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Table 1 Interim and impact MCH nurse survey questions relevant to NPT

From: Applying normalization process theory to understand implementation of a family violence screening and care model in maternal and child health nursing practice: a mixed method process evaluation of a randomised controlled trial

NPT constructs  
Coherence It is important to screen all women for FV
MCH nurse interventions can make a difference to the lives of women and children experiencing FV
I think asking questions about FV at the 4-week consultation is important
It is important to have a consultation at 3 to 4 months specifically addressing the mother’s health and wellbeing
I am fulfilling an important community role in discussing FV with my clients
The FV screening protocol in the new government framework has been very welcome
I have a good understanding of the issues for women and children experiencing FV
It is part of my job to have the time to support women experiencing family violence
I feel uncomfortable when I have to ask all women about FV
I feel frustrated when women who are abused don’t act on my advice
I am busy enough without also having to screen all women for FV
It is the role of the Enhanced nurse team to deal with issues of FV, not mine
Cognitive participation In the past 6 months, I have experienced barriers to asking about FV at 4 weeks
Overall, what percentage of women have you been able to ask about FV at any time in the past 6 months?
At what visit are you most likely to ask about FV?
I ask women who disclose FV about the impact on, and safety of, their children
I have used the following resources in talking with women about FV
  • Government practice guidelines
  • The Common Risk Assessment Framework (CRAF)
  • Websites
Intervention group only
  • Nurse mentor
  • FV liaison worker
  • MOVE maternal health and wellbeing checklist
  • MOVE clinical practice guidelines
  • MOVE clinical pathway
Collective action I feel our team of nurses as a group is seriously trying to improve our engagement with clients experiencing FV
Interactional workability There are people in my MCHN team who encourage the team’s FV work
Relational integration I get professional support from my MCH colleagues in FV work
I feel supported by my team leader in doing this work
I can turn to my colleagues for emotional support when I am doing this work
I don’t feel safe visiting women in their homes by myself when there may be FV
I feel safe in my workplace asking women about FV
I feel that our work practices mean I feel safe when visiting women at home
Skill set workability I have enough training and skills to ask and respond to women when screening for FV
I know how to ask women about their safety
I know how to make a safety plan with women
I prefer to have a rapport with women before I ask her about FV
I understand why women don’t leave partners who are abusing them
If women ask me for help for their abusive partners, I know what information to give women
I know how to ask women from CALD communities about FV and respond in a culturally sensitive manner
I know how to ask women from ATSI communities about FV and respond in a culturally sensitive manner
I can confidently document situations where FV is discussed
I understand how FV services work
I am aware of the role of community police in working with women experiencing FV
I know how to make a referral to Child FIRST
I know how to make a referral to Child Protection
I understand the rights of women experiencing FV to access legal, financial and housing support
Contextual integration The CRAF is easy to use
I have used the CRAF in the past 6 months
I find FV services responsive when I make a referral
In the past 6 months I have had difficulty getting appropriate support for women experiencing FV
I have the time to ask women about FV during the 4 week consultation
I find Child FIRST services responsive when I make a referral
I find Child Protection services responsive when I make a referral
I play my part in addressing the Councils goal of responding to FV in our area
I feel that the Council does not recognise the importance of the work that we nurses do in relation to FV
Reflexive monitoring We get useful feedback about how well we are doing in our work with FV at team meetings
Our team has adequate opportunities for supervision with this difficult work