title: Watchfully checking rapport with the Primary Child Health Care nurses - a theoretical model from the perspective of parents of foreign origin.
abstract: BACKGROUND
  Worldwide, multicultural interaction within health care seems to be challenging and problematic. This is also true among Primary Child Health Care nurses (PCHC nurses) in the Swedish Primary Child Health Care services (PCHC services). Therefore, there was a need to investigate the parents' perspective in-depth.
  
  
  OBJECTIVE
  The aim of the study was to construct a theoretical model that could promote further understanding of the variety of experiences of parents of foreign origin regarding their interaction with the PCHC nurses at PCHC services.
  
  
  METHODS
  The study used Grounded Theory Methodology. Twenty-one parents of foreign origin in contact with PCHC servicies were interviewed.
  
  
  RESULTS
  In our study parents were watchfully checking rapport, i.e. if they could perceive sympathy and understanding from the PCHC nurses. This was done by checking the nurse's demeanour and signs of judgement. From these interviews we created a theoretical model illustrating the interactive process between parents and PCHC nurses.
  
  
  CONCLUSIONS
  We found it to be of utmost importance for parents to be certain that it was possible to establish rapport with the PCHC nurse. If not, disruptions in the child's attendance at PCHC services could result. PCHC nurses can use the theoretical model resulting from this study as a basis for understanding parents, avoiding a demeanour and judgements that may cause misunderstandings thus promoting high-quality interaction in PCHC services.
authors.affiliation: Centre for Family and Community Medicine, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Alfred Nobels Allé 12, SE-141 83 Huddinge, Stockholm, Sweden.
authors.forename: Anita
authors.initials: A
authors.lastname: Berlin
authors.affiliation: Centre for Family and Community Medicine, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Alfred Nobels Allé 12, SE-141 83 Huddinge, Stockholm, Sweden.
authors.forename: Lena
authors.initials: L
authors.lastname: Törnkvist
authors.affiliation: Centre for Family and Community Medicine, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Alfred Nobels Allé 12, SE-141 83 Huddinge, Stockholm, Sweden.
authors.forename: Ingrid
authors.initials: I
authors.lastname: Hylander