Abstract
Nurse home visiting (NHV) offers a potential platform to both address the factors that limit access to services for families experiencing adversity and provide effective interventions. Currently, the ability to examine program implementation is hampered by a lack of detailed description of actual, rather than expected, program development and delivery in published studies. Home visiting implementation remains a black box in relation to quality and sustainability. However, previous literature would suggest that efforts to both report and improve program implementation are vital for NHV to have population impact and policy sustainability. In this paper, we provide a case study of the design, testing, and implementation of the right@home program, an Australian NHV program and randomized controlled trial.We address existing gaps related to implementation ofNHV programs by describing the processes used to develop the program to be trialed, summarizing its effectiveness, and detailing the quality processes and implementation evaluation. The weight of our evidence suggests that NHV can be a powerful and sustainable platform for addressing inequitable outcomes, particularly when the program focuses on parent engagement and partnership, delivers evidence-based strategies shown to improve outcomes, includes fidelity monitoring, and is adapted to and embedded within existing service delivery systems.
| Original language | English |
|---|---|
| Pages (from-to) | 141-159 |
| Number of pages | 19 |
| Journal | Annals of the New York Academy of Sciences |
| Volume | 1419 |
| Issue number | 1 |
| Publication status | Published - 1 May 2018 |
Bibliographical note
Publisher Copyright:© 2018 The Authors.
Keywords
- design
- evaluation
- nursing homes
- testing