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The referral process in health visiting.

K A Luker1, K I Chalmers

  • 1Department of Nursing, University of Manchester, U.K.

International Journal of Nursing Studies
|January 1, 1989
PubMed
Summary

This study explores health visitor referrals, detailing the client and agency preparation, control issues, and referral outcomes. It enhances understanding of microprocesses in health visiting.

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Area of Science:

  • Community Health
  • Qualitative Research Methods

Background:

  • Health visiting is a key community health service.
  • Referral processes are integral to health visiting practice but often lack detailed microprocess analysis.

Purpose of the Study:

  • To explore the concept and microprocesses of referral in health visiting practice.
  • To analyze the stages and dynamics involved in client and agency referral processes.

Main Methods:

  • Grounded theory approach for data collection and analysis.
  • Semi-structured interviews with 45 experienced health visitors.
  • Analysis of client work-up, agency work-up, third-party referrals, and control issues.

Main Results:

  • Identified distinct stages in the referral process, including client and agency preparation.
  • Highlighted issues of control and negotiation within third-party referrals.
  • Examined the impact of referral processes on clients.

Conclusions:

  • Referral in health visiting is a complex microprocess involving intricate client and agency dynamics.
  • Understanding these microprocesses is crucial for improving health visiting practice and client outcomes.

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