The Family Nurse Partnership (FNP) programme was introduced to support young first-time mothers. A randomised trial found FNP added little short-term benefit compared to usual care. The study included a comprehensive parallel process evaluation, including focus groups, conducted to aid understanding of the introduction of the programme into a new service and social context. The aim of the focus groups was to investigate views of key health professionals towards the integration and delivery of FNP programme in England. Focus groups were conducted separately with Family Nurses, Health Visitors and Midwives at trial sites during 2011–2012. Transcripts from audio-recordings were analysed thematically. A total of 122 professionals participated in one of 19 focus groups. Family Nurses were confident in the effectiveness of FNP, although they experienced practical difficulties meeting programme fidelity targets and considered that programme goals did not sufficiently reflect client or community priorities. Health Visitors and Midwives regarded FNP as well-resourced and beneficial to clients, describing their own services as undervalued and struggling. They wished to work closely with Family Nurses, but felt excluded from doing so by practical barriers and programme protection. FNP was described as well-resourced and delivered by highly motivated and well supported Family Nurses. FNP eligibility, content and outcomes conflicted with individual client and community priorities. These factors may have restricted the potential effectiveness of a programme developed and previously tested in a different social milieu. Building Blocks ISRCTN23019866 Registered 20/04/2009.

中文翻译：

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英国家庭护士合作计划的实施：通过试验平行过程评估探索关键卫生专业人员的经验。

家庭护士合作伙伴关系 (FNP) 计划的推出是为了支持年轻的首次母亲。一项随机试验发现，与常规护理相比，FNP 几乎没有带来短期益处。该研究包括全面的并行过程评估，包括焦点小组，旨在帮助了解将该计划引入新的服务和社会环境。焦点小组的目的是调查主要卫生专业人员对英格兰整合和实施 FNP 计划的看法。2011-2012 年期间，在试验地点与家庭护士、健康巡视员和助产士分别进行了焦点小组讨论。对录音笔录进行了主题分析。共有 122 名专业人士参加了 19 个焦点小组之一。家庭护士对 FNP 的有效性充满信心，尽管他们在实现计划保真度目标方面遇到了实际困难，并认为计划目标没有充分反映客户或社区的优先事项。健康访客和助产士认为 FNP 资源丰富且对客户有利，并称他们自己的服务被低估且举步维艰。他们希望与家庭护士密切合作，但因实际障碍和计划保护而被排除在外。FNP 被描述为资源充足，由积极主动且得到良好支持的家庭护士提供。FNP 的资格、内容和结果与个人客户和社区的优先事项相冲突。这些因素可能限制了先前在不同社会环境中开发和测试的程序的潜在有效性。构建模块 ISRCTN23019866 注册日期：2009 年 4 月 20 日。