Defense Date
2024
Document Type
Dissertation
Degree Name
Doctor of Philosophy
Department
Nursing
First Advisor
Terry Jones, Ph.D.
Second Advisor
Nancy Jallo, Ph.D.
Third Advisor
Patricia Kinser, Ph.D.
Fourth Advisor
Bergen Nelson, M.D.
Abstract
Aim: To identify key context-mechanism-outcome (CMO) configurations that emerge from the implementation of the Nurse Family Partnership (NFP) home visitation program.
Background: Child maltreatment is the physical, sexual, or emotional mistreatment or neglect of
children. Child maltreatment is often associated with the use of harsh discipline. Maltreated children can experience long-term psychological effects, permanent disability, and even death. Home visitation programs have been adopted to reduce child maltreatment in the US. However, little is known about how home visitation programs influence child maltreatment.
Design: A qualitative descriptive design which employed the realist evaluation lens was utilized to explore contexts and mechanisms associated with how NFP influences choices program participants make about discipline.
Methods: Using a realist evaluation approach, provider beliefs about key contexts and mechanisms associated with how NFP influences choices participants make about discipline were explored. From November 2022 – June 2023, semi-structured, realist interviews (n=12), were conducted. Thematic analysis using deductive coding for the identification of common themes was conducted.
Results: Results identified provider beliefs about the contexts and mechanisms associated with how NFP influences choices program participants make about discipline. Eleven themes were interpreted to support the development of two new CMO configurations. Additionally, a ripple CMO effect was identified.
Conclusions: This study adds to what is known about NFP’s key contexts and mechanisms and how they influence choices program participants make about discipline. Yet, little is still known about NFP mechanism(s) and how those mechanisms are related to participant reasoning.
Rights
© Jeniece S. Roane
Is Part Of
VCU University Archives
Is Part Of
VCU Theses and Dissertations
Date of Submission
3-30-2024
Included in
Health Services Research Commons, Maternal, Child Health and Neonatal Nursing Commons, Nursing Administration Commons, Pediatric Nursing Commons, Public Health and Community Nursing Commons