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Table 3 Summary of Themes from Individual Interviews with PHNs

From: Long-term home visiting with vulnerable young mothers: an interpretive description of the impact on public health nurses

Category

Area of analysis

Sub-categories

Delivering the NFP

Practice

PHN education

Home visiting

Documentation

Team meetings/case conferences, reflective supervision

Problem

Lack of community

Workload and time demands

• Scheduling

• Driving time

• Documentation

• Team meetings/case conferences, reflective supervision

Needs

Time Consistent orientation & formal peer support/mentoring

1Ongoing professional development & education

Increase in workplace efficiency (minimize driving time, efficient documentation system, dedicated administrative support, improved efficiency of team meetings/case conferences, safety in reflective supervision)

Transition to NFP PHN role

Individual PHN practice

Building the therapeutic relationship

Redefining success

Shifting to client as expert

Using the NFP education

Problem

Concern for clients

Working up to a visit/nothing left to give

Impact of doubt/did I do enough?

Emotional & physical impact

Client Graduation

Needs

(see support section)

Support in the NFP

Individual PHN -practice

Satisfaction in the NFP

• Therapeutic relationship

• Making a difference

• Learning from clients

Individual coping strategies

• Boundary setting with clients

• Reflecting on practice

• Managing self-expectations & letting go

• NFP evidence as support

• Engaging in self-care activities

NFP program support - practice

Informal peer debriefing

Problem

Burden of peer debriefing

Needs

Culture of safety

Validation and formal preceptor