Public health nursing practice with 'high priority' families: the significance of contextualizing 'risk'

Nursing Inquiry
Annette J BrowneEdna McLellan

Abstract

Public health nurses (PHNs) play a vital role in supporting families at risk; few studies, however, have focused on how PHNs actually work with families to provide support, build trust, and use their clinical judgment to make decisions in complex, at-risk situations. In this study, we report on findings from research that illustrate how PHNs use relational approaches in their work with 'high priority' families. Drawing on data collected from interviews and focus groups with 32 PHNs, we discuss three central features inherent to working relationally with families at risk: (i) contextualizing the complexities of families' lives; (ii) responding to shifting contexts of risk and capacity; and (iii) working relationally with families under surveillance. These findings show that the ability to recognize risk and capacity as intersecting aspects of families' lives, and to practice from a stance that recognizes risk as contextualized is foundational to effective working relationships with high-priority families.

References

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Citations

Dec 12, 2012·Nursing Inquiry·Shannon E MacDonaldLinda Reutter
Apr 8, 2014·Health & Social Care in the Community·Gabrielle BrandBe WestBrook
Aug 11, 2016·Journal of Advanced Nursing·Lauren E LinesJulian Grant
Apr 28, 2012·Journal of Family Nursing·Lee SmithBattle, Victoria Leonard
Feb 3, 2016·Journal of Cancer Survivorship : Research and Practice·A Fuchsia HowardArminee Kazanjian
May 3, 2014·ANS. Advances in Nursing Science·Karen Mackinnon, Pertice Moffitt

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