Karolinska Institutet, Stockholm, Sweden.
Region Stockholm, Stockholm, Sweden.
Qual Health Res. 2021 Jul;31(8):1380-1391. doi: 10.1177/1049732321994538. Epub 2021 Feb 28.
Early childhood home visiting to improve health and development is commonly delivered by child health care (CHC) whereas home visitors from the social services are rare. We applied a constructivist grounded theory approach to explore the practice and contributions of parental advisors from the preventive social services in a home visiting collaboration with CHC in a socioeconomically disadvantaged area of Sweden. The analysis rendered a conceptual model of a situation-based practice, built on interactive encounters between parents and professionals. It includes strengthening of positive parenting, connecting parents to additional services, early detection of needs and provision of psychosocial support in accordance with each family's specific situation. Rooted in the training and experience in social work, the practice can be seen as contributory to the delivery of complex support to families through home visiting and could provide input to efforts of improving training of home visitors in different contexts.
婴幼儿家庭访视以改善健康和发育，通常由儿童保健（CHC）提供，而来自社会服务的家访者则很少见。我们应用建构主义扎根理论方法，探索在瑞典社会经济处于不利地位地区，与 CHC 合作的家访中，预防社会服务中的家长顾问的实践和贡献。分析结果呈现了一种基于情境的实践概念模型，建立在父母和专业人员之间的互动接触基础上。它包括加强积极的育儿方式、将父母与其他服务联系起来、及早发现需求以及根据每个家庭的具体情况提供心理社会支持。这种实践根植于社会工作的培训和经验，可以被视为通过家访为家庭提供复杂支持的贡献，并可以为不同背景下改善家访者培训的努力提供参考。
