Table 2 Summary of Findings from Phase 1 Focus Groups
Category | Sub-category | Codes |
|---|---|---|
PHN perceptions of the NFP | Evidence of program effectiveness | |
Program structure and guidelines | ||
Frequency and intensity of home visits | ||
Relationships in the NFP | PHN-client relationship | Time, and timing, to build the relationship |
Barriers to the relationship | ||
• Trust issues | ||
• Client fatigue | ||
• Transient/unstable housing | ||
• Changes in clients relationship status | ||
• Scheduling conflicts/overload | ||
• Client withdrawal | ||
• Mental health concerns | ||
Maintaining the relationship | ||
• Being there | ||
• Consistency | ||
PHN transformation in the NFP | ||
Client as expert | ||
Changing relationship with other service providers | Â | |
Delivering the NFP: Challenges and impact on the PHN | Professional and work-related challenges | Challenges |
• Confidentiality of NFP content | ||
• Workspace and resource issues | ||
• Theoretical differences from other service providers | ||
• Demands of a full case load | ||
• Sense of overload | ||
• Documentation | ||
• Time in the car | ||
• Accessing satellite offices | ||
• Scheduling realities of NFP clients | ||
Personal impacts | Sense of doubt | |
Impact on life outside of work | ||
Realities of a high risk population | ||
Emotional impact | ||
Graduation | ||
Changing definition of success | ||
Rewards of delivering the NFP | ||
Formal and informal support mechanisms in the NFP | Team meetings and case conferences | Â |
Reflective Supervision | Supervision focus | |
Time constraints | ||
Barriers to effective supervision | ||
Informal peer debriefing | Â | |
Individual stress management practices | Â | |
Need for additional support | Â | |