{"title":"More than health care","authors":"Lydia Mehrara","doi":"10.31265/jcsw.v17i2.461","DOIUrl":null,"url":null,"abstract":"The Norwegian community health centres are one of the main providers of maternal and child health care services. They are often the primary, as well as a regular point of contact, for women during pregnancy and after childbirth. As such, they are a place where encounters between primary health care providers like public health nurses, midwives and immigrant women, are frequent.\nMidwives and public health nurses play an important role as state employees in the distribution of universal health provisions at the local level. This is especially important in meeting the diverse needs of service users in a universal health care system. This study investigates the implications of cultural diversity for health care practice in a universal system. It employs a qualitative approach, using data from nine semi-structured interviews with midwives and public health nurses across three Norwegian municipalities. It analyses their experiences in working with immigrant women during pregnancy, and after childbirth, through thematic analysis. The findings illustrate the practitioners’ different approaches to meeting with culturally diverse patients, the challenges they face in their work, and how they overcome them. The discussions address the practice of cross-cultural health care in the absence of national guidelines or formal training using street-level bureaucracy as an analytical concept. This article contributes to knowledge on the practice of cross-cultural health care at Norwegian community health centres in the absence of a culturally cognizant health policy. On a broader scale, this study illustrates the implications of diversity for policy and practice in a universal welfare state. ","PeriodicalId":37599,"journal":{"name":"Journal of Comparative Social Work","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Comparative Social Work","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.31265/jcsw.v17i2.461","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Social Sciences","Score":null,"Total":0}
引用次数: 0
Abstract
The Norwegian community health centres are one of the main providers of maternal and child health care services. They are often the primary, as well as a regular point of contact, for women during pregnancy and after childbirth. As such, they are a place where encounters between primary health care providers like public health nurses, midwives and immigrant women, are frequent.
Midwives and public health nurses play an important role as state employees in the distribution of universal health provisions at the local level. This is especially important in meeting the diverse needs of service users in a universal health care system. This study investigates the implications of cultural diversity for health care practice in a universal system. It employs a qualitative approach, using data from nine semi-structured interviews with midwives and public health nurses across three Norwegian municipalities. It analyses their experiences in working with immigrant women during pregnancy, and after childbirth, through thematic analysis. The findings illustrate the practitioners’ different approaches to meeting with culturally diverse patients, the challenges they face in their work, and how they overcome them. The discussions address the practice of cross-cultural health care in the absence of national guidelines or formal training using street-level bureaucracy as an analytical concept. This article contributes to knowledge on the practice of cross-cultural health care at Norwegian community health centres in the absence of a culturally cognizant health policy. On a broader scale, this study illustrates the implications of diversity for policy and practice in a universal welfare state.
期刊介绍:
This journal promotes contributions, discussions and an exchange of knowledge on Social Work issues. Social Work is a line of work carried out by trained professionals, or "Social Workers", in many different countries. Accordingly, the nature of social work can vary widely. However, its broad aim is to assess and meet people''s social needs by providing services that enable them to live in safety, independence and dignity. In order to appropriately cater to the needs of the people they serve, the practices, aims and values of Social Workers must reflect the cultural and social norms of the society in which they operate. Comparative social work emphasizes comparative studies of social work between different countries, cultures and contexts. The journal aims to support practitioners and academics alike through its discussions of matters relevant to Social Work Practice. This journal publishes two types of peer-reviewed scientific articles on subjects of importance for social work, with a special emphasis on comparative research on different aspects. This includes: -Comparative studies -Single site studies that also generate insight and knowledge in various geographical/cultural and national settings. We also welcome essays discussing/reflecting relevant subjects from an individual point of view, and at least two members of our editorial board will review such papers (maximum of 3,000 words). The JCSW was founded in 2006 and is currently hosted by the University of Stavanger, in cooperation with the University of Agder and the University of Nordland.