Watchfully checking rapport with the Primary Child Health Care nurses - a theoretical model from the perspective of parents of foreign origin

Anita Berlin,Lena Törnkvist,Ingrid Hylander

doi:10.1186/1472-6955-9-14

Abstract

BackgroundWorldwide, multicultural interaction within health care seems to be challenging and problematic. This is also true among Primary Child Health Care nurses (PCHC nurses) in the Swedish Primary Child Health Care services (PCHC services). Therefore, there was a need to investigate the parents' perspective in-depth.AimThe aim of the study was to construct a theoretical model that could promote further understanding of the variety of experiences of parents of foreign origin regarding their interaction with the PCHC nurses at PCHC services.MethodThe study used Grounded Theory Methodology. Twenty-one parents of foreign origin in contact with PCHC servicies were interviewed.ResultsIn our study parents were watchfully checking rapport, i.e. if they could perceive sympathy and understanding from the PCHC nurses. This was done by checking the nurse's demeanour and signs of judgement. From these interviews we created a theoretical model illustrating the interactive process between parents and PCHC nurses.ConclusionWe found it to be of utmost importance for parents to be certain that it was possible to establish rapport with the PCHC nurse. If not, disruptions in the child's attendance at PCHC services could result. PCHC nurses can use the theoretical model resulting from this study as a basis for understanding parents, avoiding a demeanour and judgements that may cause misunderstandings thus promoting high-quality interaction in PCHC services.

Highlights

Worldwide, multicultural interaction within health care seems to be challenging and problematic
In our study parents were watchfully checking rapport, i.e. if they could perceive sympathy and understanding from the Primary Child Health Centres (PCHC) nurses. This was done by checking the nurse’s demeanour and signs of judgement. From these interviews we created a theoretical model illustrating the interactive process between parents and PCHC nurses
PCHC services are provided at Primary Child Health Centres (PCHC) by PCHC nurses, who are the key people for most child health activities, such as health education, vaccinations, psychosocial support and advice

Summary

Introduction

Multicultural interaction within health care seems to be challenging and problematic. Multicultural interaction in health care between clients and caregivers has been described as challenging and problematic worldwide [1]. These challenges were found in the Swedish Primary Child Health Care services (PCHC services) [2,3,4]. A recent study found that a majority of Primary Child Health Care nurses (PCHC nurses) experienced difficulties in their interactions with children and parents of foreign origin [2]. Because earlier studies [2,3] revealed that PCHC nurses experience difficulties when interacting with children and parents of foreign origin, the parents’ perspective needs to be investigated

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Discussion

Conclusion