The hybrid model for concept development: its value for the study of therapeutic alliance

Schwartz-Barcott and Kim's hybrid model is used as a research methodology for the development and analysis of the concept of therapeutic alliance. Empirical data gathered in a community health setting by field research techniques are used to compare, to contrast, and to rework existing definitions and related concepts from literature review. The resulting definitional refinement provides clear distinctions between the concepts of compliance and therapeutic alliance and assists in selection of appropriate nursing interventions supportive of clients' health goals.