Perspectives of nurse practitioners on health care needs among Latino children and families in the rural Southeastern United States: a pilot study

J Pediatr Health Care. Nov-Dec 2012;26(6):409-17. doi: 10.1016/j.pedhc.2011.02.013. Epub 2011 May 7.

Abstract

Introduction: The purpose of this study was to explore perspectives of nurse practitioners on health care needs among Latino children and families in the rural Southeastern United States.

Method: This qualitative research used semi-structured interviews with seven nurse practitioners (NPs) practicing in the rural southeastern part of North Carolina. Flanagan's critical incident technique was used to describe the experiences of NPs providing health care for Latino children and parents.

Results: Data analysis indicates that the most commonly reported illnesses by Latino children are upper respiratory infections and asthma, followed by otitis media, obesity, anemia, pneumonia, leukemia, and tumors. Barriers to health care for children included language and cultural differences, lack of access to care (e.g., lack of insurance, cost, and transportation), and health illiteracy/low education level of parents. The findings also suggest that Latinos are preserving their traditional health practices when treating their children's illnesses, such as through use of foods, hot/cold items, herbs, coin on "belly button," traditional juices, healing bracelets, and evil eye.

Discussion: The findings of the study imply the need to incorporate culturally sensitive care when providing care for Latino children and parents.

Publication types

  • Review

MeSH terms

  • Attitude to Health
  • Child
  • Child Health Services / organization & administration*
  • Child Health Services / standards
  • Child, Preschool
  • Cultural Competency*
  • Delivery of Health Care / organization & administration*
  • Delivery of Health Care / standards
  • Educational Status
  • Female
  • Health Services Accessibility / organization & administration*
  • Health Services Accessibility / standards
  • Hispanic Americans*
  • Humans
  • Infant
  • Insurance, Health
  • Male
  • Medicine, Traditional
  • Needs Assessment
  • Nurse Practitioners*
  • Pilot Projects
  • Rural Population*
  • Southeastern United States / epidemiology
  • Surveys and Questionnaires