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Research Article| Volume 64, e145-e153, May 2022

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Novel instrument to guide nurse-led consultations with parents of three-year-olds in school health services in Flanders: A feasibility study of SPARK36

  • Ann Keymeulen, MSc
    Ann Keymeulen
    Correspondence
    Corresponding author.
    Contact
    Affiliations
    Flemish Scientific Society for Youth Health Care, Kapucijnenvoer 35, 3000 Leuven, Belgium
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  • Theo van Achterberg, PhD
    Theo van Achterberg
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    Affiliations
    University of Leuven, KU Leuven, Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, Kapucijnenvoer 35, 3000 Leuven, Belgium
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  • Corinne Vandermeulen, MD, PhD
    Corinne Vandermeulen
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    Affiliations
    University of Leuven, KU Leuven, Environment and Health, Youth Health Care, Kapucijnenvoer 35, 3000 Leuven, Belgium
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  • Ingrid I.E. Staal, PhD
    Ingrid I.E. Staal
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    Municipal Health Service Zeeland, Department of Preventive Child Health Care, Westwal 37, Goes, Netherlands
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Published:December 20, 2021DOI:https://doi.org/10.1016/j.pedn.2021.12.001
Novel instrument to guide nurse-led consultations with parents of three-year-olds in school health services in Flanders: A feasibility study of SPARK36
Previous ArticleWhen and how do healthcare professionals introduce specialist palliative care to the families of children with life-threatening conditions in Taiwan? A qualitative study
Next ArticleEffects of swaddled and traditional tub bathing on stress and physiological parameters of preterm infants: A randomized clinical trial in China
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      Highlights

      • •
        Nurses can perform an interview with parents of 3-year-olds to assess risks in child development and parenting problems.
      • •
        SPARK36 is a broad-scope structured interview that guides nurses' assessment.
      • •
        SPARK36 uses a collaborative approach with parents which strengthens them in their parental task.
      • •
        Nurses feel empowered in their task by using SPARK36.

      Abstract

      Background

      In the framework of new legislation on School Health Services (SHS) in Flanders (Belgium), nurses lead a preventive consultation with every three-year-old child and its parent(s), with the aim of assessing risks in child development and potential parenting problems. This study assesses the feasibility of the “Structured Problem Analysis of Raising kids aged 36 months” (SPARK36), a broad-scope structured interview to facilitate such consultations.

      Design and methods

      A feasibility study was conducted with SHS nurses across Flanders, to determine need for this instrument, acceptability and practical feasibility of SPARK36 with both parents and professionals. Nurses were trained to use the instrument. Mixed methods (i.e., questionnaires for both parents and nurses, and a focus group interview with nurses) were used to evaluate the feasibility of using SPARK36.

      Results

      Parents were satisfied (97.0%) with what was discussed during the consultation and with the consultation's structure (98.8%). After the training, all 20 nurses felt strengthened in performing the consultation and in making a risk assessment. The interview was feasible in 20–30 min. During 561 interviews nurses gave parenting support in 88.2% of cases.

      Conclusions

      SPARK36 is acceptable, practically feasible for parents and nurses, and it meets needs of both parties. The instrument supports nurses during their consultation. More research is needed to evaluate the instrument and to prepare its implementation in daily practice.

      Practice implications

      SPARK36 is a promising instrument for nurse-led consultations in the SHS setting.

      Keywords

      • Public health
      • Primary care
      • School health service
      • Feasibility study
      • Child development
      • Parenting
      • Nurse
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      Article info

      Publication history

      Published online: December 20, 2021
      Accepted: December 1, 2021
      Received in revised form: October 25, 2021
      Received: June 3, 2021

      Identification

      DOI: https://doi.org/10.1016/j.pedn.2021.12.001

      Copyright

      © 2021 Elsevier Inc. All rights reserved.

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