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Defining Risk in Home Visiting

Authors

  • Mary Agnes Kendra Ph.D., R.N., C.S.,

    1. Mary Agnes Kendra is an Assistant Professor, University of Akron, College of Nursing, Akron, Ohio. Valerie D. George is an Associate Professor, Cleveland State University, Department of Nursing, Cleveland, Ohio.
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  • Valerie D George Ph.D., R.N.

    1. Mary Agnes Kendra is an Assistant Professor, University of Akron, College of Nursing, Akron, Ohio. Valerie D. George is an Associate Professor, Cleveland State University, Department of Nursing, Cleveland, Ohio.
    Search for more papers by this author

Address correspondence to Mary Agnes Kendra, University of Akron, College of Nursing, 209 Carroll Street, Akron, OH 44325–3701. E-mail: kendra7@uakron.edu

Abstract

Risks associated with home visiting have been acknowledged in the nursing literature since the 19th century, yet there is not a well-defined body of literature on this subject. This void in the literature needs to be addressed in view of the current emphasis on practice in the community and the increase in the number of nurses and other health professionals that are new to the field who currently make visits. This article explores how different disciplines define risk and risk taking, identifies attributes of those who become involved in risk situations, and proposes the Cognitive-Perceptual Model of Risk in Home Visiting (CPMRHV) for community and public health nursing. The CPMRHV model provides a framework for identifying how field workers (FWs) perceive, assess, and evaluate situations relative to risk and suggests the development of policies and procedures to empower them and to assure the quality of care.

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