Evidence map›Paper›PMID 36550544›Full record

ArticleBMC health services research2022

Influence of the implementation of strengths-based nursing and healthcare on early childhood nurses' competencies: a mixed-method study.

Camille Thentz, Christine Durgnat-Sciboz, Sylvie Macé, Marie-Catherine Béguin, Vincent Falcy, Elisabeth Schobinger, Gora Da Rocha

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Camille ThentzCentre de référence pour les infirmières Petite enfance, Association Vaudoise d'Aide et de Soins À Domicile, 1014, Lausanne, Switzerland. camille.thentz@avasad.ch.
Christine Durgnat-ScibozCentre de référence pour les infirmières Petite enfance, Association Vaudoise d'Aide et de Soins À Domicile, 1014, Lausanne, Switzerland.
Sylvie MacéCentre de référence pour les infirmières Petite enfance, Association Vaudoise d'Aide et de Soins À Domicile, 1014, Lausanne, Switzerland.
Marie-Catherine BéguinCentre de référence pour les infirmières Petite enfance, Association Vaudoise d'Aide et de Soins À Domicile, 1014, Lausanne, Switzerland.
Vincent FalcyService du Développement des Pratiques Professionnelles, Association Vaudoise d'Aide et de Soins À Domicile, 1014, Lausanne, Switzerland.
Elisabeth SchobingerSchool of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, 1206, Geneva, Switzerland.
Gora Da RochaSchool of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, 1206, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe scope of practice for nurses caring for families has evolved to meet the challenges presented by societal changes and increasing needs. In 2015, early childhood nurses from a Swiss region decided to implement a new model of care to guide their practice. The aim of this study was to explore the changes to early childhood nurses' practices following the implementation of the strengths-based nursing and healthcare (SBNH) approach to care.

methodsThis study of early childhood nurses' (N = 61) practices used a pre-post intervention design and a mixed-method approach. Nurses' competencies and changes in practice were measured using the Nurse Competence Scale (NCS). The quantitative data were analysed using descriptive statistics, Kruskal Wallis tests and logistic regression. Thematic analysis was used to derive themes from the qualitative data.

resultsAfter the intervention, frequency of competency use increased in all domains of the NCS except the "teaching-coaching" domain; perceived levels of competencies also increased in all areas except "helping role" and "diagnostic functions". Age and length of employment at the current post hindered improvement in the "teaching-coaching" competency. Interviews revealed themes related to the implementation process: "adaptability", "implementation process", "ambivalence" and "engagement to change". Other themes were related to practice changes: "developing a disciplinary identity", "path with families" and "strengths".

conclusionThis study showed that the use of perceived competencies changed over time after the introduction of SBNH into practice. Nurses questioned and adapted their routines based on SBNH. Nurse's vision of care also changed; they felt that their care was congruent with their values. For families, this approach allowed a change of vision with a resource-centred approach. Implementation of models of care such as the SBNH in the early childhood context is innovative, as little research in the literature addresses the early childhood community home-visiting context is still modest. This research underlines the added value of this approach on early childhood nurses' competencies.

Indexed as

Delivery of Health CareNursesChild, PreschoolClinical CompetenceHumansNurse's RoleQualitative ResearchCompetencyEarly childhood nurseMixed-methodsPre/post intervention designStrengths-based approach

Identifiers

PMID36550544
PMCPMC9784253

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.