Online Program

Opportunities for Workforce Development Among Nurses in the Nurse-Family Partnership Program

Sunday, November 1, 2015

Suzuho Shimasaki, MPH, Community and Behavioral Health, Colorado School of Public Health, Aurora, CO
Venice Ng, MPH, CHES, Department of Pediatrics, University of Colorado Denver, Aurora, CO
Roman Ayele, MPH, PhD(C), Health Systems, Management, and Policy, Colorado School of Public Health, Aurora, CO
Gregory Tung, PhD MPH, Health Systems, Management, and Policy, Colorado School of Public Health, Aurora, CO
Christina Ostrom, MSW, LCSW, Invest in Kids, Denver, CO
David Olds, PhD, Department of Pediatrics, University of Colorado Denver, Aurora, CO
Background: Nurse-Family Partnership (NFP) is an evidence-based nurse home-visitation program designed to improve the health and development of low-income first-time mothers and their babies. This study examined aspects of the NFP workforce including educational and professional backgrounds of nurses and nurse supervisors, how they interacted with diverse clients, their knowledge about community resources, and opportunities for further education and training.

Methods: A multiple case study using a grounded theory approach was conducted through 122 interviews including NFP nurses (41%), Child Protective Services (CPS) workers (50%), and other stakeholders (9%) across 14 Colorado counties. Analysis was conducted using NVivo 10. Validation steps included coding consistency statistics and expert reviews.

Results: Nurses and nurse supervisors shared about varying opportunities for their professional development. Many nurses stated that they struggled with adapting the curriculum to fit cultural norms, considering potential cultural differences when conducting assessments, and building trust with culturally diverse communities and that they relied on informal opportunities to learn about cultural norms around post-pregnancy traditions. Many nurses and nurse supervisors also felt that they lacked an understanding of CPS terminology and procedures which limited their ability to effectively collaborate with Child Welfare. For these reasons, several nurses and nurse supervisors indicated a desire for additional ongoing education on topics including strengthening client relationships and mandatory reporting.

Conclusion: Many opportunities exist for strengthening the NFP workforce to continue improving maternal and child health outcomes. This research has informed trainings for NFP and CPS as well as state-level policy and programmatic recommendations.

Learning Areas:

Administer health education strategies, interventions and programs
Public health or related nursing
Public health or related research

Learning Objectives:
Discuss existing education and training opportunities for NFP nurses in Colorado Describe recommendations for how to further develop the NFP workforce in Colorado, especially as it pertains to preventing child abuse and neglect

Keyword(s): Nursing Education, Workforce Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as a Graduate Research Assistant on a large-scale qualitative research study embedded within a quality improvement project for the Nurse-Family Partnership. Among my scientific interests has been the development of strategies for improving nurse-home visitor assessment and nursing skills addressing maternal and child health issues.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.