"From resistance to challenge": child health service nurses experiences of how a course in group leadership affected their management of parental groups

Åsa Lefèvre, Pia Lundqvist, Eva Drevenhorn, Inger Hallström, Åsa Lefèvre, Pia Lundqvist, Eva Drevenhorn, Inger Hallström

Abstract

Background: All parents in Sweden are invited to child health service (CHS) parental groups, however only 49% of the families participate. The way the parental groups are managed has been shown to be of importance for how parents experience the support and CHS nurses describe feeling insecure when running the groups. Lack of facilitation, structure and leadership might jeopardise the potential benefit of such support groups. This study describes CHS nurses' experiences of how a course in group leadership affected the way they ran their parental groups.

Methods: A course in group leadership given to 56 CHS nurses was evaluated in focus group interviews 5-8 months after the course.

Results: The nurses felt strengthened in their group leader role and changed their leadership methods. The management of parental groups was after the course perceived as an important work task and the nurses included time for planning, preparation and evaluation, which they felt improved their parental groups. Parental participation in the activities in the group had become a key issue and they used their new exercises and tools to increase this. They expressed feeling more confident and relaxed in their role as group leaders and felt that they could adapt their leadership to the needs of the parents.

Conclusions: Specific training might strengthen the CHS nurses in their group leader role and give them new motivation to fulfil their work with parental groups.

Trial registration: Clinical Trials.gov ID: NCT02494128.

Keywords: Child health services; Group leadership; Health promotion; Nurses; Parental groups; Parental support; Training.

Conflict of interest statement

Ethical approval and consent to participate

In accordance with the guidelines of the WMA Declaration of Helsinki 2013 [33] written and oral information about the study including the right to withdraw at any time was provided to the participants. Before the study, written consent for participation in the study including the focus group interviews was provided by all participants. To maintain confidentiality, the interviews were anonymised when transcribed. The study was approved by the Regional Ethical Review board (2014/397).

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Flowchart for research project

References

    1. Nolan ML, Mason V, Snow S, Messenger W, Catling J, Upton P. Making friends at antenatal classes: a qualitative exploration of friendship across the transition to motherhood. J Perinat Educ. 2012;21(3):178–185. doi: 10.1891/1058-1243.21.3.178.
    1. Hanna BA, Edgecombe G, Jackson CA, Newman S. The importance of first-time parent groups for new parents. Nurs Health Sci. 2002;4(4):209–214. doi: 10.1046/j.1442-2018.2002.00128.x.
    1. Guest EM, Keatinge DR. The value of new parent groups in child and family health nursing. J Perinat Educ. 2009;18(3):12–22. doi: 10.1624/105812409X461180.
    1. Deave T, Johnson D, Ingram J. Transition to parenthood: the needs of parents in pregnancy and early parenthood. BMC Pregnancy Childbirth. 2008;8:30. doi: 10.1186/1471-2393-8-30.
    1. Hjalmhult E, Glavin K, Okland T, Tveiten S. Parental groups during the child's first year: an interview study of parents' experiences. J Clin Nurs. 2014;23:19–20. doi: 10.1111/jocn.12528.
    1. Cheung S-k: Parent Education Programmes in Hong Kong: Are They Effective? The Hong Kong Journal of Social Work 2001, 35(01n02):85–96.
    1. Lam CM, Kwong WM. The “paradox of empowerment” in parent education: a reflexive examination of Parents' pedagogical expectations. Fam Relat. 2012;61(1):65–74. doi: 10.1111/j.1741-3729.2011.00685.x.
    1. Tiitinen S, Homanen R, Lindfors P, Ruusuvuori J. Approaches used in investigating family support in transition to parenthood. Health Promot Int. 2014;29(3):518–527. doi: 10.1093/heapro/das077.
    1. Lefevre A, Pia L, Eva D, Inger H. Managing parental groups during early childhood: new challenges faced by Swedish child health-care nurses. J Child Health Care. 2015;19(3):381–391. doi: 10.1177/1367493513509421.
    1. Sarkadi A, Goldfeld S, Efron D. How the system failed Dylan: about the effects of fragmented community child health-care services on patient safety. J Paediatr Child Health. 2015;51(12):1148–1151. doi: 10.1111/jpc.13028.
    1. National Child Health Handbook.Rikshandboken Barnhälsovård (2014b) Föräldrastöd i grupp (Group based parental support). Rikshandboken. Available at: (accessed 0515 2016). In Swedish.
    1. Bremberg S: Nya verktyg för föräldrar: förslag till nya former av föräldrastöd (New tools for parents: Proposals for new forms of parental support). Stockholm: Swedish National Institute of Public Health 2004:49; 2004.
    1. Fabian HM, Radestad IJ, Waldenstrom U. Characteristics of primiparous women who are not reached by parental education classes after childbirth in Sweden. Acta Paediatr. 2006;95(11):1360–1369. doi: 10.1080/08035250600664125.
    1. Wolfe RB, Haddy L. A qualitative examination of parents' experiences in parent education groups. Early Child Dev Care. 2001;167:77–87. doi: 10.1080/0300443011670107.
    1. Petersson K, Petersson C, Hakansson A. What is good parental education? Interviews with parents who have attended parental education sessions. Scand J Caring Sci. 2004;18(1):82–89. doi: 10.1111/j.1471-6712.2004.00260.x.
    1. Hoddinott P, Allan K, Avenell A, Britten J. Group interventions to improve health outcomes: a framework for their design and delivery. BMC Public Health. 2010;10:800. doi: 10.1186/1471-2458-10-800.
    1. Hallberg AC, Lindbladh E, Rastam L, Hakansson A. Parents: the best experts in child health care? Viewpoints from parents and staff concerning child health services. Patient Educ Couns. 2001;44(2):151–159. doi: 10.1016/S0738-3991(00)00183-X.
    1. Forslund Frykedal K, Rosander M, Berlin A, Barimani M. With or without the group: Swedish midwives' and child healthcare nurses' experiences in leading parent education groups. Health Promot Int. 2016;31(4):899–907.
    1. Lefevre A, Lundqvist P, Drevenhorn E, Hallstrom I: Managing parental groups: personal impact of a group leadership course for child healthcare nurses. Journal of clinical nursing 201726, (3–4): 466–476.
    1. Carey MA, Asbury J-E. Focus group research. Walnut Creek, CA: Left Coast Press; 2012.
    1. Rimanoczy I: Action reflection learning : solving real business problems by connecting learning with earning [Elektronisk resurs]; 2008.
    1. National network for child health care coordinators/developers in Sweden In Swedish: Nationella nätverket för barnhälsovårdssamordnare/vårdutvecklare i Sverige: National targets for child health care nursing within child health service (CHS).(In Swedish: Nationell målbeskrivning för sjukskötersketjänstgöring inom barnhälsovården). In.; 2015.
    1. Centre of Excellence for Child Health Service: Årsrapport 2014 (Annual report 2014). In Malmö: Centre of Excellence for Child Health Care; 2015.
    1. Kvale S, Brinkmann S. Den kvalitativa forskningsintervjun. Lund: Studentlitteratur; 2014.
    1. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–112. doi: 10.1016/j.nedt.2003.10.001.
    1. Forslund Frykedal K, Rosander M. The role as moderator and mediator in parent education groups--a leadership and teaching approach model from a parent perspective. J Clin Nurs. 2015;24(13–14):1966–1974. doi: 10.1111/jocn.12856.
    1. Bandura A: Self-efficacy : the exercise of control. Basingstoke: W. H. Freeman; 1997.
    1. Ventura M, Salanova M, Llorens S. Professional self-efficacy as a predictor of burnout and engagement: the role of challenge and hindrance demands. J Psychol. 2015;149(3–4):277–302. doi: 10.1080/00223980.2013.876380.
    1. Polit DF, Beck CT. Nursing research : generating and assessing evidence for nursing practice. Philadelphia: Wolters Kluwer; 2016.
    1. Morse JM (2015): critical analysis of strategies for determining rigor in qualitative inquiry. Qual Health Res 2015 25, 1212–1222.
    1. Elwyn G, Greenhalgh T, Macfarlane F. Groups a guide to small group work in healthcare, education and research. Oxon: Radcliffe Medical Press Ltd; 2004.
    1. Puskar KR, Mazza G, Slivka C, Westcott M, Campbell F, Giannone McFadden T. Understanding content and process: guidelines for group leaders. Perspect Psychiatr Care. 2012;48(4):225–229. doi: 10.1111/j.1744-6163.2012.00343.x.
    1. WMA: WMA; Declaration of Helsinki; Principles for Medical research involving Human subjects 2008. In.; 2013.

Source: PubMed

Подписаться