Table 2 In the first column, all the participants’ ideas are shown in the order they appeared during the table rounds and in the short formulations the proposers found adequate
From: Using a modified nominal group technique to develop general practice
First rounds of the nominal group process | Clarification and categorisation | After linguistic and structural editing by KL and RE |
|---|---|---|
1. Setting the scene: what, why, how – long process. 2. The parental experience of pregnancy and birth 3. Is there something in particular you would like to discuss? 4. Has the development from birth until now been satisfying? 5. How are things coming along? 6. Did anything happen during birth that you experienced as a threat? 7. How is the family handling the new family member – network? 8. Follow-up from visiting nurse/ place of birth 9. The contact between the GP/mother/child/father 10. Interaction/Attachment 11. The parents’ experience of the parenting role 12. Recognise – Issues with the parents that make me wonder whether this is a vulnerable family 13. Support the parents’ belief in their own capabilities 14. The objective examination 15. The child’s rhythm – sleep patterns, food, crying, bowel function 16. The parents own childhood 17. Preventions themes – smoking, falls, and sleeping positions. 18. Transparency in the examination 19. Conclusion, transparency and follow-up 20. Advice and guidelines concerning a sick child 21. Information for parents prior to the consultation 22. Parental leave – is co-parent at home? childcare, economy 23. To create a feeling of security - future cooperation 24. Family structure 25. Support the parents in their care for their child. | 1. Setting the scene At the beginning and at the end of the examination: what, why, how – long process. Vaccinations. What is a preventive child health examination? The goal? Adjust expectations. Transparency in the examinations. Information for parents prior to the consultation. To create a feeling of security - future cooperation 2. The parents’ experience of pregnancy, birth, and the first weeks with the baby Did anything happen during birth that you experienced as a threat? Has the development from birth until this point been satisfying? How are things coming along? Baby blues? (Mother, child, father, the family). 3. Is there something in particular you would like to discuss? The parents’ needs. 4. How is the family handling the new family member? Hard work – siblings – feeling tired – network. The parents’ experience of the parenting role, making ends meet, frustration. Attachment. Parental leave – is co-parent at home – childcare 5. Follow-up from visiting nurse/ place of birth Have they attended the relevant examinations? Have they received answers from tests? 6. Recognise – Issues with the parents that make me wonder whether this is a vulnerable family Economy, resources, education, work. The parents’ experiences. Family structure: single, half-half, donor, adopted, etc. 7. Objective examination. Contact between GP/ mother/child/father interaction. 8. The child’s rhythm Sleep patterns, food, crying, bowel function, well-being. The GP’s evaluation and communication of what is considered as normal. 9. The parents’ own childhood Previous/ongoing family trauma. Preconditions for attachments. 10. Prevention themes Smoking, falls, sleeping positions. Vaccinations. Advice and guidelines concerning a sick child. 11. Conclusion Reciprocity. Support the parents’ belief in their own capabilities Follow-up, appointments. Transparency | Information folder (Could we ask the parents a few questions at the same time?) Knowledge previously collected from the antenatal care visits: The name of the child’s father and CPR number. The siblings’ names and CPRs. Relationship status. Chronic diseases among mother or father. Mother’s/father’s work title, place of birth. Mother’s/father’s potential threatening social or emotional condition. 1. Did the parents have anything particular they wanted to talk with the GP about? Yes _____ No ________ 2. Follow-up on information transferred from the antenatal care visits, has anything changed? Yes ____ No ________ 3. The parents’ experience of pregnancy and birth 3.1 Follow-up on pregnancy. Certain experiences/worries? Yes ______ No ______ 3.2 Follow-up on birth Certain experiences/worries? Yes ______ No ______ 3.3 Is contact with a visiting nurse established? Does the visiting nurse have any wishes for themes that should be discussed at the PCHE? Yes ______ No_______ 3.4 Has the child had a PKU-test? Yes _____ No ________ Hearing screening test: Yes ______ No _______ Remarks: ______________ 4. Parents’ experience of the first weeks 4.1 How are things coming along? (Mother, father, sibling, family, handling new tasks). 4.2 Are mother and child gaining a common rhythm? Yes ______ No ________ (Sleep, meals, bowel functions, can the child be comforted when crying? Do mother and father feel they can cope?). 4.3 Breast-feeding Yes _____ No ______ Partly_______ 5. Objective examination (Specified in 16 items/points following the guidelines from The National Board of Health). 6. Discussed birth control Yes, themes:___ No ____ 7. Conclusion An overall estimation of the child’s wellbeing and the family’s resources and risks. 8. Follow-up Yes ______ No ______ E.g. an extra consultation at the GP or a reference to a specialist/or the social system. |