Porr Caroline J
School of Nursing, Memorial University of Newfoundland, St. John's, Canada.
Public Health Nurs. 2015 Jan-Feb;32(1):43-9. doi: 10.1111/phn.12097. Epub 2013 Dec 10.
This Clinical Concepts article concerns the relational tools required by public health nurses to establish relationships with single mothers living on public assistance, mothers who are vulnerable and often stigmatized. The implications of stigmatization for relationship building are highlighted based on previous research investigating how public health nurses working in Canadian jurisdictions establish professional caring relationships with this cohort of mothers. Public health nurses employed interactional strategies including engaging in a positive manner and offering verbal commendations which served as effective relational tools to break through mothers' walls of defensiveness and to resume the dynamic process of relationship building. Building Relationship is a key practice standard for public health nurses and is instrumental to their work at both individual and community levels to improve social determinants of health. The author concludes with recommendations to facilitate building relationships during everyday public health nursing practice.
这篇临床概念文章关注的是公共卫生护士与依靠公共援助生活的单身母亲建立关系所需的相关工具，这些母亲处于弱势且常常受到污名化。基于此前一项关于加拿大各辖区的公共卫生护士如何与这一群体的母亲建立专业关怀关系的研究，强调了污名化对建立关系的影响。公共卫生护士采用了互动策略，包括以积极的方式参与并给予口头赞扬，这些策略作为有效的关系工具，打破了母亲们的防御壁垒，重启了建立关系的动态过程。建立关系是公共卫生护士的一项关键实践标准，对他们在个人和社区层面改善健康的社会决定因素的工作至关重要。作者最后提出了一些建议，以促进日常公共卫生护理实践中的关系建立。
