Being orientated towards social justice: Learning for health visitor practice

Fanner, Michael; Whittaker, Karen; Cowley, Sarah

doi:10.1016/j.nedt.2022.105386

Cited by 2 publications

(4 citation statements)

References 3 publications

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“…The finding that SAIP PHNs had higher scores in all three critical consciousness subscales was not surprising, given that strong agreement regarding the impact of poverty on health would likely transfer to other items in the ShoCCS. The finding that SAIP PHNs more often worked in the community setting aligned with literature that PHNs may gain a more critical perspective through working closely with individuals and families experiencing poverty and other forms of social inequity (Ballard et al., 2022; Cohen & McKay, 2010; Fanner et al., 2022; Huling et al., 2022; Monsen et al., 2018). The finding that SAIP PHNs were more often educators or researchers also aligns with literature; PHN faculty share a unique viewpoint that prioritizes preparing future nurses and society to attain an equitable society (Thurman et al., 2022).…”

Section: Discussionsupporting

confidence: 64%

“…Therefore, the Critical Action of PHNs is likely broader in scope than the ShoCCS subscale definition and the concept may be better captured with an improved measurement of specific PHN interventions at individual, community, and system levels addressing social needs. Thus, the concept of Critical Action, as measured in the ShoCCS subscale, may not fully capture the breadth of Critical Action inherent within the work of PHNs (Fanner et al., 2022; Thurman et al., 2022).…”

Section: Discussionmentioning

confidence: 99%

“…The finding of a relatively low Critical Action subscale score suggests a need to revisit definitions of Critical Action for PHNs. Numerous studies exist that illuminate PHN interventions and impact on social determinants of health, health literacy, and other complex social needs (Ballard et al, 2022;Cohen & McKay, 2010;Huling et al, 2022;Monsen, 2022;Monsen, Brandt, et al, 2017;Monsen, Peterson, et al, 2017;Noonan et al, 2017;Park et al, 2019) (Fanner et al, 2022;Thurman et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…Critical reflection is defined as the personal analysis and rejection of oppressive societal inequalities (Maker Castro et al., 2022). For PHNs, critical reflection aligns with the nuanced understanding of themselves, their work, and equity facilitated by the lived experience of working in the community (Fanner et al., 2022). Critical motivation is defined as how an individual understands their ability to enact social change (Diemer et al., 2017).…”

Section: Introductionmentioning

confidence: 99%

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Critical consciousness of public health nurses: A descriptive, comparative survey

Pirsch,

Austin,

Martin

et al. 2023

Public Health Nursing

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BackgroundPublic Health Nurses (PHN) caring for vulnerable populations amid systemic inequality must navigate complex situations, and consequently they may experience serious moral distress known to be detrimental to PHN wellbeing.ObjectiveGiven PHN awareness of social inequities, the study aimed to determine if PHNs were motivated to enact social change and engage in social and political action to address inequality.Design and sampleA survey of 173 PHNs was conducted in fall 2022. The convenience sample was mainly female (96.5%), White (85%), had associate/bachelor's degrees (71.7%), and worked in governmental public health settings (70.7%).MeasureThe study employed the Short Critical Consciousness Scales’ subscales: Critical Reflection, Critical Motivation, and Critical Action.ResultsPHNs were highly motivated to address inequities (Critical Motivation = 20.83; SD = 3.16), with similarly high awareness (Critical Reflection = 17.89; SD = 5.18). However, social and political action scores were much lower (Critical Action = 7.13; SD = 2.63). A subgroup of PHNs with strong agreement regarding the impact of poverty were more likely to be younger (p = .039) and work in a community setting (p = .003); with higher scores across subscales (p < .001).ConclusionsHigh critical reflection and motivation among PHNs aligned with literature. Lower Critical Action scores warrant investigation into validity for PHNs, and possible role constraints.

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Critical consciousness of public health nurses: A descriptive, comparative survey

Pirsch,

Austin,

Martin

et al. 2023

Public Health Nursing

View full text Add to dashboard Cite

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‘I never knew it was so prevalent’: Experiences and perceptions of student health visitors recognising and responding to domestic abuse in practice placement settings

Perryman

2024

Journal of Research in Nursing

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Background: Health visitors have a key role in supporting and protecting adults and children affected by domestic abuse. Aims: The study aimed to examine the experiences and perceptions of student health visitors recognising and responding to domestic abuse in practice placement settings. Methods: Semi-structured interviews were conducted with five student health visitors in the United Kingdom. Interviews were transcribed and analysed using interpretive phenomenological analysis. Results: Four superordinate themes were identified: ‘part and parcel of health visiting practice’; ‘challenges in identifying domestic abuse’; ‘uncertainty and apprehension’; ‘strengthening knowledge and confidence’. All participants had engaged in practice activities related to domestic abuse within SCPHN placements, commonly expressing a sense of disbelief at the scale of the issue in practice. Difficulties and unease regarding identification and management of domestic abuse were reported. Access to support and opportunities to reflect and ‘talk things through’ were found to be important for students regarding this sphere of practice. Conclusions: The findings contribute to the body of knowledge about domestic abuse-related practice within nursing. Recommendations made may contribute to practice development and help inform future teaching and educational strategies within SCPHN programmes.

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Being orientated towards social justice: Learning for health visitor practice

Cited by 2 publications

References 3 publications

Critical consciousness of public health nurses: A descriptive, comparative survey

Critical consciousness of public health nurses: A descriptive, comparative survey

‘I never knew it was so prevalent’: Experiences and perceptions of student health visitors recognising and responding to domestic abuse in practice placement settings

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