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Appears in Collections:Faculty of Social Sciences Journal Articles
Peer Review Status: Refereed
Title: Health visitors' work in a multi-ethnic society: A qualitative study of social exclusion
Author(s): Bowes, Alison
Domokos, T Meehan
Keywords: Minorities Health and hygiene Scotland Glasgow
Visiting nurses Scotland Glasgow
Minorities Services for Scotland Glasgow
Women's health services Scotland Glasgow
Issue Date: 1998
Date Deposited: 28-Feb-2008
Citation: Bowes A & Domokos TM (1998) Health visitors' work in a multi-ethnic society: A qualitative study of social exclusion. Journal of Social Policy, 27 (4), pp. 489-506.
Abstract: Health visiting is adopting an enabling model of practice, which may promote social inclusion, but is under pressure to justify itself. The article focuses on health visitors’ work with Pakistani women and comparable white women in Glasgow, examining the nature of health visiting and women’s responses to it. Health visitors’ perspectives involve the appreciation of cultural differences, building relationships with clients, and some stereotyping of clients. Techniques include highly valued home visiting, and processes of negotiation with clients. Problems faced include difficulties with interpreters, lack of training, relationships with other professions, recent changes in the NHS, and issues of stress and personal safety. Women’s views of health visitors are generally positive, especially concerning home visits, time spent with clients, and gate-keeping access to GPs. Negative views came mostly from white women, and concerned the more controlling models of health visiting. Thus, enabling health visiting practice was widely appreciated, and could act as an inclusionary force, facilitating access to and use of health services. Exclusion was operating at institutional level, towards minorities and women of lower socio-economic groups, but was being actively resisted by practitioners.
DOI Link: 10.1017/S004727949800539X
Rights: Published in Journal of social policy. Copyright : Cambridge University Press

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