A symbolic awareness context identified through a grounded theory study of health visiting

The purpose of the study, which is not yet complete, was one of theory building or conceptualization. This was needed because of a lack of information about how health visitors identify which approach to use within any particular situation. An overview of the method of grounded theory explains how data were collected and analysed. Then, one major aspect of the emerging theory--a symbolic awareness context which seems to surround and influence interactions between health visitors and their clients--is outlined. The analysis suggests that, when the interaction is examined in context, any one question, purpose or topic selected by health visitor or client as a specific focus, forms only a relatively small component part of the whole. Strategies which enhance openness and consonance within the context are detailed. The awareness context has implications for health visiting practice and organization.