Models and frameworks that enable nurses to develop their public health practice-A scoping study.

AIMS AND OBJECTIVES: This scoping review commissioned by the Public Health England, WHO collaborating Centre, aimed to explore the models and frameworks which enable nurses to develop their public health practice and deliver public health interventions to individuals, families and communities. BACKGROUND: There is a plethora of literature regarding the role, activities and scope of practice undertaken by public health nurses across the world. However, only two reviews have explored the models and frameworks used for public health nursing practice. DESIGN: The study drew upon an established framework with a narrative review drawing upon five methodological steps. METHODS: A search of databases, Medline, PsycINFO, Embase, CINHAL and British Nursing Index, was undertaken. The search took place between April 2018 and June 2018 retrieving 9,513 peer-reviewed articles published from 2008. RESULTS: Ninety-five studies were retrieved and analysed thematically. From an initial review of literature, two themes were identified: public health models used in practice and models used in public health education. Within the first theme, three subthemes were emerged: Characteristics of the interventions; Characteristics of the public health nurse; and Lack of measurable health benefits. Within the second theme, three subthemes were identified: Faculty and Students Working Together; The Experiential Academic Approach, and What works in Educating Nurses for Public Health. CONCLUSION: The review identified that many models and frameworks are used in practice. However, within public health practice there is a limited evidence base and it fails to demonstrate that the frameworks and models developed for practice result in measurable health benefits on an individual or population level. However, within education innovative models were apparent with collaborative partnerships enabling preregistration nursing students to develop public health nursing competencies. RELEVANCE TO CLINICAL PRACTICE: Innovative approaches to education of preregistration nursing students could point the way forward for the delivery of public health nursing practice.

Changing practice: a review of the first contact service.

The provision of the first contact service by health visitors to mothers and babies is a key element of the commissioning and delivery of the health visiting services within the United Kingdom. Its history dates back to the first National Health Service Act, and there have been many interpretations about its purpose and perceived benefits. A project group within an inner London primary care trust sought to review the evidence base surrounding the first contact visit in order to develop a standard for practice, which would guide and promote consistent practice throughout the health visiting department. This article illustrates the way in which a group of practitioners can work together to review service design and delivery.