Improving interagency service integration of the Australian Nurse Family Partnership Program for First Nations women and babies: a qualitative study.
Background The Australian Nurse Family Partnership Program (ANFPP) is an evidence-based, home visiting program that offers health education, guidance, social and emotional support to first-time mothers having Aboriginal and/or Torres Strait Islander (First Nations) babies. The community-controlled s...
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ftunivtsydney:oai:opus.lib.uts.edu.au:10453/152603 2023-05-15T16:15:49+02:00 Improving interagency service integration of the Australian Nurse Family Partnership Program for First Nations women and babies: a qualitative study. Massi, L Hickey, S Maidment, S-J Roe, Y Kildea, S Nelson, C Kruske, S 2022-01-03T04:44:02Z Electronic application/pdf http://hdl.handle.net/10453/152603 eng eng Springer Science and Business Media LLC International journal for equity in health 10.1186/s12939-021-01519-x International journal for equity in health, 2021, 20, (1), pp. 212 1475-9276 http://hdl.handle.net/10453/152603 info:eu-repo/semantics/openAccess 1117 Public Health and Health Services 1608 Sociology Public Health Humans Program Evaluation Family Nursing Qualitative Research Infant Health Services Indigenous Interinstitutional Relations Australia Female Journal Article 2022 ftunivtsydney 2022-03-13T13:58:08Z Background The Australian Nurse Family Partnership Program (ANFPP) is an evidence-based, home visiting program that offers health education, guidance, social and emotional support to first-time mothers having Aboriginal and/or Torres Strait Islander (First Nations) babies. The community-controlled sector identified the need for specialised support for first time mothers due to the inequalities in birthing and early childhood outcomes between First Nations' and other babies in Australia. The program is based on the United States' Nurse Family Partnership program which has improved long-term health outcomes and life trajectories for mothers and children. International implementation of the Nurse Family Partnership program has identified interagency service integration as key to program recruitment, retention, and efficacy. How the ANFPP integrates with other services in an Australian urban setting and how to improve this is not yet known. Our research explores the barriers and enablers to interagency service integration for the Australian Nurse Family Partnership Program ANFPP in an urban setting. Methods A qualitative study using individual and group interviews. Purposive and snowball sampling was used to recruit clients, staff (internal and external to the program), Elders and family members. Interviews were conducted using a culturally appropriate 'yarning' method with clients, families and Elders and semi-structured interview guide for staff. Interviews were audio-recorded and transcribed prior to reflexive thematic analysis. Results Seventy-six participants were interviewed: 26 clients, 47 staff and 3 Elders/family members. Three themes were identified as barriers and three as enablers. Barriers: 1) confusion around program scope, 2) duplication of care, and 3) tensions over 'ownership' of clients. Enablers (existing and potential): 1) knowledge and promotion of the program; 2) cultural safety; and 3) case coordination, co-location and partnership forums. Conclusion Effective service integration is essential to maximise access and acceptability of the ANFPP; we provide practical recommendations to improve service integration in this context. Article in Journal/Newspaper First Nations University of Technology Sydney: OPUS - Open Publications of UTS Scholars |
institution |
Open Polar |
collection |
University of Technology Sydney: OPUS - Open Publications of UTS Scholars |
op_collection_id |
ftunivtsydney |
language |
English |
topic |
1117 Public Health and Health Services 1608 Sociology Public Health Humans Program Evaluation Family Nursing Qualitative Research Infant Health Services Indigenous Interinstitutional Relations Australia Female |
spellingShingle |
1117 Public Health and Health Services 1608 Sociology Public Health Humans Program Evaluation Family Nursing Qualitative Research Infant Health Services Indigenous Interinstitutional Relations Australia Female Massi, L Hickey, S Maidment, S-J Roe, Y Kildea, S Nelson, C Kruske, S Improving interagency service integration of the Australian Nurse Family Partnership Program for First Nations women and babies: a qualitative study. |
topic_facet |
1117 Public Health and Health Services 1608 Sociology Public Health Humans Program Evaluation Family Nursing Qualitative Research Infant Health Services Indigenous Interinstitutional Relations Australia Female |
description |
Background The Australian Nurse Family Partnership Program (ANFPP) is an evidence-based, home visiting program that offers health education, guidance, social and emotional support to first-time mothers having Aboriginal and/or Torres Strait Islander (First Nations) babies. The community-controlled sector identified the need for specialised support for first time mothers due to the inequalities in birthing and early childhood outcomes between First Nations' and other babies in Australia. The program is based on the United States' Nurse Family Partnership program which has improved long-term health outcomes and life trajectories for mothers and children. International implementation of the Nurse Family Partnership program has identified interagency service integration as key to program recruitment, retention, and efficacy. How the ANFPP integrates with other services in an Australian urban setting and how to improve this is not yet known. Our research explores the barriers and enablers to interagency service integration for the Australian Nurse Family Partnership Program ANFPP in an urban setting. Methods A qualitative study using individual and group interviews. Purposive and snowball sampling was used to recruit clients, staff (internal and external to the program), Elders and family members. Interviews were conducted using a culturally appropriate 'yarning' method with clients, families and Elders and semi-structured interview guide for staff. Interviews were audio-recorded and transcribed prior to reflexive thematic analysis. Results Seventy-six participants were interviewed: 26 clients, 47 staff and 3 Elders/family members. Three themes were identified as barriers and three as enablers. Barriers: 1) confusion around program scope, 2) duplication of care, and 3) tensions over 'ownership' of clients. Enablers (existing and potential): 1) knowledge and promotion of the program; 2) cultural safety; and 3) case coordination, co-location and partnership forums. Conclusion Effective service integration is essential to maximise access and acceptability of the ANFPP; we provide practical recommendations to improve service integration in this context. |
format |
Article in Journal/Newspaper |
author |
Massi, L Hickey, S Maidment, S-J Roe, Y Kildea, S Nelson, C Kruske, S |
author_facet |
Massi, L Hickey, S Maidment, S-J Roe, Y Kildea, S Nelson, C Kruske, S |
author_sort |
Massi, L |
title |
Improving interagency service integration of the Australian Nurse Family Partnership Program for First Nations women and babies: a qualitative study. |
title_short |
Improving interagency service integration of the Australian Nurse Family Partnership Program for First Nations women and babies: a qualitative study. |
title_full |
Improving interagency service integration of the Australian Nurse Family Partnership Program for First Nations women and babies: a qualitative study. |
title_fullStr |
Improving interagency service integration of the Australian Nurse Family Partnership Program for First Nations women and babies: a qualitative study. |
title_full_unstemmed |
Improving interagency service integration of the Australian Nurse Family Partnership Program for First Nations women and babies: a qualitative study. |
title_sort |
improving interagency service integration of the australian nurse family partnership program for first nations women and babies: a qualitative study. |
publisher |
Springer Science and Business Media LLC |
publishDate |
2022 |
url |
http://hdl.handle.net/10453/152603 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
International journal for equity in health 10.1186/s12939-021-01519-x International journal for equity in health, 2021, 20, (1), pp. 212 1475-9276 http://hdl.handle.net/10453/152603 |
op_rights |
info:eu-repo/semantics/openAccess |
_version_ |
1766001688389353472 |