High turnover of remote health staff and inadequate understanding about the philosophy and scope of the Program, as well as a lack of cultural competence (particularly skills in intercultural communication, awareness of cultural specificity of mainstream health services and an understanding of power relationships) emerged as important barriers to effective relationships.
Professor Eileen Munro's recent review of child protection recommended that bureaucratic barriers to quality relationships with children and parents must be removed, but action is now required.
We conducted qualitative research in southern Ethiopia to identify facilitators of and barriers to interpersonal relationships between HEWs and actors in the community and health sector and, where possible, their impact on HEW performance in maternal health.
The response to the workshops was overwhelmingly positive among both nursing attendants (NA) and trained nurses (TN), although barriers to good relationships between staff and between staff and patients remained.
Barriers to positive relationships included ineffective and negative communication, a lack of trust, a lack of safety in terms of staff as ineffective in preventing violence, and as perpetrators themselves, and the use of coercion by staff.
(Older Male, Mbeya) Social exchange theorists posit that in addition to diminishing rewards and the presence of an attractive alternative partner, a breakdown of barriers to exit a relationship also contributes to relationship failure.
Social exchange theory has been widely used in research on marriage and attributes the lack of rewards in a relationship, a breakdown of barriers to leave a relationship and the existence of an attractive alternative to marital dissolution.
Social exchange theorists posit that in addition to the existence of an attractive alternative, diminishing rewards and a breakdown of barriers to leaving the relationship are important factors in relationship dissolution.
Some of the categories and questions included in the interview guide were on supervisory relationship, enablers of and barriers to CS, dual relationships and telesupervision.
