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Colin Macduff Thesis single document with title page.pdfMain thesis document2.76 MBAdobe PDFView/Open
Thesis Annex 1.pdfThesis annex 11.18 MBAdobe PDFView/Open
Thesis Annex 2.pdfThesis annex 2711.16 kBAdobe PDFView/Open
Thesis Annex 3.pdfThesis annex 3399.05 kBAdobe PDFView/Open
Title: An analysis of the development of family health nursing in Scotland through policy and practice 1998-2006
Authors: Macduff, Colin
Supervisors: West, Bernice J. M.
Parahoo, Kader
Keywords: Family health nurse
Community nursing development
Policy and practice
Constructivist analysis
Remote and rural
WHO Europe
Issue Date: May-2007
Publisher: The Robert Gordon University
Citation: MACDUFF, C. and WEST, B.J.M., 2004. An evaluation of an educational programme to prepare family health nurses. Nurse Education Today, 24 (7), pp. 575-583
MACDUFF, C. and WEST, B.J.M., 2005. An evaluation of family health nursing practice in Scotland. International Journal of Nursing Studies, 42 (1), pp.47-59
MACDUFF, C., 2006. A follow-up study of professionals’ perspectives on the development of family health nursing in Scotland. International Journal of Nursing Studies, 43 (3), pp. 345-356
MACDUFF, C., 2005. The progress of family health nursing in remote and rural Scotland. British Journal of Community Nursing, 10 (12), pp. 558-562
MACDUFF, C., 2006. An analysis of a typology of family health nursing practice. Nurse Researcher, 14 (1), pp. 34-47
MACDUFF, C. and WEST, B.J.M., 2003. Evaluating Family Health Nursing through Education and Practice. Edinburgh: Scottish Executive Social Research, The Stationery Office.
MACDUFF, C. and WEST, B., 2004a. A Supplementary Resource for “Evaluating Family Health Nursing through Education and Practice”. Aberdeen: The Robert Gordon University.
Abstract: In 1998 World Health Organisation Europe outlined a vision of a new community-based nurse called the Family Health Nurse (FHN) who would help individuals, families and communities to cope with illness and to improve their health. Scotland was the first European country to develop this idea through policy, education and practice. The two phase national pilot project (2001-2006) primarily involved remote and rural regions. Despite its vanguard position, Scottish family health nursing has been subject to little in-depth critical analysis. This thesis addresses this deficit by analysing why and how family health nursing developed in Scotland. The research methods used are: critical review of textual sources; empirical research into policy, education and practice; and critical review and application of relevant theoretical perspectives to enable interpretation. Grounded primarily in constructivism, this approach builds explanation of the development of family health nursing in Scotland as a phenomenon in contemporary nursing history. This explanation highlights the importance of key factors and processes, particularly: agency at policy formulation level; use of the piloting mechanism to mediate knowledge production, containment and expansion; tensions between generalism and specialism as manifest within the promulgated FHN concept, the educational programme, and the FHN role as it was variously enacted in practice; related difficulty in engaging substantially with families; and the strong influence of local context on the nature and scope of FHN role development, especially in terms of situated power and embedded culture of place. The explanation is summarised as a synoptic story. A new integrative, explanatory model of the development of family health nursing in Scotland is also posited. This knowledge is then examined in relation to contemporary community nursing and primary care in order to understand influence and implications. This highlights the importance of the development of family health nursing in shaping the new Community Health Nurse (CHN) role which emerged from the Review of Nursing in the Community in Scotland 2006. The new explanatory model constructed within the thesis is then applied in its more generic MAPPED format (Model for Analysing Policy to Practice Executive Developments) to analyse the new policy formulation advancing the CHN role and to anticipate key developmental factors and processes. On this basis, the thesis argues that the MAPPED model is potentially valuable for the analysis of developments that require purview from policy through to practice. The thesis concludes by summarising its contributions to understandings of community nursing policy, practice, research and theory, and makes a number of related recommendations.
Description: There is a small research project associated with this thesis and its dissemination. The author would appreciate feedback from readers as explained at, where there is also details of minor errata. Please click on the link below to connect to the page giving full details of this project.
Appears in Collections:Theses (Nursing & Midwifery)

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