Document Detail


Client-provider relationships in a community health clinic for people who are experiencing homelessness.
MedLine Citation:
PMID:  23033851     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OUDSHOORN A, WARD-GRIFFIN C, FORCHUK C, BERMAN H and POLAND B. Nursing Inquiry 2012 [Epub ahead of Print] Client-provider relationships in a community health clinic for people who are experiencing homelessness Recognizing the importance of health-promoting relationships in engaging people who are experiencing homelessness in care, most research on health clinics for homeless persons has involved some recognition of client-provider relationships. However, what has been lacking is the inclusion of a critical analysis of the policy context in which relationships are enacted. In this paper, we question how client-provider relationships are enacted within the culture of community care with people who are experiencing homelessness and how clinic-level and broader social and health policies shape relationships in this context. We explore these questions within a critical theoretical perspective utilizing a critical ethnographic methodology. Data were collected using multiple methods of document review, participant observation, in-depth interviews and focus groups. The participants include both clients at a community health clinic, and all clinic service providers. We explore how clients and providers characterized each other as 'good' or 'bad'. For providers, this served as a means by which they policed behaviours and enforced social norms. The means by which both providers' and clients' negotiated relationships are explored, but this is couched within both local and system-level policies. This study highlights the importance of healthcare providers and clients being involved in broader policy and systemic change.
Authors:
Abe Oudshoorn; Catherine Ward-Griffin; Cheryl Forchuk; Helene Berman; Blake Poland
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-4
Journal Detail:
Title:  Nursing inquiry     Volume:  -     ISSN:  1440-1800     ISO Abbreviation:  Nurs Inq     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505881     Medline TA:  Nurs Inq     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 Blackwell Publishing Ltd.
Affiliation:
The University of Western Ontario, London, ON, UK, University of Toronto, Toronto, ON, Canada.
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