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Empowering Public Health Nurses and Community Home Visitors through Effective Communication Relationships.

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Summary

Public Health Nurses and Community Home Visitors in an Enhanced Home Visiting program use social discourses to shape communication with marginalized families. Understanding these everyday practices can improve inter-provider collaboration.

Keywords:
communitydiscourse analysisfamilyfamily nursingfeministhealth visitingpublic health nursingqualitativewomen

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Area of Science:

  • Public Health
  • Sociology
  • Qualitative Research

Background:

  • Home visiting programs support marginalized families using Public Health Nurses (PHNs) and Community Home Visitors (CHVs).
  • Effective communication and collaboration are crucial but understudied in these programs.
  • The Enhanced Home Visiting (EHV) program in Nova Scotia serves as a case study.

Purpose of the Study:

  • To explore the organization and delivery of the EHV program.
  • To understand the experiences of PHNs and CHVs within the program.
  • To examine how communication practices are socially and institutionally constructed.

Main Methods:

  • Qualitative research employing feminist post-structuralism and discourse analysis.
  • Individual semi-structured interviews with 6 PHNs and 8 CHVs.
  • One focus group with 10 participants.

Main Results:

  • Communication is shaped by social discourses on mothering and working with vulnerable populations.
  • Everyday practices of PHNs and CHVs construct communication within the EHV program.
  • Experiences are socially and institutionally constructed.

Conclusions:

  • Findings offer insights into the complex social and institutional factors influencing communication in home visiting.
  • The study can inform improved reporting and communication strategies among healthcare providers serving marginalized families.
  • Understanding discourse is key to enhancing collaborative practices in public health initiatives.