Supporting public health practice in healthy growth and development in the Province of Ontario, Canada.
child health
decision making
evidence-based practice
public health systems
qualitative research
Journal
Public health nursing (Boston, Mass.)
ISSN: 1525-1446
Titre abrégé: Public Health Nurs
Pays: United States
ID NLM: 8501498
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
23
10
2019
revised:
18
02
2020
accepted:
21
02
2020
pubmed:
17
3
2020
medline:
10
2
2021
entrez:
17
3
2020
Statut:
ppublish
Résumé
As public health services are modernized in Ontario, Canada, there is a need to inform the system-level roles and responsibilities of government agencies. The aim of this study was to identify how Public Health Ontario (PHO) can optimally support evidence-based planning and programming in Healthy Growth and Development (HGD) across Ontario. A situational assessment was conducted with key informants from public health and other HGD fields. Key informants were identified using purposeful snowball sampling and included public health nurses, health promoters, and medical officers of health. Analytic strategy: Twenty telephone interviews and seven focus groups were used to collect data. A thematic analysis was conducted concurrently with data collection. Five themes were identified: (a) Transition to the new Ontario Public Health Standards (OPHS) included experiences of adopting the new OPHS within local public health units (PHUs). (b) Collaborating and networking referred to the ability to work with community partners. (c) Data, evidence, and research described the presence of data, evidence, and research to support practice. (d) Decision making, planning, and priority setting described resources available that influenced decision making. (e) Current and emerging issues in HGD included high-priority topics. Public health practice in HGD is complex with many challenges in data and evidence, and making programming decisions without adequate or measurable indicators. A specialized position at PHO is an opportunity to support some of these system-wide needs.
Sections du résumé
BACKGROUND
As public health services are modernized in Ontario, Canada, there is a need to inform the system-level roles and responsibilities of government agencies. The aim of this study was to identify how Public Health Ontario (PHO) can optimally support evidence-based planning and programming in Healthy Growth and Development (HGD) across Ontario.
METHODS AND DESIGN
A situational assessment was conducted with key informants from public health and other HGD fields.
SAMPLE
Key informants were identified using purposeful snowball sampling and included public health nurses, health promoters, and medical officers of health. Analytic strategy: Twenty telephone interviews and seven focus groups were used to collect data. A thematic analysis was conducted concurrently with data collection.
RESULTS
Five themes were identified: (a) Transition to the new Ontario Public Health Standards (OPHS) included experiences of adopting the new OPHS within local public health units (PHUs). (b) Collaborating and networking referred to the ability to work with community partners. (c) Data, evidence, and research described the presence of data, evidence, and research to support practice. (d) Decision making, planning, and priority setting described resources available that influenced decision making. (e) Current and emerging issues in HGD included high-priority topics.
CONCLUSION
Public health practice in HGD is complex with many challenges in data and evidence, and making programming decisions without adequate or measurable indicators. A specialized position at PHO is an opportunity to support some of these system-wide needs.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
412-421Informations de copyright
© Queen’s Printer for Ontario, 2020. Public Health Nursing © 2020 Wiley Periodicals, Inc.
Références
Bonin, E. M., Stevens, M., Beecham, J., Byford, S., & Parsonage, M. (2011). Costs and longer-term savings of parenting programmes for the prevention of persistent conduct disorder: A modelling study. BMC Public Health, 11, 803. https://doi.org/10.1186/1471-2458-11-803
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa. Available from: http://eprints.uwe.ac.uk/11735.
Brofenbrenner, U. (1994). Ecological model of human development. 2nd ed. Oxford: International Encyclopedia of Education.
Chambers, A., Richmond, S. A., Logan, L., Macarthur, C., & Mustard, C. A. (2015). The development of a framework to integrate evidence into a national injury prevention strategy. J Public Health (Oxf), 37(4), 671-677. https://doi.org/10.1093/pubmed/fdu069
García, J. L., Heckman, J. J., Ermini Leaf, D., & Prados, M. J. (2018). Quantifying the Life-cycle Benefits of a Prototypical Early Childhood Program. NBER Working Paper No. 23479 Issued in June 2017, Revised in August 2018 NBER Program(s): Children, Economics of Education.
Governement of Ontario. (2017). Smoke-Free Ontario Act, 2017, S.O. 2017, c. 26, Sched. 3. Available from: https://www.ontario.ca/laws/statute/17s26
Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group. (2000). Available from: http://www.gradeworkinggroup.org/ [last accessed 25 August 2019].
Guttmann, A., Manuel, D., Dick, P. T., To, T., Lam, K., & Stukel, T. A. (2006). Volume matters: Physician practice characteristics and immunization coverage among young children insured through a universal health plan. Pediatrics, 117(3), 595-602. https://doi.org/10.1542/peds.2004-2784
Halfon, N., Stevens, G. D., Larson, K., & Olson, L. M. (2011). Duration of a well-child visit: Association with content, family-centeredness, and satisfaction. Pediatrics, 128(4), 657-664. https://doi.org/10.1542/peds.2011-0586
Heckman, J. (2008). The case for investing in disadvantaged young children. In F. Focus (Ed.), Big Ideas for Children: Investing in Our Nation's Future (pp. 49-58). Washington, DC: In Focus.
Irwin L. G., Siddiqi A, & Hertizman C. (2007). Early Child Development: A Powerful Equalizer. Final Report for the World Health Organization's Commission on the Social Determinants of Health. Available from: https://apps.who.int/iris/bitstream/handle/10665/69729/a91213.pdf;jsessionid=7C7D7CCE70A6D247C7646DAE95C6E109sequence=1 [last accessed 9 April 2019].
Kania, J., & Kramer, M. (2011). Collective Impact. Stanford Social Innovation Review. Winter:36-41. Available from: https://ssir.org/articles/entry/collective_impact
Propel Centre for Population Health Impact (Propel). (2019). A Learning Laboratory for Chronic Disease Prevention: CDP-EvalLL. Consultation Document to Identify Learning Labs for January 2019. Waterloo, Canada: University of Waterloo.
Leeman, J., Calancie, L., Kegler, M. C., Escoffery, C. T., Herrmann, A. K., Thatcher, E., … Fernandez, M. E. (2017). Developing Theory to Guide Building Practitioners' Capacity to Implement Evidence-Based Interventions. Health Education and Behavior, 44(1), 59-69. https://doi.org/10.1177/1090198115610572
Morse, J. M. (2015). Critical analysis of strategies for determining rigor in qualitative inquiry. Qualitative Health Research, 25(9), 1212-1222. https://doi.org/10.1177/1049732315588501
Nores, M., & Fernandez, C. (2018). Building capacity in health and education systems to deliver interventions that strengthen early child development. Annals of the New York Academy of Sciences, 1419(1), 57-73. https://doi.org/10.1111/nyas.13682
Office of the Auditor General of Ontario. (2017). Annual Report. Section 3.10 Public Health: Chronic Disease Prevention. pp. 527-569. ISSN 1911-7078 (Online). Available from: http://www.auditor.on.ca/en/content/annualreports/arreports/en17/2017AR_v1_en_web.pdf [last accessed 20 July 2019].
Offord Centre. (2019). Ontario Early Development Instrument (EDI). Available from: https://edi.offordcentre.com/partners/canada/edi-in-ontario/ [last accessed 9 April 2019].
Ontario Agency for Health Protection and Promotion (Public Health Ontario). (2018). Reproductive and Child Health Snapshot. Available from: https://www.publichealthontario.ca/en/data-and-analysis/reproductive-and-child-health/maternal-health [last accessed 9 April 2019].
Ontario Ministry of Health and Long Term Care (MOHLTC). (2018a). Ontario Public Health Standards (effective January 1, 2018). Available from: http://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/docs/protocols_guidelines/Ontario_Public_Health_Standards_2018_en.pdf [last accessed 9 April 2019].
Ontario Ministry of Health and Long Term Care (MOHLTC). (2018c) Healthy Babies Healthy Children Protocol (effective January 1, 2018). Available from: http://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/docs/protocols_guidelines/HBHC_Protocol_2018_en.pdf [last accessed on 9 April 2019].
Ontario Ministry of Health and Long Term Care. (2018b). Healthy Growth and Development Guideline. Available from http://www.health.gov.on.ca/en/pro/programs/publichealth/oph_standards/docs/protocols_guidelines/Healthy_Growth_and_Development_Guideline_2018.pdf.
Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015). Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research. Administration and Policy in Mental Health, 42(5), 533-544. https://doi.org/10.1007/s10488-013-0528-y
Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing & Health, 23(4), 334-340.
Shonkoff, J. P. (2010). Building a new biodevelopmental framework to guide the future of early childhood policy. Child Development, 81(1), 357-367. https://doi.org/10.1111/j.1467-8624.2009.01399.x
Statistics Canada Table 17-10-0005-01. Population estimates on July 1st, by age and sex. Available from https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=1710000501&pickMembers%5B0%5D=1.7&pickMembers%5B1%5D=2.1.
TCPS 2. (2014). Available from: http://www.pre.ethics.gc.ca/pdf/eng/tcps2-2014/tcps_2_final_web.pdf [last accessed 20 July 2019].
The Centre of the Developing Child at the University Havard. (2010). The Foundations of Lifelong Health are Built in Early Childhood. Available from http://www.developingchild.harvard.edu [last accessed 9 April 2019].
The Health Communications Unit at The Centre For Health Promotion, University of Toronto. (2001) Introduction to Health Promotion Planning Workbook, Version 3.0, April 2001. Available from http://www.thcu.ca/infoandresources/publications/Planning.wkbk.content.apr01.format.oct06.pdf.