Campbell Karen A, MacKinnon Karen, Dobbins Maureen, Jack Susan M
McMaster University, Hamilton, Ontario, Canada.
University of Victoria, Victoria, British Columbia, Canada.
Glob Qual Nurs Res. 2020 Jan 21;7:2333393619900888. doi: 10.1177/2333393619900888. eCollection 2020 Jan-Dec.
Nurse-Family Partnership is a targeted public health intervention program designed to improve child and maternal health through nurse home visiting. In the context of a process evaluation, we posed the question: "In what ways do Canadian public health nurses explain their experiences with delivering this program across different geographical environments?" The qualitative methodology of interpretive description guided study decisions and data were collected through 10 focus groups with 50 nurses conducted over 2 years. We applied an intersectionality lens to explore the influence of all types of geography on the delivery of Nurse-Family Partnership. The findings from our analysis suggest that the nature of clients' place and their associated social and physical geography emphasizes inadequacies of organizational and support structures that create health inequities for clients. Geography had a significant impact on program delivery for clients who were living with multiple forms of oppression and it worked to reinforce disadvantage.
护士-家庭伙伴关系是一项有针对性的公共卫生干预项目，旨在通过护士家访来改善儿童和孕产妇健康。在一项过程评估的背景下，我们提出了这样一个问题：“加拿大公共卫生护士以何种方式解释他们在不同地理环境中实施该项目的经历？”解释性描述的定性方法指导了研究决策，并通过在两年内与50名护士进行的10次焦点小组访谈收集了数据。我们运用交叉性视角来探讨各类地理环境对护士-家庭伙伴关系实施的影响。我们的分析结果表明，客户所在地点的性质及其相关的社会和自然地理环境凸显了组织和支持结构的不足，这些不足给客户造成了健康不平等。地理环境对遭受多种形式压迫的客户的项目实施产生了重大影响，并加剧了他们的不利处境。
