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Rites of passage: 
becoming a health visitor 
Dr Karen Strickland 
Associate Head, 
School of Nursing & Midwifery
Becoming a Health Visitor 
“Embarking” on HV education Learning “to be” a HV “Becoming” a HV 
Threshold 
• Disruption to previous 
identity 
• Undertaking new role 
• Uncertain knowledge 
• Uncertain territory 
Liminal Self 
• betwixt and between 
• Professional self 
unbalanced 
• Personal self 
unbalanced 
Post-liminal self 
P r o f e s s i o n a l t r a n s i t i o n
Disciplinary Bottlenecks! 
Procedural 
obstacles 
Emotional 
obstacles 
Knowledge 
obstacles 
Becoming a Health Visitor 
Adapted from Diaz et al, 2014
1. Identify 
Bottlenecks 
Decoding 
the 
discipline 
2.Define the 
processes that 
students need 
to master 
3. Model 
these 
processes. 
4. Create 
opportunities 
to practice 
and get 
feedback 
5. Motivate 
students 
7. Share what 
has been 
learned 
6. Assess 
student 
mastery 
http://www.decodingthedisciplines.org/index. 
html Diaz et al, 2014 
Middendorf & Pace, 2004
Supporting professional transitions: 
the practice teacher role 
• Assisting students to develop a sense of professional identity; 
• Consolidating students’ learning; 
• Enabling students to enhance professional skills and 
competencies; 
• Providing opportunities for consolidation of career 
development and planning processes; 
• Preparing students as ethical citizens and leaders. 
McNamara et al, 2011
Becoming a Health Visitor 
“Embarking” on HV education Learning “to be” a HV “Becoming” a HV 
Threshold 
• Disruption to previous 
identity 
• Undertaking new role 
• Uncertain knowledge 
• Uncertain territory 
Liminal Self 
• betwixt and between 
• Professional self 
unbalanced 
• Personal self 
unbalanced 
Post-liminal self 
• Transformation of the self 
• Reincorporation to new 
narrative 
• The student has become a 
Health visitor 
P r o f e s s i o n a l t r a n s i t i o n 
P r a c t i c e Te a c h e r R o l e
Conclusions 
• Supporting student health visitors is a 
partnership 
• The transition to becoming a health visitor is 
both a personal and professional journey 
• There are bottlenecks along the way!

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NES Health Visitor Practice Teacher event Sept 2014 2

  • 1. Rites of passage: becoming a health visitor Dr Karen Strickland Associate Head, School of Nursing & Midwifery
  • 2.
  • 3. Becoming a Health Visitor “Embarking” on HV education Learning “to be” a HV “Becoming” a HV Threshold • Disruption to previous identity • Undertaking new role • Uncertain knowledge • Uncertain territory Liminal Self • betwixt and between • Professional self unbalanced • Personal self unbalanced Post-liminal self P r o f e s s i o n a l t r a n s i t i o n
  • 4.
  • 5. Disciplinary Bottlenecks! Procedural obstacles Emotional obstacles Knowledge obstacles Becoming a Health Visitor Adapted from Diaz et al, 2014
  • 6. 1. Identify Bottlenecks Decoding the discipline 2.Define the processes that students need to master 3. Model these processes. 4. Create opportunities to practice and get feedback 5. Motivate students 7. Share what has been learned 6. Assess student mastery http://www.decodingthedisciplines.org/index. html Diaz et al, 2014 Middendorf & Pace, 2004
  • 7. Supporting professional transitions: the practice teacher role • Assisting students to develop a sense of professional identity; • Consolidating students’ learning; • Enabling students to enhance professional skills and competencies; • Providing opportunities for consolidation of career development and planning processes; • Preparing students as ethical citizens and leaders. McNamara et al, 2011
  • 8. Becoming a Health Visitor “Embarking” on HV education Learning “to be” a HV “Becoming” a HV Threshold • Disruption to previous identity • Undertaking new role • Uncertain knowledge • Uncertain territory Liminal Self • betwixt and between • Professional self unbalanced • Personal self unbalanced Post-liminal self • Transformation of the self • Reincorporation to new narrative • The student has become a Health visitor P r o f e s s i o n a l t r a n s i t i o n P r a c t i c e Te a c h e r R o l e
  • 9. Conclusions • Supporting student health visitors is a partnership • The transition to becoming a health visitor is both a personal and professional journey • There are bottlenecks along the way!