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BMC Health Services Research
Published in: BMC Health Services Research 1/2023

Open Access 01-12-2023 | Research

Health, social, and dental professionals’ experiences of working within an extended home-visit program in the child healthcare: a qualitative interview study in Sweden

Authors: Elisabeth Mangrio, Maria Hjortsjö

Published in: BMC Health Services Research | Issue 1/2023

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Abstract

Background

The goal of the Swedish child healthcare system is to reach all children with health-promotive actions and to create equal health opportunities for all children. In that context, an extended home-visit program – called Grow Safely – for first-time parents, with an interprofessional collaboration between child healthcare nurses, midwives, social workers, and dental assistants, was initiated. The current study aims at illuminating and evaluating the health, social, and dental professionals’ experiences of working within this program and how such collaboration could benefit the professions.

Methods

A qualitative method was chosen, and 13 interviews were carried out with professionals working within child healthcare centers that participated in an extended home-visit program in the southernmost part of Sweden. The interviews were analyzed via Burnard’s approach to content analysis.

Results

The results showed that it was satisfying for the health, social, and dental professionals to work with the home-visit program and that they encountered positive feelings among the parents receiving it. The creation of deep conversations and parents opening up about feelings that could otherwise be shameful to express, was a positive aspect of the home visits. A negative aspect was the difficulty of handling the (sometimes necessary) interpretation over the phone during the visits, and another one was the fact that the visits were time-consuming and required logistical planning. Overall, the professionals were positive about the home-visit program in that they felt that they were able to give the families what they needed and to have discussions on sensitive issues. They also appreciated the fact that different professions collaborated in order to reach the same goal.

Conclusions

This study showed that the health, social, and dental professionals enjoyed working with the home-visit program and that they encountered positive feelings among the parents regarding the collaborative visits being conducted within the home, where the families felt safe and relaxed. The professionals expressed that the home visits, despite the extended time they required and the logistical challenges involved, created a deeper collaboration between the professionals.
Literature
1.
2.
Mangrio E, Hellström L, Nilsson E-L, Ivert A-K. An Extended Home visit Programme within the swedish child Healthcare System for First-Time parents in scania, Sweden: a study protocol. Front Public Health 2021, 9.
3.
Olander EK, Aquino MRJ, Bryar R. Three perspectives on the co-location of maternity services: qualitative interviews with mothers, midwives and health visitors. J Interprof Care 2020:1–9.
4.
Rushton FE, Byrne WW, Darden PM, McLeigh J. Enhancing child safety and well-being through pediatric group well-child care and home visitation: the Well Baby Plus Program. Child Abuse Negl. 2015;41:182–9.CrossRefPubMed
5.
Finello KM, Terteryan A, Riewerts RJ. Home visiting programs: what the primary care clinician should know. Curr Probl Pediatr Adolesc Health Care. 2016;46(4):101–25.CrossRefPubMed
6.
Duffee JH, Mendelsohn AL, Kuo AA, Legano LA, Earls MF, Chilton LA, Flanagan PJ, Dilley KJ, Green AE, Gutierrez JR. Early childhood home visiting. Pediatrics 2017, 140(3).
7.
Gomby DS. Home visitation in 2005: Outcomes for children and parents. In: Invest in Kids working paper; 2005.
8.
Duggan A, Portilla XA, Filene JH, Crowne SS, Hill CJ, Lee H, Knox V. Implementation of evidence-based early Childhood Home Visiting: results from the mother and infant home visiting program evaluation. OPRE Report 2018-76A. Office of Planning Research and Evaluation 2018.
9.
Dodge KA, Goodman WB, Bai Y, Murphy RA, O’Donnell K. Maximizing the return on investment in early childhood home visiting through enhanced eligibility screening. Child Abuse Negl. 2021;122:105339.CrossRefPubMedPubMedCentral
10.
McDonald M, Moore T, Goldfeld S. Sustained nurse home visiting for families and children. 2016.
11.
Kurth E, Krähenbühl K, Eicher M, Rodmann S, Fölmli L, Conzelmann C, Zemp E. Safe start at home: what parents of newborns need after early discharge from hospital–a focus group study. BMC Health Serv Res. 2016;16(1):1–14.CrossRef
12.
Dahlberg U, Haugan G, Aune I. Women’s experiences of home visits by midwives in the early postnatal period. Midwifery. 2016;39:57–62.CrossRefPubMed
13.
Forss KS, Mangrio E, Hellström L. Interprofessional Teamwork to Promote Health: First-Time Parents’ Experiences of a Combined Home Visit by Midwife and Child Health Care Nurse. Front Pead 2022, 10.
14.
Sveriges Riksdag. : Socialtjänstlag (2001:453). In. Stockholm; 2001.
15.
Sveriges Riksdag. : Hälso- och sjukvårdslag (2017:30). In. Stockholm; 2017.
16.
Hessle S. Positioneringar i den sociala barnavårdens kontext,. Fokus på barn, familj och nätverk-metodutveckling i den sociala barnavården,. edn. Stockholm: Gothia; 2003.
17.
Boklund A. Olikheter som berikar?: möjligheter och hinder i samarbetet mellan socialtjänstens äldre- och handikappomsorg, barnomsorg samt individ- och familjeomsorg. Stockholm: Stockholm University; 1995.
18.
Hjortsjö M. Med samarbete i sikte: Om samordnade insatser och samlokaliserade familjecentraler. Lund: Lund University; 2005.
19.
Shamian J. Interprofessional collaboration, the only way to save every woman and every child. The Lancet. 2014;384(9948):e41–2.CrossRef
20.
World Health Organization. : Nurturing care for early childhood development-A framework for helping children survive and thrive to transform health and human potential. In; 2018.
21.
Britto PR, Lye SJ, Proulx K, Yousafzai AK, Matthews SG, Vaivada T, Perez-Escamilla R, Rao N, Ip P, Fernald LC. Nurturing care: promoting early childhood development. The Lancet. 2017;389(10064):91–102.CrossRef
22.
Mekhail KT, Lindberg L, Burström B, Marttila A. Strengthening resilience through an extended postnatal home visiting program in a multicultural suburb in Sweden: fathers striving for stability. BMC Public Health. 2019;19(1):102.CrossRef
23.
Brännemo I, Dahllöf G, Cunha Soares F, Tsilingaridis G. Impact of an extended postnatal home visiting programme on oral health among children in a disadvantaged area of Stockholm, Sweden. Acta Paediatr. 2021;110(1):230–6.CrossRefPubMed
24.
Burnard P, Gill P, Stewart K, Treasure E, Chadwick B. Analysing and presenting qualitative data. Br Dent J. 2008;204(8):429.CrossRefPubMed
25.
WMA Declaration of Helsinki. : Ethical Principles for Medical Research Involving Human Subjects. In, vol. 2018.
26.
Swedish Government. : Lag (2003:460) om etikprövning av forskning som avser människor. In. Stockholm; 2003.
27.
Dupuis A, Thorns DC. Home, home ownership and the search for ontological security. Sociol Rev. 1998;46(1):24–47.CrossRef
28.
Koren-Karie N, Oppenheim D, Dolev S, Sher E, Etzion-Carasso A. Mothers’ insightfulness regarding their infants’ internal experience: relations with maternal sensitivity and infant attachment. Dev Psychol. 2002;38(4):534.CrossRefPubMed
29.
Oppenheim D, Koren-Karie N, Sagi A. Mothers’ empathic understanding of their preschoolers’ internal experience: relations with early attachment. Int J Behav Dev. 2001;25(1):16–26.CrossRef
30.
31.
World Health Organization. Closing the gap in a generation: health equity through action on the social determinants of health: commission on Social Determinants of Health final report. World Health Organization; 2008.
32.
33.
Williams VN, Ayele R, Shimasaki S, Tung GJ, Olds D. Risk assessment practices among home visiting nurses and child protection caseworkers in Colorado, United States: a qualitative investigation. Health Soc Care Commun. 2019;27(5):1344–52.
34.
Corbin JH, Jones J, Barry MM. What makes intersectoral partnerships for health promotion work? A review of the international literature. Health Promot Int. 2018;33(1):4–26.PubMed
35.
Lee J, Palekar US, Qualls W. Supply chain efficiency and security: coordination for collaborative investment in technology. Eur J Oper Res. 2011;210(3):568–78.CrossRef
36.
37.
Thunberg S, Arnell L. Pioneering the use of technologies in qualitative research–A research review of the use of digital interviews. Int J Soc Res Methodol 2021:1–12.
38.
Lincoln YSGE. Naturalistic Inquiry. SAGE Publications; 1985.
39.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–12.CrossRefPubMed
Metadata
Title
Health, social, and dental professionals’ experiences of working within an extended home-visit program in the child healthcare: a qualitative interview study in Sweden
Authors
Elisabeth Mangrio
Maria Hjortsjö
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2023
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-023-09791-z

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