Health Visiting

This timely and relevant new edition of an established and well regarded text is essential reading for those training to become health visitors and those who are practitioners working with and in the community. As we celebrate the 150 year anniversary of the profession in 2012, Health Visiting: A Rediscovery has been thoroughly revised and updated since the last edition to reflect the many developments in health policy, public health priorities and health visiting practice. The focus of the book, however, remains the same: placing the health visitor at the forefront of supporting and working with children and families, ensuring the child has the best possible start in life. The increasing importance of working with communities and reaffirming the public health role of the health visitor are discussed and debated. The new edition takes into account the challenges and increasing need for health visitors to engage with research evidence and to evaluate their practice. Key features:* A definitive, comprehensive, updated textbook on the role of the Health Visitor* Incorporates the practice of public health and working with communities* Includes brand new chapter on the importance of safeguarding children and the enhanced child protection role of the Health Visitor* Timely and topical* Essential reading for all nurses working in the community, those training as Specialist Community Public Health Nurses and undergraduate students undertaking public health, primary and community care course units.* Features case studies and learning activities

ISBN 1444335812   Pages 280 ISBN13 9781444335811 (What's this?)   Weight (grammes) 554 Publisher John Wiley and Sons Ltd   Published in Chicester Imprint Wiley-Blackwell (an imprint of John Wiley & Sons Ltd)   Previous ISBN 9780632033249 Format Paperback   Height (mm) 244 Publication date 06 Jan 2012   Width (mm) 172 DEWEY 362.14   Spine width (mm) 12 DEWEY edition DC23   Academic level Professional / Scholarly

List of Contributors ix Introduction 1 1 Managing Knowledge in Health Visiting 9 Kate Robinson Introduction 9 Defining health visiting practice 11 What do health visitors do - and where do they do it? 12 Evidence-based medicine 16 The current landscape of evidence-based practice 22 Refuting evidence-based practice 22 So does it work - and if not, why not? 24 Redefining evidence-based practice 25 Managing knowledge and evidence in practice 27 Case study 1.1: National policy-making in relation to inequalities in health 27 Case study 1.2: Introducing new technology 28 Case study 1.3: Creating guidelines in primary care 30 Case study 1.4: Protocol-based decision-making in nursing 31 Case study 1.5: Knowledge management in primary care 32 Lessons from the case studies 33 Communities of practice 35 Reflective practice 37 Clients: what do they know and how do they know it? 40 Social networking sites 41 The debate 44 Summary 46 References 46 Appendix 1: Activities for Chapter 1 49 2 Health Visiting: Context and Public Health Practice 52 Martin Smith and Maria Horne Introduction 52 Public health 55 Defining public 55 Defining health 56 Defining public health 58 Human rights and public health 62 The principles of health visiting 66 The search for health needs 66 The stimulation of an awareness of health needs 67 The influence on policies affecting health 68 The facilitation of health enhancing activities 69 Health inequalities 71 Summary 78 References 79 Appendix 2: Activities for Chapter 2 83 3 The Community Dimension 85 Rosamund Bryar and Jean Orr Introduction 85 Defining community 86 Impact of communities on health 89 The role of health visitors with communities 94 Gaining an understanding of the health of your local community 101 Windshield survey 102 Public health walk 102 Health needs assessment 103 Using health promotion models to support community working 110 Summary 113 References 113 Appendix 3: Activities for Chapter 3 117 4 Approaches to Supporting Families 120 Karen I. Chalmers Introduction 120 Models of intervention in family life 121 Three models relevant to health visiting practice in families with young children 122 Application of models in practice 125 Policies 126 Evidence for interventions to support families 128 Characteristics of programmes to support families with young children 129 Early home visiting programmes 130 Current home visiting programmes 132 Family Nurse Partnership Programme 132 Flying Start - Wales 136 Starting Well - Scotland 137 The Triple - P Programme - Positive Parenting Programme 139 Sure Start Programmes 140 Working with families 145 Empirical evidence on relationship development 147 Challenges 149 Public health agenda 149 Level of evidence 150 Adhering to the programme criteria 150 High needs families 151 Practice specialisation 151 Concerns about child safety 152 Adequate resources 152 Summary 153 References 153 Appendix 4: Activities for Chapter 4 160 5 Safeguarding Children: Debates and Dilemmas for Health Visitors 163 Julianne Harlow and Martin Smith Introduction 163 The key concepts 165 Defining child 165 Defining childhood 167 Defining safeguarding 168 Defining child abuse 173 Defining significant harm 179 Incidence and prevalence of child abuse 182 Assessment of vulnerable children 186 The Framework for the Assessment of Children in Need and Their Families 186 Common Assessment Framework (CAF) 188 Graded Care Profile 190 Working together 190 Confidentiality and information sharing 192 Supervision 193 Summary 197 References 198 Appendix 5: Activities for Chapter 5 202 6 Evaluating Practice 205 Karen A. Luker and Gretl A. McHugh Introduction 205 Sources of evidence 206 Evaluation - the problem of definition 209 Conceptualising evaluation 210 The care planning process 214 Actual and potential problems 215 Evaluation and evaluative research 217 Evaluation of healthcare 218 Structure, process and outcome evaluation 219 Additional issues in evaluating the practice of

"I would expect this book to be a port of call for many students health visitors and I think readers will find it covers a wide range of interesting, relevant subjects ... However, this shouldn't deter them from reading this instructive, concisely edited book." ( Community Practitioner , 1 July 2012)

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