as the third stage of partnership is, it is not possible to reach this level
in every parent/professional relationship. Nurses in some settings (acute care
or schools, for example) may not have enough interaction or time with the parents
to reach this level. However, It is a reasonable goal for nurse case managers,
home health nurses who work with the family for a long period of time, and nurses
in a variety of public and private organizations.
Many factors can intervene to preclude effective partnerships, including family stressors, changes in personnel, transitions to a new program, or a new diagnosis for the child. Inevitably, there are personality conflicts and a nurse may find herself unable to form an effective partnership with a particular parent or family: "We will not be able to dance gracefully with everyone. Sometimes we have to ask others to do the dancing for us when we encounter someone with whom we feel at a standstill. This type of intervention need not be seen as a failure, but rather as a creative way to deal with personalities that may clash or with circumstances which need more time or a fresh approach."
is inevitable in parent/professional partnerships and can even result in better
solutions for the child. However, when the nurse/parent interaction has deteriorated
to the point that the child no longer benefits from the nurses work, its
time to arrange for another nurse to work with the family.