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Nurses' Work with Empowerment during Encounters with Families in Health Care
Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
2002 (English)In: Critical Public Health, ISSN 0958-1596, E-ISSN 1469-3682, Vol. 12, no 4, 351-363 p.Article in journal (Refereed) Published
Abstract [en]

One goal of Swedish child healthcare work is to empower parents, and thereby reinforce them in their parental roles. It may, however, be difficult to put this ideology into practice because the concept of empowerment is abstract, and because it is unclear what this concept means in practice. The overall aim of this article is to examine critically and discuss empowerment in nurses' work, in their everyday encounters with families in child healthcare. An empirical study was conducted at three child health centres in medium-sized towns in Sweden. Data collection consisted of audiotapes of 44 visits by families to nurses at these centres. The tape-recorded conversations were transcribed verbatim and have been used as data. Data were analysed qualitatively by examining the advice-giving sequences, to see the extent to which the nurse tried to involve and encourage parents to participate actively in problem solving, and how frequently the nurse enquired about the parents' opinions and ideas. It was revealed that the nurses dominated advice giving in these visits to the extent that they took the initiative in the majority of the advisory sequences that occurred, and that they decided both when advice should be given and the nature of the advice. Furthermore, there were remarkably few examples that could be called empowering or have an empowering function in the advice giving. The nurse instead gave standard solutions and answers in response to various questions from the parents, reinforcing her own role as an expert.

Place, publisher, year, edition, pages
2002. Vol. 12, no 4, 351-363 p.
National Category
Social Sciences Interdisciplinary
URN: urn:nbn:se:liu:diva-32812DOI: 10.1080/0958159021000029559Local ID: 18746OAI: diva2:253635
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2012-06-27Bibliographically 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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