Document Detail


Health visitors' experiences of child health promotion policy reform in England.
MedLine Citation:
PMID:  21739857     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Child health promotion services in England have been revolutionised in the last decade, with a shift from a low-threshold universal service to a more highly targeted programme. This has affected health visitors' preventive healthcare work with families. This paper draws on findings from the qualitative arm of a mixed-methods study that aimed to explore how child health promotion reform has been implemented. The particular focus of this paper is on health visitors' experiences of the process of policy reform. In-depth semi-structured telephone interviews were conducted with 25 health visitors working in urban areas in England, and data were analysed thematically. Health visitors described policy change as being enforced, but views on the new programme were coloured by the extent to which practitioners retained the autonomy to offer a service according to their professional judgment. Where practitioners retained professional autonomy, services were adequately staffed and there was a functional working environment, then interviewees were positive about child health promotion reform. Where health visitors felt they could not offer an appropriate level of health promotion services, they had grave concerns about the impact on child public health.
Authors:
Louise Condon
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Community practitioner : the journal of the Community Practitioners' & Health Visitors' Association     Volume:  84     ISSN:  1462-2815     ISO Abbreviation:  Community Pract     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-07-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9809060     Medline TA:  Community Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  25-8     Citation Subset:  N    
Affiliation:
University of the West of England, Bristol. louise.condon@uwe.ac.uk
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