Health Visiting

List of Contributors Introduction 1 Managing Knowledge in Health Visiting Kate Robinson Introduction Defining health visiting practice What do health visitors do - and where do they do it? Evidence-based medicine The current landscape of evidence-based practice Refuting evidence-based practice So does it work - and if not, why not? Redefining evidence-based practice Managing knowledge and evidence in practice Case study 1.1: National policy-making in relation to inequalities in health Case study 1.2: Introducing new technology Case study 1.3: Creating guidelines in primary care Case study 1.4: Protocol-based decision-making in nursing Case study 1.5: Knowledge management in primary care Lessons from the case studies Communities of practice Reflective practice Clients: what do they know and how did they know it? Social networking sites The debate Summary References Appendix 1 Activities for Chapter 1 2 Health Visiting: Context and Public Health Practice Martin Smith and Maria Horne Introduction Public health Defining public Defining health Defining public health Human rights and public health The principles of health visiting The search for health needs The stimulation of an awareness of health needs The influence on policies affecting health The facilitation of health enhancing activities Health inequalities Summary References Appendix 2 Activities for Chapter 2 3 The Community Dimension Rosamund Bryar and Jean Orr Introduction Defining community Impact of communities on health The role of health visitors with communities Gaining an understanding of the health of your local community Windshield survey Public health walk Health needs assessment Using health promotion models to support community working Summary References Appendix 3 Activities for Chapter 3 4 Approaches to Supporting Families Karen I. Chalmers Introduction Models of intervention in family life Three models relevant to health visiting practice in families with young children Application of models in practice Policies Evidence for interventions to support families Characteristics of programmes to support families with young children Early home visiting programmes Current home visiting programmes Family Nurse Partnership Programme Flying Start - Wales Starting Well - Scotland The Triple - P Programme - Positive Parenting Programme Sure Start Programmes Working with families Empirical evidence on relationship development Challenges Public health agenda Level of evidence Adhering to the programme criteria High needs families Practice specialisation Concerns about child safety Adequate resources Summary References Appendix 4 Activities for Chapter 4 5 Safeguarding Children: Debates and Dilemmas for Health Visitors Julianne Harlow and Martin Smith Introduction The key concepts Defining child Defining childhood Defining safeguarding Defining child abuse Defining significant harm Incidence and prevalence of child abuse Assessment of vulnerable children The Framework for the Assessment of Children in Need and Their Families Common Assessment Framework (CAF) Graded Care Profile Working together Confidentiality and information sharing Supervision Summary References Appendix 5 Activities for Chapter 5 6 Evaluating Practice Karen A. Luker and Gretl A. McHugh Introduction Sources of evidence Evaluation - the problem of definition Conceptualising evaluation The care planning process Actual and potential problems Evaluation and evaluative research Evaluation of healthcare Structure, process and outcome evaluation Additional issues in evaluating the practice of health visiting Record-keeping Problem-orientated recording Summary References Appendix 6 Activities for Chapter 6 Bibliography Index