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Public health nurses' experiences working with children who are next of kin: a qualitative study
Faculty of Health and Social Sciences, Inland Norway University of Applied Sciences, PB 400, 2418, Elverum, Norway.
Faculty of Health and Social Sciences, Inland Norway University of Applied Sciences, PB 400, 2418, Elverum, Norway.
Örebro University, School of Health Sciences. Örebro University Hospital. Faculty of Health and Social Sciences, Inland Norway University of Applied Sciences, PB 400, 2418, Elverum, Norway; University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID iD: 0000-0001-7352-8234
Faculty of Health and Social Sciences, Inland Norway University of Applied Sciences, PB 400, 2418, Elverum, Norway.
2022 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 22, no 1, article id 1427Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: There are a substantial number of children who are the next of kin of parents suffering from illness or substance abuse. These children can experience emotional and behavioral problems and may need support from professionals. In Norway, the specialist health service in hospitals is required to have a designated practitioner in each department to ensure support for and follow up of children who are next of kin; however, this is not regulated by law in the health care in the municipalities. The aim of this study was to explore public health nurse's experiences working with children who are next of kin.

METHODS: Qualitative interviews were conducted with 10 public health nurses working in the child health clinic and the school health service in four municipalities. Data were analysed using content analysis. Reporting of this study is conducted in accordance to COREQ's checklist.

RESULTS: The analysis resulted in one main theme: 'Lack of guidelines and routines among public health nurses working with children who are next of kin'. The main theme consisted of four categories: (1) identifying children who are next of kin are incidental; (2) public health nurses must be observant and willing to act; (3) communication is an important tool; and (4) follow up over time is not always provided.

CONCLUSION: The public health nurses experienced uncertainty concerning how to identify and follow up children who are next of kin but were vigilant and willing to act in the children's best interest. Doing so necessitated collaboration with other professionals. The need for guidelines around the role and responsibilities for the public health nurse were emphasized. The knowledge provided by the current study offers valuable insight into strengths and limitations in the support of children who are next of kin and can inform stakeholders in organizing sustainable support for this group.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022. Vol. 22, no 1, article id 1427
Keywords [en]
Child, Child health clinic, Children who are next of kin, Community health, Public health nurse, School health service
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-102521DOI: 10.1186/s12913-022-08841-2ISI: 000889543100010PubMedID: 36443847Scopus ID: 2-s2.0-85142905439OAI: oai:DiVA.org:oru-102521DiVA, id: diva2:1716070
Note

Funding agency:

Norwegian Regional Research Foundation 297073

Available from: 2022-12-05 Created: 2022-12-05 Last updated: 2024-04-08Bibliographically approved

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Anderzen-Carlsson, Agneta

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