Nurses’ experience of using a strengths-based framework to facilitate change with families

Abstract

Using a strengths-based, solution-focused practice framework may enhance implementation of evidence-based practice (EBP). One such example, C-Frame, was developed by Australian parenting practitioners to enhance parenting confidence. The aims of this study were to determine nurses’ attitudes to EBP, adopting EBP interventions, and their perceptions of organisational support to implement C-Frame. Greater understanding of nurses’ perceptions of using C-Frame to facilitate change with families was sought. A mixed-method approach employed use of a validated scale with 27 nurses from a community-based parenting centre in Western Australia. The majority of participants (n=25; 92.6%) confirmed they like and are willing (n=27; 100%) to use EBP interventions and that research-based interventions are clinically useful. Perceptions of organisational support identified sponsored training (n=18; 66.6%); resources for training (n=17; 63.9%); and continuing education (n=13; 48.1%). However, less organisational support was noted for supervision and guidance from administrators; time of or funding for training and guest speakers or internal research. The qualitative component involved focus group interviews with 14 nurses around their experiences of using C-Frame. Analysis revealed five positive themes around using C-Frame with families; three themes highlighted the limitations and challenges of using C-Frame, and three themes reflected nurses’ perceptions of outcomes. C-Frame was perceived to be useful to empower families and improve confidence in making positive changes; however, nurses were challenged by time constraints and working with complex family needs.