- ISBN: 9781444335811 | 1444335812
- Cover: Paperback
- Copyright: 1/30/2012
List of Contributors | p. ix |
Introduction | p. 1 |
Managing Knowledge in Health Visiting | p. 9 |
Introduction | p. 9 |
Defining health visiting practice | p. 11 |
What do health visitors do - and where do they do it? | p. 12 |
Evidence-based medicine | p. 16 |
The current landscape of evidence-based practice | p. 22 |
Refuting evidence-based practice | p. 22 |
So does it work - and if not, why not? | p. 24 |
Redefining evidence-based practice | p. 25 |
Managing knowledge and evidence in practice | p. 27 |
Case study 1.1: National policy-making in relation to inequalities in health | p. 27 |
Case study 1.2: Introducing new technology | p. 28 |
Case study 1.3: Creating guidelines in primary care | p. 30 |
Case study 1.4: Protocol-based decision-making in nursing | p. 31 |
Case study 1.5: Knowledge management in primary care | p. 32 |
Lessons from the case studies | p. 33 |
Communities of practice | p. 35 |
Reflective practice | p. 37 |
Clients: what do they know and how do they know it? | p. 40 |
Social networking sites | p. 41 |
The debate | p. 44 |
Summary | p. 46 |
References | p. 46 |
Appendix 1: Activities for Chapter 1 | p. 49 |
Health Visiting: Context and Public Health Practice | p. 52 |
Introduction | p. 52 |
Public health | p. 55 |
Defining public | p. 55 |
Defining health | p. 56 |
Defining public health | p. 58 |
Human rights and public health | p. 62 |
The principles of health visiting | p. 66 |
The search for health needs | p. 66 |
The stimulation of an awareness of health needs | p. 67 |
The influence on policies affecting health | p. 68 |
The facilitation of health enhancing activities | p. 69 |
Health inequalities | p. 71 |
Summary | p. 78 |
References | p. 79 |
Appendix 2: Activities for Chapter 2 | p. 83 |
The Community Dimension | p. 85 |
Introduction | p. 85 |
Defining community | p. 86 |
Impact of communities on health | p. 89 |
The role of health visitors with communities | p. 94 |
Gaining an understanding of the health of your local community | p. 101 |
Windshield survey | p. 102 |
Public health walk | p. 102 |
Health needs assessment | p. 103 |
Using health promotion models to support community working | p. 110 |
Summary | p. 113 |
References | p. 113 |
Appendix 3: Activities for Chapter 3 | p. 117 |
Approaches to Supporting Families | p. 120 |
Introduction | p. 120 |
Models of intervention in family life | p. 121 |
Three models relevant to health visiting practice in families with young children | p. 122 |
Application of models in practice | p. 125 |
Policies | p. 126 |
Evidence for interventions to support families | p. 128 |
Characteristics of programmes to support families with young children | p. 129 |
Early home visiting programmes | p. 130 |
Current home visiting programmes | p. 132 |
Family Nurse Partnership Programme | p. 132 |
Flying Start - Wales | p. 136 |
Starting Well-Scotland | p. 137 |
The Triple - P Programme - Positive Parenting Programme | p. 139 |
Sure Start Programmes | p. 140 |
Working with families | p. 145 |
Empirical evidence on relationship development | p. 147 |
Challenges | p. 149 |
Public health agenda | p. 149 |
Level of evidence | p. 150 |
Adhering to the programme criteria | p. 150 |
High needs families | p. 151 |
Practice specialisation | p. 151 |
Concerns about child safety | p. 152 |
Adequate resources | p. 152 |
Summary | p. 153 |
References | p. 153 |
Appendix 4: Activities for Chapter 4 | p. 160 |
Safeguarding Children: Debates and Dilemmas for Health Visitors | p. 163 |
Introduction | p. 163 |
The key concepts | p. 165 |
Defining child | p. 165 |
Defining childhood | p. 167 |
Defining safeguarding | p. 168 |
Defining child abuse | p. 173 |
Defining significant harm | p. 179 |
Incidence and prevalence of child abuse | p. 182 |
Assessment of vulnerable children | p. 186 |
The Framework for the Assessment of Children in Need and Their Families | p. 186 |
Common Assessment Framework (CAF) | p. 188 |
Graded Care Profile | p. 190 |
Working together | p. 190 |
Confidentiality and information sharing | p. 192 |
Supervision | p. 193 |
Summary | p. 197 |
References | p. 198 |
Appendix 5: Activities for Chapter 5 | p. 202 |
Evaluating Practice | p. 205 |
Introduction | p. 205 |
Sources of evidence | p. 206 |
Evaluation - the problem of definition | p. 209 |
Conceptualising evaluation | p. 210 |
The care planning process | p. 214 |
Actual and potential problems | p. 215 |
Evaluation and evaluative research | p. 217 |
Evaluation of healthcare | p. 218 |
Structure, process and outcome evaluation | p. 219 |
Additional issues in evaluating the practice of health visiting | p. 227 |
Record-keeping | p. 231 |
Problem-orientated recording | p. 232 |
Summary | p. 235 |
References | p. 236 |
Appendix 6: Activities for Chapter 6 | p. 239 |
Bibliography | p. 243 |
Index | p. 266 |
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