In this study the researchers are looking at the experiences of recently qualified health visitors (RQHVs) as they transition into health visiting practice and how they are supported (i.e. what kind of support do they need, what support is required and who currently provides support and does it meet their needs?

Kennedy, Catriona

MacIver, Emma

Nice, Fran

English

Open Access Institutional Repository at Robert Gordon University

NICE, F., KENNEDY, C. and MACIVER, E. 2024. Exploring the transition experiences of recently qualified health visitors to understand their support needs. [Protocol]. PROSPERO [online], Item number CRD42024480731. Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024480731      This document was downloaded from https://openair.rgu.ac.uk Exploring the transition experiences of recently qualified health visitors to understand their support needs. NICE, F., KENNEDY, C. and MACIVER, E. 2024 PROSPEROInternational prospective register of systematic reviews Exploring the transition experiences of recently qualified health visitors to understand their supportneeds CitationFran Nice, Catriona Kennedy, Emma MacIver. Exploring the transition experiences of recently qualified health visitorsto understand their support needs. PROSPERO 2024 CRD42024480731 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024480731 Review questionWhat are the experiences of recently qualified health visitors (RQHVs) as they transition into health visiting practice?What is currently known about how RQHVs are supported during their transition?What kinds of support do RQHVs experience?What support is required by RQHVs?Who currently provides support to RQHV, and does it meet their needs? SearchesInclusion Criteria• Databases to be used for searches: CINAHL, MEDLINE, EMBASE, Google Scholar and MAG Online Library• Studies published between January 2013 and January 2024 reflect health visiting policy changes such as the NamedPerson Role (Scottish Government 2014) and Universal Pathway (Scottish Government 2015). • Studies from the United Kingdom, Canada, United States America, Ireland and Australia. These countries arerecognised as having health visiting services similar to those in the United Kingdom (Institute of Health Visiting 2021). • Studies published in English and full-text studies. This will allow for the eligibility of the study to be assessed (Aveyard2021).• Primary studies, including quantitative, qualitative, and mixed method methodologies as recommended in integrativereviews to provide a comprehensive understanding of the review questions (Whittemore and Knafl 2005).Exclusion Criteria• Conference papers, editorials, discussion papers, opinion papers, systematic reviews, literature reviews, grey literature,and unpublished studies will not be sought. Prior to the final analyses, searches will be re-run, and any further identified studies will be retrieved for inclusion. Search strategyhttps://www.crd.york.ac.uk/PROSPEROFILES/480731_STRATEGY_20240103.pdf                               Page: 1 / 5PROSPEROInternational prospective register of systematic reviews Types of study to be includedInclusion: Primary studies, including quantitative, qualitative, and mixed method methodologies as recommended inintegrative reviews to provide a comprehensive understanding of the review questions (Whittemore and Knafl 2005).Exclusion: Conference papers, editorials, discussion papers, opinion papers, systematic reviews, literature reviews, greyliterature, and unpublished studies. Condition or domain being studiedHealth visitors are nurses who have completed a master’s degree to become Specialist Community Public Health Nurses(Nursing and Midwifery Council 2022). Given the challenges of transitioning into their new and complex health visitingrole, McInnes (2013) and NHS Education for Scotland (2021) acknowledge recently qualified health visitors (RQHVs)require two years of ongoing support. However, little is known about their transition experiences or, consequently, thetype and availability of support that they would require. What is known is that there are consistently high vacancy levelsfor this role in the health service (Institute of Health Visiting 2023, Care Opinion 2023). Since the pandemic, there hasbeen an increase in the complexity of health visiting caseloads with a rise in the levels of child protection concerns anddevelopmental delay in children (Public Health Scotland 2022). Government policy regards health visitors as having animportant role in mitigating the impact of the pandemic on children and their families, yet there continues to be littleunderstanding of the support needs of those transitioning into the role. If RQHVs are to work successfully in thisincreasingly complex field, then a greater understanding of their transition experiences and support needs is necessary. Participants/populationInclusion: Studies focused on recently qualified health visitors or equivalent search criteria terms such as public healthnurses with two years or less experience in practice.Exclusion: Studies focused on School Nurses and Family Health Nurses. Intervention(s), exposure(s)  [1 change]Support interventions experienced by recently qualified health visitors and equivalent practitioners during their transitionperiod to determine what types of support are available, what support is required, and who currently provides support. Comparator(s)/control  [1 change]Not applicable ContextStudies in a community setting with practitioners who work with children under five and their families in their ownhomes. Research in English-speaking countries will be included. Main outcome(s)  [1 change]To determine what is currently known about the transition experience of recently qualified health visitors and equivalentpractitioners to establish the barriers and facilitators of support during the transition period.Measures of effect                               Page: 2 / 5PROSPEROInternational prospective register of systematic reviewsNot applicable Additional outcome(s)None Data extraction (selection and coding)  [1 change]Using the PRISMA flow chart guidelines (PRISMA 2020), the review team will extract and code the selected full-textarticles. The integrative review five-step process, as advocated by Whitmore and Knafl (2005), will be used to ensure thereview has creditability and rigor. I (FN) will take the lead in searching databases, the initial screening of all titles andabstracts, and the extraction of data.When the duplicates are removed, CK and EM will each screen 10% of the searches, titles, and abstracts against theinclusion criteria. All full-text articles will then be scrutinised by FN, CK, or EM to ensure the inclusion criteria are met.If there are any disagreements, these will be discussed to try and reach a consensus, or in the event this is not possible, athird reviewer will be consulted. The Critical Appraisal Skills Programme (CASP) tool will be used to assess the quality of quantitative and qualitativestudies, with the Mixed Methods Appraisal Tool (MMAT) used to assess mixed-method studies. These tools willconsistently assess the quality of each article, considering the aims, sample strategy, data collection, analysis, andresearcher reflexivity. A table format will used to display the extracted data and key findings. This will be reviewed by CK and EM. The results from the findings of the included articles will be used for data analysis and synthesis to understand thesupport to the needs of recently qualified health visitors and equivalent practitioners as they transition into practice.  Risk of bias (quality) assessmentThe appropriate Critical Appraisal Skills Programme (CASP) tool will be used to assess the quality of each of theselected qualitative and quantitative studies (Aromatarise et al. 2018). The MMAT (Mixed Methods Appraisal Tool) willbe used to assess mixed-method studies (Hong 2018). The quality screening of each study will be reviewed and discussedwith CK and EM. Strategy for data synthesisThe constant comparison method, a four-step process, will be used to synthesise the data (Whittemore and Knafl 2005).1: Data reduction: The data will be categorised into subgroups, and data on transition experiences and support will beextracted and coded from the selected studies. Through careful organisation of the data, comparisons can be made withthe data set (Whittemore and Knafl 2005). 2. Data display: a visual representation of the initial patterns and interplay between the data on the support needs and theexperiences of transition will be made. 3. Data comparison: an iterative comparison process will analyse the visual representation and coding subgroups to locatepatterns, discrepancies, and relationships within the data related to support needs and transition experiences (Yonas,Shahzad, and Inayat 2021). 4. Conclusion drawing and verification: this final part of the process will move the analysis from the descriptive processto synthesising the key elements of the subgroups and generating a new comprehensive understanding of the transitionexperiences and support needs.                               Page: 3 / 5PROSPEROInternational prospective register of systematic reviews Analysis of subgroups or subsetsNot planned. Contact details for further informationFran Nicef.nice@rgu.ac.uk Organisational affiliation of the reviewRobert Gordon University https://www.rgu.ac.uk/ Review team members and their organisational affiliationsMrs Fran Nice. Robert Gordon UniversityProfessor Catriona Kennedy. Robert Gordon UniversityDr Emma MacIver. Robert Gordon Unversity Type and method of reviewSystematic review Anticipated or actual start date08 January 2024 Anticipated completion date28 November 2024 Funding sources/sponsorsNone Conflicts of interest LanguageEnglish CountryScotland Stage of reviewReview Ongoing Subject index terms status                               Page: 4 / 5PROSPEROInternational prospective register of systematic reviewsSubject indexing assigned by CRD Subject index termsMeSH headings have not been applied to this record Date of registration in PROSPERO03 January 2024 Date of first submission08 December 2023 Stage of review at time of this submissionThe review has not started Stage Started CompletedPreliminary searches No NoPiloting of the study selection process No NoFormal screening of search results against eligibility criteria No NoData extraction No NoRisk of bias (quality) assessment No NoData analysis No NoThe record owner confirms that the information they have supplied for this submission is accurate and complete and theyunderstand that deliberate provision of inaccurate information or omission of data may be construed as scientificmisconduct.The record owner confirms that they will update the status of the review when it is completed and will add publicationdetails in due course. 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Exploring the transition experiences of recently qualified health visitors to understand their support needs. [Protocol]

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Exploring the transition experiences of recently qualified health visitors to understand their support needs. [Protocol]

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