地域および公衆衛生看護学ジャーナル

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Implementing CenteringParenting in Well Child Clinics: Mothers’ Nurses’ and Decision Makers’ Perspectives

Deborah Ann McNeil, J Cyne Johnston, Germaelin Van der Lee and Nicole Wallace

Objective: The purpose of this study was to explore perceptions of mothers, nurses and decision-makers involved in implemening CenteringParenting (CP) in two Public Health (PH) clinics.

Design: Families participated in Public Health Nurse (PHN) facilitated health assessments, parent-led discussions, and vaccination within a group space at six timepoints in their children’s first year of life. Following completion of the program, mothers, nurses, and decision-makers participated in focus groups or individual interviews to discuss their experiences in CP. Qualitative data, collected via open-ended questions, were recorded, transcribed, and analyzed. Themes and sub-themes were identified.

Results: Thirteen mothers, five nurses and four decision makers were interviewed. Mothers found the program valuable in meeting their need for peer and personal support, information, and skill development. Nurses, although enjoying the opportunity to participate in the CP model, experienced challenges with the group model. Decisionmakers identified the need for new ways of thinking.

Conclusion: The CP program provided benefits to new mothers beyond what they expected. PHN facilitators experienced conflicts with standard practice, but were committed to making it work. Addressing logistical challenges will be required prior to expansion.