The Scottish Government

2003

Contents

ACKNOWLEDGEMENTS
GLOSSARY OF TERMS, ABBREVIATIONS AND ACRONYMS
EXECUTIVE SUMMARY
PREFACE
CHAPTER ONE: THE CONTEXT OF THE EVALUATION
1.0 INTRODUCTION
1.1 BACKGROUND
1.2 REVIEW OF KEY CONCEPTS
1.3 EVALUATION DESIGN
CHAPTER TWO: EDUCATING FAMILY HEALTH NURSES
2.0 INTRODUCTION
2.1 RESEARCH PROCEDURES
2.2 SPECIALIST PRACTICE EDUCATION: AN OVERVIEW OF STRUCTURE AND CONTENT
2.3 FAMILY HEALTH NURSING CURRICULA MARK 1 AND MARK 2
2.4 EVALUATING THE FAMILY HEALTH NURSING CURRICULUM
2.5 EVALUATING STUDENTS', SUPERVISORS' AND TEACHERS' EXPERIENCES
2.6 SUMMATIVE DISCUSSION
CHAPTER THREE: THE PRACTICE OF FAMILY HEALTH NURSING
3.0 INTRODUCTION
3.1 METHODS
3.2 TYPOLOGY OF FHN PRACTICE
3.3 OVERVIEW OF FAMILY HEALTH NURSING PRACTICE
3.4 SUMMATIVE DISCUSSION
CHAPTER FOUR: THE WIDER SCOTTISH CONTEXT
4.0 INTRODUCTION
4.1 CONTEMPORARY POLICY ISSUES
4.2 COMMUNITY NURSING SERVICES: STRENGTHS, WEAKNESSES AND SCOPE FOR DEVELOPMENT ACROSS SCOTLAND
4.3 SUMMATIVE DISCUSSION
CHAPTER FIVE: IMPLICATIONS FOR THE DEVELOPMENT OF THE FAMILY HEALTH NURSE ROLE
5.0 INTRODUCTION
5.1 THE FAMILY HEALTH NURSE ROLE AS IT EXISTS
5.2 THE POSSIBLE INTRODUCTION OF THE ROLE ELSEWHERE IN SCOTLAND
5.3 REFLECTIONS AND PROJECTIONS
5.4 CONCLUSION
REFERENCES
ANNEX ONE: PROCESS OF SELECTING "TRACER" AND CASE STUDY FAMILIES
ANNEX TWO: PROCESS OF ANALYSIS OF DATA ON FHN PRACTICE
ANNEX THREE: SUMMARY DETAILS OF THE 10 FHN SITES
ANNEX FOUR: TWO CASE STUDIES OF FAMILY HEALTH NURSE PRACTICE
ANNEX FIVE: COMPARISON OF THE PERCEPTIONS OF THE 53 PROFESSIONAL STAKEHOLDERS WHO RESPONDED TO THE QUESTIONNAIRE PRE AND POST INTRODUCTION OF FHN
ANNEX SIX: KEY INFORMANTS

LIST OF FIGURES
FIGURE 1.1: REGIONS PARTICIPATING IN FIRST YEAR OF SCOTTISH FAMILY HEALTH NURSE PILOT
FIGURE 1.2: INTERPRETATIVE RESEARCH PROCESSES
FIGURE 3.1: THE EVALUATION OF FAMILY HEALTH NURSING PRACTICE
FIGURE 5.1: CONTEXT FOR ROLE DEVELOPMENT
FIGURE 5.2: INFLUENCES ON NURSING, MIDWIFERY AND HEALTH VISITING EDUCATION

LIST OF TABLES
TABLE 2.1: SOURCES OF INFORMATION AND MODES OF ANALYSIS
TABLE 2.2: RESPONSE RATES TO QUESTIONNAIRES SENT TO STUDENT FHNS (AND QUALIFIED COHORT 1 FHNS IN JULY 2002)
TABLE 2.3: RESPONSE RATES TO QUESTIONNAIRES SENT TO SUPERVISORS OF FHNS
TABLE 2.4: OVERVIEW OF COMMUNITY-BASED EDUCATIONAL PROGRAMMES LEADING TO THE ACADEMIC OF AWARD OF BACHELOR OF SCIENCE (BSC) AND SPECIALIST QUALIFICATION
TABLE 2.5: OVERVIEW OF COMMUNITY BASED EDUCATIONAL PROGRAMMES LEADING TO THE AWARD OF BACHELOR OF ARTS (BA) AND SPECIALIST QUALIFICATION
TABLE 2.6: OVERVIEW OF COMMUNITY BASED EDUCATIONAL PROGRAMMES LEADING TO THE AWARD OF BACHELOR OF NURSING (BN) AND SPECIALIST QUALIFICATION
TABLE 2.7: EXTANT CURRICULA FOR FAMILY HEALTH NURSING
TABLE 2.8: CONTENT OF SKILLS BASED WORKSHOPS FOR ADVANCED FAMILY HEALTH NURSE PRACTICE
TABLE 2.9: OBSERVATIONS ON ASSESSMENT PROCEDURES AND PROCESSES
TABLE 2.10: SUGGESTED MODULAR SEQUENCE FOR COURSE REDESIGN
TABLE 2.11: PROFILE OF FHN STUDENTS
TABLE 2.12: MEAN PERCENTAGE COMPETENCY SCORES FOR EACH CONSTRUCT
TABLE 2.13: TIME POINTS FOR STRESS AND JOB SATISFACTION QUESTIONNAIRE
TABLE 2.14: PROFILE OF SUPERVISORS
TABLE 2.15: STUDENTS' RATINGS OF OVERALL LEVEL OF SUPPORT FROM PLACEMENT SUPERVISORS
TABLE 2.16: SUPERVISORS' PERCEPTIONS OF THEIR PREPARATION PROCESS
TABLE 2.17: STRENGTHS AND WEAKNESSES OF THE CURRICULUM
TABLE 2.18: SUGGESTIONS FOR THE DEVELOPMENT OF THE FAMILY HEALTH NURSING CURRICULUM
TABLE 3.1: OVERALL RESPONSE RATES TO THE PROFESSIONAL STAKEHOLDER QUESTIONNAIRE
TABLE 3.2: RESPONSE RATES TO THE PROFESSIONAL STAKEHOLDER QUESTIONNAIRE AT EACH SITE
TABLE 3.3: OVERALL RESPONSE RATES TO THE LAY STAKEHOLDER QUESTIONNAIRE
TABLE 3.4: RESPONSE TO THE LAY STAKEHOLDER QUESTIONNAIRE AT EACH SITE
TABLE 3.5: FHN SITES CATEGORISED BY COMMON CONTEXTUAL FEATURES
TABLE 3.6: TYPOLOGY OF FAMILY HEALTH NURSING PRACTICE
TABLE 3.7: PROFESSIONAL STAKEHOLDERS' RESPONSES TO QUESTIONS POST INTRODUCTION OF FHN
TABLE 3.8: PROFESSIONAL GROUPS' RESPONSES AT FOLLOW-UP TO QUESTION IS THERE A NEED FOR A DISTINCT FHN ROLE LOCALLY?
TABLE 3.9: COMPARISON OF THE PERCEPTIONS OF 34 LAY STAKEHOLDERS WHO RESPONDED TO THE QUESTIONNAIRE PRE AND POST INTRODUCTION OF FHN
TABLE 4.1: NARRATIVE ANALYSIS OF RECORDED TELEPHONE INTERVIEWS
TABLE 4.2: CONTEMPORARY PROBLEMS AFFECTING COMMUNITY NURSING IN SCOTLAND

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