Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
J Pediatr Nurs. 2010 Oct;25(5):327-34. doi: 10.1016/j.pedn.2008.12.003. Epub 2009 Apr 8.
The aim of the study is to examine and articulate the nature of working relationships of public health nurses and high-priority families in small communities in northern Canada. Public health nurses working in northern, rural, and remote communities face unique and varied challenges. Reportedly, the hardest part of their job is working with families who have been deemed high priority or high risk. Working with these families in these contexts relies on relationships of reciprocity, trust, and communication. This qualitative research was guided by an interpretive hermeneutic inquiry; 32 families, 25 public health nurses, and three lay home visitors were interviewed from July 2005 through July 2006. Analysis was completed individually and through teamwork of the researchers. Findings suggest that the working relationship of public health nurses and high-priority families in northern communities is complex and multifaceted. Nurses carefully negotiate the process of engaging and entering relationships, maintaining the relationships, and negotiating boundaries. The analysis offers insight into the everyday practices and problems that public health nurses and families encounter in providing care to a vulnerable, isolated, and often marginalized population while navigating the complexity of living and working in the same small communities.
本研究旨在审视和阐明加拿大北部小型社区中公共卫生护士与高优先级家庭的工作关系的本质。在北部、农村和偏远社区工作的公共卫生护士面临着独特而多样的挑战。据报道，他们工作中最困难的部分是与被视为高优先级或高风险的家庭合作。在这些背景下，与这些家庭合作依赖于互惠、信任和沟通的关系。这项定性研究以解释性诠释学探究为指导；2005 年 7 月至 2006 年 7 月，对 32 个家庭、25 名公共卫生护士和 3 名家庭访问员进行了访谈。分析是通过研究人员的个人和团队合作完成的。研究结果表明，加拿大北部社区中公共卫生护士与高优先级家庭的工作关系是复杂而多方面的。护士仔细协商参与和建立关系、维持关系以及协商界限的过程。该分析深入了解了公共卫生护士和家庭在为弱势、孤立和经常处于边缘地位的人群提供护理时所遇到的日常实践和问题，同时还探讨了在同一小型社区中生活和工作的复杂性。
