Nursing Department, Sackler Faculty of Medicine, Tel-Aviv University, Israel; Gordon College of Education, Haifa, Israel.
Public Health Services, Ministry of Health, Jerusalem, Israel.
J Pediatr Nurs. 2019 Jul-Aug;47:e2-e9. doi: 10.1016/j.pedn.2019.02.038. Epub 2019 Mar 14.
To examine the extent to which Family Health Clinics (FHCs) contribute to the formation of social capital among mothers, and determine whether it is influenced by socioeconomic factors. In FHCs, social capital can be gained by relationships between mothers (bonding social capital), by relationships between mothers and FHCs team, or between mothers of different origins/culture (bridging social capital) and health services institutional bodies (linking social capital).
This is a mixed method study. For the quantitative part, data were collected from 673 mothers using a questionnaire. The qualitative part was conducted with six focus groups.
The FHC constitutes a source of social capital in all dimensions. Bridging social capital was most prominent and is formed by interactions between mothers and FHC nurses. The factors that explain the formation of social capital were: mothers' spoken language being Arabic, participation in group training, and lower level of education. The focus groups revealed that participation in group training increased the social capital. Mothers noted that FHC nurses supplied updated information about their children's care. Regarding linking social capital, mothers perceive FHC nurses as mediators between them and the local and national health services.
FHC clinics are a source for gaining social capital. The FHC services should be adapted to mother's needs.
FHC nurses should try to create conditions for mothers to meet to create bonding social capital, relate to mother's needs for the creation of bridging social capital, and provide culturally adapted care for the formation of linking social capital.
探讨家庭健康诊所（FHC）在多大程度上促进母亲群体社会资本的形成，并确定其是否受到社会经济因素的影响。在 FHC 中，社会资本可以通过母亲之间的关系（黏合社会资本）、母亲与 FHC 团队之间的关系、或不同来源/文化的母亲之间的关系（桥接社会资本）以及卫生服务机构之间的关系（联系社会资本）获得。
这是一项混合方法研究。在定量部分，使用问卷从 673 位母亲收集数据。定性部分采用了六个焦点小组。
FHC 在所有维度上都是社会资本的来源。桥接社会资本最为突出，是通过母亲和 FHC 护士之间的互动形成的。解释社会资本形成的因素有：母亲的母语是阿拉伯语、参与小组培训和较低的教育水平。焦点小组揭示了参与小组培训增加了社会资本。母亲们指出，FHC 护士提供了关于子女护理的最新信息。关于联系社会资本，母亲们认为 FHC 护士是她们与地方和国家卫生服务之间的中介。
FHC 诊所是获得社会资本的来源。FHC 服务应适应母亲的需求。
FHC 护士应努力为母亲创造条件，以建立黏合社会资本，满足母亲的需求，以建立桥接社会资本，并提供文化适应的护理，以形成联系社会资本。
