Joint action between child health care nurses and midwives leads to continuity of care for expectant and new mothers

Figures & data

Figure 1.  Linkage in the chain of care.

Table I. Data sources.

Data sources	Family center	Medical center
Interviews: Midwives, CHC nurses (15–40 min) (N=20)	n=5 (2 midwives, 3 CHC nurses)	n=15 (7 midwives, 8 CHC nurses)
Interviews: Mothers (15–40 min) (N=21)	n=11 (2 first-time mothers, 9 mothers with more than one child)	n =10 (5 first-time mothers, 5 mothers with more than one child)
Participant observation (40 h); low-structured observations	Waiting room, team meetings, home visits	Waiting room, meetings
Documents	Annual reports	Meeting protocol

Table II. The core process of joint action.

Core	Sub cores	Main categories with sub categories	Relation between modes/strategies and practices
	Modes of joint action	Joint activities	Informal and formal meetings, joint policy documents, , introducing new employees
		Joint support	Joint home visits, parent education classes, joint breastfeeding support, knocking on the door
Joint action	Strategies of joint action	Transfer of information General Specific	Informal and formal meetings Joint home visits, knocking on the door
		Establishing and maintaining a relationship Establishing Maintaining	Parent education classes, knocking on the door Knocking on the door, joint home visits
		Adjustment  Joint policy Joint learning	Joint breastfeeding policy, joint policy documents, introducing new employees Informal and formal meetings, joint home visits, parent education classes, breastfeeding support, knocking on the door
	Practices of joint action	Informal and formal meetings,Joint policy documentsIntroduction of new employeesJoint home visits,Joint parent education classesJoint breastfeeding support Knocking on the door

Figure 2.  The core category of joint action.

Table III. Strategies for continuity from this study compared to types of continuity.

Strategies for continuity—joint action	Type of continuity
Transfer	Informational continuity
Establish and maintain relationship	Relational continuity
Adjustments	Management continuity

Source: Haggerty et al. (2003).

Haggerty, J. L., Reid, R. J., Freeman, G. K., Starfield, B. H., Adair, C. E., & McKendry, R. (2003). Continuity of care: A multidisciplinary review. British Medical Journal. 327(7425), 1221. 10.3402/qhw.v7i0.18183.

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