The ethics of relation: public health nurses and child protection clients

Marcellus, Lenora

doi:10.1111/j.1365-2648.2005.03512.x

Cited by 29 publications

(39 citation statements)

References 31 publications

(48 reference statements)

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“…Both building relationships and taking action were implemented on the basis of respect; explicit discussions of respect suggest an attentiveness to the humanity of these clients and a desire to overcome barriers to developing relationships of trust (Dybicz 2004;Graham 2001;Marcellus 2005). Research on the value of care and relationships has found these elements to be integral in supporting client dignity and providing high-quality care (Åberg et al 2004;Nordam et al 2003).…”

Section: Discussionmentioning

confidence: 99%

Ethical Decision Making in Situations of Self-neglect and Squalor among Older People

McDermott

2011

Ethics and Social Welfare

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Section: Discussionmentioning

confidence: 99%

Ethical Decision Making in Situations of Self-neglect and Squalor among Older People

McDermott

2011

Ethics and Social Welfare

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“…For example mothers valued home visiting nurses who did not lecture or tell them what to do or how to raise their children [12,21]; with whom they felt connected and trusted [12]; and who provided them with positive reinforcement regarding their parenting skills [21]. As in previous research on parents’ concerns about allowing PHNs into their homes, a few women in this study were initially worried about entering the NFP program for fear the nurses would be ‘agents of the state’ and serve a surveillance function [12,34,35]. However none of the women expressed ongoing concern once they had developed a relationship with their nurses.…”

Section: Discussionmentioning

confidence: 99%

“…However none of the women expressed ongoing concern once they had developed a relationship with their nurses. Consistent with the NFP nurses’ strengths based focus, it is likely that the nurses practiced a “caring strategy of watchful waiting” and “expectant management” rather than that of surveillance which has been postulated to undermine the development of strong nurse-client therapeutic relationships (p.416) [34]. …”

Section: Discussionmentioning

confidence: 99%

Mothers’ experiences in the Nurse-Family Partnership program: a qualitative case study

et al. 2012

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BackgroundFew studies have explored the experiences of low income mothers participating in nurse home visiting programs. Our study explores and describes mothers' experiences participating in the Nurse-Family Partnership (NFP) Program, an intensive home visiting program with demonstrated effectiveness, from the time of program entry before 29 weeks gestation until their infant's first birthday.MethodsA qualitative case study approach was implemented. A purposeful sample of 18 low income, young first time mothers participating in a pilot study of the NFP program in Hamilton, Ontario, Canada partook in one to two face to face in-depth interviews exploring their experiences in the program. All interviews were digitally recorded and transcribed verbatim. Conventional content analysis procedures were used to analyze all interviews. Data collection and initial analysis were implemented concurrently.ResultsThe mothers participating in the NFP program were very positive about their experiences in the program. Three overarching themes emerged from the data: 1. Getting into the NFP program; 2. The NFP nurse is an expert, but also like a friend providing support; and 3. Participating in the NFP program is making me a better parent.ConclusionsOur findings provide vital information to home visiting nurses and to planners of home visiting programs about mothers' perspectives on what is important to them in their relationships with their nurses, how nurses and women are able to develop positive therapeutic relationships, and how nurses respond to mothers' unique life situations while home visiting within the NFP Program. In addition our findings offer insights into why and under what circumstances low income mothers will engage in nurse home visiting and how they expect to benefit from their participation.

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“…It stimulates self-awareness, open-mindedness and willingness among practitioners to explore alternative perspectives and address uncertainty, complexity and risk (Ruch, 2007a). These have been acknowledged as essential skills for those working with at-risk families (Keys, 2009;Marcellus, 2005;Munro, 2005). The overriding characteristic of the holistic reflective model is that it embraces technicalÁrational, practical, critical and process reflective practice (Ruch, 2005).…”

Section: Introductionmentioning

confidence: 96%

Refocusing Child Protection Supervision: An Innovative Approach to Supporting Practitioners

Bradbury‐Jones¹

2013

Child Care in Practice

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There is mounting empirical evidence regarding the potential negative impact of child protection work on practitioners' emotional and psychological well-being. Stress and burnout are endemic amongst this group of workers and there is increasing recognition of the influences of this on their decision-making regarding child protection issues. Supervision has been lauded as an important element in supporting practitioners. It creates opportunities for identifying stress and potential burnout and for implementing supportive mechanisms. However, many supervision models focus almost entirely on identification, referral and procedural issues to the exclusion of addressing practitioner's emotional needs. This paper presents an argument that technicalÁrational models of supervision fall short of meeting the emotional needs of those who engage in child protection work. A refocusing is suggested that encourages practitioners to adopt a reflective stance towards child protection practice, specifically one that focuses on the affective aspects of child protection work. To achieve this, an innovative, reflective approach is proposed*termed the ''Peshkin Approach to Reflection'', it is grounded in recent developments of reflective practice from within nursing that acknowledge the primacy of emotions. The paper outlines the key stages involved and illustrates its ability to enhance practitioners' emotional well-being. Importantly, it also highlights its potential to impact positively on practice. It is advocated that the Peshkin Approach to Reflection be incorporated into child protection supervision to counter the traditional, long-standing technical-rational focus of most supervisory models. It will require empirical testing and evaluation to assess its full impact in a child protection context. However, based on use of the approach in other settings, it is likely to hold considerable benefit for practitioners who use it and, indirectly, the children they seek to protect.

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The ethics of relation: public health nurses and child protection clients

Abstract: It is possible to have a moral and trusting relationship with at-risk families, but this needs to based on critical self-reflection by nurses and mutually respectful nurse-family relations.

Cited by 29 publications

References 31 publications

Ethical Decision Making in Situations of Self-neglect and Squalor among Older People

Ethical Decision Making in Situations of Self-neglect and Squalor among Older People

Mothers’ experiences in the Nurse-Family Partnership program: a qualitative case study

Refocusing Child Protection Supervision: An Innovative Approach to Supporting Practitioners

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