Strength-based Approach



A strength-based approach is a participatory process that is applicable between a service provider and the user. It is whereby the service provider works collaboratively with the user to determine the strengths and assets that the service recipient has (, 2015). This helps create a positive relationship between the person receiving the services and the service provider. It also helps the service provider assess the specific needs of the user to address them. It also gives the recipient of the services a chance to use their strength to perform in the service provision process. This paper will focus on a case study of an Aboriginal pregnant woman in a health facility ad how this approach can support her family. The paper will further identify anticipated risks and suggest mitigation measures that can be adopted.

The Approach

In reference to the case study of Mamee, the approach would start by identifying her good attributes that can help in helping a family situation (Pulla, 2017). Then these attributes can be referred to by the RN formulating an intervention that would help the family out of the current situation and the risks they may face during the pregnancy. Therefore, the RN would consider the positive attributes of Mamee that are discussed in the subsequent paragraphs.

Firstly, Mamee has a job that keeps her active during her pregnancy. Being busy till late helps her reduce the anxiety about the challenges they may face once she stops working when her due date comes. This active working is healthy for the pregnancy and her mental well-being (Ferraro & Adamo, 2012). Secondly, the woman does not regret being a mum. She finds it fulfilling to have Thomas around despite the challenges that she is going through. The presence of her son makes her calm, and she believes that having a pregnancy they did not plan for was not a mistake.  This positive mentality gives her hope and, in so doing, lowers the level of anxiety that she might be having.

The RN, therefore, should mention the above-outlined attributes to keep her strong. She should also be made to understand how working late to feed and support the family will benefit them. The nurse should further encourage her to keep appreciating the gift of children and have a positive mentality about motherhood. This will eventually lead to reduced anxiety, happiness, and overall well-being of her family, pregnancy, and herself.

The Risk Factors

Several risks can be identified in the case study of RN and Mamee. The first risk factor is the drinking habits of the husband to Mamee. This is a risk factor because it has led to his joblessness, putting pressure on the pregnant wife to work extra hours at the expense of her time with the family (Hathout & Al-Batanony, 2015). It has also led to fear of challenges that may face the family when her due date is closer, and she stops providing for the family. The second risk factor that has been identified in the case study is the fact that Mamee smokes cigarettes.  It is well known the harm that smoking can cause a pregnancy.  Mamee admits that she still smokes, although less than she used to. This poses a risk to the fetus and the mother, given that their immunity is compromised by the pregnancy (McDonnell & Regan, 2019). Thirdly, the pregnant mother is in s stressful situation where she works late to feed the family. She is also anxious about what happens when she stops working. The stressful situation may affect her husband, Thomas, and her well-being (Stadtlander, 2017).

Evidence-based Intervention

Various health education strategies can be used to ensure the overall well-being of this family presented in the case study. However, this paper will focus on the risk that the smoking habit of the pregnant mother can bring about. A smoking cessation strategy would be the most appropriate, considering the harm the fetus and the mother would face. This risk can spill over to the entire family if the mother’s illness hinders her from working. The challenges born would include health, economic, and psychological. To overcome this, the nurse should, therefore, take Mamee through a smoking cessation health education to help her to quit the habit, at least for the gestation period. Pregnant women who quit smoking during their gestation period are more likely to stop smoking (Jackson, Baker, McCarter, Brown, Gould, & Dunlop, 2019). However, this is not entirely obvious. This will eventually lead to a less risky pregnancy and the overall well-being of her family and unborn child.


Registered nurses should consider applying the strength-based approach to support families and clients that experience challenges similar to the one in the case study. They should also integrate evidence-based health education strategies into their clinical programs to ensure that their clients’ well-being is catered for collaboratively. In conclusion, data-driven and evidence-based approaches should always be utilized in handling risk factors that face patients in health facilities for the overall wellbeing of communities.


Ferraro, Z. M., & Adamo, K. B. (2012). An active pregnancy for fetal well-being? The value of active living for most women and their babies. British Journal of Sports Medicine, 1-3.

Hathout, H., & Al-Batanony, M. (2015). Work-Related Risk Factors and Pregnancy Outcome between Working Women. Pyrex Journal of Research in Environmental Studies Vol 2(3), 015-019.

Jackson, M. A., Baker, A. L., McCarter, K. L., Brown, A. L., Gould, G. S., & Dunlop, A. J. (2019). Interventions for pregnant women who use tobacco and other substances: a systematic review protocol. BMJ Open 2019;9:e032449. DOI:10.1136/bmjopen-2019-032449, 1-6.

McDonnell, B., & Regan, C. (2019). Smoking in pregnancy: pathophysiology of harm and current evidence for monitoring and cessation. The Obstetrician & Gynaecologist 2019;21: 169–175.

Pulla, V. R. (2017). Strengths-Based Approach in Social Work: A distinct ethical advantage. International Journal of Innovation, Creativity, and Change. Volume 3, Issue 2, November 2017, 97-114. (2015, March). Strengths-based approaches. Retrieved July 31, 2020, from Social Care Institute for Excellence:

Stadtlander, L. (2017). Anxiety and Pregnancy. International Journal of Childbirth Education vol. 32. No.1, 32-34.