Vehviläinen-Julkunen K
Department of Nursing Science, University of Kuopio, Finland.
J Adv Nurs. 1992 Aug;17(8):896-904. doi: 10.1111/j.1365-2648.1992.tb02016.x.
Client-public health nurse relationships are considered to be important in nursing literature. However, little research in nursing has touched this area. The purpose of this paper is to describe a study of the patterns of interaction in terms of relationships between clients (mother and child under 1 year of age) and public health nurses in child health care at Finnish health centres. The qualitative data were collected by observing client-public health nurse interactions during visits. In total, 1554 interactions were observed over 2 years from 20 visits to child health centres. The grounded theory method was used in this study. Various relationships were identified between child and mother, child and public health nurse and mother and public health nurse. The relationship between child and mother during the visit was called a tender, protective and persuasive relationship. The relationship between child and public health nurse was called a persuasive and entertainment relationship. The main relationship between mother and public health nurse was called relationship supporting self-confidence. Suggestions for nursing practice and further research are made.
在护理文献中，医患与公共卫生护士之间的关系被认为很重要。然而，护理领域对此的研究甚少。本文旨在描述一项关于芬兰健康中心儿童保健中客户（一岁以下母婴）与公共卫生护士之间关系的互动模式研究。定性数据通过观察就诊期间医患与公共卫生护士的互动收集。在20次儿童健康中心就诊中，历时两年共观察到1554次互动。本研究采用了扎根理论方法。确定了儿童与母亲、儿童与公共卫生护士以及母亲与公共卫生护士之间的各种关系。就诊期间儿童与母亲的关系被称为温柔、保护和劝导关系。儿童与公共卫生护士的关系被称为劝导和娱乐关系。母亲与公共卫生护士之间的主要关系被称为增强自信的关系。并针对护理实践和进一步研究提出了建议。
