{"id":{"repo_id":"usd-thes","oai_identifier":"oai:digital.sandiego.edu:dissertations-1291"},"canonical_url":"https://search.dev.ndltd.org/etd/usd-thes/oai:digital.sandiego.edu:dissertations-1291","repository":{"repo_id":"usd-thes","name":"University of San Diego","base_url":"https://digital.sandiego.edu/do/oai/"},"display":{"title":"Clients' Expectations of Public Health Nurses' Home Visits","abstract":"Although there is considerable research on the relationship between client expectations and outcomes of care in acute care settings, less is known about clients' expectations for public health nurses' home visits. The aim of this study was to understand clients' expectations of public health nurses' home visits as a first step in making explicit how expectations affect client responses to, and ultimately, outcomes of public health nurses' care. Interviews were conducted with a convenience sample of 19 primary caretakers of high-risk infants admitted to a Neonatal Intensive Care Unit (NICU) and voluntarily enrolled in a High-Risk Infant (HRI) Program in Southern California. All but one of the participants were the mothers of the high-risk infants. The findings of this study elucidated a process of forming expectations , which consisted of two stages, expectation formation and expectation reformation. Contrary to psychological theories of expectations, participants had not formed expectations of public health nurses' home visits. Most had no knowledge of public health nurses work or their infant's referral to the program. However, with prompts from the researcher, participants used guesswork to predict what the nurse might do or say or to state their ideal expectations. The interaction with the public health nurse was a pivotal influence in confirming positive expectations and disconfirming negative expectations. Participants were surprised when the nurse addressed other health care issues of the family.","abstract_html":"Although there is considerable research on the relationship between client expectations and outcomes of care in acute care settings, less is known about clients' expectations for public health nurses' home visits. The aim of this study was to understand clients' expectations of public health nurses' home visits as a first step in making explicit how expectations affect client responses to, and ultimately, outcomes of public health nurses' care. Interviews were conducted with a convenience sample of 19 primary caretakers of high-risk infants admitted to a Neonatal Intensive Care Unit (NICU) and voluntarily enrolled in a High-Risk Infant (HRI) Program in Southern California. All but one of the participants were the mothers of the high-risk infants. The findings of this study elucidated a process of forming expectations , which consisted of two stages, expectation formation and expectation reformation. Contrary to psychological theories of expectations, participants had not formed expectations of public health nurses' home visits. Most had no knowledge of public health nurses work or their infant's referral to the program. However, with prompts from the researcher, participants used guesswork to predict what the nurse might do or say or to state their ideal expectations. The interaction with the public health nurse was a pivotal influence in confirming positive expectations and disconfirming negative expectations. Participants were surprised when the nurse addressed other health care issues of the family.","abstract_has_math":false,"creators":["Miller, Eva G., DNSc, MS, RN, PHN"],"institution":null,"degree_name":"Doctor of Nursing Science","degree_level":"Dissertation: Open Access","degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2006,"date_issued":"2006-03-29T08:00:00Z","date_published":"2006-03-29T08:00:00Z","updated_at":"2026-07-24T05:41:20Z","subjects":["high-risk infants","home visits","nurse-patient relationship","nursing","patients","Public Health Nurses"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://digital.sandiego.edu/dissertations/288","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Miller, Eva G., DNSc, MS, RN, PHN"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2021-06-28T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation: Open Access"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Science"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["high-risk infants","home visits","nurse-patient relationship","nursing","patients","Public Health Nurses"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://digital.sandiego.edu/dissertations/288"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Although there is considerable research on the relationship between client expectations and outcomes of care in acute care settings, less is known about clients' expectations for public health nurses' home visits. The aim of this study was to understand clients' expectations of public health nurses' home visits as a first step in making explicit how expectations affect client responses to, and ultimately, outcomes of public health nurses' care. Interviews were conducted with a convenience sample of 19 primary caretakers of high-risk infants admitted to a Neonatal Intensive Care Unit (NICU) and voluntarily enrolled in a High-Risk Infant (HRI) Program in Southern California. All but one of the participants were the mothers of the high-risk infants. The findings of this study elucidated a process of forming expectations , which consisted of two stages, expectation formation and expectation reformation. Contrary to psychological theories of expectations, participants had not formed expectations of public health nurses' home visits. Most had no knowledge of public health nurses work or their infant's referral to the program. However, with prompts from the researcher, participants used guesswork to predict what the nurse might do or say or to state their ideal expectations. The interaction with the public health nurse was a pivotal influence in confirming positive expectations and disconfirming negative expectations. Participants were surprised when the nurse addressed other health care issues of the family."]},{"key":"dc:title","label":"Title","values":["Clients' Expectations of Public Health Nurses' Home Visits"]}]}],"canonical_facts":{"dc:creator":["Miller, Eva G., DNSc, MS, RN, PHN"],"dc:date.available":["2021-06-28T07:00:00Z"],"dc:description.abstract":["Although there is considerable research on the relationship between client expectations and outcomes of care in acute care settings, less is known about clients' expectations for public health nurses' home visits. The aim of this study was to understand clients' expectations of public health nurses' home visits as a first step in making explicit how expectations affect client responses to, and ultimately, outcomes of public health nurses' care. Interviews were conducted with a convenience sample of 19 primary caretakers of high-risk infants admitted to a Neonatal Intensive Care Unit (NICU) and voluntarily enrolled in a High-Risk Infant (HRI) Program in Southern California. All but one of the participants were the mothers of the high-risk infants. The findings of this study elucidated a process of forming expectations , which consisted of two stages, expectation formation and expectation reformation. Contrary to psychological theories of expectations, participants had not formed expectations of public health nurses' home visits. Most had no knowledge of public health nurses work or their infant's referral to the program. However, with prompts from the researcher, participants used guesswork to predict what the nurse might do or say or to state their ideal expectations. The interaction with the public health nurse was a pivotal influence in confirming positive expectations and disconfirming negative expectations. Participants were surprised when the nurse addressed other health care issues of the family."],"dc:identifier":["https://digital.sandiego.edu/dissertations/288"],"dc:subject":["high-risk infants","home visits","nurse-patient relationship","nursing","patients","Public Health Nurses"],"dc:title":["Clients' Expectations of Public Health Nurses' Home Visits"],"thesis:degree_discipline":["Nursing"],"thesis:degree_level":["Dissertation: Open Access"],"thesis:degree_name":["Doctor of Nursing Science"]},"updated_at":"2026-07-24T05:41:20Z"}