Nurse case management: negotiating care together within a developing relationship.
TOPIC/PROBLEM: The purpose of this study was to explicate the process of nurse case management involving clients afflicted with chronic mental illness.


METHODS
Grounded theory was the method of choice. Interviews were conducted with nurses in inpatient, transitional, and community settings in four cities in southern Ontario, Canada.


RESULTS
Negotiating care together within a developing relationship emerged as the basic social process. "Building a trusting relationship" was identified as the foundation of case management.


CONCLUSIONS
Salient differences were found between the three settings, yet the basic social process was consistent across settings. This underscores the therapeutic relationship as the basis for nurse psychiatric case management.
Yamashita
Mineko
M
Department of Nursing, School of Health and Social Services, Saitama Prefectural University, 820 San-Nomiya, , Saitama-ken, Japan. yamashita-mineko@spu.ac.jp
Forchuk
Cheryl
C
Mound
Bronwyn
B
D000328:Adult; D001291:Attitude of Health Personnel; D019090:Case Management / Q000458:organization & administration*; D002908:Chronic Disease; D003142:Communication; D019058:Community Networks; D004645:Empathy; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D001523:Mental Disorders / Q000451:nursing / Q000523:psychology; D008875:Middle Aged; D016294:Models, Nursing; D017008:Negotiating / Q000379:methods / Q000523:psychology; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D009730:Nursing Assessment; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000193:education / Q000523:psychology*; D009864:Ontario; D010344:Patient Advocacy; D010358:Patient Participation / Q000379:methods / Q000523:psychology; D011568:Psychiatric Nursing / Q000458:organization & administration*; D012944:Social Support; D011795:Surveys and Questionnaires; D035502:Trust