ABSTRACT

Contemporary approaches to evidence-based practice require researchers to draw upon the practice wisdom of experienced practitioners who can potentially identify the core components that give programmes of care their efficacy. One such component is the ‘working alliance’. This paper presents the findings of a qualitative study of how this alliance played out within the context of a charity with significant experience of working with vulnerable young people. Utilising fieldwork observations (n = 11), semi-structured interviews (n = 16) and focus groups (n = 3), the study explored the importance of the alliance, how it was built and how it operated in the everyday work of the organisation. Findings confirm the need for a pan-theoretical working model based on expressing warmth and care to clients whilst working towards specific outcomes through the completion of predetermined tasks. This was achieved through active listening, building trust, demonstrating care and empathy, providing practical and social support and persuading and motivating young people towards agreed goals.

摘要

现代循证实践方法要求研究人员利用经验丰富的从业者的实践智慧，他们可能会识别出使护理计划发挥功效的核心组成部分。其中一个组成部分是“工作联盟”。本文介绍了一项定性研究的结果，该研究结果是在一个慈善机构的背景下如何发挥作用，该慈善机构在与弱势年轻人合作​​方面具有丰富的经验。该研究利用实地观察 (n = 11)、半结构化访谈 (n = 16) 和焦点小组 (n = 3)，探讨了联盟的重要性、联盟的建立方式以及联盟在日常工作中的运作方式。组织。调查结果证实，需要一个泛理论的工作模型，该模型基于向客户表达热情和关怀，同时通过完成预定任务来实现特定结果。这是通过积极倾听、建立信任、表现出关怀和同理心、提供实际和社会支持以及说服和激励年轻人实现商定目标来实现的。