ArticleImplementation science : IS2015
Applying normalization process theory to understand implementation of a family violence screening and care model in maternal and child health nursing practice: a mixed method process evaluation of a randomised controlled trial.
Article in Implementation science : IS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 137 citations in OpenAlex.
- Supporting translation of research evidence into practice-the use of Normalisation Process Theory to assess and inform implementation within randomised controlled trials: a systematic review.Implementation science : IS · 2023Pooled it
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Screening women for intimate partner violence in healthcare settings.The Cochrane database of systematic reviews · 2015Pooled it
- Action planning for building public health program sustainability: results from a group-randomized trial.Implementation science : IS · 2024Trial
- Embedding mentoring to support trial processes and implementation fidelity in a randomised controlled trial of vocational rehabilitation for stroke survivors.BMC medical research methodology · 2021Trial
- Who is Being Screened for Intimate Partner Violence in Primary Care Settings? Secondary Data Analysis of a Cluster Randomised Trial.Maternal and child health journal · 2021Trial
- Maternal and child health nurse screening and care for mothers experiencing domestic violence (MOVE): a cluster randomised trial.BMC medicine · 2015Trial
- Using Normalisation Process Theory to Develop a Complex Intervention: A Qualitative Case Study of Screening for Homelessness in Healthcare Settings.Health science reports · 2026Article
- Do process evaluations open up the 'black box' of implementation interventions in health care? A scoping review.Implementation science : IS · 2025Article
- Evaluation of a learning collaborative on team-based care: qualitative analysis of coaching calls using normalisation process theory.BMJ open quality · 2025Article
- Article
- Using normalisation process theory (NPT) to explore implementation of the maternal perinatal death surveillance and response (MPDSR) policy in Uganda: a reflection.Health research policy and systems · 2024Article
- An evidence-based primary health care intervention to address domestic violence against women in Brazil: a mixed method evaluation.BMC primary care · 2023Article
- Cancer patients as parents: implementation of a cross sector service for families with adolescent and young adult children.BMC health services research · 2023Article
- Routine conversations about violence conducted in Swedish child health services-A mixed methods study of nurses' experiences.Acta paediatrica (Oslo, Norway : 1992) · 2023Article
- A conceptual model for building program sustainability in public health settings: Learning from the implementation of the program sustainability action planning model and training curricula.Frontiers in health services · 2023Article
- Translational framework for implementation evaluation and research: a normalisation process theory coding manual for qualitative research and instrument development.Implementation science : IS · 2022Article
- Understanding implementation context and social processes through integrating Normalization Process Theory (NPT) and the Consolidated Framework for Implementation Research (CFIR).Implementation science communications · 2022Article
- Boundary-Work and the Distribution of Care for Survivors of Domestic Violence and Abuse in Primary Care Settings: Perspectives From U.K. Clinicians.Qualitative health research · 2021Article
- Adaptive work in the primary health care response to domestic violence in occupied Palestinian territory: a qualitative evaluation using Extended Normalisation Process Theory.BMC family practice · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Victoria, Australia, Maternal and Child Health (MCH) services deliver primary health care to families with children 0-6 years, focusing on health promotion, parenting support and early intervention. Family violence (FV) has been identified as a major public health concern, with increased prevalence in the child-bearing years. Victorian Government policy recommends routine FV screening of all women attending MCH services. Using Normalization Process Theory (NPT), we aimed to understand the barriers and facilitators of implementing an enhanced screening model into MCH nurse clinical practice.
methodsNPT informed the process evaluation of a pragmatic, cluster randomised controlled trial in eight MCH nurse teams in metropolitan Melbourne, Victoria, Australia. Using mixed methods (surveys and interviews), we explored the views of MCH nurses, MCH nurse team leaders, FV liaison workers and FV managers on implementation of the model. Quantitative data were analysed by comparing proportionate group differences and change within trial arm over time between interim and impact nurse surveys. Qualitative data were inductively coded, thematically analysed and mapped to NPT constructs (coherence, cognitive participation, collective action and reflexive monitoring) to enhance our understanding of the outcome evaluation.
resultsMCH nurse participation rates for interim and impact surveys were 79% (127/160) and 71% (114/160), respectively. Twenty-three key stakeholder interviews were completed. FV screening work was meaningful and valued by participants; however, the implementation coincided with a significant (government directed) change in clinical practice which impacted on full engagement with the model (coherence and cognitive participation). The use of MCH nurse-designed FV screening/management tools in focussed women's health consultations and links with FV services enhanced the participants' work (collective action). Monitoring of FV work (reflexive monitoring) was limited.
conclusionsThe use of theory-based process evaluation helped identify both what inhibited and enhanced intervention effectiveness. Successful implementation of an enhanced FV screening model for MCH nurses occurred in the context of focussed women's health consultations, with the use of a maternal health and wellbeing checklist and greater collaboration with FV services. Improving links with these services and the ongoing appraisal of nurse work would overcome the barriers identified in this study.
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