Beyond the clinic: Understanding parents' views on extended home visits by public health nurses

This qualitative study investigated parental views on an extended home visit program by public health nurses (PHNs) using focus groups and individual interviews with first-time parents in Oslo, Norway. Participant responses to semi-structured questions were analysed using the recursive process for thematic analysis. Findings revealed a significant demand for enhanced support mechanisms. Through trust-building experiences during home visits, parents overcame initial scepticism rooted in vulnerability and fear of judgement. Participants emphasized the need for increased support during pregnancy and postnatal periods, addressing emotional concerns and the need of encouragement. Home visits were perceived as praxis-oriented, focusing on strengths and resources, and more informal than Child Health Clinic consultations. The accessibility of nurses and direct contact via mobile phones enhanced service quality and trust. Home visits targeting all new families mitigated stigmatization and ensured high utilization when delivered with proportionate universalism. Participating families endorsed integrating a universal home visit program into the Norwegian Child Health Clinic services. Key elements and principles were delineated, leading to a blueprint for future integration, emphasizing relational continuity and tailored support.