Memorial University, St. John's, Newfoundland, Canada.
Qual Health Res. 2012 Mar;22(3):384-96. doi: 10.1177/1049732311421182. Epub 2011 Sep 2.
Grounded theory was employed to elucidate how public health nurses (PHNs) develop therapeutic relationships with vulnerable and potentially stigmatized clients, specifically, single mothers living in low-income situations. We named the emerging theoretical model Targeting Essence: Pragmatic Variation of the Therapeutic Relationship, after discovering that although PHNs strove to achieve relational goals, their attention was primarily focused on the goal of ascertaining concerns foremost on the hearts and minds of mothers, and that PHNs had to accomplish these goals within short practice timeframes. The study's focused context elicited a nuanced explanation of the dynamic relationship-building process derived from subjective relationship experiences of PHNs and single mothers living in low-income situations. We believe Targeting Essence will serve as an effectual relationship-building model, enabling PHNs to know essentially what mothers want and need, and enabling mothers to know essentially that their PHN can be trusted not to render judgment.
本研究采用扎根理论阐明公共卫生护士（PHN）如何与弱势且可能被污名化的客户（尤其是低收入处境中的单身母亲）建立治疗性关系。我们发现，尽管 PHN 努力实现关系目标，但他们主要关注的是确定母亲内心最关注的问题，并且 PHN 必须在短时间内实现这些目标，因此将新兴的理论模型命名为“瞄准本质：治疗性关系的实用变化”。该研究的重点背景从主观关系经验中得出了对 PHN 和低收入处境中的单身母亲动态关系建立过程的细微解释。我们相信，“瞄准本质”将成为一种有效的关系建立模式，使 PHN 能够从本质上了解母亲的需求，使母亲能够从本质上了解 PHN 可以信任而不会评判她们。
