Affiliation:
1. School of Public Health, University College Cork, Ireland
2. Let's Grow Together! Infant & Childhood Partnerships CLG, Cork, Ireland
3. Department of Paediatrics and Child Health, University College Cork, Ireland
4. School of Nursing and Midwifery, University College Cork, Ireland
Abstract
Introduction United Nations Sustainable Development Goals (SDGs) were adopted as a plan of action for people, planet, and prosperity by 2030. SDG 3 aims to ensure healthy lives and promote well-being for all ages, and other goals focus on reduction of inequality, abolition of poverty, decent work for all, and building effective, accountable, and inclusive institutions. A community pediatric clinic, Kidscope, was established in a vulnerable Irish community offering free developmental assessment and onward referral of children 0 to 6 years. The Kidscope model involves multiagency input with local public health nurses (PHNs) acting as fundamental partners in the provision of specialist early years support to vulnerable children and families. This study evaluates PHN involvement in Kidscope in the context of SDGs. Objective To record and understand PHN roles within Kidscope and to capture their contribution to achieving SDGs in a disadvantaged Irish community. Methods Qualitative stakeholder analysis and mapping design. Snowball sampling identified participants. Data collection involved scoping interviews, questionnaires, one-to-one interviews, and a focus group. A Stakeholder Matrix Table was developed in line with the guiding framework. Transcripts were thematically analyzed. Results PHNs are key stakeholders in Kidscope contributing to clinic development, delivery, and sustainability. Six themes were identified: lead referrers, in-clinic support, learning and education, child and family follow-up, specialist early years role, and partnership working. PHNs contribute to six SDGs through the Kidscope model. Conclusion PHNs are fundamental partners in achieving SDGs in a disadvantaged Irish community through ameliorating childhood developmental delay by intercepting the gap within Ireland's early intervention system and disrupting the impact exclusion to healthcare has on vulnerable children and their families. Findings underscore a shift from the current “cradle to grave” model of working toward a specialist early years PHN role.
Funder
Irish Research Council
Let's Grow Together! Infant & Childhood Partnerships CLG
Reference36 articles.
1. Using thematic analysis in psychology
2. Reflecting on reflexive thematic analysis
3. Stakeholder analysis: a review
4. Buckley L., Curtin M. (2018). Learning together: Young Knocknaheeny process evaluation, 2015–17. Young Knocknaheeny ABC Programme. http://youngknocknaheeny.ie/wpcontent/uploads/2015/03/Learning-Together-YK Process-Evaluation-2015-to-2017-1.pdf
5. The KidScope Study: An analysis of a community paediatric clinic set in a disadvantaged area of Ireland