Health visitors’ competences before and after implementing the newborn behavioral observations (NBO) system in a community setting: A cluster randomised study

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Objective: To explore differences between health visitors’ competences before and after implementing the newborn behavioral observations (NBO) system in four Danish municipalities. Design and Sample: In a cluster randomized design, 56 and 55 health visitors were enrolled in the intervention and comparison districts. Only health visitors from the intervention district received the NBO education programme. Measurements: Data from self-administered questionnaires on heath visitors’ intention, self-efficacy, knowledge, and observation skills were collected before and after NBO training. Data were analysed using descriptive and multivariable analyses. Results: Health visitors reported high levels of intention, self-efficacy, and knowledge working with early parent–infant relationships in both groups at baseline. After implementing NBO, the intervention health visitors reported a significantly higher level of knowledge of infant self-regulation than the comparison group. No significant differences were found in health visitors’ level of intention and self-efficacy working with early parent–infant relationships, or in health visitors’ observation skills assessing the quality of early relationship. Conclusions: Health visitors attending the NBO education and working with NBO in clinical practise had a significantly higher level of knowledge of infant self-regulation. A new discussion of how to educate health visitors’ competencies working with early relationship in clinical practise is needed.

OriginalsprogEngelsk
TidsskriftPublic Health Nursing
Vol/bind36
Nummer6
Sider (fra-til)856-862
Antal sider7
ISSN0737-1209
DOI
StatusUdgivet - nov. 2019

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