A1 Refereed original research article in a scientific journal
Two sides of the same well-child visit: Analysis of nurses' and families' perspectives on empowerment in health counselling
Authors: Sónia Borges Rodrigues, Heidi Parisod, Luísa Barros, Sanna Salanterä
Publisher: WILEY
Publication year: 2020
Journal: Journal of Advanced Nursing
Journal name in source: JOURNAL OF ADVANCED NURSING
Journal acronym: J ADV NURS
Volume: 76
Issue: 12
First page : 3448
Last page: 3463
Number of pages: 16
ISSN: 0309-2402
eISSN: 1365-2648
DOI: https://doi.org/10.1111/jan.14554
Abstract
Aims To explore the degree of empowering health counselling in well-child visits, considering nurse and family perspectives and to examine its associated factors. Background Empowerment has gained high priority in the world health strategy, being claimed for its benefits for people's health and well-being. Design The design includes an exploratory cross-sectional, correlational study. Methods We collected data between January 2018-October 2019 from a convenience sample of 82 families attending a 5-year-old well-child visit and 25 nurses at Portuguese health centres. Families and nurses assessed the same counselling session using parallel statements of the Portuguese Empowering Speech Practice Scale, grouped in two subscales (nurses' action and families' action). Questionnaires also included the Parent's Longitudinal Continuity in Primary Care scale, the Family Nutrition and Physical Activity tool and anthropometric and sociodemographic questions. We employed descriptive statistics, paired-samplest-test, analysis of variance and regression analysis. Results Both nurses and families reported that empowerment had been practiced in high degree. The most practiced elements were those from nurses' action subscale (e.g.constructing a positive atmosphere) and the least practiced were from families' action (e.g.disclosure). A discrepancy between nurses' and families' ratings were found forindividualized information and advice,disclosureandasking questions,with families reporting higher scores. Nurses' formal training in empowerment and obesity was associated with higher scores on the nurses' action subscale. The families' limited experience with a regular health centre and nurse and families having children with overweight were both associated with lower scores on the two subscales. Conclusions Although the positive experience by nurses and families is an important finding, the reasons for the differences in perceptions of empowerment require further research. Impact The Portuguese Empowering Speech Practice Scale can be a useful tool to evaluate services, both from professionals' and families' perspectives and to identify areas of improvement.
Aims To explore the degree of empowering health counselling in well-child visits, considering nurse and family perspectives and to examine its associated factors. Background Empowerment has gained high priority in the world health strategy, being claimed for its benefits for people's health and well-being. Design The design includes an exploratory cross-sectional, correlational study. Methods We collected data between January 2018-October 2019 from a convenience sample of 82 families attending a 5-year-old well-child visit and 25 nurses at Portuguese health centres. Families and nurses assessed the same counselling session using parallel statements of the Portuguese Empowering Speech Practice Scale, grouped in two subscales (nurses' action and families' action). Questionnaires also included the Parent's Longitudinal Continuity in Primary Care scale, the Family Nutrition and Physical Activity tool and anthropometric and sociodemographic questions. We employed descriptive statistics, paired-samplest-test, analysis of variance and regression analysis. Results Both nurses and families reported that empowerment had been practiced in high degree. The most practiced elements were those from nurses' action subscale (e.g.constructing a positive atmosphere) and the least practiced were from families' action (e.g.disclosure). A discrepancy between nurses' and families' ratings were found forindividualized information and advice,disclosureandasking questions,with families reporting higher scores. Nurses' formal training in empowerment and obesity was associated with higher scores on the nurses' action subscale. The families' limited experience with a regular health centre and nurse and families having children with overweight were both associated with lower scores on the two subscales. Conclusions Although the positive experience by nurses and families is an important finding, the reasons for the differences in perceptions of empowerment require further research. Impact The Portuguese Empowering Speech Practice Scale can be a useful tool to evaluate services, both from professionals' and families' perspectives and to identify areas of improvement.
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