduction to the nurse education in practice series. Nurse Education in Practice 13: e4–e10.

34.

Welsh Government (WG) (2012) A vision for health visiting in wales. Available at: https://gov.wales/topics/health/professionals/nursing/early/? (accessed 18 December 2018).

35.

Welsh Government (WG) (2016) Healthy child wales programme. Available at: http://gov.wales/topics/health/publications/health/reports/healthy-child/? (accessed 18 December 2018).

36.

Welsh Government (WG) (2017) Flying Start. Available at: http://gov.wales/topics/people-and-communities/people/children-and-young-people/parenting-support-guidance/help/flyingstart/? (accessed 18 December 2018).

37.

Werner

Smith

(1982) Vulnerable but Invincible: A Longitudinal Study of Resilient Children and Youth. New York: McGraw Hill.