TY - JOUR
T1 - Public Health Nurse Perceptions of Empowerment and Advocacy in Child Health Surveillance in West Ireland
AU - Cawley, Teresa
AU - Mannix McNamara, Patricia
N1 - © 2011 Wiley Periodicals, Inc.
PY - 2011/3
Y1 - 2011/3
N2 - Objective: The objective of this study was to analyze public health nurses' perceptions of empowerment and advocacy within a child health screening and surveillance program in West Ireland. Design and Sample: This study combined both qualitative and quantitative research methods. A purposive sample of 9 public health nurses (PHNs) (phase 1) participated in 2 focus groups and a purposive sample of 43 clients attending the child health screening service completed a questionnaire (phase 2). Measures: Focus groups and Questionnaires were used. Results: Thematic content analysis revealed that PHNs in the study did not perceive themselves to be empowered in their work. They attributed this to workload, lack of professional advocacy, and restricted access to power and opportunity, while also identifying the need for continued managerial support and feedback. Conclusions: The results suggest that PHNs need to be empowered in order to facilitate client empowerment. PHNs struggled with empowerment and client advocacy. There is a need for professional development for PHNs in order to support them to more critically engage with empowerment and self-efficacy in their work. This needs to be done within organizational structures that support PHNs to critically analyze the role of advocacy and empowerment in their practice.
AB - Objective: The objective of this study was to analyze public health nurses' perceptions of empowerment and advocacy within a child health screening and surveillance program in West Ireland. Design and Sample: This study combined both qualitative and quantitative research methods. A purposive sample of 9 public health nurses (PHNs) (phase 1) participated in 2 focus groups and a purposive sample of 43 clients attending the child health screening service completed a questionnaire (phase 2). Measures: Focus groups and Questionnaires were used. Results: Thematic content analysis revealed that PHNs in the study did not perceive themselves to be empowered in their work. They attributed this to workload, lack of professional advocacy, and restricted access to power and opportunity, while also identifying the need for continued managerial support and feedback. Conclusions: The results suggest that PHNs need to be empowered in order to facilitate client empowerment. PHNs struggled with empowerment and client advocacy. There is a need for professional development for PHNs in order to support them to more critically engage with empowerment and self-efficacy in their work. This needs to be done within organizational structures that support PHNs to critically analyze the role of advocacy and empowerment in their practice.
KW - Advocacy
KW - Empowerment
KW - Health promotion
KW - Public health nursing
UR - http://www.scopus.com/inward/record.url?scp=79952039035&partnerID=8YFLogxK
U2 - 10.1111/j.1525-1446.2010.00921.x
DO - 10.1111/j.1525-1446.2010.00921.x
M3 - Article
C2 - 21732969
AN - SCOPUS:79952039035
SN - 0737-1209
VL - 28
SP - 150
EP - 158
JO - Public Health Nursing
JF - Public Health Nursing
IS - 2
ER -