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

Abstract

Background: In Victoria, Australia, Maternal and Child Health (MCH) services deliver primary health care to families with children 0-6 years, focusing on health promotion, parenting support and early intervention. Family violence (FV) has been identified as a major public health concern, with increased prevalence in the child-bearing years. Victorian Government policy recommends routine FV screening of all women attending MCH services. Using Normalization Process Theory (NPT), we aimed to understand the barriers and facilitators of implementing an enhanced screening model into MCH nurse clinical practice. Methods: NPT informed the process evaluation of a pragmatic, cluster randomised control..