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The institution enters the family home: Home visits in Sweden to new parents by the child health care nurse
Linköping University, Department of Medicine and Care, Nursing Science. Linköping University, Faculty of Health Sciences.
2004 (English)In: Journal of Community Health Nursing, ISSN 0737-0016, E-ISSN 1532-7655, Vol. 21, no 1, 15-27 p.Article in journal (Refereed) Published
Abstract [en]

The purpose of this study is to investigate interactional patterns in the dialogue that occurs during home visits of the nurse to new parents, to find out whether there are similarities between home visits and visits to the child health care centers, and to discuss this in relation to what is emphasized as important in home visits. Audiotaped conversations of encounters during 5 home visits to new parents and interviews with parents and nurses were collected and analyzed qualitatively. Results show that the interactions were orchestrated by the nurse, and operated on an agenda that was task-oriented. The interaction was dominated by the nurse, and thus was asymmetrical. It seemed that the nurse was attentive to what the parents brought up in the discussions and responded to their worries very thoroughly, in accordance with the ideology. However, sometimes the parents were not even involved in the nurse's activities.

Place, publisher, year, edition, pages
2004. Vol. 21, no 1, 15-27 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-23756DOI: 10.1207/s15327655jchn2101_2Local ID: 3268OAI: diva2:244071

The original title of this article was: The institution enters the family home : Home visits to new parents by the child health care nurse.

Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2014-09-12Bibliographically approved
In thesis
1. Barns och föräldrars möte med sjuksköterskan i barnhälsovården
Open this publication in new window or tab >>Barns och föräldrars möte med sjuksköterskan i barnhälsovården
2002 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Swedish child health care for children 0-7 years has a participation rate ofnearly one hundred per cent. Its work is preventive, and its ambition is toprevent health problems in preschool children and to promote good health in them and their families. The nurse is the key person and communication with parents and children is one of the important tools she uses in performing her tasks.

The overall purpose of this thesis is to describe and analyse the communication that takes place in encounters between the child health care nurse and families with children, during both visits to the child health care centre and visits in homes. The empirical material consisted of audio- and videotape recordings of five first visits to families with newborn children, of fortyfour visits of families to nurses at child health care centres, and of interviews with home visit participants. Data was primarily analysed qualitatively.

Most of what the families and the nurses discussed during the encountershad reference to the Swedish child health promotion programme, whetherthe encounters took place at the child health care centre or in participants' homes. This fact steered the interaction to a great extent. The nurses introduced the majority of topics in the conversations, but parents and children also brought up new topics. Advice, based to a great extent on the nurse's expertise, was given during almost every visit at the child health care centre. The nurse seldom encouraged parents to find their own solutions to various problems. Instead she offered standard solutions and answers to their questions. Non-verbal communication was a significant feature in the interaction. Video analysis contributes to a deeper understanding of the nurse's tasks, and also shows that the children were very active in the interaction.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2002. 82 p.
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 261
Child health care, Home visit, Children, Parents, Encounter, Social interaction, Verbal- and nonverbal communication, Advice, Empowerment, Video analysis, Barnhälsovård, Sjuksköterske-patientrelation
National Category
Social Sciences Interdisciplinary
urn:nbn:se:liu:diva-33961 (URN)20119 (Local ID)91-7373-428-4 (ISBN)20119 (Archive number)20119 (OAI)
Public defence
2002-10-11, Hörsalen, Hus Key, Universitetsområdet Valla, Linköping, 13:15 (Swedish)
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2014-08-29Bibliographically approved

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Baggens, Christina
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