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Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers

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Relationship work in an early childhood home visiting program.

Maureen Heaman¹, Karen Chalmers, Roberta Woodgate

¹Faculty of Nursing, University of Manitoba, Winnipeg, MB, Canada. maureen_heaman@umanitoba.ca

Journal of Pediatric Nursing

|July 25, 2007

Summary

Building strong relationships is key for public health nurses and home visitors. Effective relationship management requires adequate training, resources, and administrative support for successful family support programs.

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Area of Science:

Public Health
Nursing
Sociology

Background:

Home visiting programs are crucial for supporting families with young children.
Effective program delivery relies heavily on the quality of relationships established by healthcare professionals.
Understanding the dynamics of these relationships is vital for program success.

Purpose of the Study:

To describe the relationships among public health nurses, home visitors, and parents in a Canadian home visiting program.
To explore the processes of establishing, maintaining, and terminating relationships within this context.
To identify factors influencing relationship-building in home visiting services.

Main Methods:

Qualitative descriptive study design.
Semi-structured interviews conducted with 24 public health nurses, 14 home visitors, and 20 parents.
Thematic analysis of interview data to identify key relationship dynamics.

Main Results:

Participants invested considerable effort in establishing and maintaining relationships with each other and clients.
Key themes included the importance of trust, communication, and mutual respect in relationship development.
Factors influencing relationship work included training, caseload, administrative support, and interprofessional collaboration.

Conclusions:

Establishing and sustaining therapeutic relationships is a core competency for public health nurses and home visitors.
Adequate training, sufficient human resources, and strong administrative support are essential for effective relationship work.
The findings underscore the need for supportive program structures to optimize relationship quality and program outcomes.