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Nurse-client interactions in community-based practice: creating common ground.

L Kristjanson1, K Chalmers

  • 1School of Nursing, University of Manitoba, Winnipeg, Canada.

Public Health Nursing (Boston, Mass.)
|December 1, 1990
PubMed
Summary
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This study describes nurse-client interactions in community health nursing, identifying "creating common ground" as a key process. This interaction dynamic varied based on context, nurse skills, and client engagement.

Area of Science:

  • Community Health Nursing
  • Qualitative Research Methods
  • Health Communication

Background:

  • Limited empirical literature systematically describes nurse-client interactions in community health nursing.
  • Research increasingly focuses on health outcomes but overlooks interactional elements.
  • Understanding the nurse-client dynamic is crucial for effective community health interventions.

Purpose of the Study:

  • To systematically describe the detailed elements of nurse-client interactions in community health nursing.
  • To identify the core processes occurring during these interactions.
  • To explore factors influencing the nurse-client interaction process.

Main Methods:

  • Pilot study involving videotaping 19 nurse-client interactions in a Canadian public health department.

Related Experiment Videos

  • Content analysis of transcribed audio from interactions.
  • Semi-structured interviews with nurses and clients post-interaction.
  • Collection and analysis of field notes on nonverbal and contextual data.

    • Main Results:

    • The central process identified was "creating common ground," an exchange where participants define their roles and share information.
    • This process was influenced by the specific care context (e.g., home visits, clinics, school settings).
    • Nurse's process skills and the client's willingness to engage significantly impacted the interaction.

    Conclusions:

    • "Creating common ground" is a fundamental schema in community health nurse-client interactions.
    • The effectiveness and nature of this process are context-dependent and influenced by both provider and receiver factors.
    • Further research should explore strategies to enhance "common ground" creation for improved health outcomes.